Pediatric nursing worksheet with answers

What is a greenstick fracture?

1. AA fracture in which the broken bone ends push out through the skin
2. BA fracture in which the bone shatters into many pieces
3. CA fracture that passes through a joint surface only
4. DAn incomplete fracture in which the bone bends and cracks on one side

Which site is usually recommended for intramuscular vaccines in infants?

1. AThe muscles of the forearm
2. BThe vastus lateralis muscle of the anterolateral thigh
3. CThe dorsogluteal muscle of the buttock
4. DThe deltoid muscle in all ages

In which of Piaget's stages does object permanence develop?

1. AFormal operational stage
2. BConcrete operational stage
3. CSensorimotor stage
4. DPreoperational stage

The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?

1. AAppetite falls as growth slows; offer small, healthy portions without pressure
2. BGive extra bottles of milk to make up for the meals she refuses
3. CThis is a sign of illness and she needs blood tests
4. DEncourage her to finish every meal, even if this takes a long time at the table

A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?

1. AViral croup
2. BA first attack of asthma
3. CAn inhaled foreign body
4. DBronchiolitis

A child with ITP has a low platelet count. Which advice is correct?

1. AAvoid contact sports and medicines such as ibuprofen and aspirin
2. BUse a hard toothbrush and floss firmly to keep the gums healthy
3. CPlay rugby and football as normal to stay active
4. DTake aspirin for any pain to thin the blood

Which statement by the parent of a child with peanut allergy shows a need for further teaching?

1. A"I'll call an ambulance every time I use the auto-injector, even if she seems to recover quickly."
2. B"I'll read food labels for peanuts every time I shop."
3. C"I'll check the use-by date on her auto-injectors regularly and replace them before they expire."
4. D"If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."

A child is receiving IV potassium chloride. The nurse finds the cannula site swollen and pale and the child crying. What should the nurse do first?

1. AIncrease the infusion rate to finish faster
2. BReassure the child and continue the infusion
3. CStop the infusion and assess the site
4. DApply a tight bandage over the site