Pediatric nursing worksheet with answers

Which pattern is typical of roseola infantum?

1. AHigh fever for a few days, then a pink rash as the fever settles
2. BItchy blisters in crops that crust over within days
3. CA bright red rash on both cheeks, like a slap
4. DA rash that appears first, followed by a whole week of high fever and cough

How much fluoride toothpaste is usually advised for a child under 3 years?

1. AA smear about the size of a grain of rice
2. BA pea-sized amount on a soft brush
3. CA full strip along the length of the brush
4. DNone until all the baby teeth have come through

How should a dose of half a milligram be written?

1. A5.0 mg
2. B0.50 mg
3. C0.5 mg
4. D.5 mg

How can the nurse best support a child with autism on a children's ward?

1. AChange the nurse each shift so the child meets more people
2. BPlace the child in the busiest bay near the nurses' station
3. CKeep routines predictable, reduce noise and use visual schedules
4. DExplain all procedures only at the very last minute to avoid days of worry

A baby with developmental dysplasia of the hip has a Pavlik harness. Which teaching is correct?

1. ATake it off every night so the baby can sleep more comfortably and move freely
2. BTighten the straps each week as the baby grows
3. CKeep it on as instructed, do not adjust the straps and check the skin daily
4. DApply powder and lotion under the straps to protect the skin

Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?

1. AChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
2. BSudden projectile vomiting with a palpable olive-shaped mass
3. CHigh fever with a stiff neck and a purple rash
4. DEpisodes of crying with red-currant jelly stools

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

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

A 4-year-old has a high fever, is drooling, sitting forward with the neck extended and looks anxious. What should the nurse do first?

1. ATake a throat swab to identify the organism
2. BKeep the child calm and upright with the parent, and call a team skilled in airway management
3. CInsert an IV cannula before calling for help
4. DLie the child flat and use a tongue depressor to look into the throat and confirm the swelling