Pediatric nursing worksheet with answers

Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?

1. AIt stops ovulation permanently
2. BIt causes serious birth defects
3. CIt causes heavy periods
4. DIt makes contraceptive pills fail

Which resting heart rate range is typical for a school-age child (about 6 to 12 years)?

1. AAbout 40 to 60 beats per minute
2. BAbout 120 to 170 beats per minute
3. CAbout 70 to 120 beats per minute
4. DAbout 150 to 200 beats per minute

Why are infants and young children more likely than adults to get middle ear infections (otitis media)?

1. ATheir eardrums are thicker and cannot move with pressure changes
2. BTheir ear canals are longer and narrower than those of adults
3. CTheir Eustachian tubes are shorter, wider and more horizontal
4. DThey make more earwax, which traps bacteria in the middle ear

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

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

A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?

1. AYes; asking directly does not increase the risk and helps find those who need help
2. BNo; only a psychiatrist is allowed to ask this question
3. CNo; asking about suicide may put the idea into the young person's head and raise the risk
4. DOnly if the parents give written permission first

What is "assent" in children's care?

1. AA form that lets the hospital treat any child without parental consent
2. BThe doctor's decision about which treatment is best
3. CThe legal consent signed by the parent for surgery
4. DThe child's agreement to care, sought alongside the parents' consent

Which finding in a 12-month-old needs further developmental evaluation?

1. ABecomes upset when a stranger picks her up
2. BA strong Moro reflex is still present
3. CPulls to stand and walks holding on to furniture
4. DSays "mama" and "dada" to the right parent and waves bye-bye

Which phone call should the nurse return first?

1. AA parent of a 7-year-old with a faint rash 3 days into antibiotics, breathing normally
2. BA parent asking when the next routine vaccines are due
3. CA parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
4. DA parent of a 3-year-old with a runny nose and a mild cough for 2 days