PEDIATRIC NURSING EXAM 1 QUESTIONS AND
ANSWERS 100% CORRECT!!
,A 6-month old male is at his well-child checkup. The nurse weighs him, and his mother
asks if his weight is normal for his age. The nurse's best response is:
1. "At 6 months his weight should be approximately three times his birth weight."
2. "Each child gains weight at his or her own pace."
3. "At 6 months his weight should be approximately twice his birth weight."
4. At 6 months a child should weigh about 10 lb more than his or her birth weight." -
ANSWER 3. "At 6 months his weight should be approximately twice his birth weight."
Rationale: Infants should double their weight by 4-6-months of age.
How can the nurse best facilitate the trust relationship between infant and parents while
the infant is hospitalized? The nurse should:
1. Encourage the parents to remain at their child's bedside as much as possible.
2. Keep parents informed about all aspects of their child's condition.
3. Encourage the parents to hold their child as much as possible.
4. Advise the parents to participate actively in their child's care. - ANSWER 3.
Encourage the parents to hold their child as much as possible.
The nurse is going to give a 6-month-old a dose of Rocephin IM. What must the nurse
do when the 1.5 mL dose arrives from the pharmacy?
1. Administer the injection into the deltoid muscle.
2. Divide the dose into two injections.
3. Administer the injection into the dorsogluteal muscle.
4. Give dose as a single injection into the vastus lateralis muscle. - ANSWER 2. Divide
the dose into two injections.
Rationale: A nurse should not deliver more than 1 mL per IM injection to a 6-month old.
Which statement by an infant's mother leads the nurse to believe she needs further
education about the nutritional needs of a 6-month-old?
1. "I will continue to breastfeed my son and will give him rice cereal three times a day."
2. "I will start my son on fruits and gradually introduce vegetables."
3. "I will start my son on carrots and will introduce one new vegetable every few days."
4. "I will not give my son any more than 8 ounces of baby juice per day." - ANSWER 2.
"I will start my son on fruits and gradually introduce vegetables."
Rationale: Infants should be started on vegetables prior to fruits. The sweetness of fruits
may inhibit infants from taking vegetables.
** As a parent, this is true! Trust me 😂
The mother of a newborn asks the nurse when the infant will receive the first hepatitis B
immunization. Which is the nurse's best response?
, 1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-positive."
2. "The first dose of hepatitis B vaccine will be given prior to discharge today."
3. "The first dose of hepatitis B vaccine is given at 1 year of age."
4. "Babies receive their first hepatitis B vaccine at 6-months of age." - ANSWER 2. "The
first dose of hepatitis B vaccine will be given prior to discharge today."
Which finding would the nurse consider abnormal when performing a physical
assessment on a 6-month-old?
1. The posterior fontanel is open.
2. The anterior fontanel is open.
3. Beginning signs of tooth eruption.
4. Able to track and follow objects. - ANSWER 1. The posterior fontanel is open.
Rationale: The posterior fontanel should close between 6 and 8 weeks of age. The
anterior fontanel should close between 12 and 18 months of age. The other two options
are normal.
A mother requests that her child receive the varicella vaccine at the 9-month well-child
checkup. The nurse tells the mother that:
1. Children who are vaccinated will likely develop a mild case of the disease.
2. The vaccine cannot be given at that visit.
3. The vaccine will be administered after the physician examines the child.
4. A booster vaccination will be needed at 18 months of age. - ANSWER 2. The vaccine
cannot be given at that visit.
Rationale: The nurse should not give the vaccine. The varicella vaccine is usually not
administered prior to 1 year of age.
What should parents understand is one of the most common causes of injury and death
for a 7-month-old infant?
1. Poisoning.
2. Child abuse.
3. Aspiration.
4. Dog bites. - ANSWER 3. Aspiration.
Rationale: Aspiration is a common cause of injury and death among children of this age.
These children often find small objects lying on the floor and place them in their mouths.
Older siblings are often responsible for leaving small objects around.
An 8-day-old was admitted to the hospital with vomiting and dehydration. The
newborn's heart rate is 170, respiratory rate is 44, blood pressure is 85/52, and
temperature is 99℉ (37.2℃). What is the nurse's best response to the parents who ask
if the vital signs are normal?
1. "The blood pressure is elevated, but the other vital signs are within normal limits."
ANSWERS 100% CORRECT!!
,A 6-month old male is at his well-child checkup. The nurse weighs him, and his mother
asks if his weight is normal for his age. The nurse's best response is:
1. "At 6 months his weight should be approximately three times his birth weight."
2. "Each child gains weight at his or her own pace."
3. "At 6 months his weight should be approximately twice his birth weight."
4. At 6 months a child should weigh about 10 lb more than his or her birth weight." -
ANSWER 3. "At 6 months his weight should be approximately twice his birth weight."
Rationale: Infants should double their weight by 4-6-months of age.
How can the nurse best facilitate the trust relationship between infant and parents while
the infant is hospitalized? The nurse should:
1. Encourage the parents to remain at their child's bedside as much as possible.
2. Keep parents informed about all aspects of their child's condition.
3. Encourage the parents to hold their child as much as possible.
4. Advise the parents to participate actively in their child's care. - ANSWER 3.
Encourage the parents to hold their child as much as possible.
The nurse is going to give a 6-month-old a dose of Rocephin IM. What must the nurse
do when the 1.5 mL dose arrives from the pharmacy?
1. Administer the injection into the deltoid muscle.
2. Divide the dose into two injections.
3. Administer the injection into the dorsogluteal muscle.
4. Give dose as a single injection into the vastus lateralis muscle. - ANSWER 2. Divide
the dose into two injections.
Rationale: A nurse should not deliver more than 1 mL per IM injection to a 6-month old.
Which statement by an infant's mother leads the nurse to believe she needs further
education about the nutritional needs of a 6-month-old?
1. "I will continue to breastfeed my son and will give him rice cereal three times a day."
2. "I will start my son on fruits and gradually introduce vegetables."
3. "I will start my son on carrots and will introduce one new vegetable every few days."
4. "I will not give my son any more than 8 ounces of baby juice per day." - ANSWER 2.
"I will start my son on fruits and gradually introduce vegetables."
Rationale: Infants should be started on vegetables prior to fruits. The sweetness of fruits
may inhibit infants from taking vegetables.
** As a parent, this is true! Trust me 😂
The mother of a newborn asks the nurse when the infant will receive the first hepatitis B
immunization. Which is the nurse's best response?
, 1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-positive."
2. "The first dose of hepatitis B vaccine will be given prior to discharge today."
3. "The first dose of hepatitis B vaccine is given at 1 year of age."
4. "Babies receive their first hepatitis B vaccine at 6-months of age." - ANSWER 2. "The
first dose of hepatitis B vaccine will be given prior to discharge today."
Which finding would the nurse consider abnormal when performing a physical
assessment on a 6-month-old?
1. The posterior fontanel is open.
2. The anterior fontanel is open.
3. Beginning signs of tooth eruption.
4. Able to track and follow objects. - ANSWER 1. The posterior fontanel is open.
Rationale: The posterior fontanel should close between 6 and 8 weeks of age. The
anterior fontanel should close between 12 and 18 months of age. The other two options
are normal.
A mother requests that her child receive the varicella vaccine at the 9-month well-child
checkup. The nurse tells the mother that:
1. Children who are vaccinated will likely develop a mild case of the disease.
2. The vaccine cannot be given at that visit.
3. The vaccine will be administered after the physician examines the child.
4. A booster vaccination will be needed at 18 months of age. - ANSWER 2. The vaccine
cannot be given at that visit.
Rationale: The nurse should not give the vaccine. The varicella vaccine is usually not
administered prior to 1 year of age.
What should parents understand is one of the most common causes of injury and death
for a 7-month-old infant?
1. Poisoning.
2. Child abuse.
3. Aspiration.
4. Dog bites. - ANSWER 3. Aspiration.
Rationale: Aspiration is a common cause of injury and death among children of this age.
These children often find small objects lying on the floor and place them in their mouths.
Older siblings are often responsible for leaving small objects around.
An 8-day-old was admitted to the hospital with vomiting and dehydration. The
newborn's heart rate is 170, respiratory rate is 44, blood pressure is 85/52, and
temperature is 99℉ (37.2℃). What is the nurse's best response to the parents who ask
if the vital signs are normal?
1. "The blood pressure is elevated, but the other vital signs are within normal limits."
