Pediatric Nursing and
Child Health (Part
4)2026
### Question 1
The nurse is assessing a 4-year-old child during a well-child visit. Which developmental milestone is
appropriate for this age?
A. The child can hop on one foot
B. The child can draw a circle
C. The child can ride a tricycle
,D. The child can skip
💫RATIONALE✔️✔️: A 4-year-old child can typically draw a circle and a cross, use safety scissors, and
copy a square. Hopping on one foot (4-5 years), riding a tricycle (3 years), and skipping (5 years) are also
milestones, but drawing a circle is a fine motor skill that is well-established by age 4. The child should
also be able to dress independently and play cooperatively with others.
💫ANSWER✔️✔️: B. The child can draw a circle
---
### Question 2
A 3-year-old child is admitted to the pediatric unit with a diagnosis of dehydration. Which assessment
finding is most indicative of severe dehydration?
A. Sunken fontanels
B. Dry mucous membranes
C. Capillary refill of 4 seconds
D. Decreased skin turgor
💫RATIONALE✔️✔️: Capillary refill of 4 seconds indicates delayed capillary refill (>3 seconds), which
is a sign of severe dehydration and poor perfusion. Sunken fontanels, dry mucous membranes, and
decreased skin turgor are signs of moderate to severe dehydration, but delayed capillary refill is a more
specific sign of severe dehydration and shock.
💫ANSWER✔️✔️: C. Capillary refill of 4 seconds
, ---
### Question 3
A 10-year-old child with asthma is being evaluated for medication management. Which finding indicates
the child's asthma is well-controlled?
A. The child uses a rescue inhaler 2-3 times per week
B. The child has no nighttime awakenings due to asthma
C. The child has peak flow readings in the yellow zone
D. The child misses school 1-2 days per month
💫RATIONALE✔️✔️: No nighttime awakenings due to asthma is an indicator of good asthma control.
Well-controlled asthma is characterized by daytime symptoms ≤ 2 days per week, no nighttime
awakenings, rescue inhaler use ≤ 2 days per week, and peak flow readings in the green zone (> 80% of
personal best). Missed school days and yellow zone readings indicate poor control.
💫ANSWER✔️✔️: B. The child has no nighttime awakenings due to asthma
---
### Question 4
The nurse is providing care to an infant with a diagnosis of gastroesophageal reflux. Which intervention
should the nurse implement to reduce reflux?
A. Position the infant in an upright position after feedings
Child Health (Part
4)2026
### Question 1
The nurse is assessing a 4-year-old child during a well-child visit. Which developmental milestone is
appropriate for this age?
A. The child can hop on one foot
B. The child can draw a circle
C. The child can ride a tricycle
,D. The child can skip
💫RATIONALE✔️✔️: A 4-year-old child can typically draw a circle and a cross, use safety scissors, and
copy a square. Hopping on one foot (4-5 years), riding a tricycle (3 years), and skipping (5 years) are also
milestones, but drawing a circle is a fine motor skill that is well-established by age 4. The child should
also be able to dress independently and play cooperatively with others.
💫ANSWER✔️✔️: B. The child can draw a circle
---
### Question 2
A 3-year-old child is admitted to the pediatric unit with a diagnosis of dehydration. Which assessment
finding is most indicative of severe dehydration?
A. Sunken fontanels
B. Dry mucous membranes
C. Capillary refill of 4 seconds
D. Decreased skin turgor
💫RATIONALE✔️✔️: Capillary refill of 4 seconds indicates delayed capillary refill (>3 seconds), which
is a sign of severe dehydration and poor perfusion. Sunken fontanels, dry mucous membranes, and
decreased skin turgor are signs of moderate to severe dehydration, but delayed capillary refill is a more
specific sign of severe dehydration and shock.
💫ANSWER✔️✔️: C. Capillary refill of 4 seconds
, ---
### Question 3
A 10-year-old child with asthma is being evaluated for medication management. Which finding indicates
the child's asthma is well-controlled?
A. The child uses a rescue inhaler 2-3 times per week
B. The child has no nighttime awakenings due to asthma
C. The child has peak flow readings in the yellow zone
D. The child misses school 1-2 days per month
💫RATIONALE✔️✔️: No nighttime awakenings due to asthma is an indicator of good asthma control.
Well-controlled asthma is characterized by daytime symptoms ≤ 2 days per week, no nighttime
awakenings, rescue inhaler use ≤ 2 days per week, and peak flow readings in the green zone (> 80% of
personal best). Missed school days and yellow zone readings indicate poor control.
💫ANSWER✔️✔️: B. The child has no nighttime awakenings due to asthma
---
### Question 4
The nurse is providing care to an infant with a diagnosis of gastroesophageal reflux. Which intervention
should the nurse implement to reduce reflux?
A. Position the infant in an upright position after feedings
