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Comprehensive Exam Bank on Pediatric
Nursing and Child Health: Growth Milestones,
Illness Prevention, and Family-Centered Care
Table of Contents
Topic 1: Pediatric Growth and Development Milestones..................................2
Topic 2: Pediatric Health Promotion and Illness Prevention..............................9
Topic 3: Common Pediatric Illnesses and Clinical Management.....................17
Topic 4: Pediatric Medication Administration and Dosage Safety...................25
Topic 5: Pediatric Nutrition, Feeding Practices, and Growth Monitoring.........33
Topic 6: Pediatric Immunization, Communicable Disease Prevention, and
Infection Control............................................................................................40
Topic 7: Pediatric Nutrition, Feeding, and Growth Monitoring........................48
Topic 8: Pediatric Pharmacology, Medication Safety, and Immunization
Practices........................................................................................................56
Topic 9: Pediatric Emergency Care and Critical Conditions............................64
Topic 10: Pediatric Chronic Illness Management and Supportive Care...........72
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Topic 1: Pediatric Growth and
Development Milestones
Questions 1–20
1. At what age should a child be expected to sit without support?
A. 2 months
B. 4 months
C. 6 months
D. 9 months
Correct Answer: C. 6 months
Rationale: Most infants can sit without support by around 6 months of age.
This marks a critical motor milestone in core strength and postural control.
2. Which developmental milestone is typical for a 12-month-old child?
A. Uses 2-word sentences
B. Stands alone and may take a few steps
C. Copies a circle
D. Runs smoothly
Correct Answer: B. Stands alone and may take a few steps
Rationale: At 12 months, a child typically begins to stand independently and
may start walking. Verbal and fine motor skills develop later.
3. A nurse assesses a 2-year-old child. Which behavior is expected at this
age?
A. Builds a tower of 9 cubes
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B. Understands abstract reasoning
C. Engages in parallel play
D. Knows full sentences
Correct Answer: C. Engages in parallel play
Rationale: Toddlers often engage in parallel play, where they play alongside
but not with other children. This is age-appropriate for 2-year-olds.
4. Which reflex is normally present in a newborn but disappears by 4
months?
A. Babinski reflex
B. Tonic neck reflex
C. Moro reflex
D. Palmar grasp
Correct Answer: C. Moro reflex
Rationale: The Moro reflex (startle reflex) typically disappears by 4 months as
the nervous system matures.
5. A 3-year-old child should be able to:
A. Tie shoelaces
B. Ride a tricycle
C. Skip with alternating feet
D. Recognize all letters
Correct Answer: B. Ride a tricycle
Rationale: By age 3, children typically have developed the coordination and
balance needed to ride a tricycle.
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6. By what age should a child be expected to use two-word phrases?
A. 9 months
B. 12 months
C. 24 months
D. 36 months
Correct Answer: C. 24 months
Rationale: Two-word phrases are typical by 24 months. Language delay is a
concern if not present by this age.
7. When assessing the fine motor skills of a 5-year-old, which task is
developmentally appropriate?
A. Scribbles randomly
B. Copies a triangle
C. Prints some letters
D. Feeds self with fingers
Correct Answer: C. Prints some letters
Rationale: By 5 years, children typically begin printing letters, showing well-
developed fine motor coordination.
8. A child’s height is expected to double their birth length by approximately
what age?
A. 6 months
B. 1 year
C. 4 years
D. 6 years
Comprehensive Exam Bank on Pediatric
Nursing and Child Health: Growth Milestones,
Illness Prevention, and Family-Centered Care
Table of Contents
Topic 1: Pediatric Growth and Development Milestones..................................2
Topic 2: Pediatric Health Promotion and Illness Prevention..............................9
Topic 3: Common Pediatric Illnesses and Clinical Management.....................17
Topic 4: Pediatric Medication Administration and Dosage Safety...................25
Topic 5: Pediatric Nutrition, Feeding Practices, and Growth Monitoring.........33
Topic 6: Pediatric Immunization, Communicable Disease Prevention, and
Infection Control............................................................................................40
Topic 7: Pediatric Nutrition, Feeding, and Growth Monitoring........................48
Topic 8: Pediatric Pharmacology, Medication Safety, and Immunization
Practices........................................................................................................56
Topic 9: Pediatric Emergency Care and Critical Conditions............................64
Topic 10: Pediatric Chronic Illness Management and Supportive Care...........72
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Topic 1: Pediatric Growth and
Development Milestones
Questions 1–20
1. At what age should a child be expected to sit without support?
A. 2 months
B. 4 months
C. 6 months
D. 9 months
Correct Answer: C. 6 months
Rationale: Most infants can sit without support by around 6 months of age.
This marks a critical motor milestone in core strength and postural control.
2. Which developmental milestone is typical for a 12-month-old child?
A. Uses 2-word sentences
B. Stands alone and may take a few steps
C. Copies a circle
D. Runs smoothly
Correct Answer: B. Stands alone and may take a few steps
Rationale: At 12 months, a child typically begins to stand independently and
may start walking. Verbal and fine motor skills develop later.
3. A nurse assesses a 2-year-old child. Which behavior is expected at this
age?
A. Builds a tower of 9 cubes
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B. Understands abstract reasoning
C. Engages in parallel play
D. Knows full sentences
Correct Answer: C. Engages in parallel play
Rationale: Toddlers often engage in parallel play, where they play alongside
but not with other children. This is age-appropriate for 2-year-olds.
4. Which reflex is normally present in a newborn but disappears by 4
months?
A. Babinski reflex
B. Tonic neck reflex
C. Moro reflex
D. Palmar grasp
Correct Answer: C. Moro reflex
Rationale: The Moro reflex (startle reflex) typically disappears by 4 months as
the nervous system matures.
5. A 3-year-old child should be able to:
A. Tie shoelaces
B. Ride a tricycle
C. Skip with alternating feet
D. Recognize all letters
Correct Answer: B. Ride a tricycle
Rationale: By age 3, children typically have developed the coordination and
balance needed to ride a tricycle.
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6. By what age should a child be expected to use two-word phrases?
A. 9 months
B. 12 months
C. 24 months
D. 36 months
Correct Answer: C. 24 months
Rationale: Two-word phrases are typical by 24 months. Language delay is a
concern if not present by this age.
7. When assessing the fine motor skills of a 5-year-old, which task is
developmentally appropriate?
A. Scribbles randomly
B. Copies a triangle
C. Prints some letters
D. Feeds self with fingers
Correct Answer: C. Prints some letters
Rationale: By 5 years, children typically begin printing letters, showing well-
developed fine motor coordination.
8. A child’s height is expected to double their birth length by approximately
what age?
A. 6 months
B. 1 year
C. 4 years
D. 6 years
