Pediatric nursing worksheet with answers

Where does neuroblastoma most often start?

1. AIn the adrenal gland
2. BIn the white matter of the brain
3. CIn the lining of the bladder
4. DIn the bone marrow of the pelvis

What is usually the first sign of puberty in girls?

1. AFirst menstrual period
2. BUnderarm hair
3. CBreast budding
4. DRapid weight loss

How does respiratory syncytial virus (RSV) mainly spread?

1. AThrough contaminated food and drinking water
2. BThrough the bites of insects such as mosquitoes
3. COnly through the air over long distances, like measles
4. DThrough droplets and contaminated hands and surfaces

A child with suspected measles is admitted. Which precaution is most important?

1. AAirborne precautions, ideally in a negative-pressure room
2. BNo special precautions once the rash appears
3. CContact precautions only, with gloves
4. DDroplet precautions in a shared bay

Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?

1. AAssessing pain after surgery and choosing the analgesia
2. BCarrying out the admission assessment of a new patient
3. CTeaching a parent how to give insulin injections
4. DMeasuring and recording the vital signs of a stable child

How should the nurse position the ear when giving ear drops to a 2-year-old?

1. APull the pinna gently down and back
2. BLeave the pinna alone and tilt the head
3. CPull the pinna gently up and back
4. DPull the earlobe gently forward and up

A 2-month-old is brought in with bruises on both cheeks. The parent says the baby "bumps into things". What should the nurse do?

1. ADocument the findings objectively and follow the safeguarding procedure to report the concern
2. BTell the parent that a report will be made, then let them take the baby home before it is reviewed
3. CAccuse the parent of abuse in front of other families
4. DAccept the explanation because babies often bump into things

A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?

1. AConventional level
2. BFormal operational level
3. CPreconventional level
4. DPostconventional level