Pediatric nursing worksheet with answers

For which child is the FLACC scale most appropriate?

1. AA 2-year-old who cannot yet describe pain
2. BA 9-year-old who can use a numeric rating scale
3. CAn adult after surgery
4. DA 14-year-old who can rate pain from 0 to 10

Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?

1. A500 mL per day
2. B2000 mL per day
3. C1500 mL per day
4. D1000 mL per day

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 moral reasoning in children
4. DThe stages of language development in infancy

Why are elbow splints often used after cleft lip repair?

1. ATo make the baby sleep for longer
2. BTo stop the baby touching or rubbing the suture line
3. CTo keep the IV cannula from being needed
4. DTo keep the baby's arms warm and still after surgery and anaesthesia

How should an infant with heart failure be fed?

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

A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?

1. AOffer a limited choice, such as the cup or the syringe
2. BTell him he is a bad boy for refusing
3. CAsk him whether he wants to take his medicine or not
4. DWait until he agrees to take it, even if the dose is hours late

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

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

A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?

1. AChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
2. BChlamydia can only be caught from shared towels and toilet seats
3. CTesting is required by law before any young person can see a nurse or doctor for any reason
4. DChlamydia always causes severe pain, so testing is only a formality