Pediatric nursing worksheet with answers

Why are undescended testes (cryptorchidism) corrected surgically in early childhood?

1. ABecause an undescended testis leads to kidney failure if left untreated
2. BTo protect fertility and allow the testis to be checked for cancer
3. CBecause an undescended testis causes severe daily pain in infancy
4. DTo stop the testis from producing too much testosterone in puberty

By about what age has a healthy infant typically doubled their birth weight?

1. A4 to 6 months
2. B2 years
3. C1 month
4. D12 months

Which finding in a jaundiced 3-week-old suggests biliary atresia?

1. ABright yellow, seedy stools
2. BPale, watery urine and frequent wet nappies
3. CPale, clay-coloured stools and dark urine
4. DGreen stools after starting iron drops

A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?

1. AWorsening mood or new suicidal thoughts
2. BA sudden rise in blood glucose
3. CA drop in the platelet count
4. DWeight gain of more than 10 kg in the first month

Which finding suggests coarctation of the aorta?

1. AStrong femoral pulses with weak arm pulses and lower blood pressure in the arms
2. BEqual blood pressure in all limbs
3. CA barking cough
4. DHigher blood pressure in the arms than in the legs, with weak femoral pulses

Which statement about patient-controlled analgesia (PCA) for a child is correct?

1. AParents should press the button whenever the child is asleep
2. BAny visitor may press it if the child seems uncomfortable
3. COnly the child presses the button, unless a protocol says otherwise
4. DThe nurse should press it every 5 minutes, day and night, to keep the pain away

The mother of a 6-week-old says the baby cries for hours and she fears she might lose control. What is the best advice?

1. APut the baby safely in the cot, take a few minutes' break and ask for support
2. BGive the baby a little honey on a dummy to settle him at night
3. CHold the baby face down on her lap until he falls asleep, however long it takes
4. DShake the baby gently for a few seconds to stop the crying and calm him

Which finding helps to distinguish epiglottitis from croup?

1. AA hoarse voice with mild fever and a runny nose
2. BDrooling, high fever and a toxic look, without a barking cough
3. CSymptoms that improve within hours after a single dose of oral corticosteroid
4. DA barking cough that is worse at night after a cold