Pediatric nursing worksheet with answers

A toddler may have swallowed a household chemical. What is the correct first advice for the parent?

1. ACall the poison information centre or emergency services straight away
2. BGive salt water to induce vomiting
3. CMake the child vomit by putting a finger in the throat, then call the doctor
4. DWait to see if symptoms develop

What are the three classic stages of separation anxiety in a hospitalised young child?

1. ADenial, anger, acceptance
2. BFear, trust, independence
3. CCrying, sleeping, eating
4. DProtest, despair, detachment

What is the most serious complication of Kawasaki disease?

1. AKidney failure needing dialysis
2. BDiabetes mellitus
3. CCoronary artery aneurysms
4. DPermanent hearing loss

Which group of findings is typical in a teenager with severe anorexia nervosa?

1. AFast heart rate, high blood pressure and a high fever
2. BWeight gain, oedema and high blood pressure
3. CSlow heart rate, low blood pressure and low body temperature
4. DRapid growth, acne and an increased appetite

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

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

A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?

1. ABlood pressure, because the swelling causes hypertension
2. BUrine colour, because the swelling causes kidney damage
3. CHead circumference twice daily, because it signals hydrocephalus
4. DJaundice, because the breakdown of the trapped blood adds to bilirubin

A few weeks after diagnosis of type 1 diabetes, a child's insulin needs fall a lot. The parents think the diabetes is cured. What should the nurse explain?

1. AThis is the temporary "honeymoon" phase; insulin is still needed
2. BThe diagnosis was probably wrong, and insulin can be stopped
3. CThe diabetes has turned into type 2 diabetes
4. DThe child has become insulin resistant and now needs tablets instead of injections

Which long-term problems should be monitored in a child with a repaired cleft palate?

1. AMiddle ear infections, hearing, speech and teeth
2. BGrowth hormone levels and puberty timing
3. CBone density and fracture risk in the teenage years
4. DKidney function and blood pressure