PEDS NCLEX STYLE QUESTIONS EXAM 1 PREP TEST BANK WITH 100
VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES // PEDIATRICS NCLEX STYLE QUESTIONS EXAM
PRACTICE QUESTIONS AND CORRECT ANSWERS
A teenage mother brings her 1-year-old child to the pediatrician's office for a well-
baby checkup. She says that her infant can't sit alone or roll over. An appropriate
response by the nurse would be:
1. "This is very abnormal. Your child must be sick."
2. "Let's see about further developmental testing."
3. "Don't worry, this is normal for her age."
4. "Maybe you just haven't seen her do it." - Correct Answer-. "Let's see about
further developmental testing."
RATIONALE: Stating that further developmental testing is necessary is
appropriate because at age 12 months a child should be sitting up and rolling
over. Therefore, this child may have developmental problems. Saying the
infant's behavior is abnormal or suggesting that the mother hasn't seen her
infant do these milestones isn't therapeutic and can cut off communication with
the mother. Telling the mother that the infant's behavior is normal misleads the
mother with false reassurance.
The mother of an 11-month-old infant reports to the nurse that her infant sleeps
much less than other children. The mother asks the nurse whether her infant is
getting sufficient sleep. What should be the nurse's initial response?
1|Page
, Peds NCLEX style questions Exam 1 Prep Test Bank
1. Reassure the mother that each infant's sleep needs are individual.
2. Ask the mother for more information about the infant's sleep patterns.
3. Instruct the mother to decrease the infant's daytime sleep to increase his
nighttime sleep.
4. Inform the mother that her infant's growth and development are appropriate
for his age, so sleep isn't a concern. - Correct Answer-2. Ask the mother for more
information about the infant's sleep patterns.
RATIONALE: The nurse needs more information about the infant's sleep patterns
to rule out potential problems before determining whether the infant is getting
enough sleep. The nurse shouldn't offer advice or reassurance without knowing
more about the infant's specific sleep habits.
A nurse observes a 2½-year-old child playing with another child of the same age in
the playroom on the pediatric unit. What type of play should the nurse expect the
children to engage in?
1. Associative play
2. Parallel play
3. Cooperative play
4. Therapeutic play - Correct Answer-2. Parallel play
RATIONALE: Two-year-olds engage in parallel play, in which they play side by
side but rarely interact. Associative play is characteristic of preschoolers, in
which they are all engaged in a similar activity but there is little organization.
School-age children engage in cooperative play, which is organized and goal-
2|Page
, Peds NCLEX style questions Exam 1 Prep Test Bank
directed. Therapeutic play is a technique that can be used to help understand a
child's feelings; it consists of energy release, dramatic play, and creative play.
An infant who weighs 7.5 kg is to receive ampicillin (Omnipen) 25 mg/kg I.V. every
6 hours. How many milligrams should the nurse administer per dose? Record your
answer using one decimal place.
Answer:
milligrams - Correct Answer-187.5 milligrams
RATIONALE: The nurse should calculate the correct dose using the following
equation:
25 mg/kg × 7.5 kg = 187.5 mg
When making ethical decisions about caring for preschoolers, a nurse should
remember to:
1. provide beneficial care and avoid harming the child.
2. make decisions that will prevent legal trouble.
3. do what she would do for her own child or loved ones.
4. be sure to do what the physician says. - Correct Answer-1. provide beneficial
care and avoid harming the child.
3|Page