KAPLAN PEDIATRICS INTEGRATED TEST | 150
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | BRAND NEW 2025/2026 VERSION
Core Domains
1. Growth and Development – Developmental Milestones, Erikson's Stages, Piaget's
Stages, Age-Appropriate Activities, Growth Parameters
2. Pediatric Health Promotion – Immunizations, Nutrition, Safety, Injury Prevention,
Anticipatory Guidance, Health Screenings
3. Common Pediatric Illnesses and Conditions – Respiratory, Gastrointestinal,
Infectious, Neurological, Skin, and Musculoskeletal Disorders
4. Pediatric Medication Administration – Dosage Calculation, Routes, Safe
Administration, Adverse Effects, Pediatric-Specific Considerations
5. Pediatric Nursing Care – Hospitalization, Family-Centered Care, Pain Management,
Child Abuse/Neglect, Cultural Considerations
6. Neonatal and Infant Care – Newborn Assessment, Feeding, Sleep Safety, Jaundice,
Congenital Anomalies, Prematurity
7. Pediatric Emergencies – Respiratory Distress, Shock, Trauma, Status Epilepticus,
Anaphylaxis, Cardiac Arrest
8. Pediatric Pharmacology – Antibiotics, Antipyretics, Vaccines, Corticosteroids,
Anticonvulsants, Bronchodilators, Chemotherapy Agents
9. NGN – Clinical Judgment, Bow-Tie Case Studies, Extended Multiple Response
(SATA), Unfolding Cases, Prioritization
10. NGN – Interprofessional Collaboration, Quality Improvement, Care Coordination,
Health Teaching, Transition of Care
Introduction
This comprehensive practice examination is meticulously designed for nursing
students and healthcare professionals preparing for the Kaplan Pediatrics Integrated
Test. The examination covers all essential pediatric domains required for successful
program completion and NCLEX-RN/PN readiness, including growth and
,development, health promotion, common pediatric illnesses, medication
administration, pediatric nursing care, neonatal and infant care, pediatric
emergencies, and pediatric pharmacology. Through a combination of multiple-choice
questions, Select-All-That-Apply (SATA), and Next Generation NCLEX (NGN) style
case studies, candidates will demonstrate their understanding of pediatric nursing
principles, clinical judgment, and safe care delivery in diverse pediatric scenarios.
Each question includes a detailed rationale explaining the correct answer and
reinforcing key concepts. Successful completion of this examination demonstrates
readiness for the official Kaplan Pediatrics Integrated assessment and the NCLEX
licensure examination.
SECTION ONE: QUESTIONS 1-150
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which of the
following developmental milestones should the nurse expect the infant to have
achieved?
A. Sitting without support
B. Rolling from back to abdomen
C. Pincer grasp
D. Walking with assistance
B. Rolling from back to abdomen
RATIONALE: By 4 months of age, infants typically can roll from back to abdomen.
Sitting without support occurs at approximately 6-8 months, pincer grasp at 9-10
months, and walking with assistance at 12-15 months.
2. A nurse is providing education to the parents of a 2-year-old child about
developmental milestones. Which of the following statements by the parents
indicates an understanding of the teaching?
A. "My child should be able to hop on one foot."
B. "My child should be able to use a spoon."
,C. "My child should be able to tie their shoes."
D. "My child should be able to copy a square."
B. "My child should be able to use a spoon."
RATIONALE: By 2 years of age, children can typically use a spoon. Hopping on
one foot occurs at approximately 4-5 years, tying shoes at 5-6 years, and copying a
square at 4-5 years.
3. A nurse is assessing a 6-month-old infant. Which of the following findings
should the nurse report to the provider?
A. Birth weight doubled
B. Closed anterior fontanel
C. Absence of head lag
D. Social smile
B. Closed anterior fontanel
RATIONALE: The anterior fontanel typically closes between 12-18 months of age.
A closed anterior fontanel at 6 months is abnormal and should be reported.
4. A nurse is caring for a child who is prescribed amoxicillin 50 mg/kg/day divided
into 2 doses. The child weighs 22 kg. How many mg should the nurse administer
per dose?
A. 550 mg
B. 600 mg
C. 650 mg
D. 700 mg
A. 550 mg
RATIONALE: Calculate total daily dose: 50 mg/kg × 22 kg = 1,100 mg/day. Divide
by 2 doses: 1,100 mg ÷ 2 = 550 mg per dose.
5. A nurse is assessing a 12-month-old child during a well-child visit. Which of the
following immunizations should the nurse anticipate administering?
, A. MMR and varicella
B. DTaP and IPV
C. MMR, varicella, and hepatitis A
D. HepB and PCV
A. MMR and varicella
RATIONALE: MMR (measles, mumps, rubella) and varicella (chickenpox)
vaccines are administered at 12-15 months of age. The first dose of hepatitis A is also
given at 12-23 months.
6. A nurse is caring for a child with suspected appendicitis. Which of the following
findings is most consistent with this diagnosis?
A. Rebound tenderness at McBurney's point
B. Diffuse abdominal pain
C. Pain that improves with movement
D. Decreased white blood cell count
A. Rebound tenderness at McBurney's point
RATIONALE: Appendicitis typically presents with rebound tenderness at
McBurney's point (right lower quadrant). Pain is localized, worsens with movement,
and white blood cell count is elevated.
7. A nurse is assessing a 3-year-old child who is hospitalized. Which of the
following toys should the nurse provide to promote development?
A. Large picture books
B. Simple puzzles
C. Small building blocks
D. Coloring books
A. Large picture books
RATIONALE: For a hospitalized 3-year-old child, large picture books are
appropriate to promote cognitive development. Simple puzzles and coloring books
are more appropriate for 4-5 year olds, and small blocks pose a choking hazard.
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | BRAND NEW 2025/2026 VERSION
Core Domains
1. Growth and Development – Developmental Milestones, Erikson's Stages, Piaget's
Stages, Age-Appropriate Activities, Growth Parameters
2. Pediatric Health Promotion – Immunizations, Nutrition, Safety, Injury Prevention,
Anticipatory Guidance, Health Screenings
3. Common Pediatric Illnesses and Conditions – Respiratory, Gastrointestinal,
Infectious, Neurological, Skin, and Musculoskeletal Disorders
4. Pediatric Medication Administration – Dosage Calculation, Routes, Safe
Administration, Adverse Effects, Pediatric-Specific Considerations
5. Pediatric Nursing Care – Hospitalization, Family-Centered Care, Pain Management,
Child Abuse/Neglect, Cultural Considerations
6. Neonatal and Infant Care – Newborn Assessment, Feeding, Sleep Safety, Jaundice,
Congenital Anomalies, Prematurity
7. Pediatric Emergencies – Respiratory Distress, Shock, Trauma, Status Epilepticus,
Anaphylaxis, Cardiac Arrest
8. Pediatric Pharmacology – Antibiotics, Antipyretics, Vaccines, Corticosteroids,
Anticonvulsants, Bronchodilators, Chemotherapy Agents
9. NGN – Clinical Judgment, Bow-Tie Case Studies, Extended Multiple Response
(SATA), Unfolding Cases, Prioritization
10. NGN – Interprofessional Collaboration, Quality Improvement, Care Coordination,
Health Teaching, Transition of Care
Introduction
This comprehensive practice examination is meticulously designed for nursing
students and healthcare professionals preparing for the Kaplan Pediatrics Integrated
Test. The examination covers all essential pediatric domains required for successful
program completion and NCLEX-RN/PN readiness, including growth and
,development, health promotion, common pediatric illnesses, medication
administration, pediatric nursing care, neonatal and infant care, pediatric
emergencies, and pediatric pharmacology. Through a combination of multiple-choice
questions, Select-All-That-Apply (SATA), and Next Generation NCLEX (NGN) style
case studies, candidates will demonstrate their understanding of pediatric nursing
principles, clinical judgment, and safe care delivery in diverse pediatric scenarios.
Each question includes a detailed rationale explaining the correct answer and
reinforcing key concepts. Successful completion of this examination demonstrates
readiness for the official Kaplan Pediatrics Integrated assessment and the NCLEX
licensure examination.
SECTION ONE: QUESTIONS 1-150
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which of the
following developmental milestones should the nurse expect the infant to have
achieved?
A. Sitting without support
B. Rolling from back to abdomen
C. Pincer grasp
D. Walking with assistance
B. Rolling from back to abdomen
RATIONALE: By 4 months of age, infants typically can roll from back to abdomen.
Sitting without support occurs at approximately 6-8 months, pincer grasp at 9-10
months, and walking with assistance at 12-15 months.
2. A nurse is providing education to the parents of a 2-year-old child about
developmental milestones. Which of the following statements by the parents
indicates an understanding of the teaching?
A. "My child should be able to hop on one foot."
B. "My child should be able to use a spoon."
,C. "My child should be able to tie their shoes."
D. "My child should be able to copy a square."
B. "My child should be able to use a spoon."
RATIONALE: By 2 years of age, children can typically use a spoon. Hopping on
one foot occurs at approximately 4-5 years, tying shoes at 5-6 years, and copying a
square at 4-5 years.
3. A nurse is assessing a 6-month-old infant. Which of the following findings
should the nurse report to the provider?
A. Birth weight doubled
B. Closed anterior fontanel
C. Absence of head lag
D. Social smile
B. Closed anterior fontanel
RATIONALE: The anterior fontanel typically closes between 12-18 months of age.
A closed anterior fontanel at 6 months is abnormal and should be reported.
4. A nurse is caring for a child who is prescribed amoxicillin 50 mg/kg/day divided
into 2 doses. The child weighs 22 kg. How many mg should the nurse administer
per dose?
A. 550 mg
B. 600 mg
C. 650 mg
D. 700 mg
A. 550 mg
RATIONALE: Calculate total daily dose: 50 mg/kg × 22 kg = 1,100 mg/day. Divide
by 2 doses: 1,100 mg ÷ 2 = 550 mg per dose.
5. A nurse is assessing a 12-month-old child during a well-child visit. Which of the
following immunizations should the nurse anticipate administering?
, A. MMR and varicella
B. DTaP and IPV
C. MMR, varicella, and hepatitis A
D. HepB and PCV
A. MMR and varicella
RATIONALE: MMR (measles, mumps, rubella) and varicella (chickenpox)
vaccines are administered at 12-15 months of age. The first dose of hepatitis A is also
given at 12-23 months.
6. A nurse is caring for a child with suspected appendicitis. Which of the following
findings is most consistent with this diagnosis?
A. Rebound tenderness at McBurney's point
B. Diffuse abdominal pain
C. Pain that improves with movement
D. Decreased white blood cell count
A. Rebound tenderness at McBurney's point
RATIONALE: Appendicitis typically presents with rebound tenderness at
McBurney's point (right lower quadrant). Pain is localized, worsens with movement,
and white blood cell count is elevated.
7. A nurse is assessing a 3-year-old child who is hospitalized. Which of the
following toys should the nurse provide to promote development?
A. Large picture books
B. Simple puzzles
C. Small building blocks
D. Coloring books
A. Large picture books
RATIONALE: For a hospitalized 3-year-old child, large picture books are
appropriate to promote cognitive development. Simple puzzles and coloring books
are more appropriate for 4-5 year olds, and small blocks pose a choking hazard.
