Pediatric nursing worksheet with answers

At about what age does stranger anxiety usually begin in infants?

1. AAbout 2 to 3 years
2. BAbout 4 to 5 years
3. CAbout 1 to 2 months
4. DAbout 6 to 8 months

Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?

1. AIntravenous immunoglobulin (IVIG)
2. BInsulin and fluids
3. CAntiviral medicine such as aciclovir
4. DOral antibiotics for 10 days

What is the Ortolani test used to detect in a newborn?

1. AHearing loss
2. BClubfoot (talipes)
3. CCongenital heart disease
4. DDevelopmental dysplasia of the hip

After an injection, a 4-year-old insists on having a plaster over the site. What explains this?

1. AThe child is allergic to the injection
2. BPreschoolers understand anatomy well and want to keep the site clean
3. CPreschoolers fear bodily injury and may think their insides can leak out
4. DThe child is being difficult and should be ignored

A 3-year-old who used to speak in short sentences has stopped talking and no longer responds to her name. What is the most important point?

1. AIt means the child is tired and should be seen in a year
2. BIt is normal regression at this age
3. CLoss of previously gained skills at any age needs prompt assessment
4. DLanguage develops in sudden spurts, so this is expected

What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?

1. ATo ventilate the middle ear and let fluid drain
2. BTo give antibiotics directly into the inner ear
3. CTo replace the damaged eardrum permanently
4. DTo widen the outer ear canal and reduce the build-up of wax

A 6-year-old with haemophilia falls and has a swollen, painful knee. What is the priority?

1. AEncourage the child to walk on the knee to keep the joint mobile and prevent stiffness
2. BApply heat to the knee
3. CGive aspirin for the pain
4. DGive factor replacement as prescribed and rest, ice, compress and elevate the joint

A healthy 12-month-old has a mild fever and fussiness the evening after receiving vaccines. The parent asks if future vaccines should be stopped. What is the correct answer?

1. AYes; any reaction means the child is allergic
2. BNo; mild fever and fussiness are common, expected reactions and are not a reason to stop vaccination
3. CYes; the child should never receive vaccines again
4. DThe child should take antibiotics before every future vaccine to stop the fever and fussiness from happening again