Pediatric nursing worksheet with answers

Which drug reverses opioid-induced breathing depression?

1. AAtropine
2. BGlucagon
3. CFlumazenil
4. DNaloxone

Which finding on examination is typical of pyloric stenosis?

1. AAn olive-shaped mass in the upper abdomen
2. BA tender mass in the left lower abdomen
3. CA swollen abdomen with no bowel sounds at all
4. DA soft bulge at the belly button when crying

How does respiratory syncytial virus (RSV) mainly spread?

1. AThrough the bites of insects such as mosquitoes
2. BOnly through the air over long distances, like measles
3. CThrough droplets and contaminated hands and surfaces
4. DThrough contaminated food and drinking water

A child has scabies. Which plan is correct?

1. ATreat only the child, as family members without itching are not infected
2. BTreat only the itchy areas of skin, not the whole body
3. CStop treatment as soon as the itch improves on the first day
4. DTreat the child and all close contacts at the same time, and wash bedding and clothes

How should an infant with heart failure be fed?

1. ALying flat on the back so the baby does not need to hold the head up
2. BSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
3. CLarge feeds every 6 hours so the baby can rest in between
4. DStop the feed when the baby tires and wait until the next scheduled feed

What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?

1. ATo replace the damaged eardrum permanently
2. BTo widen the outer ear canal and reduce the build-up of wax
3. CTo ventilate the middle ear and let fluid drain
4. DTo give antibiotics directly into the inner ear

A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?

1. AIt makes the blood even thicker and raises the risk of stroke and thrombosis
2. BIt lowers the red cell count and causes severe anaemia
3. CIt causes the heart defect to close on its own
4. DIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water

A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?

1. ATo dilate the airways so that oxygen can reach the alveoli
2. BTo strengthen heart muscle contraction and raise blood pressure
3. CTo close the ductus arteriosus and send all blood through the lungs
4. DTo keep the ductus arteriosus open so that the two circulations can mix