NCLEX 2026 Pediatric Power Pack: 50 High-Yield Practice Questions with Rationales
How to Use:
Read each question carefully.
Select the best answer.
Check your answers at the end.
Use the rationales to reinforce understanding.
Section 1: Growth & Development Milestones (10
Questions)
Q1: At what age does a child typically start walking independently?
A) 9 months
B) 12 months
C) 15 months
D) 18 months
Answer: B) 12 months – Most children walk independently between 12–15 months.
Q2: A 2-year-old should be able to:
A) Speak in full sentences
B) Use two-word phrases
C) Write their name
D) Ride a tricycle
Answer: B) Use two-word phrases – Typical 2-year-old language development.
Q3: At what age does a child develop stranger anxiety?
A) 3 months
B) 6–8 months
C) 12 months
D) 18 months
Answer: B) 6–8 months – Normal social-emotional development.
Q4: A 4-year-old is expected to:
A) Copy a circle
B) Hop on one foot
C) Speak in single words
D) Dress independently
Answer: B) Hop on one foot – Gross motor skill expected at 4 years.
, Q5: At what age does the pincer grasp typically develop?
A) 4 months
B) 6 months
C) 9 months
D) 12 months
Answer: C) 9 months – Fine motor skill for picking up small objects.
Q6: Which is a normal 1-year-old behavior?
A) Parallel play
B) Cooperative play
C) Sharing toys
D) Team games
Answer: A) Parallel play – Normal social interaction for 1-year-olds.
Q7: When should a child begin using 2-word sentences?
A) 12 months
B) 18–24 months
C) 3 years
D) 4 years
Answer: B) 18–24 months – Early language development milestone.
Q8: A 6-year-old should be able to:
A) Skip with alternate feet
B) Tie shoelaces
C) Walk backwards heel-to-toe
D) Button small buttons
Answer: A) Skip with alternate feet – Gross motor skill milestone.
Q9: A 3-month-old infant should:
A) Roll over
B) Hold head steady
C) Sit independently
D) Crawl
Answer: B) Hold head steady – Head control develops by 3–4 months.
Q10: At what age is object permanence fully developed?
A) 3 months
B) 6 months
C) 8–12 months
D) 18 months
Answer: C) 8–12 months – Piaget’s sensorimotor stage milestone.
How to Use:
Read each question carefully.
Select the best answer.
Check your answers at the end.
Use the rationales to reinforce understanding.
Section 1: Growth & Development Milestones (10
Questions)
Q1: At what age does a child typically start walking independently?
A) 9 months
B) 12 months
C) 15 months
D) 18 months
Answer: B) 12 months – Most children walk independently between 12–15 months.
Q2: A 2-year-old should be able to:
A) Speak in full sentences
B) Use two-word phrases
C) Write their name
D) Ride a tricycle
Answer: B) Use two-word phrases – Typical 2-year-old language development.
Q3: At what age does a child develop stranger anxiety?
A) 3 months
B) 6–8 months
C) 12 months
D) 18 months
Answer: B) 6–8 months – Normal social-emotional development.
Q4: A 4-year-old is expected to:
A) Copy a circle
B) Hop on one foot
C) Speak in single words
D) Dress independently
Answer: B) Hop on one foot – Gross motor skill expected at 4 years.
, Q5: At what age does the pincer grasp typically develop?
A) 4 months
B) 6 months
C) 9 months
D) 12 months
Answer: C) 9 months – Fine motor skill for picking up small objects.
Q6: Which is a normal 1-year-old behavior?
A) Parallel play
B) Cooperative play
C) Sharing toys
D) Team games
Answer: A) Parallel play – Normal social interaction for 1-year-olds.
Q7: When should a child begin using 2-word sentences?
A) 12 months
B) 18–24 months
C) 3 years
D) 4 years
Answer: B) 18–24 months – Early language development milestone.
Q8: A 6-year-old should be able to:
A) Skip with alternate feet
B) Tie shoelaces
C) Walk backwards heel-to-toe
D) Button small buttons
Answer: A) Skip with alternate feet – Gross motor skill milestone.
Q9: A 3-month-old infant should:
A) Roll over
B) Hold head steady
C) Sit independently
D) Crawl
Answer: B) Hold head steady – Head control develops by 3–4 months.
Q10: At what age is object permanence fully developed?
A) 3 months
B) 6 months
C) 8–12 months
D) 18 months
Answer: C) 8–12 months – Piaget’s sensorimotor stage milestone.
