PEDIATRIC NURSING FINAL EXAM NEWEST 2025 –
2026 UPDATED 200 QUESTIONS FROM ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
1. A 3-year-old child is admitted with dehydration due to gastroenteritis.
Which finding is most concerning?
A. Mild thirst
B. Urine output every 6 hours
C. Sunken eyes and lethargy
D. Slightly dry lips
Explanation: Sunken eyes and lethargy indicate moderate to severe
dehydration requiring urgent intervention.
2. A nurse is teaching parents about immunizations. Which vaccine is given at
birth?
A. DTaP
B. IPV
C. Hepatitis B
D. MMR
Explanation: Hepatitis B is routinely given at birth in the U.S. schedule.
3. A child with asthma is having an acute attack. What is the first priority
medication?
A. Oral corticosteroids
B. Leukotriene modifiers
C. Short-acting beta agonist (albuterol)
D. Antihistamines
Explanation: Albuterol provides rapid bronchodilation and is first-line in
acute attacks.
,4. A 6-month-old is teething. What is the safest recommendation?
A. Benzocaine gel
B. Aspirin on gums
C. Chilled teething ring
D. Alcohol rub on gums
Explanation: Chilled teething rings soothe discomfort safely.
5. A child with suspected appendicitis should NOT receive:
A. IV fluids
B. Pain assessment
C. Laxatives
D. Surgical evaluation
Explanation: Laxatives may increase risk of perforation.
6. A newborn is diagnosed with physiological jaundice. Which is expected?
A. Appears within 6 hours of birth
B. Requires immediate exchange transfusion
C. Appears after 24 hours of life
D. Always pathological
Explanation: Physiological jaundice appears after 24 hours.
7. A 2-year-old is at risk for choking. Which food is unsafe?
A. Soft pasta
B. Banana slices
C. Whole grapes
D. Yogurt
Explanation: Whole grapes are a choking hazard.
8. A child with type 1 diabetes shows shakiness and sweating. What is priority
action?
A. Give insulin
B. Restrict fluids
C. Give oral glucose
D. Administer glucagon immediately
Explanation: Symptoms indicate hypoglycemia requiring quick glucose.
,9. Which developmental milestone is expected in a 9-month-old?
A. Walks independently
B. Speaks sentences
C. Crawls and pulls to stand
D. Uses scissors
Explanation: Gross motor skills include crawling and pulling up.
10.A child receiving chemotherapy is most at risk for:
A. Hypertension
B. Infection
C. Hyperactivity
D. Hypercalcemia
Explanation: Chemotherapy suppresses bone marrow leading to infection
risk.
11.A parent reports child has barking cough and stridor. Condition suspected?
A. Asthma
B. Bronchiolitis
C. Croup (laryngotracheobronchitis)
D. Pneumonia
Explanation: Barking cough and stridor are classic croup symptoms.
12.A child with sickle cell crisis needs:
A. Fluid restriction
B. Cold compress
C. IV hydration and oxygen
D. High altitude exposure
Explanation: Hydration and oxygen reduce sickling.
13.Which is a sign of increased intracranial pressure in infants?
A. Sunken fontanel
B. Bradycardia only
C. Bulging fontanel and high-pitched cry
D. Decreased head size
Explanation: Bulging fontanel indicates increased ICP.
, 14.A child with measles is most infectious during:
A. After rash disappears
B. Only incubation period
C. 4 days before and after rash onset
D. Only after vaccination
Explanation: Measles is highly contagious around rash onset.
15.What is priority in epiglottitis?
A. Oral exam with tongue depressor
B. Delay treatment
C. Maintain airway and avoid throat inspection
D. Encourage fluids
Explanation: Manipulation can cause airway obstruction.
16.A child with rotavirus presents with:
A. Constipation
B. Watery diarrhea
C. Bloody urine
D. Dry cough
Explanation: Rotavirus causes severe watery diarrhea.
17.Which lab is most important in dehydration?
A. Hemoglobin
B. Liver enzymes
C. Serum electrolytes
D. Cholesterol
Explanation: Electrolyte imbalance is critical in dehydration.
18.A child with autism may show:
A. High social interaction
B. Repetitive behaviors and delayed speech
C. Early speech development
D. Hyperactive imagination
Explanation: Core features include social and communication deficits.
2026 UPDATED 200 QUESTIONS FROM ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
1. A 3-year-old child is admitted with dehydration due to gastroenteritis.
Which finding is most concerning?
A. Mild thirst
B. Urine output every 6 hours
C. Sunken eyes and lethargy
D. Slightly dry lips
Explanation: Sunken eyes and lethargy indicate moderate to severe
dehydration requiring urgent intervention.
2. A nurse is teaching parents about immunizations. Which vaccine is given at
birth?
A. DTaP
B. IPV
C. Hepatitis B
D. MMR
Explanation: Hepatitis B is routinely given at birth in the U.S. schedule.
3. A child with asthma is having an acute attack. What is the first priority
medication?
A. Oral corticosteroids
B. Leukotriene modifiers
C. Short-acting beta agonist (albuterol)
D. Antihistamines
Explanation: Albuterol provides rapid bronchodilation and is first-line in
acute attacks.
,4. A 6-month-old is teething. What is the safest recommendation?
A. Benzocaine gel
B. Aspirin on gums
C. Chilled teething ring
D. Alcohol rub on gums
Explanation: Chilled teething rings soothe discomfort safely.
5. A child with suspected appendicitis should NOT receive:
A. IV fluids
B. Pain assessment
C. Laxatives
D. Surgical evaluation
Explanation: Laxatives may increase risk of perforation.
6. A newborn is diagnosed with physiological jaundice. Which is expected?
A. Appears within 6 hours of birth
B. Requires immediate exchange transfusion
C. Appears after 24 hours of life
D. Always pathological
Explanation: Physiological jaundice appears after 24 hours.
7. A 2-year-old is at risk for choking. Which food is unsafe?
A. Soft pasta
B. Banana slices
C. Whole grapes
D. Yogurt
Explanation: Whole grapes are a choking hazard.
8. A child with type 1 diabetes shows shakiness and sweating. What is priority
action?
A. Give insulin
B. Restrict fluids
C. Give oral glucose
D. Administer glucagon immediately
Explanation: Symptoms indicate hypoglycemia requiring quick glucose.
,9. Which developmental milestone is expected in a 9-month-old?
A. Walks independently
B. Speaks sentences
C. Crawls and pulls to stand
D. Uses scissors
Explanation: Gross motor skills include crawling and pulling up.
10.A child receiving chemotherapy is most at risk for:
A. Hypertension
B. Infection
C. Hyperactivity
D. Hypercalcemia
Explanation: Chemotherapy suppresses bone marrow leading to infection
risk.
11.A parent reports child has barking cough and stridor. Condition suspected?
A. Asthma
B. Bronchiolitis
C. Croup (laryngotracheobronchitis)
D. Pneumonia
Explanation: Barking cough and stridor are classic croup symptoms.
12.A child with sickle cell crisis needs:
A. Fluid restriction
B. Cold compress
C. IV hydration and oxygen
D. High altitude exposure
Explanation: Hydration and oxygen reduce sickling.
13.Which is a sign of increased intracranial pressure in infants?
A. Sunken fontanel
B. Bradycardia only
C. Bulging fontanel and high-pitched cry
D. Decreased head size
Explanation: Bulging fontanel indicates increased ICP.
, 14.A child with measles is most infectious during:
A. After rash disappears
B. Only incubation period
C. 4 days before and after rash onset
D. Only after vaccination
Explanation: Measles is highly contagious around rash onset.
15.What is priority in epiglottitis?
A. Oral exam with tongue depressor
B. Delay treatment
C. Maintain airway and avoid throat inspection
D. Encourage fluids
Explanation: Manipulation can cause airway obstruction.
16.A child with rotavirus presents with:
A. Constipation
B. Watery diarrhea
C. Bloody urine
D. Dry cough
Explanation: Rotavirus causes severe watery diarrhea.
17.Which lab is most important in dehydration?
A. Hemoglobin
B. Liver enzymes
C. Serum electrolytes
D. Cholesterol
Explanation: Electrolyte imbalance is critical in dehydration.
18.A child with autism may show:
A. High social interaction
B. Repetitive behaviors and delayed speech
C. Early speech development
D. Hyperactive imagination
Explanation: Core features include social and communication deficits.
