Actual RN Pediatric Nursing Exam 2025/2026
Complete 200 Questions with Answers & Rationales
well written and explained 2026-2027 graded
A+.!!!
Section 1: Growth and Development (Questions 1–20)
1. The nurse is assessing a 2-week-old infant. Which finding requires immediate
intervention?
A. Slight nasal flaring during feeding
B. Periodic breathing with pauses of 5 seconds
C. Presence of a startle reflex
D. Yellowish discoloration of the skin and sclera
,☑ ☑ Correct Answer: : ☑ D
Rationale: Yellowish discoloration of the skin and sclera indicates jaundice. In a 2-week-
old, persistent jaundice may indicate pathologic conditions such as biliary atresia, sepsis,
or hemolytic disease, requiring immediate evaluation. Nasal flaring (A) can be normal in
newborns during feeding if mild. Periodic breathing (B) with pauses <10 seconds is
normal in infants. The startle (Moro) reflex (C) is a normal newborn reflex that
disappears around 4–6 months.
2. A mother asks when her infant will be able to sit unsupported. The nurse’s best
response is:
A. 4–5 months
B. 6–7 months
C. 8–9 months
D. 10–12 months
☑ ☑ Correct Answer: : ☑ B
Rationale: Most infants achieve the ability to sit unsupported between 6–7 months of
age. At 4–5 months (A), infants typically sit with support. At 8–9 months (C), they are
usually crawling and pulling to stand. At 10–12 months (D), they are often cruising or
walking independently.
,3. Which play activity is most developmentally appropriate for a 3-year-old child?
A. Playing a board game with rules
B. Playing with a large cardboard box
C. Playing with a remote-controlled car
D. Playing competitive sports
☑ ☑ Correct Answer: : ☑ B
Rationale: Preschoolers (3–5 years) engage in imaginative and symbolic play. A large
cardboard box can become a house, car, or spaceship, fostering creativity. Board games
with rules (A) are more appropriate for school-age children who understand concrete
rules. Remote-controlled cars (C) may be frustrating due to fine motor limitations.
Competitive sports (D) require understanding of teamwork and rules, which develops in
school-age children.
, 4. The nurse is educating parents of a 9-month-old infant regarding injury prevention.
Which statement indicates a need for further teaching?
A. “We will set our water heater temperature to 120°F.”
B. “We will keep small objects like coins out of reach.”
C. “We will place the baby’s crib near the window for fresh air.”
D. “We will use a rear-facing car seat until age 2.”
☑ ☑ Correct Answer: : ☑ C
Rationale: Placing a crib near a window poses risks of falls, entanglement in cords,
and exposure to drafts or direct sunlight. Safety guidelines recommend keeping cribs
away from windows. Setting water heater to 120°F (A) prevents scalding burns. Keeping
small objects away (B) prevents choking. Rear-facing car seats until age 2 (D) is the
current safety standard.
5. A 16-year-old client is newly diagnosed with a chronic illness. The nurse anticipates
which behavior related to the developmental stage?
A. Fear of body mutilation
Complete 200 Questions with Answers & Rationales
well written and explained 2026-2027 graded
A+.!!!
Section 1: Growth and Development (Questions 1–20)
1. The nurse is assessing a 2-week-old infant. Which finding requires immediate
intervention?
A. Slight nasal flaring during feeding
B. Periodic breathing with pauses of 5 seconds
C. Presence of a startle reflex
D. Yellowish discoloration of the skin and sclera
,☑ ☑ Correct Answer: : ☑ D
Rationale: Yellowish discoloration of the skin and sclera indicates jaundice. In a 2-week-
old, persistent jaundice may indicate pathologic conditions such as biliary atresia, sepsis,
or hemolytic disease, requiring immediate evaluation. Nasal flaring (A) can be normal in
newborns during feeding if mild. Periodic breathing (B) with pauses <10 seconds is
normal in infants. The startle (Moro) reflex (C) is a normal newborn reflex that
disappears around 4–6 months.
2. A mother asks when her infant will be able to sit unsupported. The nurse’s best
response is:
A. 4–5 months
B. 6–7 months
C. 8–9 months
D. 10–12 months
☑ ☑ Correct Answer: : ☑ B
Rationale: Most infants achieve the ability to sit unsupported between 6–7 months of
age. At 4–5 months (A), infants typically sit with support. At 8–9 months (C), they are
usually crawling and pulling to stand. At 10–12 months (D), they are often cruising or
walking independently.
,3. Which play activity is most developmentally appropriate for a 3-year-old child?
A. Playing a board game with rules
B. Playing with a large cardboard box
C. Playing with a remote-controlled car
D. Playing competitive sports
☑ ☑ Correct Answer: : ☑ B
Rationale: Preschoolers (3–5 years) engage in imaginative and symbolic play. A large
cardboard box can become a house, car, or spaceship, fostering creativity. Board games
with rules (A) are more appropriate for school-age children who understand concrete
rules. Remote-controlled cars (C) may be frustrating due to fine motor limitations.
Competitive sports (D) require understanding of teamwork and rules, which develops in
school-age children.
, 4. The nurse is educating parents of a 9-month-old infant regarding injury prevention.
Which statement indicates a need for further teaching?
A. “We will set our water heater temperature to 120°F.”
B. “We will keep small objects like coins out of reach.”
C. “We will place the baby’s crib near the window for fresh air.”
D. “We will use a rear-facing car seat until age 2.”
☑ ☑ Correct Answer: : ☑ C
Rationale: Placing a crib near a window poses risks of falls, entanglement in cords,
and exposure to drafts or direct sunlight. Safety guidelines recommend keeping cribs
away from windows. Setting water heater to 120°F (A) prevents scalding burns. Keeping
small objects away (B) prevents choking. Rear-facing car seats until age 2 (D) is the
current safety standard.
5. A 16-year-old client is newly diagnosed with a chronic illness. The nurse anticipates
which behavior related to the developmental stage?
A. Fear of body mutilation
