Pediatric nursing worksheet with answers

Which type of play is typical of toddlers?

1. ACompetitive team games
2. BSolitary board games with rules
3. CParallel play: playing next to other children but not with them
4. DCooperative play: playing together with shared rules and set roles

What do the letters of the FLACC pain scale stand for?

1. AFlexion, Limb tone, Activity, Circulation, Cry
2. BFacial expression, Language, Alertness, Comfort, Calmness
3. CFever, Lethargy, Appetite, Colour, Crying
4. DFace, Legs, Activity, Cry, Consolability

Which practice most increases the risk of early childhood tooth decay?

1. APutting a baby to bed with a bottle of milk or juice
2. BBrushing the teeth with a smear of fluoride toothpaste
3. CHaving a first dental visit by about the first birthday
4. DOffering water to drink between meals

Which finding at a 2-year check most needs a speech and language referral?

1. AThe child says "no" to most suggestions
2. BThe child uses about 50 words or more
3. CThe child is not yet combining any two words
4. DThe child prefers to play beside other toddlers

How is a child's weight status (for example overweight) assessed?

1. AWaist size compared with the parents' waist size
2. BWeight alone, compared with the average weight of children in the same class
3. CBMI compared with the adult cut-off points
4. DBMI plotted on an age- and sex-specific centile chart

Which approach best helps a 4-year-old during a vaccination?

1. ATell the child the injection will not hurt at all
2. BPromise a reward only if the child stays completely still and does not cry
3. CHold the child upright on a parent's lap and use distraction, such as blowing bubbles
4. DHave staff hold the child flat on the couch so the injection is quick

A 4-year-old has a high fever, is drooling, sitting forward with the neck extended and looks anxious. What should the nurse do first?

1. ALie the child flat and use a tongue depressor to look into the throat and confirm the swelling
2. BKeep the child calm and upright with the parent, and call a team skilled in airway management
3. CTake a throat swab to identify the organism
4. DInsert an IV cannula before calling for help

Which child is most appropriate to assign to a practical (enrolled) nurse?

1. AA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
2. BA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
3. CA 5-year-old just back from tonsillectomy who keeps swallowing
4. DAn infant with bronchiolitis who needs more and more oxygen