2026/2027 with Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 50
Recommended Time: 75 Minutes
Passing Threshold: 78%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Clinical Decision-Making Questions
Difficulty Level: Comprehensive
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SECTION 1: Pediatric Assessment and Growth/Development
Question 1
A nurse is assessing a 6-month-old infant during a well-child visit. The mother reports
the infant can roll from prone to supine, babbles, and reaches for objects. Which
developmental milestone should the nurse expect the infant to demonstrate next
according to typical growth patterns?
A. Walks independently
B. Sits without support
C. Uses two-word sentences
D. Draws a circle
,Correct Answer: B
Rationale: At 6 months, infants typically roll over and babble. Sitting without support
usually emerges around 6 to 8 months. Walking independently occurs around 12
months, two-word sentences around 18 to 24 months, and drawing a circle around 3
years.
Question 2
A nurse is performing a physical examination on a 4-year-old child. The child is fearful
and crying. Which action by the nurse best facilitates cooperation and accurate
assessment?
A. Perform the most invasive procedures first to get them over with
B. Allow the child to handle the stethoscope and examine a doll first
C. Restrain the child firmly and complete the examination quickly
D. Ask the parent to leave the room so the child will focus on the nurse
Correct Answer: B
Rationale: Allowing a preschooler to play with equipment and using therapeutic play
reduces anxiety and increases cooperation. Invasive procedures should be last, physical
restraint increases trauma, and removing the parent typically increases fear in this age
group.
,Question 3
During a routine health screening, a school nurse measures the blood pressure of a
10-year-old child. Which blood pressure reading would be considered within normal
limits for this age group?
A. 90/50 mmHg
B. 110/70 mmHg
C. 130/85 mmHg
D. 140/90 mmHg
Correct Answer: B
Rationale: For a 10-year-old child, normal blood pressure is approximately 110/70
mmHg, though it varies by height and gender percentiles. 90/50 may be low normal or
hypotensive depending on context. 130/85 and 140/90 are elevated and hypertensive
for this age group.
Question 4
A nurse is collecting a health history from the parents of a 2-year-old toddler. Which
question is most important for the nurse to ask regarding injury prevention?
A. Do you have a swimming pool or access to water in your home?
B. Has your child had any surgeries in the past year?
C. Does your child attend preschool or daycare?
D. What is your child's favorite television program?
, Correct Answer: A
Rationale: Toddlers are at high risk for drowning, making water safety a critical
anticipatory guidance topic. While medical history and social development are relevant,
drowning is a leading cause of accidental death in this age group and requires direct
assessment and education.
Question 5
A pediatric nurse is preparing to assess a 12-month-old infant. Which sequence of
examination techniques is most appropriate for this age group?
A. Head-to-toe systematic approach with the infant lying flat
B. Begin with invasive procedures, then proceed to less threatening assessments
C. Start with the least invasive and most interactive procedures, saving uncomfortable
procedures for last
D. Complete the examination while the infant is sleeping to avoid disturbing rest
Correct Answer: C
Rationale: Infants respond best when the examination begins with non-threatening,
interactive components such as observing play and listening to heart and lung sounds,
while saving invasive procedures like ear examination or oral assessment for last. A
rigid head-to-toe approach or starting with invasive procedures increases resistance
and crying.