Pediatric Nursing & Child
Health Assessment Examination
2026/2027
**Question 1**
The nurse is assessing a 4-year-old child during a well-child visit. Which developmental milestone is
expected for this age?
A. The child can hop on one foot
B. The child can ride a tricycle
C. The child can draw a circle
D. The child can button their clothes
💫RATIONALE✔️✔️: At age 4, a child can typically ride a tricycle. Hopping on one foot is a 5-year-old
milestone. Drawing a circle is a 3-year-old milestone. Buttoning clothes is a fine motor skill that develops
around age 4-5 but is not the best answer.
,💫ANSWER✔️✔️: B. The child can ride a tricycle
---
**Question 2**
The nurse is caring for a 2-year-old child who is hospitalized. Which nursing intervention is most
appropriate to promote a sense of security?
A. Allow the child to keep a favorite blanket
B. Encourage the parents to leave the room
C. Assign a different nurse each day
D. Keep the child in the crib at all times
💫RATIONALE✔️✔️: Allowing the child to keep a favorite blanket provides comfort and a sense of
security during hospitalization. Parents should be encouraged to stay, and consistency in caregivers is
important. The child should not be confined to the crib.
💫ANSWER✔️✔️: A. Allow the child to keep a favorite blanket
---
**Question 3**
The nurse is assessing a 6-month-old infant. Which finding indicates a developmental delay that should
be reported?
,A. The infant is able to sit without support
B. The infant is able to roll from back to front
C. The infant is unable to grasp a rattle
D. The infant is unable to transfer objects from one hand to the other
💫RATIONALE✔️✔️: At 6 months, infants should be able to grasp a rattle. Sitting without support,
rolling, and transferring objects are milestones that typically develop later (sitting without support at 8
months, transferring objects at 7 months).
💫ANSWER✔️✔️: C. The infant is unable to grasp a rattle
---
**Question 4**
The nurse is providing education to parents about the prevention of Sudden Infant Death Syndrome
(SIDS). Which instruction is most important?
A. "Place your baby on their back to sleep."
B. "Use a soft mattress for comfort."
C. "Keep the room temperature warm."
D. "Place the baby to sleep in the parent's bed."
💫RATIONALE✔️✔️: Placing the infant on their back for every sleep is the single most effective
measure to reduce the risk of SIDS. The sleep surface should be firm, the room temperature should be
comfortable, and the infant should sleep in a separate but nearby crib.
, 💫ANSWER✔️✔️: A. "Place your baby on their back to sleep."
---
**Question 5**
The nurse is caring for a child with acute otitis media. Which finding is most consistent with this
condition?
A. Clear drainage from the ear
B. Red and bulging tympanic membrane
C. Excessive cerumen in the ear canal
D. Normal tympanic membrane
💫RATIONALE✔️✔️: Acute otitis media is characterized by a red, bulging tympanic membrane with
decreased mobility. Clear drainage may indicate a perforated tympanic membrane. Excessive cerumen is
not a sign of infection. A normal tympanic membrane rules out otitis media.
💫ANSWER✔️✔️: B. Red and bulging tympanic membrane
---
**Question 6**
The nurse is assessing a 10-year-old child with asthma. Which finding indicates the child is experiencing
a severe asthma exacerbation?
Health Assessment Examination
2026/2027
**Question 1**
The nurse is assessing a 4-year-old child during a well-child visit. Which developmental milestone is
expected for this age?
A. The child can hop on one foot
B. The child can ride a tricycle
C. The child can draw a circle
D. The child can button their clothes
💫RATIONALE✔️✔️: At age 4, a child can typically ride a tricycle. Hopping on one foot is a 5-year-old
milestone. Drawing a circle is a 3-year-old milestone. Buttoning clothes is a fine motor skill that develops
around age 4-5 but is not the best answer.
,💫ANSWER✔️✔️: B. The child can ride a tricycle
---
**Question 2**
The nurse is caring for a 2-year-old child who is hospitalized. Which nursing intervention is most
appropriate to promote a sense of security?
A. Allow the child to keep a favorite blanket
B. Encourage the parents to leave the room
C. Assign a different nurse each day
D. Keep the child in the crib at all times
💫RATIONALE✔️✔️: Allowing the child to keep a favorite blanket provides comfort and a sense of
security during hospitalization. Parents should be encouraged to stay, and consistency in caregivers is
important. The child should not be confined to the crib.
💫ANSWER✔️✔️: A. Allow the child to keep a favorite blanket
---
**Question 3**
The nurse is assessing a 6-month-old infant. Which finding indicates a developmental delay that should
be reported?
,A. The infant is able to sit without support
B. The infant is able to roll from back to front
C. The infant is unable to grasp a rattle
D. The infant is unable to transfer objects from one hand to the other
💫RATIONALE✔️✔️: At 6 months, infants should be able to grasp a rattle. Sitting without support,
rolling, and transferring objects are milestones that typically develop later (sitting without support at 8
months, transferring objects at 7 months).
💫ANSWER✔️✔️: C. The infant is unable to grasp a rattle
---
**Question 4**
The nurse is providing education to parents about the prevention of Sudden Infant Death Syndrome
(SIDS). Which instruction is most important?
A. "Place your baby on their back to sleep."
B. "Use a soft mattress for comfort."
C. "Keep the room temperature warm."
D. "Place the baby to sleep in the parent's bed."
💫RATIONALE✔️✔️: Placing the infant on their back for every sleep is the single most effective
measure to reduce the risk of SIDS. The sleep surface should be firm, the room temperature should be
comfortable, and the infant should sleep in a separate but nearby crib.
, 💫ANSWER✔️✔️: A. "Place your baby on their back to sleep."
---
**Question 5**
The nurse is caring for a child with acute otitis media. Which finding is most consistent with this
condition?
A. Clear drainage from the ear
B. Red and bulging tympanic membrane
C. Excessive cerumen in the ear canal
D. Normal tympanic membrane
💫RATIONALE✔️✔️: Acute otitis media is characterized by a red, bulging tympanic membrane with
decreased mobility. Clear drainage may indicate a perforated tympanic membrane. Excessive cerumen is
not a sign of infection. A normal tympanic membrane rules out otitis media.
💫ANSWER✔️✔️: B. Red and bulging tympanic membrane
---
**Question 6**
The nurse is assessing a 10-year-old child with asthma. Which finding indicates the child is experiencing
a severe asthma exacerbation?
