Peds Midterm (2025) Actual Exam
Questions and Answers A+ Graded
1. .The .nurse .is .beginning .to .administer .the .Denver .II .to .a .small .child .when .his
.mother .says ."Can .you .tell .me .again .what .this .Denver .II .is?" .The .nurse's .best
.response .is .which .of .the .following? .
1. ."It's .a .simple .intelligence .test .for .young .children." .
2. ."It .tells .us .what .a .child .can .do .at .a .particular .age." .
3. ."It .determines .a .child's .visual .acuity." .
4. ."It .is .a .test .to .screen .for .hearing .abnormalities." .- .CORRECT .ANSWER-ANS:
.2
2. .Which .of .the .following .characteristics .best .describes .the .fine .motor .skills .of
.a .5-month-old .infant? .
.1. .Neat .pincer .grasp .
2. .Strong .grasp .reflex .
3. .Builds .a .tower .of .two .cubes .
4. .Able .to .grasp .objects .voluntarily .- .CORRECT .ANSWER-ANS: .4
3. .Antonio .is .assessing .an .adolescent. .Identify .the .top .priority.
1. .Converse .about .peers
2. .Allow .time .to .express .feelings
3. .Use .the .same .language .as .the .adolescent
4. .Emphasize .that .confidentiality .will .be .maintained .- .CORRECT .ANSWER-ANS:
.2
4. .A .new .mother .is .asking .about .when .her .baby .daughter .should .be .learning .to
.sit. .The .nurse .knows .that .a .baby .will .sit .at .approximately .which .age?
1. .8 .months
2. .4 .months
3. .5 .months
4. .1 .year .- .CORRECT .ANSWER-ANS: .1
6. .The .developmental .task .that .a .toddler .between .the .ages .of .15 .to .30 .months
.is .likely .to .be .struggling .with .is .a .sense .of:
1. .Trust.
2. .Initiative.
3. .Autonomy.
4. .Intimacy. .- .CORRECT .ANSWER-ANS: .3
5. .A .nurse .is .assessing .a .2-and-one-half-month-old .infant .at .the .outpatient
.clinic. .The .nurse .would .anticipate .that .the .baby .should:
, 1. .Smile .when .presented .with .pleasurable .stimuli.
2. .Cry .at .seeing .a .stranger's .face.
3. .Reach .for .the .primary .care .giver. .
4. .Hold .a .bottle. .- .CORRECT .ANSWER-ANS: .1
7. .Parents .of .a .2 .year .old .are .attempting .to .toilet .train. .The .nurse .has .spoken
.to .the .family .and .should .encourage .which .of .the .following .to .occur .for
.successful .toilet .training?
1. .Anticipate .that .the .bladder .will .be .trained .before .the .bowel.
2. .The .child .will .respond .more .if .the .parents .are .encouraging.
3. .Having .the .child .watch .an .older .sibling .use .the .toilet .will .cause .confusion.
4. .The .child .must .be .forced .to .sit .on .the .toilet .when .first .learning. .- .CORRECT
.ANSWER-ANS: .2
8. .The .nurse .is .attempting .to .obtain .a .physical .assessment .of .a .15-month-old
.child. .The .nurse .knows .that .the .most .appropriate .approach .to .performing .the
.physical .assessment .includes .all .of .the .following .except:
1. .Demonstrating .the .use .of .the .blood .pressure .cuff .on .a .teddy .bear.
2. .Performing .the .most .invasive .assessments .first.
3. .Letting .the .child .exam .the .nurse .first.
4. .Taking .the .blood .pressure .first .which .will .allow .the .child .to .ease .into .the .full
.exam., .- .CORRECT .ANSWER-ANS: .4
10. .Which .of .the .following .statements .regarding .failure .to .thrive .is .true? .
.1. .Height .or .weight .is .less .than .3% .to .5% .for .age .on .more .than .one .occasion. .
2. .Failure .to .thrive .is .always .caused .by .child .abuse .or .poor .parenting. .
3. .Height .or .weight .falling .two .major .percentile .lines .on .the .NCHS .growth
.charts .is .indicative .of .failure .to .thrive. .
4. .Smoking .and .alcohol .use .during .pregnancy .are .linked .to .failure .to .thrive. .-
.CORRECT .ANSWER-ANS: .3
11. .The .mother .of .a .3 .year .old .with .the .diagnosis .of .failure .to .thrive .asks .what
.foods .would .be .good .to .give .her .child .for .nutrition. .Identify .which .foods .are
.healthy .choices .for .the .child.
1. .Peanut .butter .and .jelly .sandwiches
2. .Chocolate .milk
3. .Yogurt .and .bananas
4. .Chips .and .low .fat .dip .- .CORRECT .ANSWER-ANS: .3
12. .A .home .health .nurse .is .visiting .an .18-month-old .pediatric .patient .with .the
.diagnosis .of .failure .to .thrive. .A .priority .assessment .for .the .child .would .be:
1. .Head .circumference.
2. .Height .and .weight.
3. .Abdominal .circumference.
4. .1 .and .2 .should .be .documented. .- .CORRECT .ANSWER-ANS: .4
13. .The .nurse .is .assessing .a .2-month-old .infant. .The .nurse .knows .when .she
.sees .the .child .move .its .head .from .side-to-side .that .the .child .has .___________
.control.
, 1. .Proximodistal .
2. .Cephalocaudal
3. .Differentiation
4. .None .of .the .above .are .correct. .- .CORRECT .ANSWER-ANS: .1
14. .The .nurse .is .assessing .a .child .who .is .3 .years .old. .The .Babinski .Reflex .is
.assessed .and .noted .to .be .present. .The .nurse .knows .that:
1. .This .is .a .normal .response .to .the .test.
2. .This .is .an .abnormal .response .to .the .test .and .should .be .further .assessed.
3. .The .reflex .is .abnormal .but .the .child .will .eventually .grow .out .of .it.
4. .This .is .normal .and .should .be .repeated .on .both .feet., .- .CORRECT .ANSWER-
ANS: .2
15. .A .nursery .nurse .is .assessing .a .newborn. .A .normal .assessment .finding .is:
1. .The .child .lifting .its .head .off .of .the .mattress.
2. .Head .lag .is .present.
3. .Holding .hands .in .an .open .position.
4. .Placing .a .toy .in .the .mouth. .- .CORRECT .ANSWER-ANS: .2
16. .During .an .assessment .the .nurse .notes .the .anterior .fontanel .of .a .5 .month
.old .is .open. .This .finding:
1. .Is .abnormal, .and .the .doctor .should .be .immediately .notified.
2. .Is .abnormal .at .this .age, .and .a .head .circumference .should .be .done .prior .to
.calling .the .doctor.
3. .Is .normal .at .this .age.
4. .Is .normal .and .should .close .by .the .age .of .two., .- .CORRECT .ANSWER-ANS: .3
17. .A .mother .is .concerned .that .her .8-month-old .child .does .not .have .any .teeth.
.The .best .response .from .the .nurse .would .be:
1. ."Teeth .tend .not .to .come .in .until .around .18 .months .so .this .is .normal."
2. ."I .understand .your .concern .about .the .lack .of .teeth. .I .will .make .sure .the
.doctor .addresses .your .concerns."
3. ."This .is .nothing .to .worry .about. .Your .child .is .still .young, .and .the .teeth .will
.come .in .when .they .are .ready."
4. ."Normal .tooth .eruption .occurs .by .the .one .year .mark. .Continue .to .watch .your
.child, .and .report .to .us .if .teeth .have .not .come .in .by .then.", .- .CORRECT
.ANSWER-ANS: .4
19. .The .public .health .nurse .is .assessing .children .at .the .well-child .clinic. .The
.nurse .is .assessing .the .gross .motor .skills .of .a .3 .year .old. .Identify .which
.activity .the .nurse .would .expect .the .child .to .be .successful .with.
1. .Riding .a .bike
2. .Jumping .rope
3. .Jumping .off .of .the .bottom .stair .step
4. .Walking .backward .heel .to .toe .- .CORRECT .ANSWER-ANS: .3
20. .A .school .nurse .is .assessing .the .interaction .of .a .kindergarten .classroom. .A
.normal .finding .of .social .interaction .at .this .age .would .be:
1. .Parallel .play.
, 2. .Identified .sex-role .interactions
3. .Pretend .play.
4. .2 .and .3 .would .be .present .in .a .kindergarten .classroom. .- .CORRECT
.ANSWER-ANS: .4
18. .The .nurse .is .assessing .the .parent-child .interaction .of .a .6 .month .old .and
.her .teen .father. .The .stage .of .development .for .the .infant .is .demonstrated .when:
1. .The .child .relaxes .and .drinks .a .bottle .when .in .the .father's .arms.
2. .The .child .cries .and .refuses .to .eat .with .her .father.
3. .The .child .imitates .the .father's .actions.
4. .The .child .is .able .to .hold .the .bottle .by .himself. .- .CORRECT .ANSWER-ANS: .1
25. .A .13-year-old .girl .is .developing .breast .buds. .She .feels .that .her .development
.is .behind .most .of .her .friends. .The .nurse .discusses .changes .that .are .going .to
.occur .during .the .genital .stage .and .what .to .expect .socially. .Identify .changes
.that .would .be .pertinent .to .this .age.
1. .Change .in .friendships
2. .Challenge .to .be .independent .from .parents
3. .Struggle .with .identifying .sexuality
4. .All .of .the .above .are .likely .to .occur .at .this .stage .of .development. .- .CORRECT
.ANSWER-ANS: .4
34. .A .mother .has .given .birth .to .her .baby .at .28 .week's .gestation. .The .nurse
.knows .that .a .premature .birth:
1. .Causes .future .assessments .to .be .based .on .the .adjust .age .not .the
.chronological .age.
2. .Does .not .cause .a .delay .in .growth .and .development.
3. .Occurs .rarely .and .will .not .affect .future .assessments.
4. .Will .reach .developmental .milestones .at .the .same .time .as .other .full-term
.newborns., .- .CORRECT .ANSWER-ANS: .1
35. .At .a .well-baby .checkup .the .nurse .is .assessing .a .former .32-week .premature
.infant. .The .chronological .age .of .the .infant .is .6 .months .so .the .nurse .knows .that
.during .the .assessment .the .infant .should .be .meeting .the .milestones .of .a(n):
1. .8 .month .old.
2. .4 .month .old.
3. .6 .month .old.
4. .3 .month .old. .- .CORRECT .ANSWER-ANS: .2
21. .According .to .Piaget's .theory .a .normal .thought .process .for .an .18 .to .24-
month-old .child .would .be:
1. .A .diaper .means .a .diaper .changing .is .going .to .occur.
2. .A .rattle .should .go .in .the .mouth.
3. .A .loud .noise .means .something .bad .is .going .to .happen.
4. .A .thumb .is .for .sucking. .- .CORRECT .ANSWER-ANS: .1
42. .A .nurse .at .a .teen .outreach .center .for .pregnant .mothers .is .discussing .dental
.care .with .patients. .Pertinent .information .for .the .nurse .to .teach .about .would .be:
.(Select .all .that .apply.)
Questions and Answers A+ Graded
1. .The .nurse .is .beginning .to .administer .the .Denver .II .to .a .small .child .when .his
.mother .says ."Can .you .tell .me .again .what .this .Denver .II .is?" .The .nurse's .best
.response .is .which .of .the .following? .
1. ."It's .a .simple .intelligence .test .for .young .children." .
2. ."It .tells .us .what .a .child .can .do .at .a .particular .age." .
3. ."It .determines .a .child's .visual .acuity." .
4. ."It .is .a .test .to .screen .for .hearing .abnormalities." .- .CORRECT .ANSWER-ANS:
.2
2. .Which .of .the .following .characteristics .best .describes .the .fine .motor .skills .of
.a .5-month-old .infant? .
.1. .Neat .pincer .grasp .
2. .Strong .grasp .reflex .
3. .Builds .a .tower .of .two .cubes .
4. .Able .to .grasp .objects .voluntarily .- .CORRECT .ANSWER-ANS: .4
3. .Antonio .is .assessing .an .adolescent. .Identify .the .top .priority.
1. .Converse .about .peers
2. .Allow .time .to .express .feelings
3. .Use .the .same .language .as .the .adolescent
4. .Emphasize .that .confidentiality .will .be .maintained .- .CORRECT .ANSWER-ANS:
.2
4. .A .new .mother .is .asking .about .when .her .baby .daughter .should .be .learning .to
.sit. .The .nurse .knows .that .a .baby .will .sit .at .approximately .which .age?
1. .8 .months
2. .4 .months
3. .5 .months
4. .1 .year .- .CORRECT .ANSWER-ANS: .1
6. .The .developmental .task .that .a .toddler .between .the .ages .of .15 .to .30 .months
.is .likely .to .be .struggling .with .is .a .sense .of:
1. .Trust.
2. .Initiative.
3. .Autonomy.
4. .Intimacy. .- .CORRECT .ANSWER-ANS: .3
5. .A .nurse .is .assessing .a .2-and-one-half-month-old .infant .at .the .outpatient
.clinic. .The .nurse .would .anticipate .that .the .baby .should:
, 1. .Smile .when .presented .with .pleasurable .stimuli.
2. .Cry .at .seeing .a .stranger's .face.
3. .Reach .for .the .primary .care .giver. .
4. .Hold .a .bottle. .- .CORRECT .ANSWER-ANS: .1
7. .Parents .of .a .2 .year .old .are .attempting .to .toilet .train. .The .nurse .has .spoken
.to .the .family .and .should .encourage .which .of .the .following .to .occur .for
.successful .toilet .training?
1. .Anticipate .that .the .bladder .will .be .trained .before .the .bowel.
2. .The .child .will .respond .more .if .the .parents .are .encouraging.
3. .Having .the .child .watch .an .older .sibling .use .the .toilet .will .cause .confusion.
4. .The .child .must .be .forced .to .sit .on .the .toilet .when .first .learning. .- .CORRECT
.ANSWER-ANS: .2
8. .The .nurse .is .attempting .to .obtain .a .physical .assessment .of .a .15-month-old
.child. .The .nurse .knows .that .the .most .appropriate .approach .to .performing .the
.physical .assessment .includes .all .of .the .following .except:
1. .Demonstrating .the .use .of .the .blood .pressure .cuff .on .a .teddy .bear.
2. .Performing .the .most .invasive .assessments .first.
3. .Letting .the .child .exam .the .nurse .first.
4. .Taking .the .blood .pressure .first .which .will .allow .the .child .to .ease .into .the .full
.exam., .- .CORRECT .ANSWER-ANS: .4
10. .Which .of .the .following .statements .regarding .failure .to .thrive .is .true? .
.1. .Height .or .weight .is .less .than .3% .to .5% .for .age .on .more .than .one .occasion. .
2. .Failure .to .thrive .is .always .caused .by .child .abuse .or .poor .parenting. .
3. .Height .or .weight .falling .two .major .percentile .lines .on .the .NCHS .growth
.charts .is .indicative .of .failure .to .thrive. .
4. .Smoking .and .alcohol .use .during .pregnancy .are .linked .to .failure .to .thrive. .-
.CORRECT .ANSWER-ANS: .3
11. .The .mother .of .a .3 .year .old .with .the .diagnosis .of .failure .to .thrive .asks .what
.foods .would .be .good .to .give .her .child .for .nutrition. .Identify .which .foods .are
.healthy .choices .for .the .child.
1. .Peanut .butter .and .jelly .sandwiches
2. .Chocolate .milk
3. .Yogurt .and .bananas
4. .Chips .and .low .fat .dip .- .CORRECT .ANSWER-ANS: .3
12. .A .home .health .nurse .is .visiting .an .18-month-old .pediatric .patient .with .the
.diagnosis .of .failure .to .thrive. .A .priority .assessment .for .the .child .would .be:
1. .Head .circumference.
2. .Height .and .weight.
3. .Abdominal .circumference.
4. .1 .and .2 .should .be .documented. .- .CORRECT .ANSWER-ANS: .4
13. .The .nurse .is .assessing .a .2-month-old .infant. .The .nurse .knows .when .she
.sees .the .child .move .its .head .from .side-to-side .that .the .child .has .___________
.control.
, 1. .Proximodistal .
2. .Cephalocaudal
3. .Differentiation
4. .None .of .the .above .are .correct. .- .CORRECT .ANSWER-ANS: .1
14. .The .nurse .is .assessing .a .child .who .is .3 .years .old. .The .Babinski .Reflex .is
.assessed .and .noted .to .be .present. .The .nurse .knows .that:
1. .This .is .a .normal .response .to .the .test.
2. .This .is .an .abnormal .response .to .the .test .and .should .be .further .assessed.
3. .The .reflex .is .abnormal .but .the .child .will .eventually .grow .out .of .it.
4. .This .is .normal .and .should .be .repeated .on .both .feet., .- .CORRECT .ANSWER-
ANS: .2
15. .A .nursery .nurse .is .assessing .a .newborn. .A .normal .assessment .finding .is:
1. .The .child .lifting .its .head .off .of .the .mattress.
2. .Head .lag .is .present.
3. .Holding .hands .in .an .open .position.
4. .Placing .a .toy .in .the .mouth. .- .CORRECT .ANSWER-ANS: .2
16. .During .an .assessment .the .nurse .notes .the .anterior .fontanel .of .a .5 .month
.old .is .open. .This .finding:
1. .Is .abnormal, .and .the .doctor .should .be .immediately .notified.
2. .Is .abnormal .at .this .age, .and .a .head .circumference .should .be .done .prior .to
.calling .the .doctor.
3. .Is .normal .at .this .age.
4. .Is .normal .and .should .close .by .the .age .of .two., .- .CORRECT .ANSWER-ANS: .3
17. .A .mother .is .concerned .that .her .8-month-old .child .does .not .have .any .teeth.
.The .best .response .from .the .nurse .would .be:
1. ."Teeth .tend .not .to .come .in .until .around .18 .months .so .this .is .normal."
2. ."I .understand .your .concern .about .the .lack .of .teeth. .I .will .make .sure .the
.doctor .addresses .your .concerns."
3. ."This .is .nothing .to .worry .about. .Your .child .is .still .young, .and .the .teeth .will
.come .in .when .they .are .ready."
4. ."Normal .tooth .eruption .occurs .by .the .one .year .mark. .Continue .to .watch .your
.child, .and .report .to .us .if .teeth .have .not .come .in .by .then.", .- .CORRECT
.ANSWER-ANS: .4
19. .The .public .health .nurse .is .assessing .children .at .the .well-child .clinic. .The
.nurse .is .assessing .the .gross .motor .skills .of .a .3 .year .old. .Identify .which
.activity .the .nurse .would .expect .the .child .to .be .successful .with.
1. .Riding .a .bike
2. .Jumping .rope
3. .Jumping .off .of .the .bottom .stair .step
4. .Walking .backward .heel .to .toe .- .CORRECT .ANSWER-ANS: .3
20. .A .school .nurse .is .assessing .the .interaction .of .a .kindergarten .classroom. .A
.normal .finding .of .social .interaction .at .this .age .would .be:
1. .Parallel .play.
, 2. .Identified .sex-role .interactions
3. .Pretend .play.
4. .2 .and .3 .would .be .present .in .a .kindergarten .classroom. .- .CORRECT
.ANSWER-ANS: .4
18. .The .nurse .is .assessing .the .parent-child .interaction .of .a .6 .month .old .and
.her .teen .father. .The .stage .of .development .for .the .infant .is .demonstrated .when:
1. .The .child .relaxes .and .drinks .a .bottle .when .in .the .father's .arms.
2. .The .child .cries .and .refuses .to .eat .with .her .father.
3. .The .child .imitates .the .father's .actions.
4. .The .child .is .able .to .hold .the .bottle .by .himself. .- .CORRECT .ANSWER-ANS: .1
25. .A .13-year-old .girl .is .developing .breast .buds. .She .feels .that .her .development
.is .behind .most .of .her .friends. .The .nurse .discusses .changes .that .are .going .to
.occur .during .the .genital .stage .and .what .to .expect .socially. .Identify .changes
.that .would .be .pertinent .to .this .age.
1. .Change .in .friendships
2. .Challenge .to .be .independent .from .parents
3. .Struggle .with .identifying .sexuality
4. .All .of .the .above .are .likely .to .occur .at .this .stage .of .development. .- .CORRECT
.ANSWER-ANS: .4
34. .A .mother .has .given .birth .to .her .baby .at .28 .week's .gestation. .The .nurse
.knows .that .a .premature .birth:
1. .Causes .future .assessments .to .be .based .on .the .adjust .age .not .the
.chronological .age.
2. .Does .not .cause .a .delay .in .growth .and .development.
3. .Occurs .rarely .and .will .not .affect .future .assessments.
4. .Will .reach .developmental .milestones .at .the .same .time .as .other .full-term
.newborns., .- .CORRECT .ANSWER-ANS: .1
35. .At .a .well-baby .checkup .the .nurse .is .assessing .a .former .32-week .premature
.infant. .The .chronological .age .of .the .infant .is .6 .months .so .the .nurse .knows .that
.during .the .assessment .the .infant .should .be .meeting .the .milestones .of .a(n):
1. .8 .month .old.
2. .4 .month .old.
3. .6 .month .old.
4. .3 .month .old. .- .CORRECT .ANSWER-ANS: .2
21. .According .to .Piaget's .theory .a .normal .thought .process .for .an .18 .to .24-
month-old .child .would .be:
1. .A .diaper .means .a .diaper .changing .is .going .to .occur.
2. .A .rattle .should .go .in .the .mouth.
3. .A .loud .noise .means .something .bad .is .going .to .happen.
4. .A .thumb .is .for .sucking. .- .CORRECT .ANSWER-ANS: .1
42. .A .nurse .at .a .teen .outreach .center .for .pregnant .mothers .is .discussing .dental
.care .with .patients. .Pertinent .information .for .the .nurse .to .teach .about .would .be:
.(Select .all .that .apply.)
