Florida NCLEX Pediatric Nursing Practice Exam IV Updated
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1. A nurse is caring for a 2-year-old child hospitalized with dehydration. Which
assessment finding indicates that fluid replacement therapy is effective?
A. Persistent sunken fontanel
B. Decreased urine output
C. Moist mucous membranes
D. Heart rate of 170 beats/min
Answer: C. Moist mucous membranes
Rationale: Moist mucous membranes are a positive indicator of improved hydration.
Persistent sunken fontanels, decreased urine output, and tachycardia suggest ongoing
dehydration. Monitoring hydration status is essential in evaluating treatment effectiveness.
2. A nurse is educating parents about preventing accidental poisoning in toddlers.
Which statement by the parents indicates understanding?
A. "We will keep medicines in unlocked drawers."
B. "Cleaning products should be stored in locked cabinets."
C. "We will refer to medicine as candy."
D. "We will keep chemicals under the kitchen sink."
Answer: B. Cleaning products should be stored in locked cabinets.
Rationale: Poison prevention includes storing medications and chemicals in locked
cabinets out of children's reach. Medicines should never be called candy, and hazardous
substances should not be stored where toddlers can access them.
3. Which developmental milestone is expected in a healthy 6-month-old infant?
,A. Walking independently
B. Sitting without support
C. Rolling from back to abdomen
D. Using two-word sentences
Answer: C. Rolling from back to abdomen
Rationale: Most 6-month-old infants can roll both ways and begin sitting with support.
Independent walking and two-word sentences occur much later, while sitting completely
unsupported usually develops closer to 8 months.
4. A child with nephrotic syndrome is admitted with generalized edema. Which nursing
intervention is the priority?
A. Encourage vigorous exercise.
B. Monitor daily weight.
C. Increase sodium intake.
D. Restrict protein intake.
Answer: B. Monitor daily weight.
Rationale: Daily weight is the most accurate indicator of fluid status. Sodium intake is
generally restricted, vigorous exercise is inappropriate during acute edema, and protein
intake is usually adequate rather than severely restricted.
5. A nurse is assessing an infant with pyloric stenosis. Which manifestation is
expected?
A. Bilious vomiting
B. Projectile non-bilious vomiting
C. Bloody diarrhea
D. Severe abdominal distention
Answer: B. Projectile non-bilious vomiting
Rationale: Pyloric stenosis causes forceful, projectile, non-bilious vomiting due to
obstruction before bile enters the intestine. Bilious vomiting suggests an intestinal
obstruction distal to the stomach.
, 6. Which action should the nurse take first when caring for a child experiencing a
tonic-clonic seizure?
A. Insert an oral airway.
B. Place the child on the side.
C. Restrain the child's movements.
D. Offer fluids.
Answer: B. Place the child on the side.
Rationale: Positioning the child on the side helps maintain airway patency and reduces
aspiration risk. Objects should never be placed in the mouth during a seizure, restraints
should not be used, and oral fluids are unsafe.
7. A parent asks why iron supplementation is prescribed for an infant. The nurse
explains that iron primarily helps:
A. Improve kidney function.
B. Prevent iron-deficiency anemia.
C. Increase calcium absorption.
D. Reduce viral infections.
Answer: B. Prevent iron-deficiency anemia.
Rationale: Iron is necessary for hemoglobin production and prevention of iron-deficiency
anemia, especially after 4 to 6 months of age when iron stores begin to decline.
8. Which finding is expected in a child with acute otitis media?
A. Painless ear drainage
B. Ear pain and fever
C. Bradycardia
D. Hypertension
Answer: B. Ear pain and fever
Rationale: Acute otitis media commonly presents with ear pain, fever, irritability, and
decreased hearing. Cardiovascular changes are not characteristic findings.
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 nurse is caring for a 2-year-old child hospitalized with dehydration. Which
assessment finding indicates that fluid replacement therapy is effective?
A. Persistent sunken fontanel
B. Decreased urine output
C. Moist mucous membranes
D. Heart rate of 170 beats/min
Answer: C. Moist mucous membranes
Rationale: Moist mucous membranes are a positive indicator of improved hydration.
Persistent sunken fontanels, decreased urine output, and tachycardia suggest ongoing
dehydration. Monitoring hydration status is essential in evaluating treatment effectiveness.
2. A nurse is educating parents about preventing accidental poisoning in toddlers.
Which statement by the parents indicates understanding?
A. "We will keep medicines in unlocked drawers."
B. "Cleaning products should be stored in locked cabinets."
C. "We will refer to medicine as candy."
D. "We will keep chemicals under the kitchen sink."
Answer: B. Cleaning products should be stored in locked cabinets.
Rationale: Poison prevention includes storing medications and chemicals in locked
cabinets out of children's reach. Medicines should never be called candy, and hazardous
substances should not be stored where toddlers can access them.
3. Which developmental milestone is expected in a healthy 6-month-old infant?
,A. Walking independently
B. Sitting without support
C. Rolling from back to abdomen
D. Using two-word sentences
Answer: C. Rolling from back to abdomen
Rationale: Most 6-month-old infants can roll both ways and begin sitting with support.
Independent walking and two-word sentences occur much later, while sitting completely
unsupported usually develops closer to 8 months.
4. A child with nephrotic syndrome is admitted with generalized edema. Which nursing
intervention is the priority?
A. Encourage vigorous exercise.
B. Monitor daily weight.
C. Increase sodium intake.
D. Restrict protein intake.
Answer: B. Monitor daily weight.
Rationale: Daily weight is the most accurate indicator of fluid status. Sodium intake is
generally restricted, vigorous exercise is inappropriate during acute edema, and protein
intake is usually adequate rather than severely restricted.
5. A nurse is assessing an infant with pyloric stenosis. Which manifestation is
expected?
A. Bilious vomiting
B. Projectile non-bilious vomiting
C. Bloody diarrhea
D. Severe abdominal distention
Answer: B. Projectile non-bilious vomiting
Rationale: Pyloric stenosis causes forceful, projectile, non-bilious vomiting due to
obstruction before bile enters the intestine. Bilious vomiting suggests an intestinal
obstruction distal to the stomach.
, 6. Which action should the nurse take first when caring for a child experiencing a
tonic-clonic seizure?
A. Insert an oral airway.
B. Place the child on the side.
C. Restrain the child's movements.
D. Offer fluids.
Answer: B. Place the child on the side.
Rationale: Positioning the child on the side helps maintain airway patency and reduces
aspiration risk. Objects should never be placed in the mouth during a seizure, restraints
should not be used, and oral fluids are unsafe.
7. A parent asks why iron supplementation is prescribed for an infant. The nurse
explains that iron primarily helps:
A. Improve kidney function.
B. Prevent iron-deficiency anemia.
C. Increase calcium absorption.
D. Reduce viral infections.
Answer: B. Prevent iron-deficiency anemia.
Rationale: Iron is necessary for hemoglobin production and prevention of iron-deficiency
anemia, especially after 4 to 6 months of age when iron stores begin to decline.
8. Which finding is expected in a child with acute otitis media?
A. Painless ear drainage
B. Ear pain and fever
C. Bradycardia
D. Hypertension
Answer: B. Ear pain and fever
Rationale: Acute otitis media commonly presents with ear pain, fever, irritability, and
decreased hearing. Cardiovascular changes are not characteristic findings.
