1
Pediatric Nursing NCLEX NGN Q&A (180 Questions with
Detailed Rationales) – Saunders 9th Ed Chapters 30–37 |
Verified 2025/2026 | A+ Rated | Guaranteed Pass
1. A nurse is caring for a 4-month-old infant during a wellness visit. Which
developmental milestones should the nurse expect at this age?
Select all that apply.
A. Rolls from back to front
B. Babbles and coos
C. Holds head steady when upright
D. Begins to crawl
E. Reaches for objects with one hand
Correct Answers: B, C, E
Rationale: At 4 months, infants can hold their head steady and upright, coo and
babble, and begin reaching for objects. Rolling from back to front typically occurs
closer to 5–6 months. Crawling begins around 6–9 months, so it's not expected yet.
, 2
2. A toddler is brought to the emergency department after ingesting a small
amount of bleach. What are the nurse’s priority actions?
Select all that apply.
A. Assess airway patency and breathing
B. Give the child milk to dilute the bleach
C. Contact the poison control center
D. Induce vomiting with syrup of ipecac
E. Prepare for possible endoscopy
Correct Answers: A, B, C, E
Rationale: The airway must be assessed first. Milk can help dilute the chemical
and reduce mucosal damage. Poison control should be contacted immediately for
specific recommendations. Vomiting should not be induced as it can further
damage the esophagus. Endoscopy may be necessary to evaluate the extent of
internal injury.
3. A 6-year-old child is admitted with suspected meningitis. Which findings
support this diagnosis?
Select all that apply.
A. Headache
, 3
B. Photophobia
C. Brudzinski's sign
D. Sunken fontanel
E. Fever
Correct Answers: A, B, C, E
Rationale: Classic signs of meningitis in children include fever, headache,
photophobia, and positive Brudzinski’s sign. Sunken fontanels are only relevant in
infants and typically indicate dehydration, not meningitis specifically in a 6-year-
old.
4. A nurse is assessing growth in a 12-month-old. Which findings are normal
for this age?
Select all that apply.
A. Birth weight tripled
B. Height increased by 50%
C. Able to say 3–5 words
D. Anterior fontanel closed
E. Drinks from an open cup independently
, 4
Correct Answers: A, B, C
Rationale: By 12 months, a child typically triples their birth weight, grows 50%
taller, and says 3–5 words. The anterior fontanel usually closes between 12–18
months, and while they may attempt to drink from a cup, they usually still need
assistance.
5. The nurse is preparing a child with asthma for discharge. What education
should the nurse provide to the parents?
Select all that apply.
A. Use a spacer with inhalers
B. Monitor for early signs of exacerbation
C. Avoid triggers such as smoke and dust
D. Use long-acting beta agonists for acute attacks
E. Maintain a daily peak flow log
Correct Answers: A, B, C, E
Rationale: Spacers improve medication delivery. Early signs of worsening asthma
should be recognized. Avoiding environmental triggers is critical. Long-acting beta
agonists are for maintenance, not acute relief. Peak flow monitoring helps track
lung function trends and detect early issues.
Pediatric Nursing NCLEX NGN Q&A (180 Questions with
Detailed Rationales) – Saunders 9th Ed Chapters 30–37 |
Verified 2025/2026 | A+ Rated | Guaranteed Pass
1. A nurse is caring for a 4-month-old infant during a wellness visit. Which
developmental milestones should the nurse expect at this age?
Select all that apply.
A. Rolls from back to front
B. Babbles and coos
C. Holds head steady when upright
D. Begins to crawl
E. Reaches for objects with one hand
Correct Answers: B, C, E
Rationale: At 4 months, infants can hold their head steady and upright, coo and
babble, and begin reaching for objects. Rolling from back to front typically occurs
closer to 5–6 months. Crawling begins around 6–9 months, so it's not expected yet.
, 2
2. A toddler is brought to the emergency department after ingesting a small
amount of bleach. What are the nurse’s priority actions?
Select all that apply.
A. Assess airway patency and breathing
B. Give the child milk to dilute the bleach
C. Contact the poison control center
D. Induce vomiting with syrup of ipecac
E. Prepare for possible endoscopy
Correct Answers: A, B, C, E
Rationale: The airway must be assessed first. Milk can help dilute the chemical
and reduce mucosal damage. Poison control should be contacted immediately for
specific recommendations. Vomiting should not be induced as it can further
damage the esophagus. Endoscopy may be necessary to evaluate the extent of
internal injury.
3. A 6-year-old child is admitted with suspected meningitis. Which findings
support this diagnosis?
Select all that apply.
A. Headache
, 3
B. Photophobia
C. Brudzinski's sign
D. Sunken fontanel
E. Fever
Correct Answers: A, B, C, E
Rationale: Classic signs of meningitis in children include fever, headache,
photophobia, and positive Brudzinski’s sign. Sunken fontanels are only relevant in
infants and typically indicate dehydration, not meningitis specifically in a 6-year-
old.
4. A nurse is assessing growth in a 12-month-old. Which findings are normal
for this age?
Select all that apply.
A. Birth weight tripled
B. Height increased by 50%
C. Able to say 3–5 words
D. Anterior fontanel closed
E. Drinks from an open cup independently
, 4
Correct Answers: A, B, C
Rationale: By 12 months, a child typically triples their birth weight, grows 50%
taller, and says 3–5 words. The anterior fontanel usually closes between 12–18
months, and while they may attempt to drink from a cup, they usually still need
assistance.
5. The nurse is preparing a child with asthma for discharge. What education
should the nurse provide to the parents?
Select all that apply.
A. Use a spacer with inhalers
B. Monitor for early signs of exacerbation
C. Avoid triggers such as smoke and dust
D. Use long-acting beta agonists for acute attacks
E. Maintain a daily peak flow log
Correct Answers: A, B, C, E
Rationale: Spacers improve medication delivery. Early signs of worsening asthma
should be recognized. Avoiding environmental triggers is critical. Long-acting beta
agonists are for maintenance, not acute relief. Peak flow monitoring helps track
lung function trends and detect early issues.
