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EXAM OVERVIEW & CORE DOMAINS
The Kaplan Pediatric Nursing Assessment Exam evaluates essential knowledge and
clinical decision-making skills required for safe, effective pediatric care. The assessment
measures competency in areas including growth and development, pediatric
assessment, pharmacology, disease management, and family-centered care.
Exam Details at a Glance:
• Format: Multiple-choice and scenario-based questions
• Emphasis: Critical thinking, priority-setting, and evidence-based interventions
• Alignment: Kaplan Integrated Exam and NCLEX-style standards
Core Domains Covered:
Domain Key Topics
Developmental milestones, theories, health promotion across th
Growth and Development
lifespan
, Domain Key Topics
Pediatric Assessment Physical assessment, vital signs by age, diagnostic evaluation
Pharmacology & Medication Safety Pediatric dosing, safe administration, medication calculations
Health Promotion & Disease
Immunizations, nutrition, anticipatory guidance
Prevention
Acute & Chronic Illness
Common pediatric disorders, respiratory/cardiovascular care
Management
Emergency & Critical Care Pediatric emergencies, acute interventions
Family-Centered Care Psychosocial support, ethical and legal standards
BLOCK 1: GROWTH & DEVELOPMENT (Questions 1-60)
Question 1
A nurse is assessing a 2-year-old child. Which developmental milestone should the
nurse expect the child to have achieved?
• A) Tying shoelaces
• B) Riding a tricycle
• C) Using a spoon to eat
• D) Drawing a circle
Answer: C) Using a spoon to eat
Rationale: By 2 years of age, a child should be able to use a spoon to eat. Tying
shoelaces is a 5-6 year milestone, riding a tricycle is a 3-4 year milestone, and drawing a
circle is a 3-4 year milestone.
, Question 2
A mother asks the nurse when her infant will be able to sit without support. What is the
best response?
• A) 4 months
• B) 6 months
• C) 8 months
• D) 10 months
Answer: C) 8 months
Rationale: Most infants can sit unsupported by 8 months of age. At 4 months, they
have head control; at 6 months, they can sit with support; and by 10 months, they are
usually crawling or pulling to stand.
Question 3
A nurse is assessing a 6-month-old infant. Which milestone is expected?
• A) Uses a pincer grasp
• B) Sits without support
• C) Says two-word phrases
• D) Hops on one foot
Answer: B) Sits without support
Rationale: Sitting without support is typically achieved around 6 months. Walking
independently typically occurs around 12 months, two-word sentences around 18-24
months.
Question 4