Pediatric nursing worksheet with answers

Which congenital heart defect causes cyanosis?

1. ATransposition of the great arteries
2. BPatent ductus arteriosus
3. CAtrial septal defect
4. DSmall ventricular septal defect with a left-to-right shunt

What is the Ortolani test used to detect in a newborn?

1. AClubfoot (talipes)
2. BHearing loss
3. CCongenital heart disease
4. DDevelopmental dysplasia of the hip

Which grains must a child with coeliac disease avoid?

1. ARice, maize and potato starch
2. BBuckwheat, millet and rice
3. CQuinoa, maize and sorghum
4. DWheat, barley and rye

Which instruction about giving oral liquid iron to a child is correct?

1. AGive it together with an antacid to protect the stomach
2. BStop the iron straight away if the stools turn dark green or black, as this means bleeding
3. CGive it with a syringe or straw towards the back of the mouth; dark stools are expected
4. DGive it mixed in a full bottle of milk to reduce stomach upset

Until when is a child with chickenpox usually considered infectious?

1. AUntil the fever has gone for 24 hours
2. BFor 6 weeks after the rash appears
3. COnly during the day before the rash appears
4. DUntil all the blisters have crusted over

A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?

1. AAbout 20 mL per hour
2. BAny amount, as long as the child is drinking
3. CAbout 5 mL per hour
4. DAbout 2 mL per hour

The safe dose range of a drug is 25–50 mg/kg per day, divided every 8 hours. A 12 kg child is prescribed 250 mg every 8 hours. What should the nurse do?

1. AGive the dose, because 250 mg is within the range for a single dose
2. BContact the prescriber, because 750 mg a day is above the maximum of 600 mg
3. CGive the dose, because the minimum safe daily dose is 300 mg
4. DGive half the dose and inform the prescriber at the next round

A child with nephrotic syndrome is on high-dose corticosteroids. Which instruction is most important for the family?

1. AEncourage a high-salt diet
2. BReport fever or signs of infection promptly
3. CStop the steroids suddenly when the oedema goes
4. DGive live vaccines during treatment