Florida NCLEX Pediatric Nursing Practice Exam II Updated
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1. A 6-month-old infant is brought to the clinic for a well-child visit. Which
developmental milestone should the nurse expect?
A. Walking independently
B. Sitting without support
C. Using two-word sentences
D. Riding a tricycle
Answer: B. Sitting without support
Rationale: By approximately 6 months, most infants are able to sit with minimal or no
support. Independent walking typically occurs around 12 months, two-word sentences
around 2 years, and tricycle riding around 3 years.
2. A nurse is assessing a child with suspected dehydration from gastroenteritis. Which
finding indicates moderate dehydration?
A. Bradycardia and hypertension
B. Moist mucous membranes
C. Sunken eyes and decreased skin turgor
D. Bounding peripheral pulses
Answer: C. Sunken eyes and decreased skin turgor
Rationale: Moderate dehydration commonly presents with dry mucous membranes,
sunken eyes, decreased skin turgor, tachycardia, and reduced urine output. Bradycardia
and hypotension are late signs of severe dehydration.
3. Which toy is most appropriate for a hospitalized 2-year-old toddler?
,A. A 500-piece puzzle
B. Building blocks and push toys
C. A chemistry set
D. Complex board games
Answer: B. Building blocks and push toys
Rationale: Toddlers enjoy activities that promote motor development, such as stacking
blocks and pushing or pulling toys. Complex games and puzzles exceed their
developmental abilities.
4. A nurse is teaching parents about preventing sudden infant death syndrome (SIDS).
Which instruction is most important?
A. Place the infant on the stomach to sleep.
B. Use soft blankets in the crib.
C. Place the infant on the back to sleep.
D. Sleep with the infant in the same bed.
Answer: C. Place the infant on the back to sleep.
Rationale: The safest sleep position for infants is supine (on the back). Soft bedding and
bed-sharing increase the risk of suffocation and SIDS.
5. A child with asthma suddenly develops wheezing and shortness of breath. Which
medication should the nurse expect to administer first?
A. Inhaled corticosteroid
B. Leukotriene modifier
C. Short-acting beta₂-agonist
D. Oral antihistamine
Answer: C. Short-acting beta₂-agonist
Rationale: Short-acting beta₂-agonists provide rapid bronchodilation during acute asthma
exacerbations. Controller medications are used for long-term management, not immediate
relief.
, 6. A nurse is caring for a child receiving intravenous antibiotics. Which assessment
best indicates the treatment is effective?
A. Persistent fever
B. Increased white blood cell count
C. Decreased redness and swelling
D. Development of a rash
Answer: C. Decreased redness and swelling
Rationale: Reduction in local signs of infection demonstrates improvement. Persistent
fever or elevated WBC counts suggest ongoing infection, while a rash may indicate an
allergic reaction.
7. Which finding is expected in a newborn during the first 24 hours of life?
A. Walking reflex
B. Positive Moro reflex
C. Ability to roll over
D. Speaking simple words
Answer: B. Positive Moro reflex
Rationale: The Moro (startle) reflex is a normal neonatal reflex present at birth. Rolling over,
walking, and speaking occur much later.
8. A nurse is assessing pain in a preverbal infant. Which tool is most appropriate?
A. Numeric Rating Scale
B. FLACC Scale
C. Visual Analog Scale
D. Wong-Baker Faces Scale
Answer: B. FLACC Scale
Rationale: The FLACC Scale evaluates pain using facial expression, leg movement, activity,
cry, and consolability, making it appropriate for infants and young children.
9. Which finding should the nurse expect in a child diagnosed with otitis media?
Exam 2026 WITH Recent Newest Verified And Well Analyzed
Exam Questions (Actual Exam 2026-2027) Correct Detailed
& Verified ANSWERS (100% Accurate Solutions) ALREADY
GRADED A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
1. A 6-month-old infant is brought to the clinic for a well-child visit. Which
developmental milestone should the nurse expect?
A. Walking independently
B. Sitting without support
C. Using two-word sentences
D. Riding a tricycle
Answer: B. Sitting without support
Rationale: By approximately 6 months, most infants are able to sit with minimal or no
support. Independent walking typically occurs around 12 months, two-word sentences
around 2 years, and tricycle riding around 3 years.
2. A nurse is assessing a child with suspected dehydration from gastroenteritis. Which
finding indicates moderate dehydration?
A. Bradycardia and hypertension
B. Moist mucous membranes
C. Sunken eyes and decreased skin turgor
D. Bounding peripheral pulses
Answer: C. Sunken eyes and decreased skin turgor
Rationale: Moderate dehydration commonly presents with dry mucous membranes,
sunken eyes, decreased skin turgor, tachycardia, and reduced urine output. Bradycardia
and hypotension are late signs of severe dehydration.
3. Which toy is most appropriate for a hospitalized 2-year-old toddler?
,A. A 500-piece puzzle
B. Building blocks and push toys
C. A chemistry set
D. Complex board games
Answer: B. Building blocks and push toys
Rationale: Toddlers enjoy activities that promote motor development, such as stacking
blocks and pushing or pulling toys. Complex games and puzzles exceed their
developmental abilities.
4. A nurse is teaching parents about preventing sudden infant death syndrome (SIDS).
Which instruction is most important?
A. Place the infant on the stomach to sleep.
B. Use soft blankets in the crib.
C. Place the infant on the back to sleep.
D. Sleep with the infant in the same bed.
Answer: C. Place the infant on the back to sleep.
Rationale: The safest sleep position for infants is supine (on the back). Soft bedding and
bed-sharing increase the risk of suffocation and SIDS.
5. A child with asthma suddenly develops wheezing and shortness of breath. Which
medication should the nurse expect to administer first?
A. Inhaled corticosteroid
B. Leukotriene modifier
C. Short-acting beta₂-agonist
D. Oral antihistamine
Answer: C. Short-acting beta₂-agonist
Rationale: Short-acting beta₂-agonists provide rapid bronchodilation during acute asthma
exacerbations. Controller medications are used for long-term management, not immediate
relief.
, 6. A nurse is caring for a child receiving intravenous antibiotics. Which assessment
best indicates the treatment is effective?
A. Persistent fever
B. Increased white blood cell count
C. Decreased redness and swelling
D. Development of a rash
Answer: C. Decreased redness and swelling
Rationale: Reduction in local signs of infection demonstrates improvement. Persistent
fever or elevated WBC counts suggest ongoing infection, while a rash may indicate an
allergic reaction.
7. Which finding is expected in a newborn during the first 24 hours of life?
A. Walking reflex
B. Positive Moro reflex
C. Ability to roll over
D. Speaking simple words
Answer: B. Positive Moro reflex
Rationale: The Moro (startle) reflex is a normal neonatal reflex present at birth. Rolling over,
walking, and speaking occur much later.
8. A nurse is assessing pain in a preverbal infant. Which tool is most appropriate?
A. Numeric Rating Scale
B. FLACC Scale
C. Visual Analog Scale
D. Wong-Baker Faces Scale
Answer: B. FLACC Scale
Rationale: The FLACC Scale evaluates pain using facial expression, leg movement, activity,
cry, and consolability, making it appropriate for infants and young children.
9. Which finding should the nurse expect in a child diagnosed with otitis media?
