Pediatric Nursing Comprehensive Final Exam Review 2026 | Practice
Questions & Correct Answers
Question 1
A pediatric nurse is assessing a 2-year-old child. Which developmental
milestone is expected?
A. Reading simple books independently
B. Walking up and down stairs with assistance
C. Writing complete sentences
D. Riding a bicycle without support
Correct Answer: B. Walking Up and Down Stairs With Assistance
Rationale:
Toddlers around 2 years old develop gross motor skills such as walking
independently and climbing stairs with assistance.
Question 2
A nurse caring for a hospitalized toddler should recognize that the
child’s primary concern is often:
A. Separation from parents and loss of control
B. Academic performance
C. Financial concerns
D. Career planning
Correct Answer: A. Separation From Parents and Loss of Control
,Rationale:
Toddlers commonly experience separation anxiety and fear unfamiliar
environments during hospitalization.
Question 3
The nurse assessing an infant’s growth should monitor:
A. Height, weight, and head circumference
B. Hair color only
C. Number of toys owned
D. Clothing size only
Correct Answer: A. Height, Weight, and Head Circumference
Rationale:
Growth measurements help evaluate physical development and identify
possible growth problems.
Question 4
Which finding indicates respiratory distress in a pediatric patient?
A. Normal breathing pattern
B. Nasal flaring and intercostal retractions
C. Strong appetite
D. Normal activity level
Correct Answer: B. Nasal Flaring and Intercostal Retractions
,Rationale:
These findings indicate increased work of breathing and possible
respiratory compromise.
Question 5
A nurse caring for a child with asthma should teach the family to:
A. Identify and avoid asthma triggers
B. Stop medications when symptoms improve
C. Avoid all physical activity
D. Ignore mild breathing problems
Correct Answer: A. Identify and Avoid Asthma Triggers
Rationale:
Recognizing triggers and following an asthma management plan
reduces exacerbations.
Question 6
Which medication is commonly used as a rescue medication for acute
asthma symptoms?
A. Albuterol
B. Insulin
C. Acetaminophen
D. Antibiotic medication
Correct Answer: A. Albuterol
, Rationale:
Albuterol is a short-acting bronchodilator used for rapid relief of
bronchospasm.
Question 7
A nurse caring for a child with dehydration should expect which
assessment finding?
A. Increased urine output
B. Dry mucous membranes and decreased tears
C. Moist skin
D. Increased appetite
Correct Answer: B. Dry Mucous Membranes and Decreased Tears
Rationale:
Fluid loss commonly causes dry mouth, reduced tears, and decreased
urination.
Question 8
Which intervention is appropriate during a child’s seizure?
A. Place an object in the child’s mouth
B. Restrain the child
C. Protect the child from injury and maintain airway safety
D. Leave the child alone
Correct Answer: C. Protect the Child From Injury and Maintain Airway
Safety
Questions & Correct Answers
Question 1
A pediatric nurse is assessing a 2-year-old child. Which developmental
milestone is expected?
A. Reading simple books independently
B. Walking up and down stairs with assistance
C. Writing complete sentences
D. Riding a bicycle without support
Correct Answer: B. Walking Up and Down Stairs With Assistance
Rationale:
Toddlers around 2 years old develop gross motor skills such as walking
independently and climbing stairs with assistance.
Question 2
A nurse caring for a hospitalized toddler should recognize that the
child’s primary concern is often:
A. Separation from parents and loss of control
B. Academic performance
C. Financial concerns
D. Career planning
Correct Answer: A. Separation From Parents and Loss of Control
,Rationale:
Toddlers commonly experience separation anxiety and fear unfamiliar
environments during hospitalization.
Question 3
The nurse assessing an infant’s growth should monitor:
A. Height, weight, and head circumference
B. Hair color only
C. Number of toys owned
D. Clothing size only
Correct Answer: A. Height, Weight, and Head Circumference
Rationale:
Growth measurements help evaluate physical development and identify
possible growth problems.
Question 4
Which finding indicates respiratory distress in a pediatric patient?
A. Normal breathing pattern
B. Nasal flaring and intercostal retractions
C. Strong appetite
D. Normal activity level
Correct Answer: B. Nasal Flaring and Intercostal Retractions
,Rationale:
These findings indicate increased work of breathing and possible
respiratory compromise.
Question 5
A nurse caring for a child with asthma should teach the family to:
A. Identify and avoid asthma triggers
B. Stop medications when symptoms improve
C. Avoid all physical activity
D. Ignore mild breathing problems
Correct Answer: A. Identify and Avoid Asthma Triggers
Rationale:
Recognizing triggers and following an asthma management plan
reduces exacerbations.
Question 6
Which medication is commonly used as a rescue medication for acute
asthma symptoms?
A. Albuterol
B. Insulin
C. Acetaminophen
D. Antibiotic medication
Correct Answer: A. Albuterol
, Rationale:
Albuterol is a short-acting bronchodilator used for rapid relief of
bronchospasm.
Question 7
A nurse caring for a child with dehydration should expect which
assessment finding?
A. Increased urine output
B. Dry mucous membranes and decreased tears
C. Moist skin
D. Increased appetite
Correct Answer: B. Dry Mucous Membranes and Decreased Tears
Rationale:
Fluid loss commonly causes dry mouth, reduced tears, and decreased
urination.
Question 8
Which intervention is appropriate during a child’s seizure?
A. Place an object in the child’s mouth
B. Restrain the child
C. Protect the child from injury and maintain airway safety
D. Leave the child alone
Correct Answer: C. Protect the Child From Injury and Maintain Airway
Safety
