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WorksheetsCardiac, Hematologic, and Respiratory Disorders Worksheet
Total questions: 90
Worksheet time: 32mins
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?
Cyanosis
Loud diastolic murmur
Soft systolic murmur over the second intercostal space
Bounding pulses
Which congenital heart defect is associated with increased pulmonary blood flow?
Tetralogy of Fallot
Patent ductus arteriosus
Pulmonary stenosis
Coarctation of the aorta
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?
Supine
Prone
Knee-chest
Trendelenburg
Sophia, a pediatric nurse, is caring for a child who is suspected of having rheumatic fever. What is the priority assessment she should perform?
Temperature
Heart sounds
Skin turgor
Respiratory rate
What medication is used for Kawasaki disease?
IV antibiotics
High-dose aspirin and IVIG
Steroids
Antihistamines
Grace, who has sickle cell anemia, suddenly develops one of the following symptoms. Which symptom indicates a medical emergency?
Fever
Joint pain
Severe chest pain
Headache
What is the first-line pain management for sickle cell crisis?
Ice packs
Ketorolac
Acetaminophen
Ibuprofen
David, who has hemophilia, experiences bleeding after a minor injury. What is the treatment for his hemophilia-related bleeding?
Oral iron
Factor replacement therapy
Platelet transfusion
NSAIDs
Which endocrine disorder is confirmed by elevated LH levels in girls?
Diabetes mellitus
Precocious puberty
Hypothyroidism
Addison’s disease
What is a key sign of diabetes insipidus in children?
Hyponatremia
Hypernatremia
Bradycardia
Weight gain
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?
IV fluids
Oxygen
Epinephrine
Antihistamines
What is a common sign of iron deficiency anemia?
Bradycardia
Epistaxis
Fatigue
Jaundice
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?
Neuroblastoma
Wilms tumor
Osteosarcoma
Rhabdomyosarcoma
What is a key symptom of Coarctation of the Aorta?
Bounding pulses
Weak femoral pulses
Cyanosis
Bradycardia
Michael is diagnosed with growth hormone deficiency. What is the treatment recommended for him?
Insulin
Cortisol
GH injections
Thyroxine
What is a sign of Addison’s disease in children?
Weight gain
Hypertension
Fatigue and hypotension
Hyperactivity
Lily has been prescribed cortisol replacement therapy for adrenal insufficiency. What is the priority teaching for her regarding this medication?
Take with food
Avoid sunlight
Do not stop abruptly
Increase dose during illness
Priya is diagnosed with SIADH. What is the appropriate treatment for her condition?
Desmopressin
Fluid restriction
Insulin
GH therapy
What is the cause of aplastic anemia?
Iron deficiency
Bone marrow failure
Vitamin B12 deficiency
Hemolysis
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?
Bronchitis
Epiglottitis
Asthma
Otitis media
David recently had a tonsillectomy. What is a sign that he might be experiencing hemorrhage after the surgery?
Frequent swallowing
Persistent cough
Increased appetite
Loud snoring
Anika, a pediatric patient, is admitted to the hospital with acute respiratory distress syndrome (ARDS). What is the priority for her care?
Administer corticosteroids
Start antibiotics
Give bronchodilators
Start IV fluids
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?
Chest X-ray
Sweat chloride test
ABG
Peak flow
Kai arrives at the emergency room showing signs of respiratory distress. What is the first step in assessing Kai's condition?
Check oxygen saturation
Observe respiratory rate and skin color
Auscultate lungs
Check temperature
Lily is caring for her infant sibling and notices some unusual signs. Which of the following would indicate severe respiratory distress in the infant?
Sneezing
Head bobbing
Yawning
Hiccups
Jackson is a young child who has developed croup and is having difficulty breathing. What is the best environment for Jackson?
Dry air
Cool mist tent
Warm room
High humidity
What is a key symptom of spasmodic laryngitis?
Fever
Barky cough at night
Vomiting
Rash
Samuel, a young child, is brought to the clinic with a diagnosis of pertussis. What is the priority for his care?
Give fluids
Vaccinate
Monitor for apnea
Give cough syrup
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?
Contact Isolation
Contact/droplet Isolation
Airborne Isolation
Remember to think about what the precautions mean, what PPE to use etc...
What is the expected PEF in mild asthma?
<50%
60–70%
>80%
100%
Henry, a child with cystic fibrosis, is about to receive chest physiotherapy. What should be prioritized before starting the physiotherapy?
Give enzymes
Give albuterol
Give antibiotics
Give fluids
Aiden has just finished his meal and needs to undergo chest physiotherapy. When should the chest physiotherapy be scheduled after his meal?
Immediately
30 minutes
2 hours
4 hours
Zoe was rescued from a house fire and is now being examined in the emergency room. What is a sign of smoke inhalation injury?
Sneezing
Soot in nose/mouth
Rash
Fever
Maya has asthma and wants to reduce her asthma triggers at home. What is the best way for her to do this?
Use humidifier
Avoid allergens
Increase exercise
Take antibiotics
Sophia comes to the clinic with symptoms of acute bronchitis. What is the priority in her care?
Give antibiotics
Educate on worsening symptoms
Give fluids
Give cough syrup
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?
Chest X-ray
ABGs
Pulse oximetry
Respiratory rate
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?
Fever
Cough
Stridor
Vomiting
Anika is concerned about the health effects of environmental tobacco smoke in her home. What is the best prevention for environmental tobacco smoke exposure?
Air purifier
Avoid smoking indoors
Use mask
Open windows
Olivia is a child who has been experiencing sleep-disordered breathing. What is the best sleep position for her?
Supine
Prone
Side-lying
Sitting
Kai is a young child who has been experiencing diarrhea. What is the best fluid for rehydration in this situation?
Water
Juice
Oral rehydration solution
Soda
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?
GERD
Hirschsprung’s disease
Hypertrophic pyloric stenosis
Intussusception
What is a sign of appendiceal rupture?
Sudden increase in pain
Sudden decrease in pain
Fever
Vomiting
What is a sign of Hirschsprung’s disease?
Diarrhea
Projectile vomiting
Constipation and abdominal distension
Fever
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?
Vomiting
Fever
Sudden drop in blood pressure
Diarrhea
Grace is caring for an infant diagnosed with GERD. After feeding, what is the best position Grace should use to help reduce reflux?
Supine
Prone
On shoulder
Infant seat
Olivia has celiac disease and is looking for a gluten-free food option. Which of the following should she choose?
Wheat
Rye
Rice
Barley
James visits his doctor because he has noticed something unusual about his urine. Which of the following is a sign of nephrotic syndrome?
Brown urine
Frothy urine
Facial rash
Hypertension
Nora is admitted to the hospital with symptoms of acute glomerulonephritis. The doctor orders several lab tests. Which lab result should be prioritized?
WBC
BUN
ALT
Glucose
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?
Cough
Frequent urination
Abdominal pain and fever
Vomiting
What increases UTI risk in children?
Bubble baths
Cold weather
High salt diet
Low fluid intake
Jackson, a 5-year-old boy, is brought to the clinic with symptoms suggestive of vesicoureteral reflux. What is the priority in his management?
Start antibiotics
Collect urine sample
Give fluids
Start IV
What is a sign of testicular torsion?
Fever
Abdominal pain
Scrotal swelling and pain
Urinary retention
What is the treatment for epistaxis in hemophilia?
Ice pack
Lean back and pinch nose
Lean forward and apply pressure
Give fluids
What is the best sport for a child with hemophilia?
Football
Basketball
Swimming
Wrestling
What is the treatment for diabetes mellitus in children?
Insulin
Oral hypoglycemics
GH therapy
Cortisol
What is a therapeutic activity for a child with diabetes?
Watching TV
Playing with a doll and syringe
Running
Reading
What is a sign of hyperglycemia in children?
Sweating
Lethargy
Bradycardia
Weight loss
What is a sign of SIADH?
Weight loss
Dehydration
Weight gain
Hypernatremia
What is the treatment for DI?
Fluid restriction
Desmopressin
Insulin
Cortisol
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?
Dry skin
Lethargy
Decreased urine output
Vomiting
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?
Water
Milk
Electrolyte solution
Juice
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?
Dry mouth
Edema
Fever
Vomiting
What is the cause of necrotizing enterocolitis?
Viral infection
Bowel ischemia and bacterial invasion
Food allergy
Dehydration
Priya, a pediatrician, is treating a newborn diagnosed with biliary atresia. What should be her treatment priority?
Antibiotics
Hydration
Surgery
Steroids
What is the mechanism of phototherapy in hyperbilirubinemia?
Increases liver enzymes
Converts bilirubin to water-soluble form
Stimulates bile production
Reduces red blood cell breakdown
Kai is a newborn receiving phototherapy for jaundice. During his treatment, which of the following would be a sign that his condition is worsening?
Increased bilirubin
Lethargy and poor feeding
Rash
Fever
Emma is recovering from surgery for a cleft lip. What is the priority in her post-operative care?
Use pacifier
Give ibuprofen
Avoid pressure on incision
Feed with spoon
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?
Rocking
Feeding
Pacifier
Swaddling
What is the treatment for cryptorchidism?
Antibiotics
Hormone therapy
Surgical correction
Observation
What is a sign of obstructive uropathy?
Frequent urination
Abdominal distension
Fever
Vomiting
Michael, a young child, is brought to the clinic because he has been experiencing painful urination. What could this be a sign of?
Phimosis
Rash
Vomiting
Fever
What is the treatment for hydrocele?
Surgery
Observation
Antibiotics
Hormones
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?
Genital Edema
Undescended testes
Ambiguous genitalia
Congenital Anomaly
Mia, a 7-year-old child, is admitted to the hospital with acute kidney injury. What is the priority in her care?
Monitor BUN and creatinine
Give fluids
Start antibiotics
Give diuretics
What is a sign of hemolytic uremic syndrome?
Rash
Bloody diarrhea
Vomiting
Fever
What is the treatment for enterobius vermicularis?
Antibiotics
Antiparasitic medication
Steroids
Antihistamines
Abigail went hiking and drank water from a stream. Later, she developed symptoms of giardia lamblia infection. What is the cause of her infection?
Virus
Bacteria
Parasite
Fungus
What is the best prevention for rotavirus?
Handwashing
Vaccination
Antibiotics
Isolation
Noah is a child diagnosed with diabetes insipidus. Which medication is commonly prescribed to help manage his condition?
Prednisone
Levothyroxine
Insulin
Desmopressin
What is the most important nursing action after a tonsillectomy?
Encourage coughing
Apply ice to the neck
Monitor for frequent swallowing
Offer solid foods
Which symptom is most characteristic of nephrotic syndrome in children?
Dry cough
Bloody stools
Frothy urine
Jaundice
Which grain should be avoided in a gluten-free diet?
Corn
Rice
Barley
Oats
Which symptom is most commonly associated with urinary tract infection in children?
Joint pain
Headache
Frequent urination
Skin rash
What is the most important intervention for a child with acute asthma exacerbation?
Administer antibiotics
Monitor temperature
Give bronchodilators
Encourage fluids
Which congenital heart defect is characterized by cyanosis and decreased pulmonary blood flow?
Tetralogy of Fallot
Patent ductus arteriosus
Ventricular septal defect
Transposition of the great arteries
Which medication is commonly used to treat nephrotic syndrome in children?
Desmopressin
IVIG
Prednisone
Insulin
Which of the following is the most important intervention to prevent hospital-acquired infections in pediatric patients?
Daily temperature checks
Routine chest X-rays
Frequent hand hygiene
Use of surgical masks
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?
Constipation
Appendicitis
GERD
Intussusception
Which laboratory finding is most indicative of iron deficiency anemia in a child?
High white blood cell count
Low hemoglobin
Low platelet count
Elevated bilirubin
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?
"I will mix the enzymes with hot food."
"I will give the enzymes at the beginning of each meal."
"I will skip the enzymes if my child eats a snack."
"I will crush the enzyme capsules before giving them."
