Unlock your nursing potential with this NCLEX-style prep and student
success resource. Elevate your nursing exam prep with this ultimate
success bundle of practice questions.
---
## 🏆 Pediatric Nursing Revision Notes – 2026 Complete Study Pack |
NCLEX Practice Questions
---
**1. A nurse is caring for a 4-year-old child who is hospitalized. Which developmental characteristic is
most important to consider when planning care?**
A. The child has a vivid imagination and may view illness as punishment
B. The child is able to reason logically and understand complex explanations
C. The child is primarily concerned with body image and peer acceptance
D. The child understands the concept of time and can wait patiently
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Preschoolers (ages 3-5) have magical thinking and may believe their illness is a
punishment for misbehavior. They do not have logical reasoning; that develops in the concrete
operational stage (school-age). Body image concerns are more typical of adolescents. Patience and time
concepts are not well-developed. This is a key developmental concept for nursing exam prep in pediatric
nursing. This nursing study guide emphasizes age-appropriate care to enhance student success.
**2. A nurse is assessing a 2-year-old child with suspected dehydration. Which finding is an early sign of
dehydration?**
A. Sunken fontanels
B. Decreased urine output
C. Tachycardia
,D. Dry mucous membranes
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Tachycardia is an early sign of dehydration in children, as the body attempts to
maintain cardiac output. Sunken fontanels, decreased urine output, and dry mucous membranes are
later signs. This is a critical assessment concept for nursing exam prep in pediatric fluid management.
These revision notes are essential for student success in recognizing early signs of dehydration.
**3. A nurse is preparing to administer a vaccination to a 2-month-old infant. Which vaccine should the
nurse administer at this visit?**
A. Measles, mumps, rubella (MMR)
B. Varicella (chickenpox)
C. Diphtheria, tetanus, acellular pertussis (DTaP)
D. Human papillomavirus (HPV)
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: The DTaP vaccine is administered at 2, 4, and 6 months of age. MMR and varicella are
given at 12-15 months, and HPV is given at 11-12 years. This is a fundamental vaccination schedule
concept for nursing exam prep in pediatric nursing. This nursing study guide provides comprehensive
immunization schedules for student success.
**4. A child with asthma is prescribed albuterol via a nebulizer. The nurse should monitor the child for
which adverse effect?**
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Hypoglycemia
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Albuterol is a beta-2 agonist that can cause tachycardia as a side effect due to beta-1
stimulation. Bradycardia, hypotension, and hypoglycemia are not typical. This is a key pharmacology
concept for nursing exam prep in pediatric respiratory conditions. These practice questions enhance
understanding of medication side effects.
**5. A nurse is assessing a child with suspected appendicitis. Which finding is most characteristic?**
,A. Rebound tenderness in the right lower quadrant
B. Diffuse abdominal pain that improves with movement
C. Left lower quadrant pain
D. Pain that radiates to the shoulder
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Rebound tenderness in the right lower quadrant (McBurney's point) is a classic sign
of appendicitis. Pain is typically localized, does not improve with movement, and is not in the left lower
quadrant. Shoulder pain is associated with diaphragmatic irritation. This is a key assessment concept for
nursing exam prep in pediatric gastrointestinal emergencies.
**6. A nurse is providing care to a child with a diagnosis of sickle cell crisis. Which intervention is most
important?**
A. Administer oxygen as prescribed
B. Restrict fluids
C. Apply cold compresses to painful joints
D. Encourage ambulation
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Administering oxygen helps prevent further sickling by reducing hypoxia. Fluids
should be encouraged, not restricted. Warm compresses are used for pain, and rest is typically
recommended during a crisis. This is a key nursing intervention for nursing exam prep in pediatric
hematological disorders.
**7. A nurse is assessing a 6-month-old infant's gross motor development. Which finding indicates
normal development?**
A. Sitting without support
B. Rolling from back to front
C. Walking with assistance
D. Standing independently
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: At 6 months, infants typically can roll from back to front. Sitting without support
occurs around 8 months, walking with assistance around 12 months, and standing independently
, around 12-15 months. This is a key developmental milestone concept for nursing exam prep in pediatric
nursing.
**8. A child is admitted with acute glomerulonephritis. The nurse should monitor for which
complication?**
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypoglycemia
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Acute glomerulonephritis can lead to oliguria and hyperkalemia due to decreased
renal function. Hypokalemia, hypercalcemia, and hypoglycemia are not typical. This is a key complication
concept for nursing exam prep in pediatric renal disorders.
**9. A nurse is teaching a parent about preventing sudden infant death syndrome (SIDS). Which
instruction is correct?**
A. Place the infant on the stomach to sleep
B. Place the infant on the back to sleep
C. Use a soft mattress for comfort
D. Keep stuffed animals in the crib
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: To reduce the risk of SIDS, infants should be placed on their backs to sleep. The
stomach position is not recommended. A firm mattress is recommended, and the crib should be free of
soft objects and stuffed animals. This is a key safety teaching point for nursing exam prep in pediatric
care.
**10. A child with type 1 diabetes is experiencing symptoms of hypoglycemia. Which finding is most
consistent?**
A. Polydipsia and polyuria
B. Abdominal pain and vomiting
C. Diaphoresis and tachycardia
D. Fruity-smelling breath
success resource. Elevate your nursing exam prep with this ultimate
success bundle of practice questions.
---
## 🏆 Pediatric Nursing Revision Notes – 2026 Complete Study Pack |
NCLEX Practice Questions
---
**1. A nurse is caring for a 4-year-old child who is hospitalized. Which developmental characteristic is
most important to consider when planning care?**
A. The child has a vivid imagination and may view illness as punishment
B. The child is able to reason logically and understand complex explanations
C. The child is primarily concerned with body image and peer acceptance
D. The child understands the concept of time and can wait patiently
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Preschoolers (ages 3-5) have magical thinking and may believe their illness is a
punishment for misbehavior. They do not have logical reasoning; that develops in the concrete
operational stage (school-age). Body image concerns are more typical of adolescents. Patience and time
concepts are not well-developed. This is a key developmental concept for nursing exam prep in pediatric
nursing. This nursing study guide emphasizes age-appropriate care to enhance student success.
**2. A nurse is assessing a 2-year-old child with suspected dehydration. Which finding is an early sign of
dehydration?**
A. Sunken fontanels
B. Decreased urine output
C. Tachycardia
,D. Dry mucous membranes
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Tachycardia is an early sign of dehydration in children, as the body attempts to
maintain cardiac output. Sunken fontanels, decreased urine output, and dry mucous membranes are
later signs. This is a critical assessment concept for nursing exam prep in pediatric fluid management.
These revision notes are essential for student success in recognizing early signs of dehydration.
**3. A nurse is preparing to administer a vaccination to a 2-month-old infant. Which vaccine should the
nurse administer at this visit?**
A. Measles, mumps, rubella (MMR)
B. Varicella (chickenpox)
C. Diphtheria, tetanus, acellular pertussis (DTaP)
D. Human papillomavirus (HPV)
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: The DTaP vaccine is administered at 2, 4, and 6 months of age. MMR and varicella are
given at 12-15 months, and HPV is given at 11-12 years. This is a fundamental vaccination schedule
concept for nursing exam prep in pediatric nursing. This nursing study guide provides comprehensive
immunization schedules for student success.
**4. A child with asthma is prescribed albuterol via a nebulizer. The nurse should monitor the child for
which adverse effect?**
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Hypoglycemia
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Albuterol is a beta-2 agonist that can cause tachycardia as a side effect due to beta-1
stimulation. Bradycardia, hypotension, and hypoglycemia are not typical. This is a key pharmacology
concept for nursing exam prep in pediatric respiratory conditions. These practice questions enhance
understanding of medication side effects.
**5. A nurse is assessing a child with suspected appendicitis. Which finding is most characteristic?**
,A. Rebound tenderness in the right lower quadrant
B. Diffuse abdominal pain that improves with movement
C. Left lower quadrant pain
D. Pain that radiates to the shoulder
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Rebound tenderness in the right lower quadrant (McBurney's point) is a classic sign
of appendicitis. Pain is typically localized, does not improve with movement, and is not in the left lower
quadrant. Shoulder pain is associated with diaphragmatic irritation. This is a key assessment concept for
nursing exam prep in pediatric gastrointestinal emergencies.
**6. A nurse is providing care to a child with a diagnosis of sickle cell crisis. Which intervention is most
important?**
A. Administer oxygen as prescribed
B. Restrict fluids
C. Apply cold compresses to painful joints
D. Encourage ambulation
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Administering oxygen helps prevent further sickling by reducing hypoxia. Fluids
should be encouraged, not restricted. Warm compresses are used for pain, and rest is typically
recommended during a crisis. This is a key nursing intervention for nursing exam prep in pediatric
hematological disorders.
**7. A nurse is assessing a 6-month-old infant's gross motor development. Which finding indicates
normal development?**
A. Sitting without support
B. Rolling from back to front
C. Walking with assistance
D. Standing independently
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: At 6 months, infants typically can roll from back to front. Sitting without support
occurs around 8 months, walking with assistance around 12 months, and standing independently
, around 12-15 months. This is a key developmental milestone concept for nursing exam prep in pediatric
nursing.
**8. A child is admitted with acute glomerulonephritis. The nurse should monitor for which
complication?**
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypoglycemia
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Acute glomerulonephritis can lead to oliguria and hyperkalemia due to decreased
renal function. Hypokalemia, hypercalcemia, and hypoglycemia are not typical. This is a key complication
concept for nursing exam prep in pediatric renal disorders.
**9. A nurse is teaching a parent about preventing sudden infant death syndrome (SIDS). Which
instruction is correct?**
A. Place the infant on the stomach to sleep
B. Place the infant on the back to sleep
C. Use a soft mattress for comfort
D. Keep stuffed animals in the crib
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: To reduce the risk of SIDS, infants should be placed on their backs to sleep. The
stomach position is not recommended. A firm mattress is recommended, and the crib should be free of
soft objects and stuffed animals. This is a key safety teaching point for nursing exam prep in pediatric
care.
**10. A child with type 1 diabetes is experiencing symptoms of hypoglycemia. Which finding is most
consistent?**
A. Polydipsia and polyuria
B. Abdominal pain and vomiting
C. Diaphoresis and tachycardia
D. Fruity-smelling breath
