WorksheetsPediatric Case Studies Quiz
Total questions: 21
Worksheet time: 11mins
A 5-year-old boy is admitted with periorbital swelling, frothy urine, and weight gain of 3 lbs over 2 days. His mother reports he had a cold 3 weeks ago. Labs show hypoalbuminemia and proteinuria.
Which condition is most likely?
Nephrotic syndrome
Acute post-streptococcal glomerulonephritis
Acute kidney injury
Dehydration
A 5-year-old boy is admitted with periorbital swelling, frothy urine, and weight gain of 3 lbs over 2 days. His mother reports he had a cold 3 weeks ago. Labs show hypoalbuminemia and proteinuria.
Which is the nurse’s priority intervention?
Encourage high-sodium snacks
Strict intake & output monitoring
Administer aspirin for fever
Encourage vigorous physical activity
A 5-year-old boy is admitted with periorbital swelling, frothy urine, and weight gain of 3 lbs over 2 days. His mother reports he had a cold 3 weeks ago. Labs show hypoalbuminemia and proteinuria.
Which medication would the nurse anticipate? (Select all that apply)
Prednisone
IV albumin
Hydroxyurea
Diuretics
A 9-year-old girl with sickle cell disease presents to the ED with severe leg pain and swelling. She is febrile and appears dehydrated.
What is the nurse’s first action?
Administer IV fluids
Apply cold compresses
Encourage ambulation
Restrict oral intake
A 9-year-old girl with sickle cell disease presents to the ED with severe leg pain and swelling. She is febrile and appears dehydrated.
Which complication is this child at greatest risk for?
Stroke
Asthma attack
Diabetes mellitus
Appendicitis
A 9-year-old girl with sickle cell disease presents to the ED with severe leg pain and swelling. She is febrile and appears dehydrated.
The provider prescribes hydroxyurea. What is the purpose?
Increase fetal hemoglobin production
Replace clotting factors
Reduce risk of otitis media
Improve iron absorption
A 7-year-old boy undergoing chemotherapy for ALL develops a fever of 102°F (38.9°C). He also has mouth ulcers and fatigue.
What is the nurse’s immediate action?
Administer acetaminophen
Notify the provider
Encourage oral fluids
Provide warm blankets
A 7-year-old boy undergoing chemotherapy for ALL develops a fever of 102°F (38.9°C). He also has mouth ulcers and fatigue.
Which lab finding is expected?
Elevated WBC count
Low absolute neutrophil count
Elevated hemoglobin
Increased platelets
A 7-year-old boy undergoing chemotherapy for ALL develops a fever of 102°F (38.9°C). He also has mouth ulcers and fatigue.
Which interventions are most appropriate? (Select all that apply)
Place in protective isolation
Encourage raw fruits/vegetables
Provide oral care with soft swabs
Administer prescribed antibiotics
A 4-year-old child is brought to the ED with fever, headache, vomiting, and nuchal rigidity. The provider suspects bacterial meningitis.
What is the priority nursing action?
Initiate droplet precautions
Start IV fluids immediately
Place child in Trendelenburg
Give acetaminophen
A 4-year-old child is brought to the ED with fever, headache, vomiting, and nuchal rigidity. The provider suspects bacterial meningitis.
Which diagnostic test is expected?
CT scan
Lumbar puncture for CSF analysis
Echocardiogram
EEG
A 4-year-old child is brought to the ED with fever, headache, vomiting, and nuchal rigidity. The provider suspects bacterial meningitis.
Which CSF result is consistent with bacterial meningitis?
Clear fluid, normal glucose
Cloudy fluid, low glucose, high protein
Clear fluid, high glucose
Cloudy fluid, normal glucose
A 12-year-old girl presents with uneven shoulders noted during a school screening. X-ray confirms scoliosis.
Which intervention is most appropriate for mild scoliosis?
Immediate spinal fusion
Bracing and physical therapy
Strict bedrest
High-sodium diet
A 12-year-old girl presents with uneven shoulders noted during a school screening. X-ray confirms scoliosis.
Which post-op intervention is required after spinal fusion surgery?
Encourage log-rolling during repositioning
Allow child to ambulate without assistance immediately
Avoid respiratory exercises
Place child prone at all times
A 12-year-old girl presents with uneven shoulders noted during a school screening. X-ray confirms scoliosis.
Which finding requires immediate provider notification?
Decreased movement and sensation in the legs
Mild pain at incision site
Decreased appetite
Low-grade fever
A 6-year-old girl has burns covering 15% of her body after spilling boiling water. She has singed nasal hairs and hoarseness.
What is the priority nursing action?
Administer IV fluids
Maintain airway and breathing
Apply silver sulfadiazine
Give pain medication
A 6-year-old girl has burns covering 15% of her body after spilling boiling water. She has singed nasal hairs and hoarseness.
Which complication is the child most at risk for during the initial phase?
Hypovolemic shock
Diabetes
Hypertension
Constipation
A 6-year-old girl has burns covering 15% of her body after spilling boiling water. She has singed nasal hairs and hoarseness.
Which formula is used for fluid resuscitation?
Fried’s rule
Parkland formula
Apgar score
Clark’s formula
A 2-month-old infant presents with projectile vomiting after feedings. The nurse palpates a small, firm, olive-shaped mass in the right upper abdomen. Labs show metabolic alkalosis.
Which condition is most likely?
GERD
Hirschsprung disease
Pyloric stenosis
Cleft palate
A 2-month-old infant presents with projectile vomiting after feedings. The nurse palpates a small, firm, olive-shaped mass in the right upper abdomen. Labs show metabolic alkalosis.
Which intervention is priority pre-op?
NPO and IV fluids
Oral rehydration solution
Large-volume feedings
Encourage breastfeeding
A 2-month-old infant presents with projectile vomiting after feedings. The nurse palpates a small, firm, olive-shaped mass in the right upper abdomen. Labs show metabolic alkalosis.
Which complication should the nurse monitor for?
Metabolic acidosis
Metabolic alkalosis
Respiratory alkalosis
Hypoglycemia
