Pediatric nursing worksheet with answers

Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?

1. AIntravenous immunoglobulin (IVIG)
2. BOral antibiotics for 10 days
3. CInsulin and fluids
4. DAntiviral medicine such as aciclovir

What is the most common cause of bronchiolitis in infants?

1. AHaemophilus influenzae type b
2. BStaphylococcus aureus
3. CRespiratory syncytial virus (RSV)
4. DGroup A streptococcus

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

1. AFormal operational stage (about 11 years onwards)
2. BSensorimotor stage (birth to about 2 years)
3. CPreoperational stage (about 2 to 7 years)
4. DConcrete operational stage (about 7 to 11 years)

Which group of findings suggests Kawasaki disease?

1. AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
2. BFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
3. CLow-grade fever, a barking cough and stridor that are worse at night
4. DHigh fever for 3 days, then a pink rash as the fever settles

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

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

A child's asthma action plan shows he is in the yellow zone. What should he do?

1. AStop all medicines and wait to see if the symptoms pass
2. BGo straight to the emergency department without using any medicine first
3. CUse the reliever as the plan says and contact the doctor if it does not help
4. DDouble the preventer dose and do nothing else

Why is a pertussis (whooping cough) vaccine recommended during pregnancy?

1. AIt replaces the need for the baby's own pertussis vaccines
2. BThe mother's antibodies cross the placenta and protect the baby in the first weeks of life
3. CIt prevents the mother from passing pertussis to the baby through breast milk
4. DIt protects the fetus from developing heart defects

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