PEDIATRIC NURSING-FINAL EXAM 2025

PEDIATRIC NURSING QUESTION BANK



SECTION 1: GROWTH & DEVELOPMENT

1. At what age does an infant typically double their birth weight?

o A: 5–6 months

o Rationale: Average weight gain is 5–7 oz/week in the first 6 months.

2. Which fine motor skill is expected in a 4-year-old?

o A: Drawing a circle and using scissors.

3. When should the Babinski reflex disappear?

o A: By 12 months (persistence may indicate CNS dysfunction).



SECTION 2: NUTRITION & VACCINES

4. Best first food for a 6-month-old?

o A: Iron-fortified rice cereal (least allergenic).

5. Which vaccine is contraindicated in a child with anaphylactic egg allergy?

o A: Yellow fever vaccine (contains egg protein).

6. A toddler with lactose intolerance should avoid:

o A: Cow’s milk (offer lactose-free alternatives like soy milk).



SECTION 3: ACUTE CONDITIONS

7. Priority intervention for a 2-year-old with croup?

o A: Cool mist humidifier + dexamethasone IM/PO.

8. Sign of bacterial meningitis in an infant?

o A: Bulging fontanelle + high-pitched cry.

9. A child with Kawasaki disease needs:

o A: IVIG + high-dose aspirin (prevents coronary aneurysms).



SECTION 4: CHRONIC ILLNESS