Pediatric nursing worksheet with answers

A sunken anterior fontanelle in an infant suggests:

1. ARaised intracranial pressure
2. BNormal crying
3. CDehydration
4. DFever

Which statement about head lice is correct?

1. AThey mainly live on pets and pass to children from dogs and cats
2. BThey spread by head-to-head contact and are not a sign of poor hygiene
3. CThey jump or fly from one child to another across the classroom
4. DThey only affect children with dirty hair who do not wash it often

According to atraumatic care, where should a painful procedure such as a blood test be done?

1. AIn the waiting room in front of other children
2. BIn the playroom so the child feels relaxed
3. CIn a treatment room, not in the child's bed
4. DIn the child's bed so they do not need to move

Which factor can make a pulse oximeter reading inaccurate in a child?

1. AHolding a parent's hand during the reading
2. BHaving eaten a meal in the last hour
3. CLying on the back instead of sitting up
4. DCold hands, movement or a poorly fitting probe

Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?

1. AGive an antihistamine and continue
2. BStop the transfusion
3. CFinish the unit quickly, then report it
4. DSlow the transfusion and give paracetamol (acetaminophen)

A baby was born at 29 weeks and is now 2 months old. When should the routine 2-month vaccines be given?

1. AOnly when the baby reaches 2 months corrected age
2. BNow, according to the baby's chronological age
3. COnly after the baby weighs 5 kg
4. DOnly after the first birthday

A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?

1. ATo prevent common viral colds during the school year
2. BTo cure the heart valve damage that has already occurred and let the valves heal completely
3. CTo prevent new strep infections that could cause further attacks and more valve damage
4. DTo reduce the joint pain that continues after the illness

A 15-year-old with type 1 diabetes has lost weight, and her HbA1c has risen sharply. She admits to skipping insulin doses. What should the nurse consider?

1. AWeight loss is a good sign of improved control, so her insulin dose can now be lowered further
2. BThe glucose meter must be broken
3. CShe simply needs a lower insulin dose
4. DShe may be omitting insulin to lose weight, a form of disordered eating that needs assessment