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Cardiac, Hematologic, and Respiratory Disorders Worksheet

Total questions: 90

Worksheet time: 32mins

Name
Class
Date
1.

Aria, a 6-year-old child, is brought to the clinic for evaluation. On examination, which of the following findings would be a hallmark sign of an atrial septal defect?

a)

Cyanosis

b)

Loud diastolic murmur

c)

Soft systolic murmur over the second intercostal space

d)

Bounding pulses

2.

Which congenital heart defect is associated with increased pulmonary blood flow?

a)

Tetralogy of Fallot

b)

Patent ductus arteriosus

c)

Pulmonary stenosis

d)

Coarctation of the aorta

3.

Samuel, a young child with Tetralogy of Fallot, suddenly develops cyanosis while playing. What position should Samuel be placed in to help relieve his cyanosis?

a)

Supine

b)

Prone

c)

Knee-chest

d)

Trendelenburg

4.

Sophia, a pediatric nurse, is caring for a child who is suspected of having rheumatic fever. What is the priority assessment she should perform?

a)

Temperature

b)

Heart sounds

c)

Skin turgor

d)

Respiratory rate

5.

What medication is used for Kawasaki disease?

a)

IV antibiotics

b)

High-dose aspirin and IVIG

c)

Steroids

d)

Antihistamines

6.

Grace, who has sickle cell anemia, suddenly develops one of the following symptoms. Which symptom indicates a medical emergency?

a)

Fever

b)

Joint pain

c)

Severe chest pain

d)

Headache

7.

What is the first-line pain management for sickle cell crisis?

a)

Ice packs

b)

Ketorolac

c)

Acetaminophen

d)

Ibuprofen

8.

David, who has hemophilia, experiences bleeding after a minor injury. What is the treatment for his hemophilia-related bleeding?

a)

Oral iron

b)

Factor replacement therapy

c)

Platelet transfusion

d)

NSAIDs

9.

Which endocrine disorder is confirmed by elevated LH levels in girls?

a)

Diabetes mellitus

b)

Precocious puberty

c)

Hypothyroidism

d)

Addison’s disease

10.

What is a key sign of diabetes insipidus in children?

a)

Hyponatremia

b)

Hypernatremia

c)

Bradycardia

d)

Weight gain

11.

Mia is at a picnic when she suddenly develops difficulty breathing, swelling of her face, and a rash after eating peanuts. What is the priority intervention for her anaphylactic shock?

a)

IV fluids

b)

Oxygen

c)

Epinephrine

d)

Antihistamines

12.

What is a common sign of iron deficiency anemia?

a)

Bradycardia

b)

Epistaxis

c)

Fatigue

d)

Jaundice

13.

Benjamin, a pediatrician, is reviewing a case of a young child presenting with a renal mass. He wants to identify the most common childhood renal tumor. What should Benjamin consider?

a)

Neuroblastoma

b)

Wilms tumor

c)

Osteosarcoma

d)

Rhabdomyosarcoma

14.

What is a key symptom of Coarctation of the Aorta?

a)

Bounding pulses

b)

Weak femoral pulses

c)

Cyanosis

d)

Bradycardia

15.

Michael is diagnosed with growth hormone deficiency. What is the treatment recommended for him?

a)

Insulin

b)

Cortisol

c)

GH injections

d)

Thyroxine

16.

What is a sign of Addison’s disease in children?

a)

Weight gain

b)

Hypertension

c)

Fatigue and hypotension

d)

Hyperactivity

17.

Lily has been prescribed cortisol replacement therapy for adrenal insufficiency. What is the priority teaching for her regarding this medication?

a)

Take with food

b)

Avoid sunlight

c)

Do not stop abruptly

d)

Increase dose during illness

18.

Priya is diagnosed with SIADH. What is the appropriate treatment for her condition?

a)

Desmopressin

b)

Fluid restriction

c)

Insulin

d)

GH therapy

19.

What is the cause of aplastic anemia?

a)

Iron deficiency

b)

Bone marrow failure

c)

Vitamin B12 deficiency

d)

Hemolysis

20.

Henry, a nurse in a pediatric ward, is caring for a child with a respiratory infection. Which condition requires him to implement droplet precautions and avoid visualizing the child's throat?

a)

Bronchitis

b)

Epiglottitis

c)

Asthma

d)

Otitis media

21.

David recently had a tonsillectomy. What is a sign that he might be experiencing hemorrhage after the surgery?

a)

Frequent swallowing

b)

Persistent cough

c)

Increased appetite

d)

Loud snoring

22.

Anika, a pediatric patient, is admitted to the hospital with acute respiratory distress syndrome (ARDS). What is the priority for her care?

a)

Administer corticosteroids

b)

Start antibiotics

c)

Give bronchodilators

d)

Start IV fluids

23.

Oliver, a 10-year-old boy, has been experiencing persistent cough, frequent lung infections, and difficulty gaining weight. His doctor suspects cystic fibrosis. What is the best test for confirming this diagnosis?

a)

Chest X-ray

b)

Sweat chloride test

c)

ABG

d)

Peak flow

24.

Kai arrives at the emergency room showing signs of respiratory distress. What is the first step in assessing Kai's condition?

a)

Check oxygen saturation

b)

Observe respiratory rate and skin color

c)

Auscultate lungs

d)

Check temperature

25.

Lily is caring for her infant sibling and notices some unusual signs. Which of the following would indicate severe respiratory distress in the infant?

a)

Sneezing

b)

Head bobbing

c)

Yawning

d)

Hiccups

26.

Jackson is a young child who has developed croup and is having difficulty breathing. What is the best environment for Jackson?

a)

Dry air

b)

Cool mist tent

c)

Warm room

d)

High humidity

27.

What is a key symptom of spasmodic laryngitis?

a)

Fever

b)

Barky cough at night

c)

Vomiting

d)

Rash

28.

Samuel, a young child, is brought to the clinic with a diagnosis of pertussis. What is the priority for his care?

a)

Give fluids

b)

Vaccinate

c)

Monitor for apnea

d)

Give cough syrup

29.

Mia is a nurse working in a hospital where several patients have tested positive for RSV. What is the best way for Mia and her colleagues to prevent the spread of RSV in the hospital?

a)

Contact Isolation

b)

Contact/droplet Isolation

c)

Airborne Isolation

d)

Remember to think about what the precautions mean, what PPE to use etc...

30.

What is the expected PEF in mild asthma?

a)

<50%

b)

60–70%

c)

>80%

d)

100%

31.

Henry, a child with cystic fibrosis, is about to receive chest physiotherapy. What should be prioritized before starting the physiotherapy?

a)

Give enzymes

b)

Give albuterol

c)

Give antibiotics

d)

Give fluids

32.

Aiden has just finished his meal and needs to undergo chest physiotherapy. When should the chest physiotherapy be scheduled after his meal?

a)

Immediately

b)

30 minutes

c)

2 hours

d)

4 hours

33.

Zoe was rescued from a house fire and is now being examined in the emergency room. What is a sign of smoke inhalation injury?

a)

Sneezing

b)

Soot in nose/mouth

c)

Rash

d)

Fever

34.

Maya has asthma and wants to reduce her asthma triggers at home. What is the best way for her to do this?

a)

Use humidifier

b)

Avoid allergens

c)

Increase exercise

d)

Take antibiotics

35.

Sophia comes to the clinic with symptoms of acute bronchitis. What is the priority in her care?

a)

Give antibiotics

b)

Educate on worsening symptoms

c)

Give fluids

d)

Give cough syrup

36.

Emma is caring for a patient with ARDS in the ICU. She wants to monitor the effectiveness of ventilation. What is the best way for Emma to do this?

a)

Chest X-ray

b)

ABGs

c)

Pulse oximetry

d)

Respiratory rate

37.

Grace, a 4-year-old child, suddenly starts coughing and appears to be in distress after playing with small toys. Her parents notice she is having difficulty breathing. What is the priority sign in foreign body aspiration?

a)

Fever

b)

Cough

c)

Stridor

d)

Vomiting

38.

Anika is concerned about the health effects of environmental tobacco smoke in her home. What is the best prevention for environmental tobacco smoke exposure?

a)

Air purifier

b)

Avoid smoking indoors

c)

Use mask

d)

Open windows

39.

Olivia is a child who has been experiencing sleep-disordered breathing. What is the best sleep position for her?

a)

Supine

b)

Prone

c)

Side-lying

d)

Sitting

40.

Kai is a young child who has been experiencing diarrhea. What is the best fluid for rehydration in this situation?

a)

Water

b)

Juice

c)

Oral rehydration solution

d)

Soda

41.

James, a 3-week-old infant, is brought to the clinic because his parents are concerned about his frequent episodes of projectile vomiting after feeding. What GI condition could be causing these symptoms?

a)

GERD

b)

Hirschsprung’s disease

c)

Hypertrophic pyloric stenosis

d)

Intussusception

42.

What is a sign of appendiceal rupture?

a)

Sudden increase in pain

b)

Sudden decrease in pain

c)

Fever

d)

Vomiting

43.

What is a sign of Hirschsprung’s disease?

a)

Diarrhea

b)

Projectile vomiting

c)

Constipation and abdominal distension

d)

Fever

44.

Nora, a newborn in the NICU, is being monitored for necrotizing enterocolitis (NEC). During her assessment, which of the following findings would be the priority sign indicating bowel perforation?

a)

Vomiting

b)

Fever

c)

Sudden drop in blood pressure

d)

Diarrhea

45.

Grace is caring for an infant diagnosed with GERD. After feeding, what is the best position Grace should use to help reduce reflux?

a)

Supine

b)

Prone

c)

On shoulder

d)

Infant seat

46.

Olivia has celiac disease and is looking for a gluten-free food option. Which of the following should she choose?

a)

Wheat

b)

Rye

c)

Rice

d)

Barley

47.

James visits his doctor because he has noticed something unusual about his urine. Which of the following is a sign of nephrotic syndrome?

a)

Brown urine

b)

Frothy urine

c)

Facial rash

d)

Hypertension

48.

Nora is admitted to the hospital with symptoms of acute glomerulonephritis. The doctor orders several lab tests. Which lab result should be prioritized?

a)

WBC

b)

BUN

c)

ALT

d)

Glucose

49.

Nora is a pediatrician. One day, a child is brought to her clinic with several symptoms. Which of the following is a sign of UTI in children?

a)

Cough

b)

Frequent urination

c)

Abdominal pain and fever

d)

Vomiting

50.

What increases UTI risk in children?

a)

Bubble baths

b)

Cold weather

c)

High salt diet

d)

Low fluid intake

51.

Jackson, a 5-year-old boy, is brought to the clinic with symptoms suggestive of vesicoureteral reflux. What is the priority in his management?

a)

Start antibiotics

b)

Collect urine sample

c)

Give fluids

d)

Start IV

52.

What is a sign of testicular torsion?

a)

Fever

b)

Abdominal pain

c)

Scrotal swelling and pain

d)

Urinary retention

53.

What is the treatment for epistaxis in hemophilia?

a)

Ice pack

b)

Lean back and pinch nose

c)

Lean forward and apply pressure

d)

Give fluids

54.

What is the best sport for a child with hemophilia?

a)

Football

b)

Basketball

c)

Swimming

d)

Wrestling

55.

What is the treatment for diabetes mellitus in children?

a)

Insulin

b)

Oral hypoglycemics

c)

GH therapy

d)

Cortisol

56.

What is a therapeutic activity for a child with diabetes?

a)

Watching TV

b)

Playing with a doll and syringe

c)

Running

d)

Reading

57.

What is a sign of hyperglycemia in children?

a)

Sweating

b)

Lethargy

c)

Bradycardia

d)

Weight loss

58.

What is a sign of SIADH?

a)

Weight loss

b)

Dehydration

c)

Weight gain

d)

Hypernatremia

59.

What is the treatment for DI?

a)

Fluid restriction

b)

Desmopressin

c)

Insulin

d)

Cortisol

60.

Aria brings her infant to the clinic, worried that the baby might be dehydrated. Which sign should the healthcare provider prioritize when assessing for dehydration in infants?

a)

Dry skin

b)

Lethargy

c)

Decreased urine output

d)

Vomiting

61.

Mia is caring for her infant who is younger than 1 year and has mild dehydration. What is the best initial fluid for oral rehydration?

a)

Water

b)

Milk

c)

Electrolyte solution

d)

Juice

62.

Michael, a young child, has been drinking excessive amounts of water throughout the day. What is a sign that he may be experiencing water intoxication?

a)

Dry mouth

b)

Edema

c)

Fever

d)

Vomiting

63.

What is the cause of necrotizing enterocolitis?

a)

Viral infection

b)

Bowel ischemia and bacterial invasion

c)

Food allergy

d)

Dehydration

64.

Priya, a pediatrician, is treating a newborn diagnosed with biliary atresia. What should be her treatment priority?

a)

Antibiotics

b)

Hydration

c)

Surgery

d)

Steroids

65.

What is the mechanism of phototherapy in hyperbilirubinemia?

a)

Increases liver enzymes

b)

Converts bilirubin to water-soluble form

c)

Stimulates bile production

d)

Reduces red blood cell breakdown

66.

Kai is a newborn receiving phototherapy for jaundice. During his treatment, which of the following would be a sign that his condition is worsening?

a)

Increased bilirubin

b)

Lethargy and poor feeding

c)

Rash

d)

Fever

67.

Emma is recovering from surgery for a cleft lip. What is the priority in her post-operative care?

a)

Use pacifier

b)

Give ibuprofen

c)

Avoid pressure on incision

d)

Feed with spoon

68.

Benjamin is the parent caring for his infant who has a cleft lip and is looking for the best way to soothe the baby. What should Benjamin do?

a)

Rocking

b)

Feeding

c)

Pacifier

d)

Swaddling

69.

What is the treatment for cryptorchidism?

a)

Antibiotics

b)

Hormone therapy

c)

Surgical correction

d)

Observation

70.

What is a sign of obstructive uropathy?

a)

Frequent urination

b)

Abdominal distension

c)

Fever

d)

Vomiting

71.

Michael, a young child, is brought to the clinic because he has been experiencing painful urination. What could this be a sign of?

a)

Phimosis

b)

Rash

c)

Vomiting

d)

Fever

72.

What is the treatment for hydrocele?

a)

Surgery

b)

Observation

c)

Antibiotics

d)

Hormones

73.

During a routine newborn examination, Dr. Ethan notices that the baby's genital appearance is not clearly male or female. What is this a sign of?

a)

Genital Edema

b)

Undescended testes

c)

Ambiguous genitalia

d)

Congenital Anomaly

74.

Mia, a 7-year-old child, is admitted to the hospital with acute kidney injury. What is the priority in her care?

a)

Monitor BUN and creatinine

b)

Give fluids

c)

Start antibiotics

d)

Give diuretics

75.

What is a sign of hemolytic uremic syndrome?

a)

Rash

b)

Bloody diarrhea

c)

Vomiting

d)

Fever

76.

What is the treatment for enterobius vermicularis?

a)

Antibiotics

b)

Antiparasitic medication

c)

Steroids

d)

Antihistamines

77.

Abigail went hiking and drank water from a stream. Later, she developed symptoms of giardia lamblia infection. What is the cause of her infection?

a)

Virus

b)

Bacteria

c)

Parasite

d)

Fungus

78.

What is the best prevention for rotavirus?

a)

Handwashing

b)

Vaccination

c)

Antibiotics

d)

Isolation

79.

Noah is a child diagnosed with diabetes insipidus. Which medication is commonly prescribed to help manage his condition?

a)

Prednisone

b)

Levothyroxine

c)

Insulin

d)

Desmopressin

80.

What is the most important nursing action after a tonsillectomy?

a)

Encourage coughing

b)

Apply ice to the neck

c)

Monitor for frequent swallowing

d)

Offer solid foods

81.

Which symptom is most characteristic of nephrotic syndrome in children?

a)

Dry cough

b)

Bloody stools

c)

Frothy urine

d)

Jaundice

82.

Which grain should be avoided in a gluten-free diet?

a)

Corn

b)

Rice

c)

Barley

d)

Oats

83.

Which symptom is most commonly associated with urinary tract infection in children?

a)

Joint pain

b)

Headache

c)

Frequent urination

d)

Skin rash

84.

What is the most important intervention for a child with acute asthma exacerbation?

a)

Administer antibiotics

b)

Monitor temperature

c)

Give bronchodilators

d)

Encourage fluids

85.

Which congenital heart defect is characterized by cyanosis and decreased pulmonary blood flow?

a)

Tetralogy of Fallot

b)

Patent ductus arteriosus

c)

Ventricular septal defect

d)

Transposition of the great arteries

86.

Which medication is commonly used to treat nephrotic syndrome in children?

a)

Desmopressin

b)

IVIG

c)

Prednisone

d)

Insulin

87.

Which of the following is the most important intervention to prevent hospital-acquired infections in pediatric patients?

a)

Daily temperature checks

b)

Routine chest X-rays

c)

Frequent hand hygiene

d)

Use of surgical masks

88.

A child presents with sudden onset of severe abdominal pain and vomiting. What is the most likely diagnosis if a sausage-shaped mass is felt on examination?

a)

Constipation

b)

Appendicitis

c)

GERD

d)

Intussusception

89.

Which laboratory finding is most indicative of iron deficiency anemia in a child?

a)

High white blood cell count

b)

Low hemoglobin

c)

Low platelet count

d)

Elevated bilirubin

90.

A nurse is reviewing the medication administration of pancreatic enzymes for a child with cystic fibrosis. Which statement by the parent indicates a correct understanding of how to give the enzymes?

a)

"I will mix the enzymes with hot food."

b)

"I will give the enzymes at the beginning of each meal."

c)

"I will skip the enzymes if my child eats a snack."

d)

"I will crush the enzyme capsules before giving them."