NUR 203 /NUR203 Exam 1 Pediatric Nursing
2026/2027/2028 Testing Cycle | Newly Released
50 Questions With Answers & Expert Rationales
Guaranteed Pass | Graded A+ | Fortis College
Growth, Development, Health Promotion, Safety & Dosage Calculations
Q1: A nurse is caring for a 4-year-old child who is hospitalized for surgery. The child states,
"The teddy bear is sad because he has to stay in the bed all day." This statement is most
consistent with which Piaget cognitive stage?
A. Sensorimotor
B. Concrete operational
C. Formal operational
D. Preoperational
Correct Answer: D
Rationale: Correct because in Piaget's preoperational stage (2–7 years), children demonstrate
animism by attributing lifelike qualities and feelings to inanimate objects such as toys. The
child's belief that the teddy bear experiences sadness reflects this characteristic cognitive feature
of the preoperational period. Nurses should use this understanding to communicate
therapeutically with preschool-aged children.
Q2: A nurse is educating parents of a toddler about injury prevention in the home. Which
statement by a parent indicates understanding of the greatest drowning risk for this age group?
A. "I should never leave my child alone in the bathtub."
B. "My child could drown in just a few inches of water in a bucket."
C. "Swimming pools are the only place I need to worry about water safety."
D. "I will wait until my child is 5 years old before teaching water safety."
,Correct Answer: B
Rationale: Correct because toddlers can drown in as little as 1 inch of water, making buckets,
toilets, and wading pools significant household hazards. The nurse should emphasize that water
safety extends far beyond swimming pools and bathtubs to include any container that holds
water. This knowledge is essential for preventing the leading cause of accidental death in
toddlers.
Q3: A nurse assesses a 9-month-old infant during a well-child visit. Which gross motor
milestone should the nurse expect the infant to demonstrate?
A. Pulls to stand and crawls
B. Walks independently
C. Runs well and throws a ball
D. Rides a tricycle
Correct Answer: A
Rationale: Correct because by 9 months of age, infants typically achieve the gross motor
milestones of pulling themselves to a standing position and crawling across the floor. These
skills reflect progressive neuromuscular maturation and strengthening of the upper and lower
extremities. The nurse documents these findings as age-appropriate developmental achievements
during the well-child assessment.
Q4: A nurse is reviewing the vaccination record of a 12-month-old infant. Which vaccines are
due at this visit? Select all that apply.
A. Rotavirus
B. MMR
C. Varicella
D. Hepatitis A
Correct Answer: B, C, D
Rationale: Correct because the CDC immunization schedule recommends the first dose of
MMR, varicella, and hepatitis A vaccines at the 12-month well-child visit. Rotavirus is not
administered at 12 months, as the series must be completed by 8 months of age. The nurse
should verify that these immunizations are administered to maintain protection against measles,
chickenpox, and hepatitis A.
, Q5: A nurse is calculating the expected weight of a healthy infant at 1 year of age. The infant's
birth weight was 7 lbs 4 oz. What is the expected weight at 12 months?
A. 14 lbs 8 oz
B. 18 lbs
C. 21 lbs 12 oz
D. 28 lbs
Correct Answer: C
Rationale: Correct because an infant's birth weight triples by 1 year of age, which is a
fundamental pediatric growth benchmark. Birth weight of 7 lbs 4 oz multiplied by 3 equals 21
lbs 12 oz. The nurse uses this expected weight parameter to evaluate adequate nutritional intake
and overall growth trajectory during the first year of life.
Q6: A nurse observes a group of 18-month-old toddlers in a daycare setting. The children are
playing next to each other with similar toys but are not interacting or sharing. Which type of play
is being demonstrated?
A. Parallel play
B. Solitary play
C. Associative play
D. Cooperative play
Correct Answer: A
Rationale: Correct because parallel play is the hallmark of toddlers aged 1–3 years, during
which children play alongside peers using similar toys without direct interaction or collaboration.
This play pattern represents normal social development as the child transitions from solitary play
toward more interactive forms. The nurse recognizes this behavior as an expected developmental
milestone for the toddler age group.
Q7: A nurse is assessing a hospitalized 14-year-old adolescent. Which nursing intervention best
addresses the primary psychosocial concern for this age group?
A. Providing a favorite stuffed animal for comfort
B. Encouraging parents to stay at the bedside continuously
C. Using therapeutic play to explain procedures
D. Ensuring privacy and involving the teen in care decisions
Correct Answer: D
2026/2027/2028 Testing Cycle | Newly Released
50 Questions With Answers & Expert Rationales
Guaranteed Pass | Graded A+ | Fortis College
Growth, Development, Health Promotion, Safety & Dosage Calculations
Q1: A nurse is caring for a 4-year-old child who is hospitalized for surgery. The child states,
"The teddy bear is sad because he has to stay in the bed all day." This statement is most
consistent with which Piaget cognitive stage?
A. Sensorimotor
B. Concrete operational
C. Formal operational
D. Preoperational
Correct Answer: D
Rationale: Correct because in Piaget's preoperational stage (2–7 years), children demonstrate
animism by attributing lifelike qualities and feelings to inanimate objects such as toys. The
child's belief that the teddy bear experiences sadness reflects this characteristic cognitive feature
of the preoperational period. Nurses should use this understanding to communicate
therapeutically with preschool-aged children.
Q2: A nurse is educating parents of a toddler about injury prevention in the home. Which
statement by a parent indicates understanding of the greatest drowning risk for this age group?
A. "I should never leave my child alone in the bathtub."
B. "My child could drown in just a few inches of water in a bucket."
C. "Swimming pools are the only place I need to worry about water safety."
D. "I will wait until my child is 5 years old before teaching water safety."
,Correct Answer: B
Rationale: Correct because toddlers can drown in as little as 1 inch of water, making buckets,
toilets, and wading pools significant household hazards. The nurse should emphasize that water
safety extends far beyond swimming pools and bathtubs to include any container that holds
water. This knowledge is essential for preventing the leading cause of accidental death in
toddlers.
Q3: A nurse assesses a 9-month-old infant during a well-child visit. Which gross motor
milestone should the nurse expect the infant to demonstrate?
A. Pulls to stand and crawls
B. Walks independently
C. Runs well and throws a ball
D. Rides a tricycle
Correct Answer: A
Rationale: Correct because by 9 months of age, infants typically achieve the gross motor
milestones of pulling themselves to a standing position and crawling across the floor. These
skills reflect progressive neuromuscular maturation and strengthening of the upper and lower
extremities. The nurse documents these findings as age-appropriate developmental achievements
during the well-child assessment.
Q4: A nurse is reviewing the vaccination record of a 12-month-old infant. Which vaccines are
due at this visit? Select all that apply.
A. Rotavirus
B. MMR
C. Varicella
D. Hepatitis A
Correct Answer: B, C, D
Rationale: Correct because the CDC immunization schedule recommends the first dose of
MMR, varicella, and hepatitis A vaccines at the 12-month well-child visit. Rotavirus is not
administered at 12 months, as the series must be completed by 8 months of age. The nurse
should verify that these immunizations are administered to maintain protection against measles,
chickenpox, and hepatitis A.
, Q5: A nurse is calculating the expected weight of a healthy infant at 1 year of age. The infant's
birth weight was 7 lbs 4 oz. What is the expected weight at 12 months?
A. 14 lbs 8 oz
B. 18 lbs
C. 21 lbs 12 oz
D. 28 lbs
Correct Answer: C
Rationale: Correct because an infant's birth weight triples by 1 year of age, which is a
fundamental pediatric growth benchmark. Birth weight of 7 lbs 4 oz multiplied by 3 equals 21
lbs 12 oz. The nurse uses this expected weight parameter to evaluate adequate nutritional intake
and overall growth trajectory during the first year of life.
Q6: A nurse observes a group of 18-month-old toddlers in a daycare setting. The children are
playing next to each other with similar toys but are not interacting or sharing. Which type of play
is being demonstrated?
A. Parallel play
B. Solitary play
C. Associative play
D. Cooperative play
Correct Answer: A
Rationale: Correct because parallel play is the hallmark of toddlers aged 1–3 years, during
which children play alongside peers using similar toys without direct interaction or collaboration.
This play pattern represents normal social development as the child transitions from solitary play
toward more interactive forms. The nurse recognizes this behavior as an expected developmental
milestone for the toddler age group.
Q7: A nurse is assessing a hospitalized 14-year-old adolescent. Which nursing intervention best
addresses the primary psychosocial concern for this age group?
A. Providing a favorite stuffed animal for comfort
B. Encouraging parents to stay at the bedside continuously
C. Using therapeutic play to explain procedures
D. Ensuring privacy and involving the teen in care decisions
Correct Answer: D
