Pediatric Nursing Certification Questions
With Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A | Instant
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1. A 2-year-old child is admitted with dehydration from
gastroenteritis. Which assessment finding is most concerning?
A. Mild thirst
B. Slightly dry mucous membranes
C. Sunken eyes and lethargy
D. Increased urine output
Correct Answer: C
Rationale: Sunken eyes and lethargy indicate moderate to severe
dehydration and possible hypovolemia requiring urgent
intervention.
2. A nurse is teaching parents about preventing sudden infant death
syndrome (SIDS). Which is most important?
A. Place infant on stomach to sleep
B. Use soft pillows in crib
C. Place infant on back to sleep
D. Co-sleep with infant
Correct Answer: C
Rationale: Supine sleeping position significantly reduces the risk of
SIDS.
3. A child with asthma is prescribed albuterol. What is the expected
effect?
, A. Decreased inflammation
B. Bronchodilation
C. Mucus thinning
D. Infection control
Correct Answer: B
Rationale: Albuterol is a short-acting beta agonist that causes
bronchodilation.
4. A 6-month-old is due for immunizations. Which vaccine is typically
given?
A. HPV
B. MMR
C. Rotavirus
D. Varicella
Correct Answer: C
Rationale: Rotavirus vaccine is started in infancy to prevent severe
diarrhea.
5. A child is experiencing anaphylaxis. What is the first action?
A. Give oral antihistamine
B. Administer epinephrine IM
C. Start IV antibiotics
D. Place child in supine position only
Correct Answer: B
Rationale: Epinephrine is the first-line treatment for anaphylaxis.
6. A 4-year-old is hospitalized. What is the best way to reduce
separation anxiety?
A. Allow parents to stay with child
B. Limit parental visits
, C. Avoid explaining procedures
D. Restrict toys in room
Correct Answer: A
Rationale: Parental presence reduces anxiety and promotes coping
in hospitalized children.
7. A child with iron deficiency anemia will likely show which
symptom?
A. Jaundice
B. Pale skin and fatigue
C. Hypertension
D. Polyuria
Correct Answer: B
Rationale: Iron deficiency anemia commonly causes pallor and
fatigue.
8. A nurse is assessing developmental milestones of a 12-month-old.
Expected finding?
A. Runs well
B. Says 2–3 words
C. Uses scissors
D. Draws circles
Correct Answer: B
Rationale: A 12-month-old typically says a few simple words like
“mama” or “dada.”
9. A child has suspected appendicitis. What should the nurse avoid?
A. Administer IV fluids
B. Keep NPO
C. Apply heat to abdomen
With Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A | Instant
Download Pdf
1. A 2-year-old child is admitted with dehydration from
gastroenteritis. Which assessment finding is most concerning?
A. Mild thirst
B. Slightly dry mucous membranes
C. Sunken eyes and lethargy
D. Increased urine output
Correct Answer: C
Rationale: Sunken eyes and lethargy indicate moderate to severe
dehydration and possible hypovolemia requiring urgent
intervention.
2. A nurse is teaching parents about preventing sudden infant death
syndrome (SIDS). Which is most important?
A. Place infant on stomach to sleep
B. Use soft pillows in crib
C. Place infant on back to sleep
D. Co-sleep with infant
Correct Answer: C
Rationale: Supine sleeping position significantly reduces the risk of
SIDS.
3. A child with asthma is prescribed albuterol. What is the expected
effect?
, A. Decreased inflammation
B. Bronchodilation
C. Mucus thinning
D. Infection control
Correct Answer: B
Rationale: Albuterol is a short-acting beta agonist that causes
bronchodilation.
4. A 6-month-old is due for immunizations. Which vaccine is typically
given?
A. HPV
B. MMR
C. Rotavirus
D. Varicella
Correct Answer: C
Rationale: Rotavirus vaccine is started in infancy to prevent severe
diarrhea.
5. A child is experiencing anaphylaxis. What is the first action?
A. Give oral antihistamine
B. Administer epinephrine IM
C. Start IV antibiotics
D. Place child in supine position only
Correct Answer: B
Rationale: Epinephrine is the first-line treatment for anaphylaxis.
6. A 4-year-old is hospitalized. What is the best way to reduce
separation anxiety?
A. Allow parents to stay with child
B. Limit parental visits
, C. Avoid explaining procedures
D. Restrict toys in room
Correct Answer: A
Rationale: Parental presence reduces anxiety and promotes coping
in hospitalized children.
7. A child with iron deficiency anemia will likely show which
symptom?
A. Jaundice
B. Pale skin and fatigue
C. Hypertension
D. Polyuria
Correct Answer: B
Rationale: Iron deficiency anemia commonly causes pallor and
fatigue.
8. A nurse is assessing developmental milestones of a 12-month-old.
Expected finding?
A. Runs well
B. Says 2–3 words
C. Uses scissors
D. Draws circles
Correct Answer: B
Rationale: A 12-month-old typically says a few simple words like
“mama” or “dada.”
9. A child has suspected appendicitis. What should the nurse avoid?
A. Administer IV fluids
B. Keep NPO
C. Apply heat to abdomen
