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PEDIATRIC NURSING FINAL EXAM PREP 2025-2025 | 100 VERIFIED
PRACTICE QUESTIONS & DETAILED RATIONALES | 100% PASS
GUARANTEE, A+ RATED TEST BANK
Question 1:
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider as a potential indication
of developmental delay?
A. Absence of babbling
B. Inability to wave "bye-bye"
C. Failure to sit unsupported
D. Lack of a pincer grasp
Answer: A. Absence of babbling
Rationale: By 6 months of age, infants should have begun babbling (e.g., making
consonant sounds like "ba," "da," "ma"). This is a key milestone in language
development. The inability to wave "bye-bye" (option B) is a social milestone
typically expected around 9-10 months. Sitting unsupported (option C) is a motor
milestone usually achieved between 6-8 months, so it might be slightly delayed but
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is not the most urgent concern. The pincer grasp (option D) develops around 9-10
months. The absence of babbling at 6 months is a more significant red flag for
potential language or hearing deficits and warrants further evaluation.
Question 2:
A nurse is caring for a 4-year-old child who is 2 hours post-tonsillectomy. Which
of the following findings is the priority for the nurse to report to the provider?
A. Pain level of 6 on a FACES scale
B. Frequent swallowing
C. Refusal to drink apple juice
D. Sleepiness
Answer: B. Frequent swallowing
Rationale: Frequent swallowing in a child post-tonsillectomy is a classic and
critical sign of active bleeding. The child may be swallowing the blood trickling
from the surgical site. This can lead to hypovolemia and is a medical emergency.
While pain (A) is expected and should be managed, and sleepiness (D) can be due
to anesthesia or analgesics, they are not the priority. Refusal to drink (C) is
common due to pain and throat discomfort, but hydration can be encouraged with
other methods like IV fluids. The priority is always to assess for hemorrhage.
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Question 3:
A nurse is teaching the parents of an infant about introducing solid foods. The
nurse should recommend that which of the following foods be introduced first?
A. Iron-fortified rice cereal
B. Pureed peaches
C. Yogurt
D. Pureed green beans
Answer: A. Iron-fortified rice cereal
Rationale: The American Academy of Pediatrics (AAP) recommends iron-
fortified infant cereal (typically rice cereal) as the first solid food, usually
introduced around 4-6 months of age. Breast milk's iron stores deplete by this age,
and cereal provides a necessary source of iron. It is also least likely to cause an
allergic reaction. Fruits (B, D) and dairy like yogurt (C) are introduced after cereals
and single-ingredient vegetables.
Question 4:
A school nurse is assessing a 7-year-old student. Which of the following findings
suggests the child may have attention-deficit/hyperactivity disorder (ADHD)?
A. Prefers playing alone to group activities
B. Consistently fails to follow multi-step instructions
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C. Has an intense fear of separation from parents
D. Reads below grade level
Answer: B. Consistently fails to follow multi-step instructions
Rationale: A core symptom of ADHD is inattention, which manifests as difficulty
sustaining focus, being easily distracted, and failing to follow through on
instructions or tasks. Preferring to play alone (A) may be more indicative of an
autism spectrum disorder or simply a shy temperament. Intense fear of separation
(C) is a hallmark of separation anxiety disorder. Reading below grade level (D)
could be due to various learning disabilities or environmental factors, not
specifically ADHD.
Question 5:
A nurse is planning care for a toddler who has a new diagnosis of cystic fibrosis.
Which of the following interventions is the priority?
A. Administer pancreatic enzymes with meals and snacks.
B. Perform chest physiotherapy twice daily.
C. Provide a high-calorie, high-protein diet.
D. Encourage physical activity.
Answer: A. Administer pancreatic enzymes with meals and snacks.
Rationale: While all options are correct components of CF management, the
PEDIATRIC NURSING FINAL EXAM PREP 2025-2025 | 100 VERIFIED
PRACTICE QUESTIONS & DETAILED RATIONALES | 100% PASS
GUARANTEE, A+ RATED TEST BANK
Question 1:
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider as a potential indication
of developmental delay?
A. Absence of babbling
B. Inability to wave "bye-bye"
C. Failure to sit unsupported
D. Lack of a pincer grasp
Answer: A. Absence of babbling
Rationale: By 6 months of age, infants should have begun babbling (e.g., making
consonant sounds like "ba," "da," "ma"). This is a key milestone in language
development. The inability to wave "bye-bye" (option B) is a social milestone
typically expected around 9-10 months. Sitting unsupported (option C) is a motor
milestone usually achieved between 6-8 months, so it might be slightly delayed but
,2 | Page
is not the most urgent concern. The pincer grasp (option D) develops around 9-10
months. The absence of babbling at 6 months is a more significant red flag for
potential language or hearing deficits and warrants further evaluation.
Question 2:
A nurse is caring for a 4-year-old child who is 2 hours post-tonsillectomy. Which
of the following findings is the priority for the nurse to report to the provider?
A. Pain level of 6 on a FACES scale
B. Frequent swallowing
C. Refusal to drink apple juice
D. Sleepiness
Answer: B. Frequent swallowing
Rationale: Frequent swallowing in a child post-tonsillectomy is a classic and
critical sign of active bleeding. The child may be swallowing the blood trickling
from the surgical site. This can lead to hypovolemia and is a medical emergency.
While pain (A) is expected and should be managed, and sleepiness (D) can be due
to anesthesia or analgesics, they are not the priority. Refusal to drink (C) is
common due to pain and throat discomfort, but hydration can be encouraged with
other methods like IV fluids. The priority is always to assess for hemorrhage.
,3 | Page
Question 3:
A nurse is teaching the parents of an infant about introducing solid foods. The
nurse should recommend that which of the following foods be introduced first?
A. Iron-fortified rice cereal
B. Pureed peaches
C. Yogurt
D. Pureed green beans
Answer: A. Iron-fortified rice cereal
Rationale: The American Academy of Pediatrics (AAP) recommends iron-
fortified infant cereal (typically rice cereal) as the first solid food, usually
introduced around 4-6 months of age. Breast milk's iron stores deplete by this age,
and cereal provides a necessary source of iron. It is also least likely to cause an
allergic reaction. Fruits (B, D) and dairy like yogurt (C) are introduced after cereals
and single-ingredient vegetables.
Question 4:
A school nurse is assessing a 7-year-old student. Which of the following findings
suggests the child may have attention-deficit/hyperactivity disorder (ADHD)?
A. Prefers playing alone to group activities
B. Consistently fails to follow multi-step instructions
, 4 | Page
C. Has an intense fear of separation from parents
D. Reads below grade level
Answer: B. Consistently fails to follow multi-step instructions
Rationale: A core symptom of ADHD is inattention, which manifests as difficulty
sustaining focus, being easily distracted, and failing to follow through on
instructions or tasks. Preferring to play alone (A) may be more indicative of an
autism spectrum disorder or simply a shy temperament. Intense fear of separation
(C) is a hallmark of separation anxiety disorder. Reading below grade level (D)
could be due to various learning disabilities or environmental factors, not
specifically ADHD.
Question 5:
A nurse is planning care for a toddler who has a new diagnosis of cystic fibrosis.
Which of the following interventions is the priority?
A. Administer pancreatic enzymes with meals and snacks.
B. Perform chest physiotherapy twice daily.
C. Provide a high-calorie, high-protein diet.
D. Encourage physical activity.
Answer: A. Administer pancreatic enzymes with meals and snacks.
Rationale: While all options are correct components of CF management, the
