Pediatric nursing worksheet with answers

Febrile seizures most often occur in which age group?

1. ABetween 8 and 12 years
2. BBetween about 6 months and 5 years
3. CIn adolescence
4. DIn the first week of life

How do most preschool children understand death?

1. AAs permanent and something that will happen to everyone
2. BAs a purely biological process, explained by science
3. CAs temporary or reversible, like being asleep or away
4. DAs an abstract idea they can discuss in depth

What do Tanner stages describe?

1. AThe stages of grief that families go through after a death
2. BThe stages of moral reasoning in children
3. CThe stages of language development in infancy
4. DThe stages of physical development during puberty

A child with ITP has a low platelet count. Which advice is correct?

1. APlay rugby and football as normal to stay active
2. BUse a hard toothbrush and floss firmly to keep the gums healthy
3. CAvoid contact sports and medicines such as ibuprofen and aspirin
4. DTake aspirin for any pain to thin the blood

The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?

1. AThis is a sign of illness and she needs blood tests
2. BEncourage her to finish every meal, even if this takes a long time at the table
3. CAppetite falls as growth slows; offer small, healthy portions without pressure
4. DGive extra bottles of milk to make up for the meals she refuses

A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?

1. AAbout 5 mL per hour
2. BAbout 20 mL per hour
3. CAbout 2 mL per hour
4. DAny amount, as long as the child is drinking

The safe dose range of a drug is 25–50 mg/kg per day, divided every 8 hours. A 12 kg child is prescribed 250 mg every 8 hours. What should the nurse do?

1. AGive the dose, because 250 mg is within the range for a single dose
2. BGive half the dose and inform the prescriber at the next round
3. CContact the prescriber, because 750 mg a day is above the maximum of 600 mg
4. DGive the dose, because the minimum safe daily dose is 300 mg

An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?

1. ADehydration due to sweating during feeds
2. BWorsening heart failure with fluid retention
3. CAn allergic reaction to the new high-energy formula started yesterday
4. DGood growth thanks to improved feeding