Pediatric nursing worksheet with answers

Which hygiene advice helps prevent urinary tract infections in girls?

1. AWipe from front to back after using the toilet
2. BWear tight nylon underwear and leggings
3. CHold urine in for as long as possible
4. DTake a long bubble bath every evening before bed

By about what age does the anterior fontanelle usually close?

1. A2 to 3 months
2. BAt birth
3. C12 to 18 months
4. D4 to 6 years

When should a child with cystic fibrosis take pancreatic enzyme capsules?

1. AOnce a day at bedtime
2. BOn an empty stomach in the morning only
3. CWith every meal and snack
4. DOnly when stools are loose

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

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

A 3-year-old who used to speak in short sentences has stopped talking and no longer responds to her name. What is the most important point?

1. AIt is normal regression at this age
2. BIt means the child is tired and should be seen in a year
3. CLanguage develops in sudden spurts, so this is expected
4. DLoss of previously gained skills at any age needs prompt assessment

A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?

1. ACheck glucose before playing and keep fast-acting carbohydrate at hand
2. BInject an extra dose of insulin into the thigh just before he starts running
3. CAvoid sport, because exercise is unsafe with diabetes
4. DSkip the meal before the match to avoid high glucose

A child on a morphine infusion is very hard to wake, with a respiratory rate of 8 per minute and pinpoint pupils. What should the nurse do first?

1. AStop the infusion, support breathing and give naloxone as per protocol
2. BLet the child sleep, as this shows the pain is controlled
3. CReduce the infusion rate slightly and recheck the child's breathing in an hour
4. DGive a sedative to keep the child calm

A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?

1. AArrange contact with friends and let him control parts of his daily routine
2. BAsk his parents to stay with him at all times and make decisions for him
3. CMove him to a room with toddlers so the ward is less lonely
4. DSet a strict timetable for him that staff decide without his input