NCLEX Pediatric Nursing Test Bank Exam
Verified Questions, Correct Answers, and
Detailed Explanations for Students||Already
Graded A+
1. A nurse is assessing a 6-month-old infant. Which developmental milestone
is expected at this age?
A. Walking independently
B. Sitting without support
C. Rolling from back to abdomen
D. Saying three words
Answer: C. Rolling from back to abdomen
Rationale: By 6 months, infants typically roll both ways. Sitting without support
usually occurs closer to 8 months.
2. A 2-year-old is admitted with dehydration. Which assessment finding
indicates severe dehydration?
A. Slightly dry lips
B. Sunken fontanel
C. Moist mucous membranes
D. Capillary refill <2 seconds
Answer: B. Sunken fontanel
Rationale: A sunken fontanel is a late sign of significant dehydration in infants.
3. The nurse is preparing to administer an IM injection to a 4-month-old.
Which site is preferred?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
,Answer: C. Vastus lateralis
Rationale: The vastus lateralis muscle is the safest and most developed muscle
for IM injections in infants.
4. A child with measles is hospitalized. Which isolation precaution is
required?
A. Contact
B. Droplet
C. Airborne
D. Standard only
Answer: C. Airborne
Rationale: Measles is transmitted via airborne particles and requires airborne
precautions.
5. Which toy is appropriate for a hospitalized 3-year-old?
A. Small puzzle pieces
B. Board game with rules
C. Coloring book and crayons
D. Video game console
Answer: C. Coloring book and crayons
Rationale: Preschoolers enjoy creative play and simple activities like coloring.
6. A newborn diagnosed with phenylketonuria (PKU) requires which dietary
modification?
A. High-protein diet
B. Low-phenylalanine diet
C. Lactose-free diet
D. Gluten-free diet
Answer: B. Low-phenylalanine diet
Rationale: PKU requires restriction of phenylalanine to prevent intellectual
disability.
, 7. A nurse is assessing a child with croup. Which finding is most concerning?
A. Barking cough
B. Inspiratory stridor at rest
C. Hoarseness
D. Mild fever
Answer: B. Inspiratory stridor at rest
Rationale: Stridor at rest indicates significant airway obstruction and requires
immediate attention.
8. Which is the priority intervention for a child experiencing a tonic-clonic
seizure?
A. Insert a tongue blade
B. Restrain the child
C. Place in side-lying position
D. Offer fluids
Answer: C. Place in side-lying position
Rationale: Positioning on the side helps maintain airway patency and prevent
aspiration.
9. A nurse suspects child abuse. What is the priority action?
A. Confront parents
B. Document findings
C. Report to authorities
D. Notify physician
Answer: C. Report to authorities
Rationale: Nurses are mandated reporters and must report suspected abuse
immediately.
10. A child with acute glomerulonephritis should be monitored for which
complication?
A. Hypotension
B. Bradycardia
C. Hypertension
D. Hypoglycemia
Verified Questions, Correct Answers, and
Detailed Explanations for Students||Already
Graded A+
1. A nurse is assessing a 6-month-old infant. Which developmental milestone
is expected at this age?
A. Walking independently
B. Sitting without support
C. Rolling from back to abdomen
D. Saying three words
Answer: C. Rolling from back to abdomen
Rationale: By 6 months, infants typically roll both ways. Sitting without support
usually occurs closer to 8 months.
2. A 2-year-old is admitted with dehydration. Which assessment finding
indicates severe dehydration?
A. Slightly dry lips
B. Sunken fontanel
C. Moist mucous membranes
D. Capillary refill <2 seconds
Answer: B. Sunken fontanel
Rationale: A sunken fontanel is a late sign of significant dehydration in infants.
3. The nurse is preparing to administer an IM injection to a 4-month-old.
Which site is preferred?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
,Answer: C. Vastus lateralis
Rationale: The vastus lateralis muscle is the safest and most developed muscle
for IM injections in infants.
4. A child with measles is hospitalized. Which isolation precaution is
required?
A. Contact
B. Droplet
C. Airborne
D. Standard only
Answer: C. Airborne
Rationale: Measles is transmitted via airborne particles and requires airborne
precautions.
5. Which toy is appropriate for a hospitalized 3-year-old?
A. Small puzzle pieces
B. Board game with rules
C. Coloring book and crayons
D. Video game console
Answer: C. Coloring book and crayons
Rationale: Preschoolers enjoy creative play and simple activities like coloring.
6. A newborn diagnosed with phenylketonuria (PKU) requires which dietary
modification?
A. High-protein diet
B. Low-phenylalanine diet
C. Lactose-free diet
D. Gluten-free diet
Answer: B. Low-phenylalanine diet
Rationale: PKU requires restriction of phenylalanine to prevent intellectual
disability.
, 7. A nurse is assessing a child with croup. Which finding is most concerning?
A. Barking cough
B. Inspiratory stridor at rest
C. Hoarseness
D. Mild fever
Answer: B. Inspiratory stridor at rest
Rationale: Stridor at rest indicates significant airway obstruction and requires
immediate attention.
8. Which is the priority intervention for a child experiencing a tonic-clonic
seizure?
A. Insert a tongue blade
B. Restrain the child
C. Place in side-lying position
D. Offer fluids
Answer: C. Place in side-lying position
Rationale: Positioning on the side helps maintain airway patency and prevent
aspiration.
9. A nurse suspects child abuse. What is the priority action?
A. Confront parents
B. Document findings
C. Report to authorities
D. Notify physician
Answer: C. Report to authorities
Rationale: Nurses are mandated reporters and must report suspected abuse
immediately.
10. A child with acute glomerulonephritis should be monitored for which
complication?
A. Hypotension
B. Bradycardia
C. Hypertension
D. Hypoglycemia
