Pediatric nursing worksheet with answers

Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?

1. AA strong suck and rapid weight gain
2. BSleeping through feeds and passing pale stools
3. CCoughing, choking and cyanosis
4. DProjectile vomiting that starts at 4 weeks

Egocentrism and magical thinking are typical of which of Piaget's stages?

1. AConcrete operational stage (about 7 to 11 years)
2. BPreoperational stage (about 2 to 7 years)
3. CSensorimotor stage (birth to about 2 years)
4. DFormal operational stage (about 11 years onwards)

Which food is a good source of iron for a toddler?

1. APlain white rice and pasta
2. BApple juice with every meal
3. CLean red meat or iron-fortified cereal
4. DLarge amounts of cow's milk

Which advice is best for a baby with mild nappy rash?

1. AApply talcum powder thickly at every nappy change
2. BUse tighter nappies so that less urine reaches the skin
3. CChange nappies often, clean gently, use a barrier cream and allow nappy-free time
4. DWipe with perfumed baby wipes at every change to kill the bacteria on the skin

How should a parent respond to a 2-year-old's temper tantrum in a safe place?

1. AGive the child the sweet he wants so the tantrum stops
2. BSmack the child to show that tantrums are not allowed
3. CStay calm, keep the child safe and do not give in to the demand
4. DShout loudly at the child to make the tantrum stop sooner

Which signs suggest meningitis in a young infant?

1. AA sunken fontanelle with heavy wet nappies
2. BNeck stiffness and a positive Kernig's sign, as in older children and adults
3. CA clear runny nose, a mild cough and normal feeding
4. DA bulging fontanelle, a high-pitched cry, poor feeding and irritability

A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?

1. ASeek urgent care, as factor replacement may be needed before symptoms appear
2. BWatch him at home for a week and bring him in only if he vomits or has a headache
3. CNo action is needed, because head bleeds are rare in haemophilia
4. DGive aspirin for the pain and apply ice to the bump

A 6-month-old has just learned to roll over. Which safety advice is most urgent now?

1. AInstall locks on all kitchen cupboards and drawers
2. BNever leave her alone on a changing table, bed or sofa
3. CTeach her not to touch the hot oven door
4. DTurn pan handles towards the back of the stove and fit a guard around the cooker