Pediatric nursing worksheet with answers

Which teething remedy is generally recommended for infants?

1. AA gel containing the local anaesthetic benzocaine
2. BRubbing honey on the gums before sleep
3. CA clean, chilled (not frozen) teething ring
4. DAn amber teething necklace worn day and night

Which four features make up tetralogy of Fallot?

1. AASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
2. BPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
3. CVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
4. DVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium

At which times after birth is the Apgar score routinely assessed?

1. AAt 1 minute and at 5 minutes
2. BAt birth and again at 1 hour
3. CAt 10 minutes and at 30 minutes
4. DOnly once, at 24 hours of age

Which measure should be avoided in a sickle cell pain crisis?

1. ARegular pain assessment and analgesia
2. BGenerous fluids by mouth or IV
3. CWarm packs and gentle positioning
4. DCold packs on the painful area

In acute post-streptococcal glomerulonephritis, which assessment is especially important?

1. APeak flow
2. BSerum bilirubin
3. CBlood glucose
4. DBlood pressure

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

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

Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?

1. ASit the child up and walk her around to raise the blood pressure
2. BWait 30 minutes for the first dose of adrenaline to take its full effect
3. CGive a further dose of IM adrenaline as per protocol and call for advanced help
4. DGive an oral antihistamine and a steroid instead of more adrenaline

A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?

1. AA urine output of about 1 mL/kg per hour
2. BThe blood pressure is in the high range
3. CThe child is asking for a drink
4. DThe burned skin looks less red and the blisters are smaller