Florida NCLEX Pediatric Nursing Practice Exam V Updated
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1. A 3-year-old child with acute gastroenteritis is admitted with moderate dehydration.
Which assessment finding indicates that fluid replacement therapy is effective?
A. Persistent sunken eyes
B. Dry mucous membranes
C. Urine output of 1–2 mL/kg/hour
D. Weak peripheral pulses
Answer: C. Urine output of 1–2 mL/kg/hour
Rationale: Adequate urine output is one of the best indicators that hydration has improved.
Children should produce approximately 1–2 mL/kg/hour of urine. Persistent sunken eyes,
dry mucous membranes, and weak pulses indicate ongoing dehydration.
2. A nurse is caring for an infant with bronchiolitis. Which intervention should receive
the highest priority?
A. Encouraging active play
B. Maintaining a patent airway
C. Administering solid foods
D. Restricting oral fluids
Answer: B. Maintaining a patent airway
Rationale: Airway management is the priority for infants with bronchiolitis because
inflammation and mucus production can rapidly obstruct the small airways. Oxygenation
always takes precedence over nutrition and activity.
3. Which finding is expected in a child diagnosed with iron-deficiency anemia?
,A. Hypertension
B. Bradycardia
C. Pallor and fatigue
D. Flushed skin
Answer: C. Pallor and fatigue
Rationale: Iron-deficiency anemia commonly presents with pallor, fatigue, irritability,
decreased exercise tolerance, and poor concentration due to reduced oxygen-carrying
capacity.
4. A nurse teaches parents about administering oral antibiotics to their child. Which
statement by the parents indicates understanding?
A. "We'll stop the medication when our child feels better."
B. "We'll complete the entire prescription even if symptoms improve."
C. "We'll double the next dose if one is missed."
D. "We'll mix every medication with hot milk."
Answer: B. "We'll complete the entire prescription even if symptoms improve."
Rationale: Completing the full antibiotic course prevents recurrence and reduces
antimicrobial resistance. Doses should never be doubled, and medications should not
routinely be mixed with hot beverages because heat may alter medication effectiveness.
5. Which developmental milestone is expected in a healthy 9-month-old infant?
A. Riding a tricycle
B. Copying a circle
C. Pulling to stand
D. Skipping on one foot
Answer: C. Pulling to stand
Rationale: Most 9-month-old infants pull themselves to a standing position, crawl, and
begin cruising. The remaining milestones occur in older children.
6. A child with nephrotic syndrome is receiving corticosteroid therapy. Which nursing
intervention is most appropriate?
, A. Encourage unrestricted sodium intake.
B. Monitor daily weight.
C. Limit protein intake.
D. Restrict fluid intake without an order.
Answer: B. Monitor daily weight.
Rationale: Daily weight is the most reliable indicator of fluid retention or loss.
Corticosteroids may increase fluid retention, making weight monitoring essential.
7. Which vaccine is routinely administered shortly after birth?
A. MMR
B. Varicella
C. DTaP
D. Hepatitis B
Answer: D. Hepatitis B
Rationale: The hepatitis B vaccine is recommended within 24 hours of birth for medically
stable newborns.
8. A child with bacterial meningitis suddenly develops seizures. What is the nurse's
priority action?
A. Obtain blood cultures.
B. Notify dietary services.
C. Protect the child from injury during the seizure.
D. Administer oral fluids.
Answer: C. Protect the child from injury during the seizure.
Rationale: During a seizure, maintaining safety and protecting the airway are immediate
priorities. Blood cultures and other interventions can occur after stabilization.
9. Which assessment finding suggests respiratory distress in an infant?
A. Smiling
B. Nasal flaring
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 3-year-old child with acute gastroenteritis is admitted with moderate dehydration.
Which assessment finding indicates that fluid replacement therapy is effective?
A. Persistent sunken eyes
B. Dry mucous membranes
C. Urine output of 1–2 mL/kg/hour
D. Weak peripheral pulses
Answer: C. Urine output of 1–2 mL/kg/hour
Rationale: Adequate urine output is one of the best indicators that hydration has improved.
Children should produce approximately 1–2 mL/kg/hour of urine. Persistent sunken eyes,
dry mucous membranes, and weak pulses indicate ongoing dehydration.
2. A nurse is caring for an infant with bronchiolitis. Which intervention should receive
the highest priority?
A. Encouraging active play
B. Maintaining a patent airway
C. Administering solid foods
D. Restricting oral fluids
Answer: B. Maintaining a patent airway
Rationale: Airway management is the priority for infants with bronchiolitis because
inflammation and mucus production can rapidly obstruct the small airways. Oxygenation
always takes precedence over nutrition and activity.
3. Which finding is expected in a child diagnosed with iron-deficiency anemia?
,A. Hypertension
B. Bradycardia
C. Pallor and fatigue
D. Flushed skin
Answer: C. Pallor and fatigue
Rationale: Iron-deficiency anemia commonly presents with pallor, fatigue, irritability,
decreased exercise tolerance, and poor concentration due to reduced oxygen-carrying
capacity.
4. A nurse teaches parents about administering oral antibiotics to their child. Which
statement by the parents indicates understanding?
A. "We'll stop the medication when our child feels better."
B. "We'll complete the entire prescription even if symptoms improve."
C. "We'll double the next dose if one is missed."
D. "We'll mix every medication with hot milk."
Answer: B. "We'll complete the entire prescription even if symptoms improve."
Rationale: Completing the full antibiotic course prevents recurrence and reduces
antimicrobial resistance. Doses should never be doubled, and medications should not
routinely be mixed with hot beverages because heat may alter medication effectiveness.
5. Which developmental milestone is expected in a healthy 9-month-old infant?
A. Riding a tricycle
B. Copying a circle
C. Pulling to stand
D. Skipping on one foot
Answer: C. Pulling to stand
Rationale: Most 9-month-old infants pull themselves to a standing position, crawl, and
begin cruising. The remaining milestones occur in older children.
6. A child with nephrotic syndrome is receiving corticosteroid therapy. Which nursing
intervention is most appropriate?
, A. Encourage unrestricted sodium intake.
B. Monitor daily weight.
C. Limit protein intake.
D. Restrict fluid intake without an order.
Answer: B. Monitor daily weight.
Rationale: Daily weight is the most reliable indicator of fluid retention or loss.
Corticosteroids may increase fluid retention, making weight monitoring essential.
7. Which vaccine is routinely administered shortly after birth?
A. MMR
B. Varicella
C. DTaP
D. Hepatitis B
Answer: D. Hepatitis B
Rationale: The hepatitis B vaccine is recommended within 24 hours of birth for medically
stable newborns.
8. A child with bacterial meningitis suddenly develops seizures. What is the nurse's
priority action?
A. Obtain blood cultures.
B. Notify dietary services.
C. Protect the child from injury during the seizure.
D. Administer oral fluids.
Answer: C. Protect the child from injury during the seizure.
Rationale: During a seizure, maintaining safety and protecting the airway are immediate
priorities. Blood cultures and other interventions can occur after stabilization.
9. Which assessment finding suggests respiratory distress in an infant?
A. Smiling
B. Nasal flaring
