PEDIATRIC NURSING PRACTICE EXAM – PAPER 1
Course Name
Pediatric Nursing
Level
College / University (Undergraduate Nursing)
Short Introduction
This original practice examination assesses foundational knowledge and clinical
reasoning in pediatric nursing. Topics include growth and development, pediatric
assessment, nutrition, immunization, medication safety, common childhood
illnesses, 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.
Each multiple-choice question has one best answer.
Provide concise answers for short-answer and application questions.
Review the explanations to reinforce learning.
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 6-month-old infant during a well-child visit. Which
developmental milestone is expected?
A. Walking independently
B. Sitting with minimal support
C. Riding a tricycle
D. Writing simple words
Answer: B
Explanation: Around 6 months of age, many infants can sit with minimal support
and demonstrate improved trunk control. Independent walking typically occurs
later.
Question 2
Which assessment finding requires immediate nursing intervention in a child?
A. Respiratory stridor at rest
B. Temperature of 37.2°C (99.0°F)
C. Heart rate appropriate for age
D. Moist oral mucous membranes
Answer: A
Explanation: Stridor at rest may indicate significant upper airway obstruction and
requires immediate assessment and intervention.
, Question 3
Which immunization principle should the nurse include when educating parents?
A. Vaccines are given only during infancy.
B. Immunizations help protect children against vaccine-preventable diseases.
C. Children with mild illnesses should never receive vaccines.
D. Vaccination eliminates the need for routine health visits.
Answer: B
Explanation: Immunizations stimulate the immune system to provide protection
against many serious infectious diseases and are an important component of
preventive healthcare.
Question 4
A nurse is calculating a medication dose for a child. Which action is the highest
priority?
A. Estimate the child's weight.
B. Verify the child's current weight using the appropriate unit of measurement.
C. Use the adult dose if the child appears large.
D. Ask the parent to guess the child's weight.
Answer: B
Explanation: Accurate weight verification is essential because many pediatric
medication doses are weight-based.
Question 5
Course Name
Pediatric Nursing
Level
College / University (Undergraduate Nursing)
Short Introduction
This original practice examination assesses foundational knowledge and clinical
reasoning in pediatric nursing. Topics include growth and development, pediatric
assessment, nutrition, immunization, medication safety, common childhood
illnesses, 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.
Each multiple-choice question has one best answer.
Provide concise answers for short-answer and application questions.
Review the explanations to reinforce learning.
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 6-month-old infant during a well-child visit. Which
developmental milestone is expected?
A. Walking independently
B. Sitting with minimal support
C. Riding a tricycle
D. Writing simple words
Answer: B
Explanation: Around 6 months of age, many infants can sit with minimal support
and demonstrate improved trunk control. Independent walking typically occurs
later.
Question 2
Which assessment finding requires immediate nursing intervention in a child?
A. Respiratory stridor at rest
B. Temperature of 37.2°C (99.0°F)
C. Heart rate appropriate for age
D. Moist oral mucous membranes
Answer: A
Explanation: Stridor at rest may indicate significant upper airway obstruction and
requires immediate assessment and intervention.
, Question 3
Which immunization principle should the nurse include when educating parents?
A. Vaccines are given only during infancy.
B. Immunizations help protect children against vaccine-preventable diseases.
C. Children with mild illnesses should never receive vaccines.
D. Vaccination eliminates the need for routine health visits.
Answer: B
Explanation: Immunizations stimulate the immune system to provide protection
against many serious infectious diseases and are an important component of
preventive healthcare.
Question 4
A nurse is calculating a medication dose for a child. Which action is the highest
priority?
A. Estimate the child's weight.
B. Verify the child's current weight using the appropriate unit of measurement.
C. Use the adult dose if the child appears large.
D. Ask the parent to guess the child's weight.
Answer: B
Explanation: Accurate weight verification is essential because many pediatric
medication doses are weight-based.
Question 5
