UPDATE ON
Pediatric
Nursing
Practice Exam
,2025-2026
WITH
QUESTIONS
AND VERRIFIED
ANSWERS
1. A 2-year-old is admitted with dehydration. Which
finding is most concerning?
A. Dry lips
,B. Sunken fontanel
C. Decreased tears
D. Capillary refill of 4 seconds
Answer: D
Rationale: Prolonged capillary refill indicates poor
perfusion and severe dehydration.
2. What is the normal heart rate for a newborn?
A. 60–100 bpm
B. 80–120 bpm
C. 110–160 bpm
D. 140–180 bpm
Answer: C
Rationale: Normal newborn heart rate is 110–160 bpm.
3. A child with croup has stridor at rest. What is the
priority intervention?
A. Encourage fluids
B. Administer racemic epinephrine
C. Give oral antibiotics
D. Place in supine position
, Answer: B
Rationale: Stridor at rest indicates severe airway
obstruction requiring epinephrine.
4. Which immunization is given at birth?
A. DTaP
B. MMR
C. Hepatitis B
D. Varicella
Answer: C
Rationale: Hepatitis B vaccine is administered at birth.
5. A child with nephrotic syndrome will have which
symptom?
A. Hematuria
B. Proteinuria
C. Polyuria
D. Hypertension
Answer: B
Rationale: Protein loss in urine is the hallmark of
nephrotic syndrome.