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WEST COAST UNIVERSITY NURS 340 –
PEDIATRIC NURSING COMPREHENSIVE
PRACTICE EXAM QUESTIONS WITH ANSWERS
AND RATIONALES 2026/27 GRADED A+ | 100%
GUARANTEED PASS
Covers Growth and Development, Pediatric Assessment, Common
Childhood Illnesses, Immunizations, Pediatric Pharmacology, Child
Abuse, Chronic Illness, Hospitalized Child, and Family-Centered Care
---
QUESTION 1
A nurse is performing a developmental assessment on a 2-year-old child.
Which milestone is expected at this age?
A) Runs and kicks a ball
B) Rides a tricycle
C) Skips on one foot
D) Ties shoelaces
Verified Answer: A
Rationale: At 2 years, children can run and kick a ball. Tricycle riding
typically occurs at 3 years, skipping develops at 5-6 years, and tying
shoelaces is a 5-6 year milestone.
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QUESTION 2
A nurse is assessing a 4-month-old infant. Which finding is expected?
A) Sits without support
B) Rolls from back to side
C) Walks with assistance
D) Uses a pincer grasp
Verified Answer: B
Rationale: At 4 months, infants can roll from back to side. Sitting
without support occurs at 6-8 months. Walking with assistance occurs at
10-12 months. Pincer grasp develops at 9-10 months.
QUESTION 3
A 5-year-old child is hospitalized. The child is crying and clinging to the
mother. Which nursing intervention is most appropriate?
A) Tell the mother to leave the room to stop the behavior
B) Allow the mother to stay with the child
C) Distract the child with a toy
D) Ignore the child's behavior
Verified Answer: B
Rationale: Allowing the mother to stay with the child provides comfort
and reduces anxiety. Separation anxiety is common at this age.
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Distraction and encouragement are also helpful, but allowing parental
presence is the priority.
QUESTION 4
A nurse is teaching a parent about immunizations. The parent asks why
the MMR vaccine is given at 12-15 months. What is the nurse's best
response?
A) Maternal antibodies may interfere with the vaccine if given earlier
B) The vaccine is not effective before this age
C) The immune system is not developed before this age
D) This is the only time the vaccine can be given
Verified Answer: A
Rationale: Maternal antibodies can interfere with the live virus vaccine
(MMR) if given before 12 months. The immune system is capable of
responding earlier, but maternal antibodies may neutralize the vaccine.
QUESTION 5
A nurse is caring for a child with a new diagnosis of type 1 diabetes. The
child is 8 years old. Which statement by the parent indicates
understanding?
A) "My child will need to check blood sugar before meals and at
bedtime"
B) "My child's pancreas will start producing insulin again in a few
weeks"
C) "My child can stop insulin when they feel better"
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D) "My child only needs insulin when they eat sweets"
Verified Answer: A
Rationale: Type 1 diabetes requires lifelong insulin therapy and blood
glucose monitoring before meals and at bedtime. The pancreas does not
recover function. Insulin is needed with all meals.
QUESTION 6
A 6-month-old infant is brought to the clinic with a fever and irritability.
The infant has a bulging fontanel. What is the priority nursing action?
A) Administer acetaminophen
B) Assess for signs of meningitis
C) Notify the healthcare provider immediately
D) Both B and C
Verified Answer: D
Rationale: A bulging fontanel in an infant with fever and irritability is
concerning for meningitis. The priority is to assess for signs of
meningitis and notify the provider immediately.
QUESTION 7
A nurse is administering immunizations to a 2-month-old infant. Which
vaccines are typically given at this age?
A) DTaP, IPV, Hib, PCV, RV
B) MMR, Varicella, DTaP
WEST COAST UNIVERSITY NURS 340 –
PEDIATRIC NURSING COMPREHENSIVE
PRACTICE EXAM QUESTIONS WITH ANSWERS
AND RATIONALES 2026/27 GRADED A+ | 100%
GUARANTEED PASS
Covers Growth and Development, Pediatric Assessment, Common
Childhood Illnesses, Immunizations, Pediatric Pharmacology, Child
Abuse, Chronic Illness, Hospitalized Child, and Family-Centered Care
---
QUESTION 1
A nurse is performing a developmental assessment on a 2-year-old child.
Which milestone is expected at this age?
A) Runs and kicks a ball
B) Rides a tricycle
C) Skips on one foot
D) Ties shoelaces
Verified Answer: A
Rationale: At 2 years, children can run and kick a ball. Tricycle riding
typically occurs at 3 years, skipping develops at 5-6 years, and tying
shoelaces is a 5-6 year milestone.
,2 | Page
QUESTION 2
A nurse is assessing a 4-month-old infant. Which finding is expected?
A) Sits without support
B) Rolls from back to side
C) Walks with assistance
D) Uses a pincer grasp
Verified Answer: B
Rationale: At 4 months, infants can roll from back to side. Sitting
without support occurs at 6-8 months. Walking with assistance occurs at
10-12 months. Pincer grasp develops at 9-10 months.
QUESTION 3
A 5-year-old child is hospitalized. The child is crying and clinging to the
mother. Which nursing intervention is most appropriate?
A) Tell the mother to leave the room to stop the behavior
B) Allow the mother to stay with the child
C) Distract the child with a toy
D) Ignore the child's behavior
Verified Answer: B
Rationale: Allowing the mother to stay with the child provides comfort
and reduces anxiety. Separation anxiety is common at this age.
,3 | Page
Distraction and encouragement are also helpful, but allowing parental
presence is the priority.
QUESTION 4
A nurse is teaching a parent about immunizations. The parent asks why
the MMR vaccine is given at 12-15 months. What is the nurse's best
response?
A) Maternal antibodies may interfere with the vaccine if given earlier
B) The vaccine is not effective before this age
C) The immune system is not developed before this age
D) This is the only time the vaccine can be given
Verified Answer: A
Rationale: Maternal antibodies can interfere with the live virus vaccine
(MMR) if given before 12 months. The immune system is capable of
responding earlier, but maternal antibodies may neutralize the vaccine.
QUESTION 5
A nurse is caring for a child with a new diagnosis of type 1 diabetes. The
child is 8 years old. Which statement by the parent indicates
understanding?
A) "My child will need to check blood sugar before meals and at
bedtime"
B) "My child's pancreas will start producing insulin again in a few
weeks"
C) "My child can stop insulin when they feel better"
, 4 | Page
D) "My child only needs insulin when they eat sweets"
Verified Answer: A
Rationale: Type 1 diabetes requires lifelong insulin therapy and blood
glucose monitoring before meals and at bedtime. The pancreas does not
recover function. Insulin is needed with all meals.
QUESTION 6
A 6-month-old infant is brought to the clinic with a fever and irritability.
The infant has a bulging fontanel. What is the priority nursing action?
A) Administer acetaminophen
B) Assess for signs of meningitis
C) Notify the healthcare provider immediately
D) Both B and C
Verified Answer: D
Rationale: A bulging fontanel in an infant with fever and irritability is
concerning for meningitis. The priority is to assess for signs of
meningitis and notify the provider immediately.
QUESTION 7
A nurse is administering immunizations to a 2-month-old infant. Which
vaccines are typically given at this age?
A) DTaP, IPV, Hib, PCV, RV
B) MMR, Varicella, DTaP
