Pediatric nursing worksheet with answers

Which finding in the fingers is typical of long-standing cyanotic heart disease?

1. AWebbing between the fingers
2. BClubbing of the fingertips
3. CSpoon-shaped, thin nails
4. DSwan-neck deformity of the fingers

By about what age does the Moro (startle) reflex normally disappear?

1. AAbout 4 to 6 months
2. BAbout 2 to 4 weeks
3. CAbout 12 to 15 months
4. DAbout 2 to 3 years

According to Erikson, what is the main developmental task of a toddler (about 1 to 3 years)?

1. ATrust versus mistrust
2. BAutonomy versus shame and doubt
3. CInitiative versus guilt
4. DIndustry versus inferiority

Which early sign may tell a child with haemophilia that a joint bleed is starting?

1. AA cold, pale hand or foot
2. BA sudden fever with a rash
3. CTingling or warmth in the joint
4. DAn itchy feeling on the skin over the elbow

When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?

1. AOnly at bedtime, lying flat after the evening meal
2. BOnly on days when the child has a fever
3. CStraight after a large meal, when the child has more energy
4. DBefore meals, or well after eating

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

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

How is pain best assessed in a 10-year-old with severe cerebral palsy who cannot speak?

1. AWith a 0–10 numerical scale, by asking the child to point to a number on a printed chart
2. BPain cannot be assessed, so analgesia is given only on request
3. COnly by checking whether the heart rate is above normal
4. DWith a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues

The nurse has taught the parents of a newborn about safe sleep. Which statement shows a need for further teaching?

1. A"We will put her on her back for every sleep, including naps."
2. B"Nobody will smoke in the house or in the car."
3. C"We will keep her cot in our bedroom for the first months."
4. D"We will put a soft bumper and a pillow in the cot so she is comfortable."