Pediatric nursing worksheet with answers

What is a positive Brudzinski sign?

1. AThe toes fan out when the sole of the foot is stroked
2. BThe child cannot straighten the knee when the hip is flexed
3. CThe pupils become unequal in size after a head injury
4. DBending the neck forward causes the hips and knees to flex

What do Tanner stages describe?

1. AThe stages of grief that families go through after a death
2. BThe stages of physical development during puberty
3. CThe stages of language development in infancy
4. DThe stages of moral reasoning in children

Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?

1. AIntravenous indomethacin
2. BDigoxin
3. CFurosemide
4. DProstaglandin E1

Which injury in an infant is most suggestive of physical abuse?

1. AA bruise on the shin of a walking toddler
2. BPosterior rib fractures
3. CA greenstick fracture of the forearm after a fall from a slide
4. DA scraped knee in a 3-year-old

Which finding may suggest that a school-age child is being bullied?

1. ANot wanting to go to school, lost belongings and frequent stomach aches
2. BWanting to collect trading cards and play team games with classmates
3. CEnjoying school clubs and inviting friends home
4. DArguing with a sibling about the TV remote

Which stool pattern is typical of Hirschsprung disease in an older child?

1. AFrequent bloody diarrhoea with fever after eating chicken
2. BPale, bulky, fatty stools that float and are hard to flush, with a large appetite
3. CNormal stools with occasional itching around the anus at night
4. DChronic constipation with thin, ribbon-like, foul-smelling stools and distension

A child has suspected septic shock. Which action is the most time-critical?

1. AGiving oral antibiotics and reviewing the child again in the morning
2. BStarting antibiotics after the fever has been present for 24 hours
3. CWaiting for the blood culture results before starting any antibiotic treatment
4. DGiving IV antibiotics as soon as possible, ideally within the first hour

A parent refuses a recommended vaccine for their infant because of fears about side effects. What is the best initial nursing approach?

1. AListen to the concerns, give clear evidence-based information and document the discussion
2. BAvoid the topic at future visits
3. CGive the vaccine anyway while the parent is distracted
4. DTell the parent that the child can no longer be treated at the clinic unless the vaccine is given