Florida NCLEX Pediatric Nursing Practice Exam III Updated
Exam 2026 WITH Recent Newest Verified And Well Analyzed
Exam Questions (Actual Exam 2026-2027) Correct Detailed
& Verified ANSWERS (100% Accurate Solutions) ALREADY
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1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect?
A. Walks independently
B. Sits without support
C. Uses two-word sentences
D. Rides a tricycle
Answer: B. Sits without support
Rationale: By approximately 6 months of age, most infants can sit with minimal assistance
and soon progress to sitting independently. Walking independently generally occurs
between 12 and 15 months, using two-word sentences is expected around 2 years of age,
and riding a tricycle is typical for a 3-year-old child. Recognizing age-appropriate
developmental milestones is essential for identifying normal growth and detecting
developmental delays.
2. A nurse is caring for a child admitted with dehydration caused by acute
gastroenteritis. Which assessment finding indicates moderate dehydration?
A. Bounding pulses and hypertension
B. Moist mucous membranes and normal skin turgor
C. Dry mucous membranes, decreased tears, and delayed capillary refill
D. Bradycardia and pulmonary edema
Answer: C. Dry mucous membranes, decreased tears, and delayed capillary refill
Rationale: Moderate dehydration commonly presents with dry mucous membranes,
decreased tear production, sunken eyes, reduced urine output, tachycardia, and delayed
capillary refill. Bounding pulses and hypertension are not expected findings, while
,bradycardia is usually a late and serious sign of severe dehydration. Prompt recognition
allows timely fluid replacement and prevents complications.
3. A nurse is preparing to administer digoxin to an infant. Which action is the priority
before giving the medication?
A. Measure abdominal circumference.
B. Count the apical pulse for one full minute.
C. Assess bowel sounds.
D. Measure oxygen saturation.
Answer: B. Count the apical pulse for one full minute.
Rationale: Digoxin slows the heart rate and increases myocardial contractility. Before
administration, the nurse must count the apical pulse for one full minute. The medication
should be withheld and the healthcare provider notified if the pulse is below the prescribed
parameter for the child's age. Assessing the pulse reduces the risk of digoxin toxicity and
dangerous bradycardia.
4. A parent asks when the first dose of the measles, mumps, and rubella (MMR)
vaccine is routinely administered. What is the nurse's best response?
A. At birth
B. At 2 months
C. At 6 months
D. At 12–15 months
Answer: D. At 12–15 months
Rationale: The first routine MMR vaccination is administered between 12 and 15 months of
age, with a second dose given between 4 and 6 years. Maternal antibodies present during
infancy can interfere with the effectiveness of the vaccine if it is administered too early.
5. A nurse is teaching the parents of a toddler about preventing aspiration. Which
instruction is most appropriate?
A. Allow the child to eat while running around the room.
B. Cut food into small pieces and supervise meals.
, C. Give whole grapes as healthy snacks.
D. Encourage the child to laugh while chewing food.
Answer: B. Cut food into small pieces and supervise meals.
Rationale: Toddlers are at increased risk for aspiration because of immature chewing and
swallowing skills. Food should be cut into small, manageable pieces, and children should
always be supervised while eating. Whole grapes, hot dogs, nuts, popcorn, and hard candy
are common choking hazards and should be avoided or modified appropriately.
6. A nurse is caring for a child experiencing an acute asthma exacerbation. Which
assessment finding indicates improvement after treatment?
A. Increased wheezing with accessory muscle use
B. Decreased oxygen saturation to 88%
C. Easier breathing with improved air movement and oxygen saturation
D. Increasing fatigue and decreased responsiveness
Answer: C. Easier breathing with improved air movement and oxygen saturation
Rationale: Effective asthma treatment results in improved airflow, decreased work of
breathing, higher oxygen saturation, and reduced respiratory distress. Increasing wheezing
accompanied by accessory muscle use or declining responsiveness suggests worsening
respiratory compromise and requires immediate intervention.
7. A nurse is assessing a newborn for signs of hypoglycemia. Which finding requires
immediate intervention?
A. Quiet sleep after feeding
B. Mild hiccups
C. Jitteriness and poor feeding
D. Sneezing several times each day
Answer: C. Jitteriness and poor feeding
Rationale: Neonatal hypoglycemia commonly presents with jitteriness, poor feeding,
lethargy, hypotonia, apnea, seizures, or cyanosis. Early recognition and treatment are
critical because prolonged hypoglycemia can result in permanent neurological injury.
Sneezing and hiccups are common normal newborn behaviors.
Exam 2026 WITH Recent Newest Verified And Well Analyzed
Exam Questions (Actual Exam 2026-2027) Correct Detailed
& Verified ANSWERS (100% Accurate Solutions) ALREADY
GRADED A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect?
A. Walks independently
B. Sits without support
C. Uses two-word sentences
D. Rides a tricycle
Answer: B. Sits without support
Rationale: By approximately 6 months of age, most infants can sit with minimal assistance
and soon progress to sitting independently. Walking independently generally occurs
between 12 and 15 months, using two-word sentences is expected around 2 years of age,
and riding a tricycle is typical for a 3-year-old child. Recognizing age-appropriate
developmental milestones is essential for identifying normal growth and detecting
developmental delays.
2. A nurse is caring for a child admitted with dehydration caused by acute
gastroenteritis. Which assessment finding indicates moderate dehydration?
A. Bounding pulses and hypertension
B. Moist mucous membranes and normal skin turgor
C. Dry mucous membranes, decreased tears, and delayed capillary refill
D. Bradycardia and pulmonary edema
Answer: C. Dry mucous membranes, decreased tears, and delayed capillary refill
Rationale: Moderate dehydration commonly presents with dry mucous membranes,
decreased tear production, sunken eyes, reduced urine output, tachycardia, and delayed
capillary refill. Bounding pulses and hypertension are not expected findings, while
,bradycardia is usually a late and serious sign of severe dehydration. Prompt recognition
allows timely fluid replacement and prevents complications.
3. A nurse is preparing to administer digoxin to an infant. Which action is the priority
before giving the medication?
A. Measure abdominal circumference.
B. Count the apical pulse for one full minute.
C. Assess bowel sounds.
D. Measure oxygen saturation.
Answer: B. Count the apical pulse for one full minute.
Rationale: Digoxin slows the heart rate and increases myocardial contractility. Before
administration, the nurse must count the apical pulse for one full minute. The medication
should be withheld and the healthcare provider notified if the pulse is below the prescribed
parameter for the child's age. Assessing the pulse reduces the risk of digoxin toxicity and
dangerous bradycardia.
4. A parent asks when the first dose of the measles, mumps, and rubella (MMR)
vaccine is routinely administered. What is the nurse's best response?
A. At birth
B. At 2 months
C. At 6 months
D. At 12–15 months
Answer: D. At 12–15 months
Rationale: The first routine MMR vaccination is administered between 12 and 15 months of
age, with a second dose given between 4 and 6 years. Maternal antibodies present during
infancy can interfere with the effectiveness of the vaccine if it is administered too early.
5. A nurse is teaching the parents of a toddler about preventing aspiration. Which
instruction is most appropriate?
A. Allow the child to eat while running around the room.
B. Cut food into small pieces and supervise meals.
, C. Give whole grapes as healthy snacks.
D. Encourage the child to laugh while chewing food.
Answer: B. Cut food into small pieces and supervise meals.
Rationale: Toddlers are at increased risk for aspiration because of immature chewing and
swallowing skills. Food should be cut into small, manageable pieces, and children should
always be supervised while eating. Whole grapes, hot dogs, nuts, popcorn, and hard candy
are common choking hazards and should be avoided or modified appropriately.
6. A nurse is caring for a child experiencing an acute asthma exacerbation. Which
assessment finding indicates improvement after treatment?
A. Increased wheezing with accessory muscle use
B. Decreased oxygen saturation to 88%
C. Easier breathing with improved air movement and oxygen saturation
D. Increasing fatigue and decreased responsiveness
Answer: C. Easier breathing with improved air movement and oxygen saturation
Rationale: Effective asthma treatment results in improved airflow, decreased work of
breathing, higher oxygen saturation, and reduced respiratory distress. Increasing wheezing
accompanied by accessory muscle use or declining responsiveness suggests worsening
respiratory compromise and requires immediate intervention.
7. A nurse is assessing a newborn for signs of hypoglycemia. Which finding requires
immediate intervention?
A. Quiet sleep after feeding
B. Mild hiccups
C. Jitteriness and poor feeding
D. Sneezing several times each day
Answer: C. Jitteriness and poor feeding
Rationale: Neonatal hypoglycemia commonly presents with jitteriness, poor feeding,
lethargy, hypotonia, apnea, seizures, or cyanosis. Early recognition and treatment are
critical because prolonged hypoglycemia can result in permanent neurological injury.
Sneezing and hiccups are common normal newborn behaviors.
