1. A nurse is assessing a 4-month-old infant during a well-child visit. The parent reports the infant smiles spontaneously, holds
the head steady, and begins to roll from front to back. Which developmental milestone should the nurse expect next?
A. Sitting without support
B. Crawling
C. Pulling to stand
D. Walking independently
Answer: A
2. A 2-year-old child is brought to the clinic with a fever of 39.5°C (103.1°F) and is tugging at the ears. The child is irritable
and refuses to lie flat. Which condition should the nurse suspect?
A. Otitis media
B. Bronchiolitis
C. Croup
D. Appendicitis
Answer: A
3. A nurse is caring for a 7-year-old with acute glomerulonephritis who presents with facial edema and cola-colored urine.
Which intervention is most appropriate?
A. Encourage high sodium diet
B. Monitor blood pressure
C. Increase fluids aggressively
D. Restrict rest
Answer: B
4. A 5-year-old child is admitted with a diagnosis of pneumonia and exhibits nasal flaring and retractions. What is the nurse’s
priority action?
A. Encourage oral fluids
B. Administer prescribed oxygen
C. Offer toys
D. Provide high-calorie snacks
Answer: B
5. A nurse is teaching parents about febrile seizures in toddlers. Which statement indicates correct understanding?
A. “I should restrain my child during a seizure.”
B. “I should place my child on the side during a seizure.”
C. “I should put something in my child’s mouth.”
D. “Febrile seizures always cause brain damage.”
Answer: B
,6. A 10-year-old child with type 1 diabetes reports shakiness and sweating before lunch. Which action should the nurse take
first?
A. Administer insulin
B. Provide 15 g of fast-acting carbohydrate
C. Encourage exercise
D. Delay intervention
Answer: B
7. A nurse is caring for a child diagnosed with bronchiolitis. Which assessment finding indicates worsening respiratory
distress?
A. Respiratory rate 24/min
B. Mild cough
C. Apnea episodes
D. Clear nasal drainage
Answer: C
8. A parent reports that a 3-year-old child refuses to share toys and plays alongside other children rather than interacting
directly. How should the nurse respond?
A. “This is parallel play and is expected.”
B. “This indicates social delay.”
C. “The child needs discipline.”
D. “This is abnormal behavior.”
Answer: A
9. A nurse is preparing to administer an oral medication to a toddler. Which technique is appropriate?
A. Mix medication with a small amount of soft food
B. Force medication with large syringe
C. Pinch nose during administration
D. Dilute medication in full bottle
Answer: A
10. A child with sickle cell disease is admitted for vaso-occlusive crisis. Which intervention is priority?
A. Administer IV fluids
B. Restrict activity
C. Apply cold compresses
D. Delay analgesics
Answer: A
11. A nurse is assessing a newborn for signs of hypoglycemia. Which finding is most concerning?
A. Jitteriness
B. Pink skin
the head steady, and begins to roll from front to back. Which developmental milestone should the nurse expect next?
A. Sitting without support
B. Crawling
C. Pulling to stand
D. Walking independently
Answer: A
2. A 2-year-old child is brought to the clinic with a fever of 39.5°C (103.1°F) and is tugging at the ears. The child is irritable
and refuses to lie flat. Which condition should the nurse suspect?
A. Otitis media
B. Bronchiolitis
C. Croup
D. Appendicitis
Answer: A
3. A nurse is caring for a 7-year-old with acute glomerulonephritis who presents with facial edema and cola-colored urine.
Which intervention is most appropriate?
A. Encourage high sodium diet
B. Monitor blood pressure
C. Increase fluids aggressively
D. Restrict rest
Answer: B
4. A 5-year-old child is admitted with a diagnosis of pneumonia and exhibits nasal flaring and retractions. What is the nurse’s
priority action?
A. Encourage oral fluids
B. Administer prescribed oxygen
C. Offer toys
D. Provide high-calorie snacks
Answer: B
5. A nurse is teaching parents about febrile seizures in toddlers. Which statement indicates correct understanding?
A. “I should restrain my child during a seizure.”
B. “I should place my child on the side during a seizure.”
C. “I should put something in my child’s mouth.”
D. “Febrile seizures always cause brain damage.”
Answer: B
,6. A 10-year-old child with type 1 diabetes reports shakiness and sweating before lunch. Which action should the nurse take
first?
A. Administer insulin
B. Provide 15 g of fast-acting carbohydrate
C. Encourage exercise
D. Delay intervention
Answer: B
7. A nurse is caring for a child diagnosed with bronchiolitis. Which assessment finding indicates worsening respiratory
distress?
A. Respiratory rate 24/min
B. Mild cough
C. Apnea episodes
D. Clear nasal drainage
Answer: C
8. A parent reports that a 3-year-old child refuses to share toys and plays alongside other children rather than interacting
directly. How should the nurse respond?
A. “This is parallel play and is expected.”
B. “This indicates social delay.”
C. “The child needs discipline.”
D. “This is abnormal behavior.”
Answer: A
9. A nurse is preparing to administer an oral medication to a toddler. Which technique is appropriate?
A. Mix medication with a small amount of soft food
B. Force medication with large syringe
C. Pinch nose during administration
D. Dilute medication in full bottle
Answer: A
10. A child with sickle cell disease is admitted for vaso-occlusive crisis. Which intervention is priority?
A. Administer IV fluids
B. Restrict activity
C. Apply cold compresses
D. Delay analgesics
Answer: A
11. A nurse is assessing a newborn for signs of hypoglycemia. Which finding is most concerning?
A. Jitteriness
B. Pink skin
