PEDIATRIC NURSING PRACTICE EXAM – PAPER 2
Course Name
Pediatric Nursing
Level
College / University (Undergraduate Nursing)
Short Introduction
This original practice examination assesses intermediate-level knowledge and
clinical reasoning in pediatric nursing. Topics include growth and development,
pediatric assessment, medication administration, nutrition, immunization,
respiratory disorders, gastrointestinal disorders, neurological conditions, family-
centered care, and pediatric emergencies. Each question includes the correct
answer and a detailed italicised explanation.
Instructions
Answer all 40 questions.
Read each question carefully before selecting the best answer.
Choose the single best answer for each multiple-choice question.
Complete all short-answer, application, and higher-order thinking questions.
Review the explanations after completing the examination.
Exam Structure
15 Multiple Choice Questions
10 Short Answer Questions
10 Application/Clinical Scenario Questions
5 Higher-Order Thinking Questions
Total Questions: 40
,SECTION A – MULTIPLE CHOICE QUESTIONS
Question 1
A nurse is assessing a 4-month-old infant during a routine health visit. Which
developmental milestone is expected?
A. Rolls from abdomen to back
B. Walks independently
C. Uses complete sentences
D. Rides a tricycle
Answer: A
Explanation: Many infants begin rolling from the abdomen to the back around 4
months of age as muscle strength and coordination improve.
Question 2
Which assessment finding in a child requires immediate nursing intervention?
A. Inspiratory stridor with increased work of breathing
B. Heart rate appropriate for age
C. Warm extremities
D. Moist oral mucous membranes
Answer: A
Explanation: Inspiratory stridor accompanied by increased work of breathing may
indicate upper airway obstruction and requires immediate assessment and
intervention.
, Question 3
Which action best demonstrates safe pediatric medication administration?
A. Estimating the child's weight
B. Verifying the child's current weight before calculating the dose
C. Using the adult dose divided by two
D. Asking the parent to estimate the correct dose
Answer: B
Explanation: Many pediatric medications are prescribed based on body weight,
making an accurate current weight essential for safe dosing.
Question 4
A child is admitted with vomiting and diarrhea. Which assessment finding is most
consistent with dehydration?
A. Increased urine output
B. Delayed capillary refill
C. Moist mucous membranes
D. Bounding peripheral pulses
Answer: B
Explanation: Delayed capillary refill, decreased urine output, and dry mucous
membranes are common signs of dehydration.
Question 5
Which nursing intervention best supports atraumatic care?
Course Name
Pediatric Nursing
Level
College / University (Undergraduate Nursing)
Short Introduction
This original practice examination assesses intermediate-level knowledge and
clinical reasoning in pediatric nursing. Topics include growth and development,
pediatric assessment, medication administration, nutrition, immunization,
respiratory disorders, gastrointestinal disorders, neurological conditions, family-
centered care, and pediatric emergencies. Each question includes the correct
answer and a detailed italicised explanation.
Instructions
Answer all 40 questions.
Read each question carefully before selecting the best answer.
Choose the single best answer for each multiple-choice question.
Complete all short-answer, application, and higher-order thinking questions.
Review the explanations after completing the examination.
Exam Structure
15 Multiple Choice Questions
10 Short Answer Questions
10 Application/Clinical Scenario Questions
5 Higher-Order Thinking Questions
Total Questions: 40
,SECTION A – MULTIPLE CHOICE QUESTIONS
Question 1
A nurse is assessing a 4-month-old infant during a routine health visit. Which
developmental milestone is expected?
A. Rolls from abdomen to back
B. Walks independently
C. Uses complete sentences
D. Rides a tricycle
Answer: A
Explanation: Many infants begin rolling from the abdomen to the back around 4
months of age as muscle strength and coordination improve.
Question 2
Which assessment finding in a child requires immediate nursing intervention?
A. Inspiratory stridor with increased work of breathing
B. Heart rate appropriate for age
C. Warm extremities
D. Moist oral mucous membranes
Answer: A
Explanation: Inspiratory stridor accompanied by increased work of breathing may
indicate upper airway obstruction and requires immediate assessment and
intervention.
, Question 3
Which action best demonstrates safe pediatric medication administration?
A. Estimating the child's weight
B. Verifying the child's current weight before calculating the dose
C. Using the adult dose divided by two
D. Asking the parent to estimate the correct dose
Answer: B
Explanation: Many pediatric medications are prescribed based on body weight,
making an accurate current weight essential for safe dosing.
Question 4
A child is admitted with vomiting and diarrhea. Which assessment finding is most
consistent with dehydration?
A. Increased urine output
B. Delayed capillary refill
C. Moist mucous membranes
D. Bounding peripheral pulses
Answer: B
Explanation: Delayed capillary refill, decreased urine output, and dry mucous
membranes are common signs of dehydration.
Question 5
Which nursing intervention best supports atraumatic care?
