PN PEDIATRIC NURSING STUDY GUIDE 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔The nurse is caring for an infant who has been prescribed nystatin (Mycostatin). The
nurse teaches the mother how to prevent aggravation of oral thrush. Which statements
by the mother indicate the need for further teaching? Select all that apply. - ✔✔"I should
boil the pacifier for at least 20 minutes on alternate days."
"I should apply the medication at least 20 minutes before feeding."
"I should boil the reusable nipples for at least 5 minutes after washing."
✔✔When assessing a child's reflexes, the nurse places the child in the prone position
and presses a thumb along the child's spine from sacrum to neck. The nurse finds that
the child starts crying and urinates while flexing the extremities. Which reflex is the
nurse assessing in the child? - ✔✔Perez reflex
✔✔The primary health care provider instructs the nurse to apply an emollient to an
infant. During assessment, the nurse finds that the neonate is preterm and has a body
weight of 900 g. Which is the appropriate nursing intervention in this situation? -
✔✔Monitor for coagulase-negative staphylococcus infection.
✔✔The nurse is examining a teenage patient who has a gawky, long-legged
appearance. What is the sequence of growth changes that lead to this characteristic
early adolescent appearance? - ✔✔1. Growth of the neck, hands, and legs in length
2. Increase in the breadth of the hips and chest
3. Increase in the width of the shoulders
4. Increase in the length of the trunk
5. Increase in the depth of the chest
✔✔After assessing a neonate who was delivered using forceps immediately after birth,
the nurse confirms facial paralysis. Which information does the nurse provide to the
mother? - ✔✔Don't panic; it will resolve within a few days.
✔✔The nurse is assessing an 8-month-old child's gross motor development. Which
action by the child indicates late development? - ✔✔The child is unable to stand by
holding onto furniture.
✔✔What are the different patterns of physical development and maturation of
neuromuscular functions in a child? Select all that apply. - ✔✔Proximodistal
Cephalocaudal
Differentiation
✔✔The nurse is assessing an 8-year-old child who suffers from encopresis. Which
advice given by the nurse provides effective treatment for the child? Select all that
apply. - ✔✔"You should include cereals in your diet."
, "You should drink lots of fluids."
"You should eat fresh fruit for breakfast."
✔✔A toddler wearing a diaper is impatient with the wet diaper and shows a desire to
have it changed. Which toilet training readiness does this behavior indicate? -
✔✔Psychological readiness
✔✔The nurse is assessing a female preterm neonate after delivery. Which assessment
findings does the nurse document in the hospital reports of the infant? Select all that
apply. - ✔✔The infant has a prominent clitoris.
The hair of the infant is fine and feathery.
The infant shows no resistance to the heel-to-ear maneuver.
✔✔When assessing the cognitive development of a 2-year-old-child, the nurse finds
that the toddler exhibits global organization. Which behavior of the child supports the
nurse's conclusion? - ✔✔The child refuses to sleep in his or her room because the
location of the bed has changed.
✔✔During a clinical assessment, what secondary sex characteristics does the nurse
observe in a teenage patient? Select all that apply. - ✔✔Change in voice
Development of facial hair
✔✔Which solid food can be given to a 6-month-old infant? - ✔✔Crackers or Zwieback
✔✔Which of the following are congenital anomalies or birth defects seen in children?
Select all that apply. - ✔✔Dysplasias
Disruptions
Deformations
Malformations
✔✔After assessing a 1-year-old child, the nurse concludes that the child has normal
development. Which finding supports the nurse's conclusion? - ✔✔The child's toes
hyperextend when the nurse strokes the heel upward across the foot.
✔✔While caring for a pregnant patient with body mass index of 32 during labor, the
nurse observes that the second stage of labor lasts for about 11 minutes. The nurse
also finds that the expected birth weight of the fetus is around 4200 g. Which
complication does the nurse anticipate in the neonate after birth? - ✔✔Erb palsy
✔✔The nurse is counseling the parents of an adolescent child on the benefits of social
development in the child's maturation process. Which statement by the nurse needs
correction to convey an appropriate message to the parents? - ✔✔Feelings of
immortality in the child are undesirable and should be condemned.
QUESTIONS AND SOLUTIONS RATED A+
✔✔The nurse is caring for an infant who has been prescribed nystatin (Mycostatin). The
nurse teaches the mother how to prevent aggravation of oral thrush. Which statements
by the mother indicate the need for further teaching? Select all that apply. - ✔✔"I should
boil the pacifier for at least 20 minutes on alternate days."
"I should apply the medication at least 20 minutes before feeding."
"I should boil the reusable nipples for at least 5 minutes after washing."
✔✔When assessing a child's reflexes, the nurse places the child in the prone position
and presses a thumb along the child's spine from sacrum to neck. The nurse finds that
the child starts crying and urinates while flexing the extremities. Which reflex is the
nurse assessing in the child? - ✔✔Perez reflex
✔✔The primary health care provider instructs the nurse to apply an emollient to an
infant. During assessment, the nurse finds that the neonate is preterm and has a body
weight of 900 g. Which is the appropriate nursing intervention in this situation? -
✔✔Monitor for coagulase-negative staphylococcus infection.
✔✔The nurse is examining a teenage patient who has a gawky, long-legged
appearance. What is the sequence of growth changes that lead to this characteristic
early adolescent appearance? - ✔✔1. Growth of the neck, hands, and legs in length
2. Increase in the breadth of the hips and chest
3. Increase in the width of the shoulders
4. Increase in the length of the trunk
5. Increase in the depth of the chest
✔✔After assessing a neonate who was delivered using forceps immediately after birth,
the nurse confirms facial paralysis. Which information does the nurse provide to the
mother? - ✔✔Don't panic; it will resolve within a few days.
✔✔The nurse is assessing an 8-month-old child's gross motor development. Which
action by the child indicates late development? - ✔✔The child is unable to stand by
holding onto furniture.
✔✔What are the different patterns of physical development and maturation of
neuromuscular functions in a child? Select all that apply. - ✔✔Proximodistal
Cephalocaudal
Differentiation
✔✔The nurse is assessing an 8-year-old child who suffers from encopresis. Which
advice given by the nurse provides effective treatment for the child? Select all that
apply. - ✔✔"You should include cereals in your diet."
, "You should drink lots of fluids."
"You should eat fresh fruit for breakfast."
✔✔A toddler wearing a diaper is impatient with the wet diaper and shows a desire to
have it changed. Which toilet training readiness does this behavior indicate? -
✔✔Psychological readiness
✔✔The nurse is assessing a female preterm neonate after delivery. Which assessment
findings does the nurse document in the hospital reports of the infant? Select all that
apply. - ✔✔The infant has a prominent clitoris.
The hair of the infant is fine and feathery.
The infant shows no resistance to the heel-to-ear maneuver.
✔✔When assessing the cognitive development of a 2-year-old-child, the nurse finds
that the toddler exhibits global organization. Which behavior of the child supports the
nurse's conclusion? - ✔✔The child refuses to sleep in his or her room because the
location of the bed has changed.
✔✔During a clinical assessment, what secondary sex characteristics does the nurse
observe in a teenage patient? Select all that apply. - ✔✔Change in voice
Development of facial hair
✔✔Which solid food can be given to a 6-month-old infant? - ✔✔Crackers or Zwieback
✔✔Which of the following are congenital anomalies or birth defects seen in children?
Select all that apply. - ✔✔Dysplasias
Disruptions
Deformations
Malformations
✔✔After assessing a 1-year-old child, the nurse concludes that the child has normal
development. Which finding supports the nurse's conclusion? - ✔✔The child's toes
hyperextend when the nurse strokes the heel upward across the foot.
✔✔While caring for a pregnant patient with body mass index of 32 during labor, the
nurse observes that the second stage of labor lasts for about 11 minutes. The nurse
also finds that the expected birth weight of the fetus is around 4200 g. Which
complication does the nurse anticipate in the neonate after birth? - ✔✔Erb palsy
✔✔The nurse is counseling the parents of an adolescent child on the benefits of social
development in the child's maturation process. Which statement by the nurse needs
correction to convey an appropriate message to the parents? - ✔✔Feelings of
immortality in the child are undesirable and should be condemned.
