Pediatric Nursing and
Child Health (Part 2)
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**Target Question Count: 50**
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### Question 1
The nurse is assessing a 6-month-old infant during a well-child visit. Which developmental milestone is
appropriate for this age?
A. The infant can sit without support
B. The infant can roll from front to back
C. The infant can crawl
,D. The infant can pull to stand
💫RATIONALE✔️✔️: A 6-month-old infant can typically roll from front to back and back to front.
Sitting without support occurs at about 8 months, crawling at 7-10 months, and pulling to stand at 9-12
months. The infant should also be able to transfer objects from hand to hand.
💫ANSWER✔️✔️: B. The infant can roll from front to back
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### Question 2
A 4-year-old child is admitted to the pediatric unit with a diagnosis of pneumonia. The nurse should use
which approach when assessing this child?
A. Perform the physical assessment from head to toe
B. Allow the child to handle the equipment before the assessment
C. Restrain the child during the assessment
D. Avoid involving the parents in the assessment
💫RATIONALE✔️✔️: Allowing a preschool-age child to handle equipment before assessment helps
reduce anxiety and promote cooperation. The nurse should use play and developmentally appropriate
language. Parents should be involved to provide comfort and support.
💫ANSWER✔️✔️: B. Allow the child to handle the equipment before the assessment
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,### Question 3
The nurse is caring for a child with a diagnosis of acute otitis media. Which finding is most consistent
with this condition?
A. The child reports ear pain and has a fever
B. The child has purulent drainage from the ear
C. The child has a headache and nausea
D. The child has tinnitus and hearing loss
💫RATIONALE✔️✔️: Acute otitis media is characterized by ear pain (otalgia) and fever. Purulent
drainage indicates a perforated tympanic membrane, which may occur as a complication. Tinnitus and
hearing loss are more common with inner ear pathology.
💫ANSWER✔️✔️: A. The child reports ear pain and has a fever
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### Question 4
A 6-month-old infant is brought to the clinic for a well-child visit. Which immunization should the nurse
anticipate administering?
A. MMR (measles, mumps, rubella)
B. DTaP (diphtheria, tetanus, pertussis)
C. Varicella (chickenpox)
, D. Hepatitis A
💫RATIONALE✔️✔️: At 6 months of age, the infant should receive the third dose of DTaP, IPV, PCV,
and Hib vaccines. MMR and varicella are given at 12-15 months. Hepatitis A is given at 12-23 months.
The CDC immunization schedule should be followed.
💫ANSWER✔️✔️: B. DTaP (diphtheria, tetanus, pertussis)
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### Question 5
The nurse is assessing a child with suspected appendicitis. Which finding is most indicative of this
condition?
A. Right upper quadrant pain
B. Pain that worsens with coughing and movement
C. Diffuse abdominal pain with diarrhea
D. Pain that improves with walking
💫RATIONALE✔️✔️: Pain that worsens with coughing and movement is characteristic of appendicitis.
Rebound tenderness and localized right lower quadrant pain are also common findings. The child may
also have nausea, vomiting, and fever.
💫ANSWER✔️✔️: B. Pain that worsens with coughing and movement
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Child Health (Part 2)
---
**Target Question Count: 50**
---
### Question 1
The nurse is assessing a 6-month-old infant during a well-child visit. Which developmental milestone is
appropriate for this age?
A. The infant can sit without support
B. The infant can roll from front to back
C. The infant can crawl
,D. The infant can pull to stand
💫RATIONALE✔️✔️: A 6-month-old infant can typically roll from front to back and back to front.
Sitting without support occurs at about 8 months, crawling at 7-10 months, and pulling to stand at 9-12
months. The infant should also be able to transfer objects from hand to hand.
💫ANSWER✔️✔️: B. The infant can roll from front to back
---
### Question 2
A 4-year-old child is admitted to the pediatric unit with a diagnosis of pneumonia. The nurse should use
which approach when assessing this child?
A. Perform the physical assessment from head to toe
B. Allow the child to handle the equipment before the assessment
C. Restrain the child during the assessment
D. Avoid involving the parents in the assessment
💫RATIONALE✔️✔️: Allowing a preschool-age child to handle equipment before assessment helps
reduce anxiety and promote cooperation. The nurse should use play and developmentally appropriate
language. Parents should be involved to provide comfort and support.
💫ANSWER✔️✔️: B. Allow the child to handle the equipment before the assessment
---
,### Question 3
The nurse is caring for a child with a diagnosis of acute otitis media. Which finding is most consistent
with this condition?
A. The child reports ear pain and has a fever
B. The child has purulent drainage from the ear
C. The child has a headache and nausea
D. The child has tinnitus and hearing loss
💫RATIONALE✔️✔️: Acute otitis media is characterized by ear pain (otalgia) and fever. Purulent
drainage indicates a perforated tympanic membrane, which may occur as a complication. Tinnitus and
hearing loss are more common with inner ear pathology.
💫ANSWER✔️✔️: A. The child reports ear pain and has a fever
---
### Question 4
A 6-month-old infant is brought to the clinic for a well-child visit. Which immunization should the nurse
anticipate administering?
A. MMR (measles, mumps, rubella)
B. DTaP (diphtheria, tetanus, pertussis)
C. Varicella (chickenpox)
, D. Hepatitis A
💫RATIONALE✔️✔️: At 6 months of age, the infant should receive the third dose of DTaP, IPV, PCV,
and Hib vaccines. MMR and varicella are given at 12-15 months. Hepatitis A is given at 12-23 months.
The CDC immunization schedule should be followed.
💫ANSWER✔️✔️: B. DTaP (diphtheria, tetanus, pertussis)
---
### Question 5
The nurse is assessing a child with suspected appendicitis. Which finding is most indicative of this
condition?
A. Right upper quadrant pain
B. Pain that worsens with coughing and movement
C. Diffuse abdominal pain with diarrhea
D. Pain that improves with walking
💫RATIONALE✔️✔️: Pain that worsens with coughing and movement is characteristic of appendicitis.
Rebound tenderness and localized right lower quadrant pain are also common findings. The child may
also have nausea, vomiting, and fever.
💫ANSWER✔️✔️: B. Pain that worsens with coughing and movement
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