Pediatric Nursing Fundamentals Test
Bank Questions And Correct Answers
(Verified Answers) Plus Rationales
2025/2026 Q&A | Instant Download
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1. The most appropriate method to assess pain in a 3-year-old child
is:
A. Numeric rating scale
B. Faces Pain Scale – Revised (FPS-R)
C. Visual analog scale
D. McGill Pain Questionnaire
Rationale: The FPS-R uses facial expressions that preschool-aged
children can identify, making it age-appropriate for assessing pain.
2. A nurse is teaching a parent about safety measures to prevent
burns in toddlers. Which statement indicates understanding?
A. “I can leave hot drinks on the table as long as my child is nearby.”
B. “I should turn pot handles toward the back of the stove.”
C. “I can place the iron on the floor while cooling.”
D. “I don’t need to check the water temperature for baths.”
Rationale: Toddlers are curious and can reach hot objects; turning
handles away reduces the risk of burns.
3. A 6-month-old infant is receiving iron-fortified formula. Which
expected finding indicates adequate nutrition?
,A. Frequent loose stools
B. Normal weight gain for age
C. Excessive hair growth
D. Decreased activity level
Rationale: Weight gain consistent with growth charts is the best
indicator of adequate nutrition in infants.
4. Which immunization is typically given at 2 months of age?
A. MMR
B. Varicella
C. DTaP
D. HPV
Rationale: The DTaP vaccine series begins at 2 months of age to
protect against diphtheria, tetanus, and pertussis.
5. The nurse is assessing developmental milestones in a 12-month-
old. Which behavior is expected?
A. Uses scissors
B. Walks independently
C. Copies a circle
D. Knows colors
Rationale: Walking independently is a typical gross motor milestone
for a 12-month-old.
6. Which action is appropriate for a nurse caring for a child with
asthma experiencing wheezing?
A. Administer a prescribed short-acting bronchodilator
B. Restrict fluids
,C. Encourage vigorous play
D. Place in supine position
Rationale: Short-acting bronchodilators relieve airway constriction
and improve breathing.
7. A 4-year-old is admitted with dehydration. Which nursing
intervention is priority?
A. Provide quiet activities
B. Monitor fluid intake and output
C. Teach about hand hygiene
D. Apply sunscreen before going outdoors
Rationale: Monitoring intake and output helps assess hydration
status and guides fluid replacement.
8. The nurse observes a child with cystic fibrosis having thick, sticky
mucus. Which complication is most likely?
A. Hypertension
B. Respiratory infections
C. Diabetes mellitus
D. Hypothyroidism
Rationale: Thick mucus in the lungs creates a medium for bacteria,
leading to recurrent respiratory infections.
9. Which play activity is appropriate for a 2-year-old child
hospitalized with mild illness?
A. Board games
B. Video games
, C. Stacking blocks
D. Team sports
Rationale: Toddlers engage in parallel play with simple, safe activities
like stacking blocks.
10. A nurse is assessing a 5-year-old child’s vital signs. Which pulse
range is expected?
A. 40–60 bpm
B. 60–80 bpm
C. 80–120 bpm
D. 120–160 bpm
Rationale: Normal pulse for preschool-aged children is 80–120 beats
per minute.
11. Which of the following is the most common site for
intramuscular injections in infants?
A. Deltoid
B. Vastus lateralis
C. Dorsogluteal
D. Ventrogluteal
Rationale: The vastus lateralis is well-developed in infants and
reduces risk of injury to nerves or blood vessels.
12. A nurse is providing dietary instructions to a parent of a child
with iron-deficiency anemia. Which statement indicates
understanding?
A. “I will give only cow’s milk daily.”
B. “I will include iron-rich foods like meat and beans.”
Bank Questions And Correct Answers
(Verified Answers) Plus Rationales
2025/2026 Q&A | Instant Download
1. The most appropriate method to assess pain in a 3-year-old child
is:
A. Numeric rating scale
B. Faces Pain Scale – Revised (FPS-R)
C. Visual analog scale
D. McGill Pain Questionnaire
Rationale: The FPS-R uses facial expressions that preschool-aged
children can identify, making it age-appropriate for assessing pain.
2. A nurse is teaching a parent about safety measures to prevent
burns in toddlers. Which statement indicates understanding?
A. “I can leave hot drinks on the table as long as my child is nearby.”
B. “I should turn pot handles toward the back of the stove.”
C. “I can place the iron on the floor while cooling.”
D. “I don’t need to check the water temperature for baths.”
Rationale: Toddlers are curious and can reach hot objects; turning
handles away reduces the risk of burns.
3. A 6-month-old infant is receiving iron-fortified formula. Which
expected finding indicates adequate nutrition?
,A. Frequent loose stools
B. Normal weight gain for age
C. Excessive hair growth
D. Decreased activity level
Rationale: Weight gain consistent with growth charts is the best
indicator of adequate nutrition in infants.
4. Which immunization is typically given at 2 months of age?
A. MMR
B. Varicella
C. DTaP
D. HPV
Rationale: The DTaP vaccine series begins at 2 months of age to
protect against diphtheria, tetanus, and pertussis.
5. The nurse is assessing developmental milestones in a 12-month-
old. Which behavior is expected?
A. Uses scissors
B. Walks independently
C. Copies a circle
D. Knows colors
Rationale: Walking independently is a typical gross motor milestone
for a 12-month-old.
6. Which action is appropriate for a nurse caring for a child with
asthma experiencing wheezing?
A. Administer a prescribed short-acting bronchodilator
B. Restrict fluids
,C. Encourage vigorous play
D. Place in supine position
Rationale: Short-acting bronchodilators relieve airway constriction
and improve breathing.
7. A 4-year-old is admitted with dehydration. Which nursing
intervention is priority?
A. Provide quiet activities
B. Monitor fluid intake and output
C. Teach about hand hygiene
D. Apply sunscreen before going outdoors
Rationale: Monitoring intake and output helps assess hydration
status and guides fluid replacement.
8. The nurse observes a child with cystic fibrosis having thick, sticky
mucus. Which complication is most likely?
A. Hypertension
B. Respiratory infections
C. Diabetes mellitus
D. Hypothyroidism
Rationale: Thick mucus in the lungs creates a medium for bacteria,
leading to recurrent respiratory infections.
9. Which play activity is appropriate for a 2-year-old child
hospitalized with mild illness?
A. Board games
B. Video games
, C. Stacking blocks
D. Team sports
Rationale: Toddlers engage in parallel play with simple, safe activities
like stacking blocks.
10. A nurse is assessing a 5-year-old child’s vital signs. Which pulse
range is expected?
A. 40–60 bpm
B. 60–80 bpm
C. 80–120 bpm
D. 120–160 bpm
Rationale: Normal pulse for preschool-aged children is 80–120 beats
per minute.
11. Which of the following is the most common site for
intramuscular injections in infants?
A. Deltoid
B. Vastus lateralis
C. Dorsogluteal
D. Ventrogluteal
Rationale: The vastus lateralis is well-developed in infants and
reduces risk of injury to nerves or blood vessels.
12. A nurse is providing dietary instructions to a parent of a child
with iron-deficiency anemia. Which statement indicates
understanding?
A. “I will give only cow’s milk daily.”
B. “I will include iron-rich foods like meat and beans.”
