ESSENTIALS OF PEDIATRIC NURSING (5TH EDITION)
– KYLE & CARMAN – CHAPTERS 1–29
COMPREHENSIVE PRACTICE EXAM LATEST UPDATED
ACTUAL FINAL EXAM WITH ALL POSSIBLE AND MOST
TESTED 100 PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS FULLY SOLVED WITH
DETAILED RATIONALES PLUS EXPERT ANSWER KEY
2026-2027 FINAL EXAM UPDATED VERSION 100%
GUARANTEED PASS MOST RECENT!!!
1. A nurse is caring for a 4-year-old child who is
scheduled for a tonsillectomy. Which developmental
stage should the nurse consider when preparing the
child for surgery?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Autonomy vs. Shame and Doubt
Correct Answer: B. Initiative vs. Guilt
Rationale: According to Erikson, the preschool child
(3–5 years) is in the initiative vs. guilt stage. They
,are curious and active, so preparation should focus
on simple explanations and play. Trust is infancy,
autonomy is toddlerhood, and industry is school-
age.
2. The nurse is assessing a 6-month-old infant.
Which finding is most indicative of normal physical
development?
A. Rolls from front to back
B. Sits without support
C. Crawls on hands and knees
D. Walks with one hand held
Correct Answer: A. Rolls from front to back
Rationale: Rolling from front to back typically
occurs at 4–6 months. Sitting without support
occurs at 8 months, crawling at 9 months, and
walking with assistance at 11–12 months.
3. A child with a new diagnosis of type 1 diabetes
mellitus is being discharged. Which statement by
the parent indicates a need for further teaching?
A. "I will check the blood sugar before meals."
B. "I will rotate injection sites in the abdomen and
,thighs."
C. "I will give insulin only when the child feels
shaky."
D. "I will keep glucagon available for severe
hypoglycemia."
Correct Answer: C. "I will give insulin only when the
child feels shaky."
Rationale: Insulin must be given based on blood
glucose levels and carbohydrate intake, not only
when symptomatic. Shaky feelings indicate
hypoglycemia, not a time to give insulin. The other
statements are correct.
4. A 10-year-old child with asthma is prescribed a
peak flow meter. The nurse teaches the child to use
the meter. Which zone indicates that the child needs
immediate rescue medication?
A. Green zone (80–100% of personal best)
B. Yellow zone (50–80% of personal best)
C. Red zone (less than 50% of personal best)
D. Blue zone (not a standard zone)
Correct Answer: C. Red zone (less than 50% of
personal best)
, Rationale: The red zone indicates severe airway
obstruction; rescue bronchodilator and emergency
care are needed. Green is good control, yellow
indicates caution, and blue is not a standard zone.
5. When administering oral medications to a 2-year-
old, which approach is most appropriate?
A. Use a syringe to squirt the medication into the
back of the throat
B. Mix the medication with 4 ounces of formula
C. Offer the medication in a small cup and allow the
child to drink it
D. Use a dropper and place the medication between
the cheek and gum
Correct Answer: D. Use a dropper and place the
medication between the cheek and gum
Rationale: For toddlers, placing medication
between the cheek and gum prevents aspiration
and avoids taste buds. Squiring into the back of the
throat risks aspiration; mixing with a full bottle
may lead to incomplete dose; small cups are
unsafe for this age.
– KYLE & CARMAN – CHAPTERS 1–29
COMPREHENSIVE PRACTICE EXAM LATEST UPDATED
ACTUAL FINAL EXAM WITH ALL POSSIBLE AND MOST
TESTED 100 PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS FULLY SOLVED WITH
DETAILED RATIONALES PLUS EXPERT ANSWER KEY
2026-2027 FINAL EXAM UPDATED VERSION 100%
GUARANTEED PASS MOST RECENT!!!
1. A nurse is caring for a 4-year-old child who is
scheduled for a tonsillectomy. Which developmental
stage should the nurse consider when preparing the
child for surgery?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Autonomy vs. Shame and Doubt
Correct Answer: B. Initiative vs. Guilt
Rationale: According to Erikson, the preschool child
(3–5 years) is in the initiative vs. guilt stage. They
,are curious and active, so preparation should focus
on simple explanations and play. Trust is infancy,
autonomy is toddlerhood, and industry is school-
age.
2. The nurse is assessing a 6-month-old infant.
Which finding is most indicative of normal physical
development?
A. Rolls from front to back
B. Sits without support
C. Crawls on hands and knees
D. Walks with one hand held
Correct Answer: A. Rolls from front to back
Rationale: Rolling from front to back typically
occurs at 4–6 months. Sitting without support
occurs at 8 months, crawling at 9 months, and
walking with assistance at 11–12 months.
3. A child with a new diagnosis of type 1 diabetes
mellitus is being discharged. Which statement by
the parent indicates a need for further teaching?
A. "I will check the blood sugar before meals."
B. "I will rotate injection sites in the abdomen and
,thighs."
C. "I will give insulin only when the child feels
shaky."
D. "I will keep glucagon available for severe
hypoglycemia."
Correct Answer: C. "I will give insulin only when the
child feels shaky."
Rationale: Insulin must be given based on blood
glucose levels and carbohydrate intake, not only
when symptomatic. Shaky feelings indicate
hypoglycemia, not a time to give insulin. The other
statements are correct.
4. A 10-year-old child with asthma is prescribed a
peak flow meter. The nurse teaches the child to use
the meter. Which zone indicates that the child needs
immediate rescue medication?
A. Green zone (80–100% of personal best)
B. Yellow zone (50–80% of personal best)
C. Red zone (less than 50% of personal best)
D. Blue zone (not a standard zone)
Correct Answer: C. Red zone (less than 50% of
personal best)
, Rationale: The red zone indicates severe airway
obstruction; rescue bronchodilator and emergency
care are needed. Green is good control, yellow
indicates caution, and blue is not a standard zone.
5. When administering oral medications to a 2-year-
old, which approach is most appropriate?
A. Use a syringe to squirt the medication into the
back of the throat
B. Mix the medication with 4 ounces of formula
C. Offer the medication in a small cup and allow the
child to drink it
D. Use a dropper and place the medication between
the cheek and gum
Correct Answer: D. Use a dropper and place the
medication between the cheek and gum
Rationale: For toddlers, placing medication
between the cheek and gum prevents aspiration
and avoids taste buds. Squiring into the back of the
throat risks aspiration; mixing with a full bottle
may lead to incomplete dose; small cups are
unsafe for this age.
