Florida NCLEX Pediatric Nursing Practice Exam IV Updated
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Exam Questions (Actual Exam 2026-2027) Correct Detailed &
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1. A nurse is assessing a 2-month-old infant. Which finding requires immediate follow-
up?
A. Strong Moro reflex
B. Respiratory rate of 42 breaths/minute
C. Bulging fontanel while the infant is calm
D. Sleeps 16 hours daily
Answer: C. Bulging fontanel while the infant is calm
Rationale: A bulging fontanel in a calm infant may indicate increased intracranial pressure,
meningitis, or hydrocephalus and requires immediate evaluation. A respiratory rate of 42
breaths/minute is normal for this age. Strong primitive reflexes and sleeping approximately
16 hours daily are expected findings.
2. A child with dehydration is receiving oral rehydration therapy. Which beverage
should the nurse recommend?
A. Apple juice
B. Oral rehydration solution
C. Sports drink
D. Carbonated soda
Answer: B. Oral rehydration solution
Rationale: Oral rehydration solutions contain the proper balance of glucose and
electrolytes to replace fluid losses safely. Juices, sodas, and sports drinks contain
excessive sugar and inappropriate electrolyte concentrations that may worsen diarrhea.
3. Which assessment finding is most concerning in a child with asthma?
A. Mild wheezing
B. Productive cough
, C. Silent chest
D. Respiratory rate of 28 breaths/minute
Answer: C. Silent chest
Rationale: A silent chest indicates minimal air movement due to severe bronchospasm and
is a life-threatening emergency. Wheezing may actually decrease as airflow becomes
critically impaired.
4. A nurse is preparing to administer the MMR vaccine. Which statement by the parent
requires further teaching?
A. "My child may develop a mild fever."
B. "This vaccine contains live virus."
C. "Antibiotics will interfere with the vaccine."
D. "A mild rash may occur."
Answer: C. "Antibiotics will interfere with the vaccine."
Rationale: Routine antibiotic therapy is not a contraindication to receiving the MMR
vaccine. Mild fever and rash may occur after vaccination because it contains a live
attenuated virus.
5. Which finding is expected in a toddler experiencing temper tantrums?
A. Indicates developmental delay
B. Suggests ineffective parenting
C. Reflects a normal stage of autonomy
D. Requires psychiatric evaluation
Answer: C. Reflects a normal stage of autonomy
Rationale: Temper tantrums are common during toddlerhood as children strive for
independence while having limited emotional regulation and communication skills.
6. Which intervention is the priority for a child admitted with bacterial meningitis?
A. Encourage visitors
B. Initiate droplet precautions
C. Place toys in the room
D. Encourage ambulation
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 assessing a 2-month-old infant. Which finding requires immediate follow-
up?
A. Strong Moro reflex
B. Respiratory rate of 42 breaths/minute
C. Bulging fontanel while the infant is calm
D. Sleeps 16 hours daily
Answer: C. Bulging fontanel while the infant is calm
Rationale: A bulging fontanel in a calm infant may indicate increased intracranial pressure,
meningitis, or hydrocephalus and requires immediate evaluation. A respiratory rate of 42
breaths/minute is normal for this age. Strong primitive reflexes and sleeping approximately
16 hours daily are expected findings.
2. A child with dehydration is receiving oral rehydration therapy. Which beverage
should the nurse recommend?
A. Apple juice
B. Oral rehydration solution
C. Sports drink
D. Carbonated soda
Answer: B. Oral rehydration solution
Rationale: Oral rehydration solutions contain the proper balance of glucose and
electrolytes to replace fluid losses safely. Juices, sodas, and sports drinks contain
excessive sugar and inappropriate electrolyte concentrations that may worsen diarrhea.
3. Which assessment finding is most concerning in a child with asthma?
A. Mild wheezing
B. Productive cough
, C. Silent chest
D. Respiratory rate of 28 breaths/minute
Answer: C. Silent chest
Rationale: A silent chest indicates minimal air movement due to severe bronchospasm and
is a life-threatening emergency. Wheezing may actually decrease as airflow becomes
critically impaired.
4. A nurse is preparing to administer the MMR vaccine. Which statement by the parent
requires further teaching?
A. "My child may develop a mild fever."
B. "This vaccine contains live virus."
C. "Antibiotics will interfere with the vaccine."
D. "A mild rash may occur."
Answer: C. "Antibiotics will interfere with the vaccine."
Rationale: Routine antibiotic therapy is not a contraindication to receiving the MMR
vaccine. Mild fever and rash may occur after vaccination because it contains a live
attenuated virus.
5. Which finding is expected in a toddler experiencing temper tantrums?
A. Indicates developmental delay
B. Suggests ineffective parenting
C. Reflects a normal stage of autonomy
D. Requires psychiatric evaluation
Answer: C. Reflects a normal stage of autonomy
Rationale: Temper tantrums are common during toddlerhood as children strive for
independence while having limited emotional regulation and communication skills.
6. Which intervention is the priority for a child admitted with bacterial meningitis?
A. Encourage visitors
B. Initiate droplet precautions
C. Place toys in the room
D. Encourage ambulation
