RN NURSING CARE OF CHILDREN – 2025 PEDIATRIC
NURSING STUDY GUIDE WITH 230 PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH MOST TESTED QUESTIONS
THIS RESOURCE COVERS ESSENTIAL TOPICS IN PEDIATRIC NURSING, INCLUDING
DEVELOPMENTAL STAGES, FAMILY-CENTERED APPROACHES, COMMON CHILDHOOD
ILLNESSES, AND SAFE MEDICATION ADMINISTRATION IN CHILDREN. IT IS DESIGNED TO HELP
RN STUDENTS AND PRACTICING NURSES BUILD COMPETENCE IN PROVIDING EFFECTIVE,
AGE-APPROPRIATE CARE TO PEDIATRIC PATIENTS. PRACTICE QUESTIONS SUPPORT EXAM
PREPARATION AND CLINICAL CONFIDENCE.
A nurse manager on a pediatric unit is preparing an education program on working with families for
a group of newly hired nurses. Which of the following should the nurse include when discussing the
developmental theory?
A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change - CORRECT ANSWER-D. Defines consistencies in
how families change
A nurse is assisting a group of guardians of adolescents to develop skills that wil improve
communication within the family. The nurse hears one guardian state, "My son knows he better do
what I say." Which of the following parenting styles is the parent exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive - CORRECT ANSWER-A. Authoritarian
A nurse is performing family assessment. Which of the following should the nurse include? (SATA)
A. Medical history
B. Parents' education level
C. Child's physical growth
D. Support systems
,E. Stressors - CORRECT ANSWER-A. Medical history
B. Parents' education level
D. Support systems
E. Stressors
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to
prepare the child?
A. Allow the child to role-play using miniature equipment
B. Use medical terminology to describe what will happen
C. Separate the child from the caregiver during the examination
D. Keep medical equipment visible to the child - CORRECT ANSWER-A. Allow the child to role-
play using miniature equipment
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the
following findings should the nurse report to teh provider?
A. Temperature 37.2 degress C (99.0 degrees F)
B. Heart rate 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg - CORRECT ANSWER-C. Respirations 30/min
A nurse is assessing a child's ears. Which of the following findings should the nurse expect?
A. Light reflex is located at the 2 o'clock position
B. Tympanic membrane is red in color
C. Bony landmarks are not visible
D. Cerumen is present bilaterally - CORRECT ANSWER-D. Cerumen is present bilaterally
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck - CORRECT ANSWER-B. Plantar grasp
,A nurse is preparing to administer the varicella vaccine to an adolescent.
Which of the following questions should the nurse ask to determine whether there is a
contraindication to administering the vaccine?
A. "Do you have an allergy to eggs?"
B. "Have you ever had encephalopathy following immunizations?"
C. "Are you currently taking corticosteroid medication?"
D. "Have you ever had an anaphylactic reaction to yeast?" - CORRECT ANSWER-C. "Are you
currently taking corticosteroid medication?"
A nurse is caring for a 15-month-old child in a clinic. Which of the following actions should the nurse
take?
A. Administer DTaP vaccine
B. Administer rotavirus vaccine
C. Hold immunizations until fever subsides
D. Administer hepatitis A vaccine - CORRECT ANSWER-A. Administer DTaP vaccine
A nurse is teaching a group of family members about complications of communicable diseases.
Which of the following communicable diseases can lead to pneumonia? (SATA)
A. Rubella (German measles)
B. Rubeola (measles)
C. Pertussis (whooping cough)
D. Varicella (chickenpox)
E. Mumps - CORRECT ANSWER-B. Rubeola (measles)
C. Pertussis (whooping cough)
D. Varicella (chickenpox)
A nurse is caring for a client who has rubeola. The nurse should monitor for which of the following
complications? (SATA)
A. Otitis media
B. Constipation
C. Laryngitis
, D. Arthralgia
E. Syncope - CORRECT ANSWER-A. Otitis media
C. Laryngitis
A nurse is assessing a client who has pertussis. Which of the following findings should the nurse
expect? (SATA)
A. Runny nose
B. Mild fever
C. Cough with whooping sound
D. Swollen salivary glands
E. Red rash - CORRECT ANSWER-A. Runny nose
B. Mild fever
C. Cough with whooping sound
A nurse is teaching a group of family members about communicable diseases. The nurse should
include that which of the following is the best method to prevent a communicable disease?
A. Hand washing
B. Avoiding persons who have active disease
C. Covering your cough
D. Obtaining immunizations - CORRECT ANSWER-D. Obtaining immunizations
A nurse is caring for an infant who has manifestations of acute otitis media (AOM). Which of the
following factors place the infant at risk for otitis media? (SATA)
A. Breastfeeds without formula supplementation
B. Attends day care 4 days per week
C. Immunizations are up to date
D. History of a cleft palate repair
E. Parents smoke cigarettes outside - CORRECT ANSWER-B. Attends day care 4 days per week
D. History of a cleft palate repair
E. Parents smoke cigarettes outside
NURSING STUDY GUIDE WITH 230 PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH MOST TESTED QUESTIONS
THIS RESOURCE COVERS ESSENTIAL TOPICS IN PEDIATRIC NURSING, INCLUDING
DEVELOPMENTAL STAGES, FAMILY-CENTERED APPROACHES, COMMON CHILDHOOD
ILLNESSES, AND SAFE MEDICATION ADMINISTRATION IN CHILDREN. IT IS DESIGNED TO HELP
RN STUDENTS AND PRACTICING NURSES BUILD COMPETENCE IN PROVIDING EFFECTIVE,
AGE-APPROPRIATE CARE TO PEDIATRIC PATIENTS. PRACTICE QUESTIONS SUPPORT EXAM
PREPARATION AND CLINICAL CONFIDENCE.
A nurse manager on a pediatric unit is preparing an education program on working with families for
a group of newly hired nurses. Which of the following should the nurse include when discussing the
developmental theory?
A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change - CORRECT ANSWER-D. Defines consistencies in
how families change
A nurse is assisting a group of guardians of adolescents to develop skills that wil improve
communication within the family. The nurse hears one guardian state, "My son knows he better do
what I say." Which of the following parenting styles is the parent exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive - CORRECT ANSWER-A. Authoritarian
A nurse is performing family assessment. Which of the following should the nurse include? (SATA)
A. Medical history
B. Parents' education level
C. Child's physical growth
D. Support systems
,E. Stressors - CORRECT ANSWER-A. Medical history
B. Parents' education level
D. Support systems
E. Stressors
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to
prepare the child?
A. Allow the child to role-play using miniature equipment
B. Use medical terminology to describe what will happen
C. Separate the child from the caregiver during the examination
D. Keep medical equipment visible to the child - CORRECT ANSWER-A. Allow the child to role-
play using miniature equipment
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the
following findings should the nurse report to teh provider?
A. Temperature 37.2 degress C (99.0 degrees F)
B. Heart rate 106/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg - CORRECT ANSWER-C. Respirations 30/min
A nurse is assessing a child's ears. Which of the following findings should the nurse expect?
A. Light reflex is located at the 2 o'clock position
B. Tympanic membrane is red in color
C. Bony landmarks are not visible
D. Cerumen is present bilaterally - CORRECT ANSWER-D. Cerumen is present bilaterally
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck - CORRECT ANSWER-B. Plantar grasp
,A nurse is preparing to administer the varicella vaccine to an adolescent.
Which of the following questions should the nurse ask to determine whether there is a
contraindication to administering the vaccine?
A. "Do you have an allergy to eggs?"
B. "Have you ever had encephalopathy following immunizations?"
C. "Are you currently taking corticosteroid medication?"
D. "Have you ever had an anaphylactic reaction to yeast?" - CORRECT ANSWER-C. "Are you
currently taking corticosteroid medication?"
A nurse is caring for a 15-month-old child in a clinic. Which of the following actions should the nurse
take?
A. Administer DTaP vaccine
B. Administer rotavirus vaccine
C. Hold immunizations until fever subsides
D. Administer hepatitis A vaccine - CORRECT ANSWER-A. Administer DTaP vaccine
A nurse is teaching a group of family members about complications of communicable diseases.
Which of the following communicable diseases can lead to pneumonia? (SATA)
A. Rubella (German measles)
B. Rubeola (measles)
C. Pertussis (whooping cough)
D. Varicella (chickenpox)
E. Mumps - CORRECT ANSWER-B. Rubeola (measles)
C. Pertussis (whooping cough)
D. Varicella (chickenpox)
A nurse is caring for a client who has rubeola. The nurse should monitor for which of the following
complications? (SATA)
A. Otitis media
B. Constipation
C. Laryngitis
, D. Arthralgia
E. Syncope - CORRECT ANSWER-A. Otitis media
C. Laryngitis
A nurse is assessing a client who has pertussis. Which of the following findings should the nurse
expect? (SATA)
A. Runny nose
B. Mild fever
C. Cough with whooping sound
D. Swollen salivary glands
E. Red rash - CORRECT ANSWER-A. Runny nose
B. Mild fever
C. Cough with whooping sound
A nurse is teaching a group of family members about communicable diseases. The nurse should
include that which of the following is the best method to prevent a communicable disease?
A. Hand washing
B. Avoiding persons who have active disease
C. Covering your cough
D. Obtaining immunizations - CORRECT ANSWER-D. Obtaining immunizations
A nurse is caring for an infant who has manifestations of acute otitis media (AOM). Which of the
following factors place the infant at risk for otitis media? (SATA)
A. Breastfeeds without formula supplementation
B. Attends day care 4 days per week
C. Immunizations are up to date
D. History of a cleft palate repair
E. Parents smoke cigarettes outside - CORRECT ANSWER-B. Attends day care 4 days per week
D. History of a cleft palate repair
E. Parents smoke cigarettes outside
