WorksheetsPediatric Nursing Knowledge Quiz
Total questions: 69
Worksheet time: 28mins
Which vaccine is first administered to newborns before hospital discharge?
Hepatitis B
Measles, Mumps, Rubella (MMR)
Varicella
DTaP
At what age does the anterior fontanelle typically close in infants?
2-4 months
6-8 months
12-18 months
24-36 months
Which of the following is a common sign of dehydration in infants?
Bulging fontanelle
Sunken eyes
Increased urine output
Moist mucous membranes
Which nutrient is most important for preventing rickets in children?
Vitamin C
Vitamin D
Iron
Calcium
What is the recommended site for intramuscular injection in infants under 12 months?
Deltoid muscle
Vastus lateralis
Gluteus maximus
Abdomen
Which of the following is a principle of family-centered care?
The nurse makes all decisions for the child
Family members are excluded from care planning
Families are partners in the child’s care
Only the physician communicates with the family
A 4-year-old child is due for the MMR vaccine. Which other vaccine is typically administered at the same visit?
Hepatitis B
DTaP
Rotavirus
HPV
A child weighing 20 kg is prescribed amoxicillin at a dose of 25 mg/kg/day in two divided doses. What is the amount of amoxicillin per dose?
125 mg
250 mg
500 mg
1000 mg
A 2-year-old is admitted with croup. Which intervention is most appropriate to relieve symptoms?
Administer a cough suppressant
Provide cool mist humidification
Encourage vigorous activity
Give aspirin for fever
A 6-month-old infant is being introduced to solid foods. Which food should be introduced first?
Cow’s milk
Honey
Iron-fortified rice cereal
Egg whites
A nurse is teaching parents about the immunization schedule. Which statement by the parent indicates understanding?
"My child will receive the first MMR vaccine at 6 months."
"The DTaP vaccine is given at 2, 4, and 6 months."
"Varicella vaccine is given at birth."
"Polio vaccine is not needed until school age."
A 7-year-old with type 1 diabetes is learning to self-administer insulin. Which action by the child shows understanding of the procedure?
Injecting into the same site every time
Rotating injection sites
Using expired insulin
Skipping doses when feeling well
A nurse is planning care for a toddler hospitalized with pneumonia. Which strategy best supports family-centered care?
Restricting parental visits to reduce infection risk
Encouraging parents to participate in care routines
Limiting information shared with the family
Assigning all care to nursing staff
A 3-year-old child is brought to the clinic with a fever and rash. The nurse suspects measles. Which assessment finding supports this diagnosis?
Koplik spots in the mouth
Strawberry tongue
Sandpaper rash
Vesicular lesions on hands and feet
A 5-year-old with cystic fibrosis is not gaining weight despite adequate caloric intake. What is the most likely reason?
Increased physical activity
Malabsorption due to pancreatic insufficiency
Poor appetite
Excessive fluid intake
A nurse is caring for a child with newly diagnosed asthma. Which teaching strategy would best help the family manage the child’s condition at home?
Provide a written asthma action plan and demonstrate inhaler use
Advise the family to avoid all physical activity
Instruct the family to use medication only during attacks
Recommend over-the-counter cough suppressants
A 10-year-old is prescribed a medication with a safe dosage range of 5–10 mg/kg/day. The child weighs 30 kg and is prescribed 300 mg per day. Is this dosage safe, and why?
Yes, because it is within the safe range
No, because it is below the safe range
No, because it exceeds the safe range
Yes, because the child is older than 8 years
A nurse is developing a teaching plan for parents of a child with iron-deficiency anemia. Which dietary change should be recommended to improve iron absorption?
Increase intake of dairy products
Serve iron-rich foods with vitamin C sources
Limit intake of leafy green vegetables
Avoid all red meats
A 2-year-old is hospitalized for severe gastroenteritis. The nurse must prioritize care. Which action should be taken first?
Start oral rehydration therapy
Administer antiemetic medication
Begin a regular diet
Provide a favorite toy
A nurse is evaluating the effectiveness of a family-centered care approach for a child with chronic illness. Which outcome best indicates success?
The child’s parents feel excluded from decision-making
The family actively participates in care planning and implementation
The nurse makes all care decisions independently
The child is not allowed to express preferences
Which intervention is most appropriate for a child experiencing an acute asthma attack at home?
Use a quick-relief inhaler as prescribed
Encourage the child to lie flat
Offer dairy products to soothe the throat
Delay medication until symptoms worsen
At what age do infants typically begin to sit without support?
2 months
9 months
12 months
6 months
Which food should be avoided when introducing solids to infants under 1 year due to risk of botulism?
Honey
Banana
Iron-fortified rice cereal
Pureed carrots
Which sign is most commonly observed in a child with scarlet fever?
Koplik spots
Sunken eyes
Strawberry tongue
Vesicular rash on trunk
What is the most appropriate intervention for a toddler with bronchiolitis experiencing mild respiratory distress?
Give aspirin for fever
Encourage high-protein diet
Provide humidified oxygen
Administer oral antibiotics
Which vaccine is recommended for children to prevent chickenpox?
Varicella
DTaP
Hepatitis B
Rotavirus
What is the most important action to take for a child who has been submerged in cold water and appears lifeless?
Immediate warming up
Starting CPR immediately
Waiting for emergency services to arrive
Giving them something warm to drink
After a near-drowning incident, why is it important to seek medical attention, even if the child seems fine?
Risk of delayed drowning symptoms
To get a certificate of health
To avoid legal consequences
To learn swimming techniques
Which of the following is a common respiratory disorder characterized by inflamed airways and difficulty breathing?
Diabetes
Asthma
Arthritis
Anemia
Which of the following is a symptom of pediatric respiratory distress syndrome?
Increased heart rate
Blue skin coloration (cyanosis)
Grunting sounds
All of the above
Bronchiolitis is most commonly caused by which virus?
Influenza
Respiratory syncytial virus (RSV)
Human rhinovirus
Adenovirus
What is a common sign of pneumonia in infants?
Cough
Rash
Constipation
Increased appetite
Which food should infants avoid for the first year?
Carrots
Bread
Honey
Juice
Infants under one year of age generally do not need which of the following in their diet
Meat
Rice
Water
Juice
Which of the following is a common respiratory disorder characterized by inflamed airways and difficulty breathing?
Diabetes
Asthma
Arthritis
Anemia
Croup is characterized by which of the following symptoms?
A barking cough
A high-pitched wheeze
A runny nose
A fever
Pneumonia in infants can be caused by:
Bacteria only
Viruses only
Both bacteria and viruses
Neither bacteria nor viruses
Which of the following is a classic symptom of asthma in children?
Frequent urination
Wheezing
Rash
Diarrhea
What is a way to become immune to a disease without first having the disease?
antibiotics
Anti-retroviral drugs
Vaccinations
Exposure Therapies
When given a vaccine, your body recognizes it as an invader and builds _________ against the virus.
lysogens
capsids
antibodies
immunoglobulins
Substances that cause the body to produce antibodies.
antibodies
antigens
You are a doctor and Little Billy is in your office with the flu. His mother wants you to prescribe an antibiotic. Which would be the best response?
"Absolutely, get that kid an antibiotic!"
"Actually, he just needs to take a painkiller."
"Unfortunately, antibiotics do not work against viruses like the flu."
"Give him a vaccine and he will feel better right away!"
A person develops natural immunity.
Before getting sick.
After one dose of a vaccine.
After several doses of a vaccine.
After recovering from an illness.
Which of the following is the best initial response when a child is found unresponsive after a near-drowning incident?
Offer the child a snack
Wait for the child to wake up on their own
Change the child's clothes
Check for breathing and start rescue breaths if needed
Which component of the immune system directly attacks and destroys antigens?
Platelets
Plasma proteins
Red blood cells
White blood cells
What dietary supplement is commonly recommended for children with cystic fibrosis to aid in nutrient absorption?
Iron supplements
Calcium tablets
Pancreatic enzymes
Vitamin K only
Which of the following is a recommended intervention for a child experiencing an allergic reaction affecting the airway?
Encourage fluid intake
Provide humidified oxygen
Administer oral antibiotics
Give an epinephrine injection
What is the primary function of alveoli in the respiratory system?
Filter dust particles
Exchange gases between air and blood
Produce mucus
Regulate body temperature
Which of the following is a common trigger for asthma attacks in children?
Wearing tight clothing
Exposure to cold air
Eating spicy foods
Drinking milk
In pediatric near-drowning, hypothermia can be a concern. What is the first step in managing a hypothermic child?
Rapid rewarming in hot water
Gentle rewarming and dry clothing
Immediate CPR
Administration of hot drinks
Immediately after rescuing a child from water, what is the FIRST step you should take?
Start CPR
Check for responsiveness and breathing
Call for emergency medical services
Lay the child on their side
Tetralogy of Fallot involeves which defects?
Select all that apply.
Ventricular septal defect
Right ventricular hypertrophy
Pulmoinic atresia
Pulmonic stenosis
Overriding aorta
Which plan would be appropriate in helping to control congestiv heart failure (CHF) in an infant?
Promotin fluid restriction
Feeding a low-salt formula
Feeding in semi-Fowler position
Encouraging breast milk
What should the nurse assess prior to administerind digoxin?
Select all that apply.
Scelera
Apical pulse
Cough
Liver function test
The nurse is caring for a child with ADHD. Which behavior would the nurse not expect the child to display?
Moody, morose behavior with pouting
Interruption and inability to take turns
Forgetfulness and easy distractibility
Excessive motor activities and fidgeting
The nurse is caring for an adolescent who says, “I’m sick of this. I wish I weren’t alive anymore.” What is the best response by the nurse?
“I often feel sad and sick of things.”
“Have you thought about hurting yourself?”
“Are you trying to escape from your problems?”
“Do your parents know about this feeling?”
The nurse is collecting data on an 18-month-old child admitted with a diagnosis of possible seizures. When interviewing the caregivers, which questions would be most important for the nurse to ask?
“Is your child up to date on his immunizations?”
“Has anyone in your family been sick recently”
“What type of activities was your child doing today?”
“Have you checked your child's temperature?”
A child comes to the emergency room appearing very ill, reports leg pain, and refuses to bear weight on the leg. The nurse suspects the child may have septic arthritis. When taking the child's history, which information is significant?
recent respiratory infection
fall on the affected joint
camping trip in the woods
diagnosis of rheumatoid arthritis
A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse plans to teach the parents about which anticipated treatment plan?
Antihistamine use
Cold washcloths on the face for comfort
Antibiotic treatment with amoxicillin
Referral for a sinuplasty
For which potential problem should the child with chronic otitis media with effusion be evaluated?
Brain abscess
Meningitis
Perforation of the tympanic membrane
Hearing loss
A 5-year-old is recovering from a tonsillectomy and adenoidectomy and is being discharged home with his mother. Home care instructions should include which of the following? Select all that apply.
A. Observe the child for continuous swallowing.
Encourage the child to take sips of cool, clear liquids.
Administer codeine elixir as necessary for throat pain.
Observe the child for restlessness or difficulty breathing.
Administer an analgesic such as acetaminophen for pain.
When caring for a child after a tonsillectomy, what intervention should the nurse do?
Watch for continuous swallowing
Encourage gargling to reduce discomfort.
Apply warm compresses to the throat.
Position the child on the back for sleeping.
The mother of your 7-year-old patient who has a history of severe developmental mental delay and is nonverbal, asks if the patient can receive some pain medication. You should assess the patient's level of pain using which pain scale?
Wong-Baker Faces scale
Visual analogue scale
0-10 numeric pain scale
FLACC scale
What is the most common cause of pediatric cardiac arrest?
Vascular Emergencies
Long QT Syndrome
Trauma
Hypoxia
What eye condition is described as: unequal curvature of the cornea resulting in blurred vision?
Astigmatism
Refraction
Myopia
Hyperopia
The treatment for children with seizures is usually:
Surgery
Medication
Restricted diets
Exercise regimens
Haemophilius influenzae meningitis is often spread by which mode of transmission?
Contact
Airborn
Droplet
Fecal
You are to obtain a urine specimen from a 3-year-old child. Which method should be attempted first?
Straight catheterization
Clean catch
Urine bag
Indwelling catheter
The child diagnosed with muscular dystrophy uses a method of rising from the floor which is referred to as which of the following?
Legg–Calvé–Perthes
Gowers sign
Milwaukee brace
Boston brace
