NUR 203 /NUR203 Exam 1 Pediatric Nursing
2026/2027/2028 Testing Cycle | Newly Released
50 Questions With Answers & Expert Rationales
Guaranteed Pass | Graded A+ | Fortis College
Growth, Development, Health Promotion, Safety & Dosage Calculations
Q1: A nurse is assessing a 4-year-old child in the pediatric clinic. According to Piaget's cognitive
development theory, which characteristic is the nurse most likely to observe?
A. Can understand abstract health concepts and hypothetical situations
B. Can reason logically about cause and effect with concrete objects
C. Demonstrates egocentrism, animism, and magical thinking
D. Uses future-oriented and systematic problem-solving strategies
Correct Answer: C
Rationale: Correct because according to Piaget's cognitive development theory, the
preoperational stage spans ages 2 to 7 years and is characterized by egocentrism, animism, and
magical thinking. A 4-year-old child is firmly within this stage and cannot yet perform logical
operations or abstract reasoning. Concrete operational thinking emerges around 7 to 11 years,
while formal operational abstract reasoning develops after age 11.
Q2: A nurse is evaluating the gross motor development of a 9-month-old infant during a well-
child visit. Which milestone should the nurse expect to observe?
A. Pulls to stand and crawls
B. Walks independently
C. Rolls front to back
D. Kicks a ball
Correct Answer: A
Rationale: Correct because by 9 months of age, infants typically demonstrate the ability to pull
themselves to a standing position and crawl across the floor. Walking independently is a 15-
,month milestone, rolling front to back occurs at 4 months, and kicking a ball is achieved around
2 years of age. These gross motor milestones follow a predictable cephalocaudal and
proximodistal pattern of development.
Q3: A nurse is educating parents of a toddler about injury prevention in the home. Which
statements by the parents indicate correct understanding? Select all that apply.
A. "I will set the water heater to 120°F or below."
B. "I will keep buckets and wading pools empty when not in use."
C. "I will offer sliced hot dogs as a healthy snack."
D. "I will store cleaning products in locked cabinets."
E. "I will leave my toddler unattended in the bathtub for brief periods."
Correct Answer: A, B, D
Rationale: Correct because setting water heaters to 120°F or below prevents scald burns in
young children, eliminating standing water in buckets and wading pools prevents drowning since
toddlers can drown in just one inch of water, and storing cleaning products in locked cabinets
prevents accidental poisoning. Sliced hot dogs remain a significant choking hazard for children
under 3 years of age and should be avoided entirely. Leaving a toddler unattended in the bathtub,
even briefly, creates an immediate drowning risk and is never appropriate.
Q4: A nurse is reviewing the vaccination record of a 12-month-old infant. Which vaccines are
due at this visit according to the CDC schedule?
A. DTaP, IPV, and Hib
B. Rotavirus, PCV13, and HepB
C. Tdap, HPV, and MenACWY
D. MMR, Varicella, and Hepatitis A
Correct Answer: D
Rationale: Correct because according to the CDC vaccination schedule, the 12-month well-child
visit includes the first dose of measles-mumps-rubella (MMR), the first dose of varicella (VAR),
and the first dose of hepatitis A (HepA). DTaP, IPV, and Hib are administered at 2, 4, and 6
months of age, while Tdap, HPV, and MenACWY are adolescent vaccines given at 11 to 12
years of age. Rotavirus is completed by 8 months and is not given at 12 months.
Q5: A nurse is caring for a hospitalized 8-year-old child. According to Erikson's psychosocial
theory, which nursing intervention is most appropriate?
, A. Provide consistent caregivers to build trust
B. Allow the child to participate in care decisions and praise accomplishments
C. Encourage exploration of the hospital environment with minimal supervision
D. Support identity exploration and respect privacy needs
Correct Answer: B
Rationale: Correct because an 8-year-old child is in Erikson's stage of industry versus
inferiority, which spans ages 6 to 12 years, and children in this stage need opportunities to
develop competence through achievement and skill mastery. Allowing participation in care
decisions and praising accomplishments fosters industry and self-confidence. Consistent
caregivers address trust versus mistrust in infancy, encouraging unsupervised exploration relates
to initiative versus guilt in preschoolers, and supporting identity exploration addresses adolescent
needs during identity versus role confusion.
Q6: A nurse is assessing a 6-month-old infant. Which fine motor milestone is expected at this
age?
A. Stacks two blocks
B. Uses a spoon well
C. Grasps objects using a palmar grasp
D. Draws a circle
Correct Answer: C
Rationale: Correct because at 4 to 5 months of age, infants develop a palmar grasp using the
whole hand to hold objects, and this skill is well established by 6 months of age. Stacking two
blocks is a 15-month milestone, using a spoon well occurs at 2 years of age, and drawing a circle
is achieved around 3 years of age. Fine motor development progresses from primitive reflexive
grasps to more refined pincer grasp and purposeful manipulation of objects.
Q7: A provider orders acetaminophen 15 mg/kg PO q6h for a child weighing 22 lbs. The
medication concentration is 160 mg/5 mL. How many mL should the nurse administer per dose?
(Round to the nearest tenth.)
Correct Answer: 4.7
Rationale: Correct because the child weighs 10 kg after converting 22 lbs by dividing by 2.2,
and the dose is calculated as 15 mg/kg multiplied by 10 kg, yielding 150 mg per dose. Using the
ratio method, 150 mg divided by 160 mg multiplied by 5 mL equals 4.6875 mL, which rounds to
4.7 mL because liquid volumes greater than 1 mL are rounded to the nearest tenth. The nurse
must always verify that the calculated dose falls within the safe dose range before administration.
2026/2027/2028 Testing Cycle | Newly Released
50 Questions With Answers & Expert Rationales
Guaranteed Pass | Graded A+ | Fortis College
Growth, Development, Health Promotion, Safety & Dosage Calculations
Q1: A nurse is assessing a 4-year-old child in the pediatric clinic. According to Piaget's cognitive
development theory, which characteristic is the nurse most likely to observe?
A. Can understand abstract health concepts and hypothetical situations
B. Can reason logically about cause and effect with concrete objects
C. Demonstrates egocentrism, animism, and magical thinking
D. Uses future-oriented and systematic problem-solving strategies
Correct Answer: C
Rationale: Correct because according to Piaget's cognitive development theory, the
preoperational stage spans ages 2 to 7 years and is characterized by egocentrism, animism, and
magical thinking. A 4-year-old child is firmly within this stage and cannot yet perform logical
operations or abstract reasoning. Concrete operational thinking emerges around 7 to 11 years,
while formal operational abstract reasoning develops after age 11.
Q2: A nurse is evaluating the gross motor development of a 9-month-old infant during a well-
child visit. Which milestone should the nurse expect to observe?
A. Pulls to stand and crawls
B. Walks independently
C. Rolls front to back
D. Kicks a ball
Correct Answer: A
Rationale: Correct because by 9 months of age, infants typically demonstrate the ability to pull
themselves to a standing position and crawl across the floor. Walking independently is a 15-
,month milestone, rolling front to back occurs at 4 months, and kicking a ball is achieved around
2 years of age. These gross motor milestones follow a predictable cephalocaudal and
proximodistal pattern of development.
Q3: A nurse is educating parents of a toddler about injury prevention in the home. Which
statements by the parents indicate correct understanding? Select all that apply.
A. "I will set the water heater to 120°F or below."
B. "I will keep buckets and wading pools empty when not in use."
C. "I will offer sliced hot dogs as a healthy snack."
D. "I will store cleaning products in locked cabinets."
E. "I will leave my toddler unattended in the bathtub for brief periods."
Correct Answer: A, B, D
Rationale: Correct because setting water heaters to 120°F or below prevents scald burns in
young children, eliminating standing water in buckets and wading pools prevents drowning since
toddlers can drown in just one inch of water, and storing cleaning products in locked cabinets
prevents accidental poisoning. Sliced hot dogs remain a significant choking hazard for children
under 3 years of age and should be avoided entirely. Leaving a toddler unattended in the bathtub,
even briefly, creates an immediate drowning risk and is never appropriate.
Q4: A nurse is reviewing the vaccination record of a 12-month-old infant. Which vaccines are
due at this visit according to the CDC schedule?
A. DTaP, IPV, and Hib
B. Rotavirus, PCV13, and HepB
C. Tdap, HPV, and MenACWY
D. MMR, Varicella, and Hepatitis A
Correct Answer: D
Rationale: Correct because according to the CDC vaccination schedule, the 12-month well-child
visit includes the first dose of measles-mumps-rubella (MMR), the first dose of varicella (VAR),
and the first dose of hepatitis A (HepA). DTaP, IPV, and Hib are administered at 2, 4, and 6
months of age, while Tdap, HPV, and MenACWY are adolescent vaccines given at 11 to 12
years of age. Rotavirus is completed by 8 months and is not given at 12 months.
Q5: A nurse is caring for a hospitalized 8-year-old child. According to Erikson's psychosocial
theory, which nursing intervention is most appropriate?
, A. Provide consistent caregivers to build trust
B. Allow the child to participate in care decisions and praise accomplishments
C. Encourage exploration of the hospital environment with minimal supervision
D. Support identity exploration and respect privacy needs
Correct Answer: B
Rationale: Correct because an 8-year-old child is in Erikson's stage of industry versus
inferiority, which spans ages 6 to 12 years, and children in this stage need opportunities to
develop competence through achievement and skill mastery. Allowing participation in care
decisions and praising accomplishments fosters industry and self-confidence. Consistent
caregivers address trust versus mistrust in infancy, encouraging unsupervised exploration relates
to initiative versus guilt in preschoolers, and supporting identity exploration addresses adolescent
needs during identity versus role confusion.
Q6: A nurse is assessing a 6-month-old infant. Which fine motor milestone is expected at this
age?
A. Stacks two blocks
B. Uses a spoon well
C. Grasps objects using a palmar grasp
D. Draws a circle
Correct Answer: C
Rationale: Correct because at 4 to 5 months of age, infants develop a palmar grasp using the
whole hand to hold objects, and this skill is well established by 6 months of age. Stacking two
blocks is a 15-month milestone, using a spoon well occurs at 2 years of age, and drawing a circle
is achieved around 3 years of age. Fine motor development progresses from primitive reflexive
grasps to more refined pincer grasp and purposeful manipulation of objects.
Q7: A provider orders acetaminophen 15 mg/kg PO q6h for a child weighing 22 lbs. The
medication concentration is 160 mg/5 mL. How many mL should the nurse administer per dose?
(Round to the nearest tenth.)
Correct Answer: 4.7
Rationale: Correct because the child weighs 10 kg after converting 22 lbs by dividing by 2.2,
and the dose is calculated as 15 mg/kg multiplied by 10 kg, yielding 150 mg per dose. Using the
ratio method, 150 mg divided by 160 mg multiplied by 5 mL equals 4.6875 mL, which rounds to
4.7 mL because liquid volumes greater than 1 mL are rounded to the nearest tenth. The nurse
must always verify that the calculated dose falls within the safe dose range before administration.
