Pediatric nursing worksheet with answers

Why are undescended testes (cryptorchidism) corrected surgically in early childhood?

1. ABecause an undescended testis leads to kidney failure if left untreated
2. BTo protect fertility and allow the testis to be checked for cancer
3. CBecause an undescended testis causes severe daily pain in infancy
4. DTo stop the testis from producing too much testosterone in puberty

Which axillary temperature range is normal for a newborn?

1. AAbout 35.0 to 36.0 °C (95.0 to 96.8 °F)
2. BAbout 37.8 to 38.5 °C (100.0 to 101.3 °F)
3. CAbout 34.0 to 35.0 °C (93.2 to 95.0 °F)
4. DAbout 36.5 to 37.5 °C (97.7 to 99.5 °F)

Which four features make up tetralogy of Fallot?

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

How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?

1. AIt kills bacteria in the blood and prevents infections
2. BIt removes extra iron after blood transfusions
3. CIt increases fetal haemoglobin, which reduces sickling
4. DIt replaces the missing clotting factors

Which is the main modifiable risk factor for type 2 diabetes in adolescents?

1. AA family history of diabetes
2. BBeing of a particular ethnic background
3. CObesity with low physical activity
4. DA viral infection in early childhood

A toddler with hand, foot and mouth disease refuses to drink because of painful mouth sores. What is the priority?

1. AStarting antibiotics
2. BPreventing dehydration
3. CPreventing hair loss
4. DTreating the rash with steroid cream

A parent asks why the HPV vaccine is offered in early adolescence (at about 11 to 13 years, depending on the country). Which answer is best?

1. AIt is only effective if given in the first year of secondary school, before exams start
2. BIt is given at this age because it prevents chickenpox in adolescence
3. CChildren of this age are already likely to have the virus, so it treats the infection
4. DIt works best before any exposure to the virus, and young adolescents respond strongly

An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?

1. AAsk detailed, leading questions to find out exactly what happened
2. BPromise to keep the secret, so that she keeps trusting the nurse and tells more later
3. CPhone the uncle straight away to ask for his side of the story before reporting anything
4. DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding