Pediatric nursing worksheet with answers

Where should eye drops be placed for a child?

1. ADirectly onto the centre of the cornea
2. BOnto the upper eyelid while the eye is shut
3. CInto the inner corner of the eye
4. DInto the pocket of the lower eyelid

Into which airway does an inhaled foreign body most often go?

1. AThe right main bronchus
2. BBoth main bronchi equally often
3. CThe left main bronchus
4. DThe left upper lobe bronchus

Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?

1. AImpetigo (staphylococcus)
2. BScarlet fever (group A streptococcus)
3. CFifth disease (parvovirus B19)
4. DMeasles (rubeola virus)

A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?

1. AGive a full feed by bottle and observe for vomiting afterwards
2. BLay the baby flat and give the next feed slowly through a teat
3. COffer small sips of sterile water to check whether the baby can swallow
4. DKeep the baby nil by mouth, raise the head and suction the upper pouch as needed

A child has cola-coloured urine, puffy eyes and high blood pressure two weeks after a sore throat. What is the likely diagnosis?

1. ANephrotic syndrome
2. BWilms tumour
3. CUrinary tract infection
4. DAcute post-streptococcal glomerulonephritis

Why is aspirin used in Kawasaki disease even though it is usually avoided in children?

1. AIt is used only as a painkiller for the rash and joint pain, and is stopped once the fever settles
2. BIt prevents Reye syndrome
3. CIt cures the infection that causes the disease
4. DIt reduces inflammation and the risk of coronary artery clots, under specialist supervision

A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?

1. AObject permanence, typical of the sensorimotor stage
2. BAnimism, typical of preoperational thinking
3. CAbstract reasoning, typical of formal operations
4. DConservation, typical of concrete operations

A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?

1. AThe normal low muscle tone of Down syndrome getting worse with age
2. BAtlantoaxial instability with spinal cord compression
3. CGrowing pains in the legs
4. DA simple urinary infection causing tiredness