Pediatric Nursing and
Child Health (Part 3)
### Question 1
The nurse is assessing a 2-year-old child during a well-child visit. Which developmental milestone is
appropriate for this age?
A. The child can ride a tricycle
B. The child can draw a circle
C. The child can build a tower of 6 blocks
D. The child can hop on one foot
,💫RATIONALE✔️✔️: A 2-year-old child can typically build a tower of 6 blocks. Riding a tricycle (3
years), drawing a circle (3-4 years), and hopping on one foot (4-5 years) are milestones for older
children. The 2-year-old should also be able to turn pages of a book and use a spoon.
💫ANSWER✔️✔️: C. The child can build a tower of 6 blocks
---
### Question 2
A 4-year-old child is admitted to the pediatric unit with a diagnosis of pneumonia. The nurse should use
which approach when assessing this child?
A. Perform the physical assessment from head to toe
B. Allow the child to handle the equipment before the assessment
C. Restrain the child during the assessment
D. Avoid involving the parents in the assessment
💫RATIONALE✔️✔️: Allowing a preschool-age child to handle equipment before assessment helps
reduce anxiety and promote cooperation. The nurse should use play and developmentally appropriate
language. Parents should be involved to provide comfort and support. Restraint should be avoided
unless necessary.
💫ANSWER✔️✔️: B. Allow the child to handle the equipment before the assessment
---
### Question 3
,The nurse is caring for a child with a diagnosis of acute otitis media. Which finding is most consistent
with this condition?
A. The child reports ear pain and has a fever
B. The child has purulent drainage from the ear
C. The child has a headache and nausea
D. The child has tinnitus and hearing loss
💫RATIONALE✔️✔️: Acute otitis media is characterized by ear pain (otalgia) and fever. Purulent
drainage indicates a perforated tympanic membrane, which may occur as a complication. Tinnitus and
hearing loss are more common with inner ear pathology or chronic otitis media.
💫ANSWER✔️✔️: A. The child reports ear pain and has a fever
---
### Question 4
A 6-month-old infant is brought to the clinic for a well-child visit. Which immunization should the nurse
anticipate administering?
A. MMR (measles, mumps, rubella)
B. DTaP (diphtheria, tetanus, pertussis)
C. Varicella (chickenpox)
D. Hepatitis A
, 💫RATIONALE✔️✔️: At 6 months of age, the infant should receive the third dose of DTaP, IPV, PCV,
and Hib vaccines. MMR and varicella are given at 12-15 months. Hepatitis A is given at 12-23 months.
The influenza vaccine may also be recommended for infants aged 6 months and older.
💫ANSWER✔️✔️: B. DTaP (diphtheria, tetanus, pertussis)
---
### Question 5
The nurse is assessing a child with suspected appendicitis. Which finding is most indicative of this
condition?
A. Right upper quadrant pain
B. Pain that worsens with coughing and movement
C. Diffuse abdominal pain with diarrhea
D. Pain that improves with walking
💫RATIONALE✔️✔️: Pain that worsens with coughing and movement is characteristic of appendicitis.
Rebound tenderness and localized right lower quadrant pain are also common findings. The child may
also have nausea, vomiting, and fever. Children often lie still with knees flexed.
💫ANSWER✔️✔️: B. Pain that worsens with coughing and movement
---
### Question 6
Child Health (Part 3)
### Question 1
The nurse is assessing a 2-year-old child during a well-child visit. Which developmental milestone is
appropriate for this age?
A. The child can ride a tricycle
B. The child can draw a circle
C. The child can build a tower of 6 blocks
D. The child can hop on one foot
,💫RATIONALE✔️✔️: A 2-year-old child can typically build a tower of 6 blocks. Riding a tricycle (3
years), drawing a circle (3-4 years), and hopping on one foot (4-5 years) are milestones for older
children. The 2-year-old should also be able to turn pages of a book and use a spoon.
💫ANSWER✔️✔️: C. The child can build a tower of 6 blocks
---
### Question 2
A 4-year-old child is admitted to the pediatric unit with a diagnosis of pneumonia. The nurse should use
which approach when assessing this child?
A. Perform the physical assessment from head to toe
B. Allow the child to handle the equipment before the assessment
C. Restrain the child during the assessment
D. Avoid involving the parents in the assessment
💫RATIONALE✔️✔️: Allowing a preschool-age child to handle equipment before assessment helps
reduce anxiety and promote cooperation. The nurse should use play and developmentally appropriate
language. Parents should be involved to provide comfort and support. Restraint should be avoided
unless necessary.
💫ANSWER✔️✔️: B. Allow the child to handle the equipment before the assessment
---
### Question 3
,The nurse is caring for a child with a diagnosis of acute otitis media. Which finding is most consistent
with this condition?
A. The child reports ear pain and has a fever
B. The child has purulent drainage from the ear
C. The child has a headache and nausea
D. The child has tinnitus and hearing loss
💫RATIONALE✔️✔️: Acute otitis media is characterized by ear pain (otalgia) and fever. Purulent
drainage indicates a perforated tympanic membrane, which may occur as a complication. Tinnitus and
hearing loss are more common with inner ear pathology or chronic otitis media.
💫ANSWER✔️✔️: A. The child reports ear pain and has a fever
---
### Question 4
A 6-month-old infant is brought to the clinic for a well-child visit. Which immunization should the nurse
anticipate administering?
A. MMR (measles, mumps, rubella)
B. DTaP (diphtheria, tetanus, pertussis)
C. Varicella (chickenpox)
D. Hepatitis A
, 💫RATIONALE✔️✔️: At 6 months of age, the infant should receive the third dose of DTaP, IPV, PCV,
and Hib vaccines. MMR and varicella are given at 12-15 months. Hepatitis A is given at 12-23 months.
The influenza vaccine may also be recommended for infants aged 6 months and older.
💫ANSWER✔️✔️: B. DTaP (diphtheria, tetanus, pertussis)
---
### Question 5
The nurse is assessing a child with suspected appendicitis. Which finding is most indicative of this
condition?
A. Right upper quadrant pain
B. Pain that worsens with coughing and movement
C. Diffuse abdominal pain with diarrhea
D. Pain that improves with walking
💫RATIONALE✔️✔️: Pain that worsens with coughing and movement is characteristic of appendicitis.
Rebound tenderness and localized right lower quadrant pain are also common findings. The child may
also have nausea, vomiting, and fever. Children often lie still with knees flexed.
💫ANSWER✔️✔️: B. Pain that worsens with coughing and movement
---
### Question 6
