PEDIATRIC NURSING QUESTIONS AND
ANSWERS STUDY GUIDE 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is
planning to attend college. The nurse should inform the client that he
should receive which of the
following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster Answer: B
Rationale: The meningococcal polysaccharide immunization is used to
prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection can
cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain, and
meningococcemia,
which affects the blood. Both of these conditions can be fatal. College
freshmen, particularly
those who live in dormitories, are at an increased risk for meningococcal
disease relative to other
persons their age. Therefore, the Centers for Disease Control and
Prevention has issued a
,recommendation that all incoming college students receive the
meningococcal immunization.
◉ A nurse is teaching the parent of an infant about food allergens.
Which of the following
foods should the nurse include as being the most common food allergy
in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg Answer: A
Rationale: According to evidence-based practice, the nurse should
instruct the parent that cow's
milk is the most common food allergy in children. Some children are
sensitive to the protein,
called casein, found in cow's milk. They have difficulty metabolizing the
casein and are,
therefore, allergic to cow's milk.
◉ A nurse is teaching the parent of a toddler about home safety. Which
of the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
,d. "I will give my child syrup of ipecac if she swallows something
poisonous." Answer: A
Rationale: Locking up medications and other potential poisons prevents
access. Toddlers have
improved gross and fine motor skills that allow for further exploration of
the environment and
possible access to hazardous substances.
◉ A nurse is performing a physical assessment on a 6-month-old infant.
Which of the
following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro Answer: B
Rationale: The Babinski reflex, which is elicited by stroking the bottom
of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present until the
age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
◉ A nurse is preparing to administer recommended immunizations to a
2-month-old infant.
Which of the following immunizations should the nurse plan to
administer?
, a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and
acellular pertussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus
(IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
Answer: C
Rationale: The recommended immunizations for a 2-month-old infant
include Hib and IPV. The
Hib immunization series consists of 3 to 4 doses, depending on the
immunization used, and at a
minimum is administered at the ages of 2 months, 4 months, and 12 to
15 months. The IPV
immunization series consists of 4 doses and is administered at the ages
of 2 months, 4 months, 6
to 18 months, and 4 to 6 years.
◉ A nurse is developing a plan of care for a school-age child who
underwent a surgical
procedure that resulted in temporary loss of vision. Which of the
following interventions
should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
ANSWERS STUDY GUIDE 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is
planning to attend college. The nurse should inform the client that he
should receive which of the
following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster Answer: B
Rationale: The meningococcal polysaccharide immunization is used to
prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection can
cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain, and
meningococcemia,
which affects the blood. Both of these conditions can be fatal. College
freshmen, particularly
those who live in dormitories, are at an increased risk for meningococcal
disease relative to other
persons their age. Therefore, the Centers for Disease Control and
Prevention has issued a
,recommendation that all incoming college students receive the
meningococcal immunization.
◉ A nurse is teaching the parent of an infant about food allergens.
Which of the following
foods should the nurse include as being the most common food allergy
in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg Answer: A
Rationale: According to evidence-based practice, the nurse should
instruct the parent that cow's
milk is the most common food allergy in children. Some children are
sensitive to the protein,
called casein, found in cow's milk. They have difficulty metabolizing the
casein and are,
therefore, allergic to cow's milk.
◉ A nurse is teaching the parent of a toddler about home safety. Which
of the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
,d. "I will give my child syrup of ipecac if she swallows something
poisonous." Answer: A
Rationale: Locking up medications and other potential poisons prevents
access. Toddlers have
improved gross and fine motor skills that allow for further exploration of
the environment and
possible access to hazardous substances.
◉ A nurse is performing a physical assessment on a 6-month-old infant.
Which of the
following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro Answer: B
Rationale: The Babinski reflex, which is elicited by stroking the bottom
of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present until the
age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
◉ A nurse is preparing to administer recommended immunizations to a
2-month-old infant.
Which of the following immunizations should the nurse plan to
administer?
, a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and
acellular pertussis
(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus
(IPV)
d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
Answer: C
Rationale: The recommended immunizations for a 2-month-old infant
include Hib and IPV. The
Hib immunization series consists of 3 to 4 doses, depending on the
immunization used, and at a
minimum is administered at the ages of 2 months, 4 months, and 12 to
15 months. The IPV
immunization series consists of 4 doses and is administered at the ages
of 2 months, 4 months, 6
to 18 months, and 4 to 6 years.
◉ A nurse is developing a plan of care for a school-age child who
underwent a surgical
procedure that resulted in temporary loss of vision. Which of the
following interventions
should the nurse include in the plan of care?
a. Assign an assistive personnel to feed the child.
b. Explain sounds the child is hearing.
c. Have the child use a cane when ambulating.
