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Principles of Pediatric Nursing Exam 2026-2027 BANK
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS A+ GRADED
1. A nurse is assessing a 6-month-old infant. Which finding should the
nurse recognize as a deviation from normal development?
A. Presence of the Moro reflex
B. Rolling from back to front
C. Sitting with support
D. Bearing weight on legs when held in a standing position
Answer: A
Explanation: The Moro reflex is an infantile reflex that normally
disappears by 4 to 5 months of age. Its persistence at 6 months
indicates a potential neurological deficit and warrants further
investigation. The other options are expected developmental
milestones for a 6-month-old infant.
2. The parent of a 2-year-old child expresses concern about the child’s
appetite fluctuation. Which response by the nurse is most appropriate?
A. "This could be a sign of a metabolic disorder; let's track caloric intake
strictly."
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B. "Offer the child a variety of foods and let them decide how much to
eat."
C. "You should insist the child eats three full meals a day to establish
routine."
D. "Replace meals with nutritional supplements until this phase
passes."
Answer: B
Explanation: Physiologic anorexia is common during toddlerhood due to
slowed growth rates. The best approach is to provide nutritious options
and respect the child's ability to self-regulate intake, reducing mealtime
power struggles. Forcing food or replacing meals undermines the
development of healthy eating habits.
3. A nurse is preparing to administer an intramuscular injection to a 4-
year-old. Which statement is developmentally most appropriate?
A. "This medicine will go into your muscle, and you will feel a sharp
sting."
B. "I need to give you a shot. It will only hurt for a little while."
C. "I am going to give you some medicine. You can help me by holding
very still like a statue."
D. "Don't worry, this won't hurt a bit."
Answer: C
Explanation: Preschoolers are egocentric and respond well to magical
thinking and active participation. Using a simile like "holding still like a
statue" is concrete and gives the child a sense of control. Telling a child
a shot won't hurt is dishonest and may decrease trust.
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4. When assessing pain in a 7-year-old child, which pain rating scale is
most appropriate for the nurse to use?
A. FLACC Behavioral Pain Scale
B. CRIES Neonatal Pain Scale
C. Oucher Pain Scale
D. Neonatal Infant Pain Scale (NIPS)
Answer: C
Explanation: The Oucher Pain Scale, which uses photographs of
children's faces demonstrating different levels of pain, is designed for
children 3 to 12 years of age. The FLACC is for preverbal or nonverbal
children, while CRIES and NIPS are for neonates.
5. A toddler is admitted with a diagnosis of bronchiolitis. Which nursing
intervention has the highest priority?
A. Administering antibiotics as ordered
B. Maintaining adequate hydration and airway clearance
C. Providing age-appropriate toys for distraction
D. Teaching parents about home nebulizer treatments
Answer: B
Explanation: Bronchiolitis is primarily a viral illness causing thick mucus
and airway obstruction. The priority is supportive care, which includes
maintaining hydration to thin secretions and performing airway
clearance techniques like suctioning. Antibiotics are not indicated for
most viral cases.
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6. An infant with Tetralogy of Fallot becomes acutely cyanotic and
dyspneic. What is the priority nursing intervention?
A. Administer oxygen and call the provider
B. Place the infant in a knee-chest position
C. Administer the prescribed morphine sulfate
D. Start intravenous fluids
Answer: B
Explanation: This presentation is consistent with a hypercyanotic "Tet"
spell. The initial priority intervention is to place the infant in a knee-
chest position. This increases systemic vascular resistance, decreasing
the right-to-left shunt and forcing more blood through the pulmonary
artery for oxygenation.
7. A nurse is providing discharge teaching to the parents of a child who
has undergone a tonsillectomy. Which statement by the parents
indicates a need for further teaching?
A. "We should avoid giving our child citrus juices for a week."
B. "We will encourage our child to drink plenty of clear liquids."
C. "We can give our child ibuprofen for severe throat pain."
D. "We should notify the doctor if we see frequent swallowing."
Answer: C
Explanation: Ibuprofen and other NSAIDs should be avoided after a
tonsillectomy because they inhibit platelet aggregation and increase
the risk of postoperative bleeding. Acetaminophen is the analgesic of
Principles of Pediatric Nursing Exam 2026-2027 BANK
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS A+ GRADED
1. A nurse is assessing a 6-month-old infant. Which finding should the
nurse recognize as a deviation from normal development?
A. Presence of the Moro reflex
B. Rolling from back to front
C. Sitting with support
D. Bearing weight on legs when held in a standing position
Answer: A
Explanation: The Moro reflex is an infantile reflex that normally
disappears by 4 to 5 months of age. Its persistence at 6 months
indicates a potential neurological deficit and warrants further
investigation. The other options are expected developmental
milestones for a 6-month-old infant.
2. The parent of a 2-year-old child expresses concern about the child’s
appetite fluctuation. Which response by the nurse is most appropriate?
A. "This could be a sign of a metabolic disorder; let's track caloric intake
strictly."
,2|Page
B. "Offer the child a variety of foods and let them decide how much to
eat."
C. "You should insist the child eats three full meals a day to establish
routine."
D. "Replace meals with nutritional supplements until this phase
passes."
Answer: B
Explanation: Physiologic anorexia is common during toddlerhood due to
slowed growth rates. The best approach is to provide nutritious options
and respect the child's ability to self-regulate intake, reducing mealtime
power struggles. Forcing food or replacing meals undermines the
development of healthy eating habits.
3. A nurse is preparing to administer an intramuscular injection to a 4-
year-old. Which statement is developmentally most appropriate?
A. "This medicine will go into your muscle, and you will feel a sharp
sting."
B. "I need to give you a shot. It will only hurt for a little while."
C. "I am going to give you some medicine. You can help me by holding
very still like a statue."
D. "Don't worry, this won't hurt a bit."
Answer: C
Explanation: Preschoolers are egocentric and respond well to magical
thinking and active participation. Using a simile like "holding still like a
statue" is concrete and gives the child a sense of control. Telling a child
a shot won't hurt is dishonest and may decrease trust.
,3|Page
4. When assessing pain in a 7-year-old child, which pain rating scale is
most appropriate for the nurse to use?
A. FLACC Behavioral Pain Scale
B. CRIES Neonatal Pain Scale
C. Oucher Pain Scale
D. Neonatal Infant Pain Scale (NIPS)
Answer: C
Explanation: The Oucher Pain Scale, which uses photographs of
children's faces demonstrating different levels of pain, is designed for
children 3 to 12 years of age. The FLACC is for preverbal or nonverbal
children, while CRIES and NIPS are for neonates.
5. A toddler is admitted with a diagnosis of bronchiolitis. Which nursing
intervention has the highest priority?
A. Administering antibiotics as ordered
B. Maintaining adequate hydration and airway clearance
C. Providing age-appropriate toys for distraction
D. Teaching parents about home nebulizer treatments
Answer: B
Explanation: Bronchiolitis is primarily a viral illness causing thick mucus
and airway obstruction. The priority is supportive care, which includes
maintaining hydration to thin secretions and performing airway
clearance techniques like suctioning. Antibiotics are not indicated for
most viral cases.
, 4|Page
6. An infant with Tetralogy of Fallot becomes acutely cyanotic and
dyspneic. What is the priority nursing intervention?
A. Administer oxygen and call the provider
B. Place the infant in a knee-chest position
C. Administer the prescribed morphine sulfate
D. Start intravenous fluids
Answer: B
Explanation: This presentation is consistent with a hypercyanotic "Tet"
spell. The initial priority intervention is to place the infant in a knee-
chest position. This increases systemic vascular resistance, decreasing
the right-to-left shunt and forcing more blood through the pulmonary
artery for oxygenation.
7. A nurse is providing discharge teaching to the parents of a child who
has undergone a tonsillectomy. Which statement by the parents
indicates a need for further teaching?
A. "We should avoid giving our child citrus juices for a week."
B. "We will encourage our child to drink plenty of clear liquids."
C. "We can give our child ibuprofen for severe throat pain."
D. "We should notify the doctor if we see frequent swallowing."
Answer: C
Explanation: Ibuprofen and other NSAIDs should be avoided after a
tonsillectomy because they inhibit platelet aggregation and increase
the risk of postoperative bleeding. Acetaminophen is the analgesic of
