2023/2026 [NGN] RN VATI NURSING CARE OF CHILDREN
ASSESSMENT QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Growth and Development Milestones
Pediatric Medication Administration and Dosage Calculation
Respiratory and Airway Management in Children
Cardiovascular and Hematologic Pediatric Disorders
Gastrointestinal and Genitourinary Pediatric Conditions
Neurologic and Musculoskeletal Pediatric Assessment
Infectious Disease and Immunization in Pediatrics
Pediatric Emergencies and Critical Care
Psychosocial Development and Family-Centered Care
Safety, Injury Prevention, and Child Abuse Recognition
Introduction
This comprehensive examination assesses the pediatric nursing
knowledge, clinical judgment, and decision-making skills required
for safe and effective nursing care of children. The assessment
evaluates proficiency in growth and development, medication
administration, respiratory and cardiovascular management, and
family-centered care across the pediatric lifespan. Items are
presented in multiple-choice and Next Generation NCLEX-style
formats designed to simulate realistic pediatric clinical scenarios.
Emphasis is placed on developmental assessment, age-appropriate
interventions, dosage calculation accuracy, and recognition of
pediatric emergencies. The examination challenges candidates to
integrate pathophysiology, developmental theory, and evidence-
based practice to deliver safe, compassionate, and family-centered
nursing care.
Section One: Questions 1–100
,1. A nurse is reinforcing teaching to a parent of a child with
hemophilia about controlling a minor bleeding episode. Which
statement by the parent indicates a need for further teaching?
A. "I will apply pressure to the bleeding site for 5 minutes."
B. "I will apply heat to the area to stop the bleeding."
C. "I will elevate the injured extremity."
D. "I will keep my child calm to reduce bleeding."
🟢 B. "I will apply heat to the area to stop the bleeding."
🔴 RATIONALE: Heat promotes vasodilation and can worsen
bleeding. For minor bleeding episodes in hemophilia, the correct
interventions are pressure, elevation, and cold application to
promote vasoconstriction.
2. A school nurse is screening an 11-year-old client for idiopathic
scoliosis. Which instruction should the nurse give the client for
this examination?
A. "Stand with your arms at your sides and bend backward."
B. "Bend forward from the waist with your head and arms
dangling downward."
C. "Lie flat on your back and raise your legs."
D. "Sit upright and turn your head to each side."
🟢 B. "Bend forward from the waist with your head and arms
dangling downward."
🔴 RATIONALE: This is Adams' forward bend test, which makes
any asymmetry of the ribs and flanks easier to recognize. It is the
standard screening position for scoliosis.
3. A nurse is reinforcing teaching with an adolescent who has type
1 diabetes mellitus. Which statement by the client indicates an
, understanding of how to adjust their routine for sports
activities?
A. "I should inject insulin into the muscle group I will be using
during the activity."
B. "I should skip basketball practice if my blood sugar is too high."
C. "I should plan to alternate vigorous exercise days with
increased rest days."
D. "I should avoid all team sports because of my diabetes."
🟢 B. "I should skip basketball practice if my blood sugar is too
high."
🔴 RATIONALE: Exercising with hyperglycemia can further
increase blood glucose due to stress hormones. Clients should
avoid exercise when blood glucose is elevated. Injecting insulin
into active muscles increases absorption unpredictably and is
unsafe.
4. A nurse is caring for a 3-year-old client who has persistent otitis
media. To help identify contributing factors, the nurse should
ask the parents which question?
A. "Does anyone smoke in the same house as your daughter?"
B. "Is your daughter allergic to any foods?"
C. "How often does your daughter attend daycare?"
D. "Does your daughter drink from a sippy cup?"
🟢 A. "Does anyone smoke in the same house as your daughter?"
🔴 RATIONALE: Secondhand smoke exposure is a significant risk
factor for persistent otitis media in children. Smoke irritates the
Eustachian tube and promotes fluid accumulation in the middle
ear.
, 5. A nurse is assisting with the care of a 3-month-old infant
following a surgical procedure. Which pain scale should the
nurse use to determine the infant's pain level?
A. FACES Pain Rating Scale
B. Numeric Pain Rating Scale
C. FLACC Scale
D. Oucher Scale
🟢 C. FLACC Scale
🔴 RATIONALE: The FLACC (Face, Legs, Activity, Cry, Consolability)
scale is appropriate for infants and children aged 2 months to 7
years who cannot verbalize pain. The FACES and Oucher scales
require self-report and are used for older children.
6. A nurse is caring for a child who reports being physically
abused by a family member. Which statement should the nurse
make?
A. "You should try to avoid making your family member angry."
B. "It is not your fault that this happened."
C. "I will not tell anyone what you have told me."
D. "Can you tell me what you did to provoke this?"
🟢 B. "It is not your fault that this happened."
🔴 RATIONALE: Children who are abused often blame themselves.
The nurse must reassure the child that they are not at fault. The
nurse is a mandated reporter and must report suspected abuse.
7. A nurse is assisting with the discharge of a child who has a new
prescription for an oral antibiotic. Which information should the
nurse include in the discharge instructions?
ASSESSMENT QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Growth and Development Milestones
Pediatric Medication Administration and Dosage Calculation
Respiratory and Airway Management in Children
Cardiovascular and Hematologic Pediatric Disorders
Gastrointestinal and Genitourinary Pediatric Conditions
Neurologic and Musculoskeletal Pediatric Assessment
Infectious Disease and Immunization in Pediatrics
Pediatric Emergencies and Critical Care
Psychosocial Development and Family-Centered Care
Safety, Injury Prevention, and Child Abuse Recognition
Introduction
This comprehensive examination assesses the pediatric nursing
knowledge, clinical judgment, and decision-making skills required
for safe and effective nursing care of children. The assessment
evaluates proficiency in growth and development, medication
administration, respiratory and cardiovascular management, and
family-centered care across the pediatric lifespan. Items are
presented in multiple-choice and Next Generation NCLEX-style
formats designed to simulate realistic pediatric clinical scenarios.
Emphasis is placed on developmental assessment, age-appropriate
interventions, dosage calculation accuracy, and recognition of
pediatric emergencies. The examination challenges candidates to
integrate pathophysiology, developmental theory, and evidence-
based practice to deliver safe, compassionate, and family-centered
nursing care.
Section One: Questions 1–100
,1. A nurse is reinforcing teaching to a parent of a child with
hemophilia about controlling a minor bleeding episode. Which
statement by the parent indicates a need for further teaching?
A. "I will apply pressure to the bleeding site for 5 minutes."
B. "I will apply heat to the area to stop the bleeding."
C. "I will elevate the injured extremity."
D. "I will keep my child calm to reduce bleeding."
🟢 B. "I will apply heat to the area to stop the bleeding."
🔴 RATIONALE: Heat promotes vasodilation and can worsen
bleeding. For minor bleeding episodes in hemophilia, the correct
interventions are pressure, elevation, and cold application to
promote vasoconstriction.
2. A school nurse is screening an 11-year-old client for idiopathic
scoliosis. Which instruction should the nurse give the client for
this examination?
A. "Stand with your arms at your sides and bend backward."
B. "Bend forward from the waist with your head and arms
dangling downward."
C. "Lie flat on your back and raise your legs."
D. "Sit upright and turn your head to each side."
🟢 B. "Bend forward from the waist with your head and arms
dangling downward."
🔴 RATIONALE: This is Adams' forward bend test, which makes
any asymmetry of the ribs and flanks easier to recognize. It is the
standard screening position for scoliosis.
3. A nurse is reinforcing teaching with an adolescent who has type
1 diabetes mellitus. Which statement by the client indicates an
, understanding of how to adjust their routine for sports
activities?
A. "I should inject insulin into the muscle group I will be using
during the activity."
B. "I should skip basketball practice if my blood sugar is too high."
C. "I should plan to alternate vigorous exercise days with
increased rest days."
D. "I should avoid all team sports because of my diabetes."
🟢 B. "I should skip basketball practice if my blood sugar is too
high."
🔴 RATIONALE: Exercising with hyperglycemia can further
increase blood glucose due to stress hormones. Clients should
avoid exercise when blood glucose is elevated. Injecting insulin
into active muscles increases absorption unpredictably and is
unsafe.
4. A nurse is caring for a 3-year-old client who has persistent otitis
media. To help identify contributing factors, the nurse should
ask the parents which question?
A. "Does anyone smoke in the same house as your daughter?"
B. "Is your daughter allergic to any foods?"
C. "How often does your daughter attend daycare?"
D. "Does your daughter drink from a sippy cup?"
🟢 A. "Does anyone smoke in the same house as your daughter?"
🔴 RATIONALE: Secondhand smoke exposure is a significant risk
factor for persistent otitis media in children. Smoke irritates the
Eustachian tube and promotes fluid accumulation in the middle
ear.
, 5. A nurse is assisting with the care of a 3-month-old infant
following a surgical procedure. Which pain scale should the
nurse use to determine the infant's pain level?
A. FACES Pain Rating Scale
B. Numeric Pain Rating Scale
C. FLACC Scale
D. Oucher Scale
🟢 C. FLACC Scale
🔴 RATIONALE: The FLACC (Face, Legs, Activity, Cry, Consolability)
scale is appropriate for infants and children aged 2 months to 7
years who cannot verbalize pain. The FACES and Oucher scales
require self-report and are used for older children.
6. A nurse is caring for a child who reports being physically
abused by a family member. Which statement should the nurse
make?
A. "You should try to avoid making your family member angry."
B. "It is not your fault that this happened."
C. "I will not tell anyone what you have told me."
D. "Can you tell me what you did to provoke this?"
🟢 B. "It is not your fault that this happened."
🔴 RATIONALE: Children who are abused often blame themselves.
The nurse must reassure the child that they are not at fault. The
nurse is a mandated reporter and must report suspected abuse.
7. A nurse is assisting with the discharge of a child who has a new
prescription for an oral antibiotic. Which information should the
nurse include in the discharge instructions?
