NCLEX Pediatrics Exam Test Bank
NCLEX PEDIATRICS EXAM TEST BANK NEWEST 2025/2026
WITH COMPLETE 500+ QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSION!
A nurse is caring for a 5-year-old boy with end-stage acquired immunodeficiency
syndrome (AIDS). The child confides that he is ready to go to heaven and see his
grandpa. The nurse knows that the child's parents aren't comfortable with the
idea of discontinuing treatment. What should she do?
1. Talk with the parents about the dying process and make them aware of what
their child has confided.
2. Listen to the child but recognize that he's too young to make his own decisions.
3. Tell the child that she will talk with his parents and change their minds.
4. Tell the physician that the family would like to discontinue treatment. -
ANSWER-1. Talk with the parents about the dying process and make them aware
of what their child has confided.
RATIONALE: Chronically ill children commonly recognize their fate, whereas their
parents continue to believe they'll become well again. The nurse should talk with
the parents about the child's concerns. It's possible that the parents don't know
what their child is feeling. Chronically ill children tend to have a good
understanding of death, and should have input into decisions about their care.
The nurse shouldn't tell the child that she can change the parents' minds; she
might not be able to keep that promise. It would be unethical for the nurse to call
the physician and misrepresent the parents' wishes.
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, NCLEX Pediatrics Exam Test Bank
A 14-year-old girl in skeletal traction for treatment of a fractured femur is
expected to be hospitalized for several weeks. When planning care, the nurse
should take into account the girl's need to achieve what developmental
milestone?
1. Autonomy
2. Initiative
3. Industry
4. Identity - ANSWER-4. Identity
RATIONALE: According to Erikson's theory of personal development, the
adolescent is in the stage of identity versus role confusion. During this stage, the
body is changing as secondary sex characteristics emerge. The adolescent is trying
to develop a sense of identity, and peer groups take on more importance. When
an adolescent is hospitalized, she is separated from her peer group and her body
image may be altered. This alteration in body image may interfere with the
ongoing development of her identity. Toddlers are in the developmental stage of
autonomy versus shame and doubt. Preschool children are in the stage of
initiative versus guilt. School-age children are in the stage of industry versus
inferiority.
A 16-year-old adolescent sustains a severe head injury in a motor vehicle accident.
He's admitted to the neurologic unit and subsequently develops neurogenic
diabetes insipidus. The physician orders vasopressin (Pitressin), 5 units
subcutaneously (subQ) twice per day. How long will the effects of the vasopressin
last?
1. 5 minutes
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, NCLEX Pediatrics Exam Test Bank
2. 30 minutes
3. 1 hour
4. 4 hours - ANSWER-4. 4 hours
RATIONALE: The duration of action for vasopressin administered subQ is 2 to 8
hours.
A nurse performs cardiopulmonary resuscitation (CPR) for 1 minute on an infant
without calling for assistance. In reassessing the infant after 2 minutes of CPR, the
nurse finds he still isn't breathing and has no pulse. The nurse should then:
1. resume CPR beginning with breaths.
2. declare her efforts futile and stop CPR.
3. resume CPR beginning with chest compressions.
4. call for assistance. - ANSWER-4. call for assistance.
RATIONALE: After 2 minutes of CPR, the nurse should call for assistance and then
resume efforts. CPR shouldn't be stopped after it has been started unless the
nurse is too exhausted to continue. A cycle usually ends with breaths, so the next
beginning cycle after pulse check and summoning help would begin with chest
compressions.
A nurse is teaching the mother of a 5-month-old infant diagnosed with
bronchiolitis. Which statement by the mother indicates that teaching has been
effective?
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, NCLEX Pediatrics Exam Test Bank
1. "I hope my baby will come home from the hospital."
2. "I know that this disease is serious and can lead to asthma."
3. "My baby needs to be cured this time so it won't happen again."
4. "My baby has been sick. A machine will help him breathe." - ANSWER-2. "I
know that this disease is serious and can lead to asthma."
RATIONALE: By saying bronchiolitis places the child at risk for developing asthma,
the mother demonstrates understanding of her infant's condition. If diagnosed
and treated promptly, most infants recover from the illness and return home.
Infants typically don't have recurrences of bronchiolitis. Infants diagnosed with
bronchiolitis rarely require mechanical ventilation.
A nurse is assessing whether a child has received all recommended immunizations
for his age. Which immunizations should he have received between ages 4 and 6?
1. Hepatitis A
2. Measles, mumps, and rubella (MMR)
3. Haemophilus influenzae, type B
4. Diphtheria, tetanus, and acellular pertussis (DTaP), MMR, and inactivated polio
virus (IPV) - ANSWER-4. Diphtheria, tetanus, and acellular pertussis (DTaP), MMR,
and inactivated polio virus (IPV)
RATIONALE: Between ages 4 and 6, the child should receive DTaP, MMR, and IPV.
Hepatitis A isn't a required immunization. MMR alone is incomplete and H.
influenzae, type B immunization is completed by age 15 months.
4|Page
NCLEX PEDIATRICS EXAM TEST BANK NEWEST 2025/2026
WITH COMPLETE 500+ QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSION!
A nurse is caring for a 5-year-old boy with end-stage acquired immunodeficiency
syndrome (AIDS). The child confides that he is ready to go to heaven and see his
grandpa. The nurse knows that the child's parents aren't comfortable with the
idea of discontinuing treatment. What should she do?
1. Talk with the parents about the dying process and make them aware of what
their child has confided.
2. Listen to the child but recognize that he's too young to make his own decisions.
3. Tell the child that she will talk with his parents and change their minds.
4. Tell the physician that the family would like to discontinue treatment. -
ANSWER-1. Talk with the parents about the dying process and make them aware
of what their child has confided.
RATIONALE: Chronically ill children commonly recognize their fate, whereas their
parents continue to believe they'll become well again. The nurse should talk with
the parents about the child's concerns. It's possible that the parents don't know
what their child is feeling. Chronically ill children tend to have a good
understanding of death, and should have input into decisions about their care.
The nurse shouldn't tell the child that she can change the parents' minds; she
might not be able to keep that promise. It would be unethical for the nurse to call
the physician and misrepresent the parents' wishes.
1|Page
, NCLEX Pediatrics Exam Test Bank
A 14-year-old girl in skeletal traction for treatment of a fractured femur is
expected to be hospitalized for several weeks. When planning care, the nurse
should take into account the girl's need to achieve what developmental
milestone?
1. Autonomy
2. Initiative
3. Industry
4. Identity - ANSWER-4. Identity
RATIONALE: According to Erikson's theory of personal development, the
adolescent is in the stage of identity versus role confusion. During this stage, the
body is changing as secondary sex characteristics emerge. The adolescent is trying
to develop a sense of identity, and peer groups take on more importance. When
an adolescent is hospitalized, she is separated from her peer group and her body
image may be altered. This alteration in body image may interfere with the
ongoing development of her identity. Toddlers are in the developmental stage of
autonomy versus shame and doubt. Preschool children are in the stage of
initiative versus guilt. School-age children are in the stage of industry versus
inferiority.
A 16-year-old adolescent sustains a severe head injury in a motor vehicle accident.
He's admitted to the neurologic unit and subsequently develops neurogenic
diabetes insipidus. The physician orders vasopressin (Pitressin), 5 units
subcutaneously (subQ) twice per day. How long will the effects of the vasopressin
last?
1. 5 minutes
2|Page
, NCLEX Pediatrics Exam Test Bank
2. 30 minutes
3. 1 hour
4. 4 hours - ANSWER-4. 4 hours
RATIONALE: The duration of action for vasopressin administered subQ is 2 to 8
hours.
A nurse performs cardiopulmonary resuscitation (CPR) for 1 minute on an infant
without calling for assistance. In reassessing the infant after 2 minutes of CPR, the
nurse finds he still isn't breathing and has no pulse. The nurse should then:
1. resume CPR beginning with breaths.
2. declare her efforts futile and stop CPR.
3. resume CPR beginning with chest compressions.
4. call for assistance. - ANSWER-4. call for assistance.
RATIONALE: After 2 minutes of CPR, the nurse should call for assistance and then
resume efforts. CPR shouldn't be stopped after it has been started unless the
nurse is too exhausted to continue. A cycle usually ends with breaths, so the next
beginning cycle after pulse check and summoning help would begin with chest
compressions.
A nurse is teaching the mother of a 5-month-old infant diagnosed with
bronchiolitis. Which statement by the mother indicates that teaching has been
effective?
3|Page
, NCLEX Pediatrics Exam Test Bank
1. "I hope my baby will come home from the hospital."
2. "I know that this disease is serious and can lead to asthma."
3. "My baby needs to be cured this time so it won't happen again."
4. "My baby has been sick. A machine will help him breathe." - ANSWER-2. "I
know that this disease is serious and can lead to asthma."
RATIONALE: By saying bronchiolitis places the child at risk for developing asthma,
the mother demonstrates understanding of her infant's condition. If diagnosed
and treated promptly, most infants recover from the illness and return home.
Infants typically don't have recurrences of bronchiolitis. Infants diagnosed with
bronchiolitis rarely require mechanical ventilation.
A nurse is assessing whether a child has received all recommended immunizations
for his age. Which immunizations should he have received between ages 4 and 6?
1. Hepatitis A
2. Measles, mumps, and rubella (MMR)
3. Haemophilus influenzae, type B
4. Diphtheria, tetanus, and acellular pertussis (DTaP), MMR, and inactivated polio
virus (IPV) - ANSWER-4. Diphtheria, tetanus, and acellular pertussis (DTaP), MMR,
and inactivated polio virus (IPV)
RATIONALE: Between ages 4 and 6, the child should receive DTaP, MMR, and IPV.
Hepatitis A isn't a required immunization. MMR alone is incomplete and H.
influenzae, type B immunization is completed by age 15 months.
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