Pediatric nursing worksheet with answers

Which congenital heart defect causes cyanosis?

1. ATransposition of the great arteries
2. BAtrial septal defect
3. CSmall ventricular septal defect with a left-to-right shunt
4. DPatent ductus arteriosus

According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?

1. ATrust versus mistrust
2. BIntimacy versus isolation
3. CIndustry versus inferiority
4. DInitiative versus guilt

Which symptom is typical of threadworm (pinworm) infection in a child?

1. AVomiting after every meal for a week, with weight loss
2. BA red, ring-shaped rash on the scalp
3. CA high fever with bloody diarrhoea
4. DItching around the anus, especially at night

Which is a true contraindication to a further dose of the same vaccine?

1. ARedness and soreness at the injection site after a previous dose
2. BA low-grade fever after a previous dose
3. CAnaphylaxis after a previous dose of that vaccine
4. DA family history of allergies

Which advice about screen use reflects common paediatric guidance for children under about 18 months?

1. AUp to 2 hours a day of educational TV programmes is beneficial for language
2. BScreens are fine as long as the volume is low
3. CAvoid screen media, apart from video calls with family
4. DBackground TV helps language development

A child is due several different vaccines at the same visit. What is the general principle?

1. AThey can be given at the same visit, at separate injection sites
2. BOnly one vaccine may be given per month
3. CThe child should be given half doses of each, spread across several weeks
4. DAll vaccines should be mixed in one syringe

Which child on the renal ward should the nurse assess first?

1. AA 2-year-old after hypospadias repair with clear urine in the catheter bag
2. BA 4-year-old with nephrotic syndrome and mild puffy eyelids, stable since admission
3. CA 7-year-old with glomerulonephritis who has a severe headache and blurred vision
4. DA 6-year-old on IV antibiotics for a UTI who has had no fever for 24 hours

A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?

1. AIt causes the heart defect to close on its own
2. BIt lowers the red cell count and causes severe anaemia
3. CIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
4. DIt makes the blood even thicker and raises the risk of stroke and thrombosis