Florida NCLEX Pediatric Nursing Practice Exam II Updated Exam
2026 WITH Recent Newest Verified And Well Analyzed Exam
Questions (Actual Exam 2026-2027) Correct Detailed & Verified
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1. A 2-year-old child is admitted with dehydration from gastroenteritis. Which
assessment finding indicates improvement in hydration status?
A. Sunken fontanel
B. Dry mucous membranes
C. Moist oral mucosa and tears when crying
D. Capillary refill greater than 4 seconds
Answer: C. Moist oral mucosa and tears when crying
Rationale: Moist mucous membranes and the return of tears are reliable indicators of
improved hydration. A sunken fontanel, dry mucous membranes, and delayed capillary
refill are signs of ongoing dehydration.
2. A nurse is caring for a 5-year-old receiving intravenous antibiotics. Which
intervention best prevents infiltration?
A. Apply a heating pad continuously.
B. Assess the IV site frequently for swelling and redness.
C. Flush the IV with sterile water every hour.
D. Secure the tubing loosely.
Answer: B. Assess the IV site frequently for swelling and redness.
Rationale: Frequent assessment helps identify infiltration early, preventing tissue injury.
Continuous heat, inappropriate flushing, and loose tubing increase the risk of
complications.
3. A school-age child with asthma is prescribed a rescue inhaler. Which medication is
most appropriate?
,A. Fluticasone
B. Montelukast
C. Albuterol
D. Prednisone
Answer: C. Albuterol
Rationale: Albuterol is a short-acting beta₂-agonist used for immediate relief of
bronchospasm. Fluticasone and montelukast are controller medications, while prednisone
is reserved for exacerbations.
4. Which vaccine is routinely recommended at 12 to 15 months of age?
A. Hepatitis B birth dose
B. Measles, mumps, and rubella (MMR)
C. Tdap
D. HPV
Answer: B. Measles, mumps, and rubella (MMR)
Rationale: The first MMR vaccine is administered between 12 and 15 months. Tdap and
HPV vaccines are given later in childhood or adolescence.
5. A parent reports that a 6-month-old infant rolls from back to abdomen. How should
the nurse interpret this finding?
A. Development is delayed.
B. Development is appropriate.
C. The infant should already be walking.
D. This indicates neurological impairment.
Answer: B. Development is appropriate.
Rationale: Rolling over is an expected developmental milestone around 4 to 6 months.
Walking typically occurs around 12 months.
6. A child with sickle cell disease reports severe pain. Which nursing action should
receive the highest priority?
, A. Encourage vigorous exercise.
B. Delay analgesics until laboratory results return.
C. Administer prescribed pain medication promptly.
D. Restrict oral fluids.
Answer: C. Administer prescribed pain medication promptly.
Rationale: Pain management is a priority during a vaso-occlusive crisis. Hydration and
oxygenation are also important, while exercise and fluid restriction worsen symptoms.
7. Which finding is most concerning in a child with bacterial meningitis?
A. Mild headache
B. Positive Kernig sign
C. Nuchal rigidity with decreased level of consciousness
D. Poor appetite
Answer: C. Nuchal rigidity with decreased level of consciousness
Rationale: Decreased consciousness indicates worsening neurological involvement and
requires immediate intervention.
8. Which intervention is appropriate when caring for a child experiencing a febrile
seizure?
A. Place the child in restraints.
B. Insert a tongue blade.
C. Position the child on the side.
D. Give oral fluids immediately.
Answer: C. Position the child on the side.
Rationale: Side positioning maintains a patent airway and reduces aspiration risk.
Restraints and objects in the mouth should never be used.
9. A child has nephrotic syndrome. Which assessment finding is expected?
A. Weight loss
B. Generalized edema
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 2-year-old child is admitted with dehydration from gastroenteritis. Which
assessment finding indicates improvement in hydration status?
A. Sunken fontanel
B. Dry mucous membranes
C. Moist oral mucosa and tears when crying
D. Capillary refill greater than 4 seconds
Answer: C. Moist oral mucosa and tears when crying
Rationale: Moist mucous membranes and the return of tears are reliable indicators of
improved hydration. A sunken fontanel, dry mucous membranes, and delayed capillary
refill are signs of ongoing dehydration.
2. A nurse is caring for a 5-year-old receiving intravenous antibiotics. Which
intervention best prevents infiltration?
A. Apply a heating pad continuously.
B. Assess the IV site frequently for swelling and redness.
C. Flush the IV with sterile water every hour.
D. Secure the tubing loosely.
Answer: B. Assess the IV site frequently for swelling and redness.
Rationale: Frequent assessment helps identify infiltration early, preventing tissue injury.
Continuous heat, inappropriate flushing, and loose tubing increase the risk of
complications.
3. A school-age child with asthma is prescribed a rescue inhaler. Which medication is
most appropriate?
,A. Fluticasone
B. Montelukast
C. Albuterol
D. Prednisone
Answer: C. Albuterol
Rationale: Albuterol is a short-acting beta₂-agonist used for immediate relief of
bronchospasm. Fluticasone and montelukast are controller medications, while prednisone
is reserved for exacerbations.
4. Which vaccine is routinely recommended at 12 to 15 months of age?
A. Hepatitis B birth dose
B. Measles, mumps, and rubella (MMR)
C. Tdap
D. HPV
Answer: B. Measles, mumps, and rubella (MMR)
Rationale: The first MMR vaccine is administered between 12 and 15 months. Tdap and
HPV vaccines are given later in childhood or adolescence.
5. A parent reports that a 6-month-old infant rolls from back to abdomen. How should
the nurse interpret this finding?
A. Development is delayed.
B. Development is appropriate.
C. The infant should already be walking.
D. This indicates neurological impairment.
Answer: B. Development is appropriate.
Rationale: Rolling over is an expected developmental milestone around 4 to 6 months.
Walking typically occurs around 12 months.
6. A child with sickle cell disease reports severe pain. Which nursing action should
receive the highest priority?
, A. Encourage vigorous exercise.
B. Delay analgesics until laboratory results return.
C. Administer prescribed pain medication promptly.
D. Restrict oral fluids.
Answer: C. Administer prescribed pain medication promptly.
Rationale: Pain management is a priority during a vaso-occlusive crisis. Hydration and
oxygenation are also important, while exercise and fluid restriction worsen symptoms.
7. Which finding is most concerning in a child with bacterial meningitis?
A. Mild headache
B. Positive Kernig sign
C. Nuchal rigidity with decreased level of consciousness
D. Poor appetite
Answer: C. Nuchal rigidity with decreased level of consciousness
Rationale: Decreased consciousness indicates worsening neurological involvement and
requires immediate intervention.
8. Which intervention is appropriate when caring for a child experiencing a febrile
seizure?
A. Place the child in restraints.
B. Insert a tongue blade.
C. Position the child on the side.
D. Give oral fluids immediately.
Answer: C. Position the child on the side.
Rationale: Side positioning maintains a patent airway and reduces aspiration risk.
Restraints and objects in the mouth should never be used.
9. A child has nephrotic syndrome. Which assessment finding is expected?
A. Weight loss
B. Generalized edema
