Pediatric nursing worksheet with answers

What do Tanner stages describe?

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

What is usually the greatest stressor for a hospitalised toddler?

1. AMissing school
2. BFear of death
3. CSeparation from parents
4. DChanges in appearance

Which sign suggests heart failure in an infant?

1. ASlow breathing with long pauses
2. BSweating and tiring during feeds
3. CA slow heart rate at rest
4. DFeeding eagerly and finishing every bottle quickly

How can the nurse best support a child with autism on a children's ward?

1. AChange the nurse each shift so the child meets more people
2. BPlace the child in the busiest bay near the nurses' station
3. CExplain all procedures only at the very last minute to avoid days of worry
4. DKeep routines predictable, reduce noise and use visual schedules

The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?

1. AThe cuff will not inflate at all
2. BThe reading will be falsely high
3. CThe reading will be accurate but slower to obtain
4. DThe reading will be falsely low

Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?

1. A750 mL per day
2. B1000 mL per day
3. C1500 mL per day
4. D1250 mL per day

A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?

1. ARequest urgent clotting tests and a full blood count to look for a bleeding disorder
2. BReport them straight away to the safeguarding team as suspected physical abuse
3. CApply cold packs several times a day to reduce the discoloration
4. DDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)

Only one negative-pressure room is available. Which child should be placed in it?

1. AA child with norovirus gastroenteritis and vomiting
2. BA child with impetigo
3. CA child with RSV bronchiolitis
4. DA child with suspected measles