Pediatric Nursing Test Bank - NCLEX-Style Practice Questions
An otherwise healthy 18-month-old child with a history of C
febrile seizures is in the well-child clinic. Which statement
by the father would indicate to the nurse that additional
teaching should be done?
A. "I have ibuprofen available in case it's needed."
B. "My child will likely outgrow these seizures by age 5."
C. "I always keep phenobarbital with me in case of a
fever."
D. "The most likely time for a seizure is when the fever is
rising."
A 6-month-old infant is admitted with a diagnosis of C
bacterial meningitis. The nurse would place the infant in
which room?
A. A room with a 12-month-old infant with a urinary tract
infection
B. A room with an 8-month-old infant with failure to thrive
C. A private room near the nurses' station
D. A two-bed room in the middle of the hall
The parents of a child with a history of seizures who has C
been taking phenytoin (Dilantin) ask the nurse why it's
difficult to maintain therapeutic plasma levels of this
medication. Which statement by the nurse would be most
accurate?
A. "A drop in the plasma drug level will lead to a toxic
state."
B. "The capacity to metabolize the drug becomes
overwhelmed over time."
C. "Small increments in dosage lead to sharp increases in
plasma drug levels."
D. "Large increments in dosage lead to a more rapid
stabilizing therapeutic effect."
A panicked mother calls the health care provider's office A
and reports that her 5-year-old has a high fever and just
had a seizure. The mother asks the nurse what she should
do. Which is the nurse's best response?
A. Report to the emergency room for medical evaluation
B. Immerse the child in a bathtub of tepid water
C. Administer oral acetaminophen per package directions
D. Remove any heavy clothing and cover with a thin sheet
The nurse is assessing a 7-year-old with a hearing aid. His A
mother says he is losing his hearing again. Which finding
would the nurse identify as contributing to this current
complaint?
A. Overproduction of cerumen
B. Soreness of the outer ear
C. History of a normal term birth
D. The eardrum responds to a puff of air
Stuvia | Academic Year (2026-2027)
, Pediatric Nursing Test Bank - NCLEX-Style Practice Questions
The nurse is taking a health history for a 9-year-old with A
conjunctivitis. Which statement by the parents leads the
nurse to suspect that the child is experiencing allergic
conjunctivitis?
A. "He recently helped clean the basement.
B. "He was exposed to several family members with an
infection.
C. He just recovered from an upper respiratory infection.
D. We have a family history of conjunctivitis.
The mother of a 12-year-old with Reye syndrome A
approaches the nurse wanting to know how this happened
to her child, saying, "I never give my kids aspirin!" Which
response by the nurse would be most appropriate?
A. "Sometimes it's hard to tell if a product contains aspirin."
B. "Do you think that maybe your child took aspirin on his
own?"
C. "Don't worry; you're in good hands. We have it under
control now."
D. "Aspirin in combination with the virus will make the brain
swell and the liver fail."
The nurse is caring for a 3-year-old girl who has just A
undergone a ventriculostomy. Which of the following would
the nurse include in this child's plan of care to manage
increased intracranial pressure (ICP)?
A. Use pillows to support the child when lying on her side
B. Support the parents in starting a ketogenic diet
C. Pad the side rails on the bed
D. Teach her to do deep breathing techniques
A nurse is caring for a 3-year-old girl with microcephaly. A
Which of the following actions is appropriate for the nurse
to take?
A. Playfully ask the child to touch her nose
B. Teach the parents about ventriculoperitoneal (VP)
shunts
C. Prepare the child for the experience of cranial surgery
D. Administer antipyretics as ordered
Stuvia | Academic Year (2026-2027)
, Pediatric Nursing Test Bank - NCLEX-Style Practice Questions
The nurse caring for a neonate experiencing seizures asks A, B, C
the charge nurse: "How can I tell if a baby is having a
seizure or is just crying for attention?" Which response
would be most appropriate? Select all that apply.
A. "You will not be able to stop a seizure with gentle
restraint."
B. "The baby experiencing a seizure will be tachycardic."
C. "Stimulating the baby by singing to him will not stop a
seizure."
D. "There will be no changes in the baby's vital signs with
a seizure"
E. "The baby will become more active with sensory
stimulation with a seizure."
An 18-month-old child is admitted with signs of increased C
intracranial pressure. What should the nurse observe when
assessing this patient?
A. Numbness of fingers and decreased temperature
B. Increased pulse rate and decreased blood pressure
C. Increased temperature and decreased respiratory rate
D. Decreased level of consciousness and increased
respiratory rate
An 8-year-old child is being treated for tonic-clonic A
seizures. What should the nurse emphasize when teaching
the parents about this disorder?
A. The child should maintain an active lifestyle.
B. Immediately provide medication if a seizure begins.
C. Have the child carry a padded tongue blade with her at
all times.
D. Ensure quiet time late in the day, when seizure activity
is most likely to occur.
The nurse instructs a hearing-impaired school-age child on C
to how self-inject a prescribed medication. Which
observation indicates to the nurse that additional teaching
is required?
A. The child pinches the skin together before inserting the
needle.
B. The child injects the appropriate amount of air into the
vial before withdrawing medication.
C. The child places the filled syringe and uncapped needle
on the bed to open the alcohol wipe.
D. The child slowly pushes on the plunger to inject the
medication before withdrawing the needle.
Stuvia | Academic Year (2026-2027)
, Pediatric Nursing Test Bank - NCLEX-Style Practice Questions
The nurse is caring for a child recovering from surgery to C, D, E
correct strabismus. Which interventions should the nurse
include when planning this child's care? Select all that
apply.
A. Apply an eye patch.
B. Maintain on bed rest for 3 days.
C. Support for nausea and vomiting.
D. Provide pain medication as prescribed.
E. Apply antibiotic ointment as prescribed.
The nurse is providing education to the parents of a female A
with hydrocephalus who has just had a shunt inserted.
When discussing the child's condition with the parents,
which of the following would be most appropriate?
A. "Tell me your concerns about your child's shunt."
B. "Be sure to call the doctor if she gets a persistent
headache."
C. "Her autoregulation mechanism to absorb spinal fluid
has failed."
D. "Always keep her head raised 30 degrees."
The nurse is educating parents of a male infant with Chiari A
type II malformation about the condition. Which of the
following would be most important for the nurse to include?
A. Taking time to feed the infant
B. Laying the infant down after a feeding
C. Being able to see major difference after surgery
D. Not needing to change diapers as often
A nurse is obtaining the history from a parent of a child B
who experiences absence seizures. Which of the following
would the nurse expect the mother to describe? ABSENCE= BLANK STARE
A. Brief, sudden onset with muscles that become tense
B. Loss of motor activity accompanied by a blank stare
C. Sudden, brief jerking motions of a muscle group
D. Loss of muscle tone and loss of consciousness
The school nurse is educating the parents of a child with B
infectious conjunctivitis. Which of the following statements
by the nurse would be most helpful for the parents related
to prevention?
A. "Use all the medication as directed."
B. "Don't use anything that touches her face."
C. "This could have started with a head cold."
D. "Place the ointment inside the lower eyelid."
Stuvia | Academic Year (2026-2027)
An otherwise healthy 18-month-old child with a history of C
febrile seizures is in the well-child clinic. Which statement
by the father would indicate to the nurse that additional
teaching should be done?
A. "I have ibuprofen available in case it's needed."
B. "My child will likely outgrow these seizures by age 5."
C. "I always keep phenobarbital with me in case of a
fever."
D. "The most likely time for a seizure is when the fever is
rising."
A 6-month-old infant is admitted with a diagnosis of C
bacterial meningitis. The nurse would place the infant in
which room?
A. A room with a 12-month-old infant with a urinary tract
infection
B. A room with an 8-month-old infant with failure to thrive
C. A private room near the nurses' station
D. A two-bed room in the middle of the hall
The parents of a child with a history of seizures who has C
been taking phenytoin (Dilantin) ask the nurse why it's
difficult to maintain therapeutic plasma levels of this
medication. Which statement by the nurse would be most
accurate?
A. "A drop in the plasma drug level will lead to a toxic
state."
B. "The capacity to metabolize the drug becomes
overwhelmed over time."
C. "Small increments in dosage lead to sharp increases in
plasma drug levels."
D. "Large increments in dosage lead to a more rapid
stabilizing therapeutic effect."
A panicked mother calls the health care provider's office A
and reports that her 5-year-old has a high fever and just
had a seizure. The mother asks the nurse what she should
do. Which is the nurse's best response?
A. Report to the emergency room for medical evaluation
B. Immerse the child in a bathtub of tepid water
C. Administer oral acetaminophen per package directions
D. Remove any heavy clothing and cover with a thin sheet
The nurse is assessing a 7-year-old with a hearing aid. His A
mother says he is losing his hearing again. Which finding
would the nurse identify as contributing to this current
complaint?
A. Overproduction of cerumen
B. Soreness of the outer ear
C. History of a normal term birth
D. The eardrum responds to a puff of air
Stuvia | Academic Year (2026-2027)
, Pediatric Nursing Test Bank - NCLEX-Style Practice Questions
The nurse is taking a health history for a 9-year-old with A
conjunctivitis. Which statement by the parents leads the
nurse to suspect that the child is experiencing allergic
conjunctivitis?
A. "He recently helped clean the basement.
B. "He was exposed to several family members with an
infection.
C. He just recovered from an upper respiratory infection.
D. We have a family history of conjunctivitis.
The mother of a 12-year-old with Reye syndrome A
approaches the nurse wanting to know how this happened
to her child, saying, "I never give my kids aspirin!" Which
response by the nurse would be most appropriate?
A. "Sometimes it's hard to tell if a product contains aspirin."
B. "Do you think that maybe your child took aspirin on his
own?"
C. "Don't worry; you're in good hands. We have it under
control now."
D. "Aspirin in combination with the virus will make the brain
swell and the liver fail."
The nurse is caring for a 3-year-old girl who has just A
undergone a ventriculostomy. Which of the following would
the nurse include in this child's plan of care to manage
increased intracranial pressure (ICP)?
A. Use pillows to support the child when lying on her side
B. Support the parents in starting a ketogenic diet
C. Pad the side rails on the bed
D. Teach her to do deep breathing techniques
A nurse is caring for a 3-year-old girl with microcephaly. A
Which of the following actions is appropriate for the nurse
to take?
A. Playfully ask the child to touch her nose
B. Teach the parents about ventriculoperitoneal (VP)
shunts
C. Prepare the child for the experience of cranial surgery
D. Administer antipyretics as ordered
Stuvia | Academic Year (2026-2027)
, Pediatric Nursing Test Bank - NCLEX-Style Practice Questions
The nurse caring for a neonate experiencing seizures asks A, B, C
the charge nurse: "How can I tell if a baby is having a
seizure or is just crying for attention?" Which response
would be most appropriate? Select all that apply.
A. "You will not be able to stop a seizure with gentle
restraint."
B. "The baby experiencing a seizure will be tachycardic."
C. "Stimulating the baby by singing to him will not stop a
seizure."
D. "There will be no changes in the baby's vital signs with
a seizure"
E. "The baby will become more active with sensory
stimulation with a seizure."
An 18-month-old child is admitted with signs of increased C
intracranial pressure. What should the nurse observe when
assessing this patient?
A. Numbness of fingers and decreased temperature
B. Increased pulse rate and decreased blood pressure
C. Increased temperature and decreased respiratory rate
D. Decreased level of consciousness and increased
respiratory rate
An 8-year-old child is being treated for tonic-clonic A
seizures. What should the nurse emphasize when teaching
the parents about this disorder?
A. The child should maintain an active lifestyle.
B. Immediately provide medication if a seizure begins.
C. Have the child carry a padded tongue blade with her at
all times.
D. Ensure quiet time late in the day, when seizure activity
is most likely to occur.
The nurse instructs a hearing-impaired school-age child on C
to how self-inject a prescribed medication. Which
observation indicates to the nurse that additional teaching
is required?
A. The child pinches the skin together before inserting the
needle.
B. The child injects the appropriate amount of air into the
vial before withdrawing medication.
C. The child places the filled syringe and uncapped needle
on the bed to open the alcohol wipe.
D. The child slowly pushes on the plunger to inject the
medication before withdrawing the needle.
Stuvia | Academic Year (2026-2027)
, Pediatric Nursing Test Bank - NCLEX-Style Practice Questions
The nurse is caring for a child recovering from surgery to C, D, E
correct strabismus. Which interventions should the nurse
include when planning this child's care? Select all that
apply.
A. Apply an eye patch.
B. Maintain on bed rest for 3 days.
C. Support for nausea and vomiting.
D. Provide pain medication as prescribed.
E. Apply antibiotic ointment as prescribed.
The nurse is providing education to the parents of a female A
with hydrocephalus who has just had a shunt inserted.
When discussing the child's condition with the parents,
which of the following would be most appropriate?
A. "Tell me your concerns about your child's shunt."
B. "Be sure to call the doctor if she gets a persistent
headache."
C. "Her autoregulation mechanism to absorb spinal fluid
has failed."
D. "Always keep her head raised 30 degrees."
The nurse is educating parents of a male infant with Chiari A
type II malformation about the condition. Which of the
following would be most important for the nurse to include?
A. Taking time to feed the infant
B. Laying the infant down after a feeding
C. Being able to see major difference after surgery
D. Not needing to change diapers as often
A nurse is obtaining the history from a parent of a child B
who experiences absence seizures. Which of the following
would the nurse expect the mother to describe? ABSENCE= BLANK STARE
A. Brief, sudden onset with muscles that become tense
B. Loss of motor activity accompanied by a blank stare
C. Sudden, brief jerking motions of a muscle group
D. Loss of muscle tone and loss of consciousness
The school nurse is educating the parents of a child with B
infectious conjunctivitis. Which of the following statements
by the nurse would be most helpful for the parents related
to prevention?
A. "Use all the medication as directed."
B. "Don't use anything that touches her face."
C. "This could have started with a head cold."
D. "Place the ointment inside the lower eyelid."
Stuvia | Academic Year (2026-2027)
