SCHOOL OF NURSING AND PUBLIC HEALTH
NUR 365 COMMUNITY CHILD HEALTH FINAL EXAMINATION
PRACTICE QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS
LATEST 2026-2027 UPDATE
Instructions: Answer all fifty-five (55) practice questions. Select the single best option for each
multiple-choice question. Highlighted options indicate correct answers along with verified solutions
and comprehensive rationales.
1. A community health nurse evaluates a 12-month-old infant at a well-child clinic. Which
motor milestone should the nurse expect the infant to have achieved?
A) Walking up and down stairs unsupported
B) Standing alone and taking a few independent steps
C) Jumping off the ground with both feet
D) Building a tower of six small wooden blocks
Rationale: Standing independently and taking early steps represents a typical 12-month gross motor milestone.
Stair climbing and jumping develop later during toddlerhood.
2. What primary immunization is administered to infants at 2, 4, and 6 months of age to
protect against Haemophilus influenzae type b infections?
A) Hib conjugate vaccine
B) MMR vaccine
C) Varicella vaccine
D) Hepatitis A vaccine
Rationale: The Hib conjugate vaccine prevents invasive bacterial infections like meningitis and epiglottitis in
infants, following a standard multi-dose primary series starting at 2 months.
3. During a home visit to a family with a 4-month-old infant, the community health nurse
reviews sudden infant death syndrome (SIDS) prevention strategies. Which position
should the nurse emphasize for sleep?
A) Prone position on a soft mattress
B) Side-lying position supported by pillows
C) Supine position on a firm, flat sleep surface
D) Slightly elevated head position with soft bumper pads
Rationale: Placing infants on their back (supine) on a firm, clear surface for every sleep reduces SIDS risks
significantly. Soft bedding and prone placement raise suffocation risks.
, 4. A 2-year-old child presents to the community clinic with a low-grade fever, barking
cough, and mild inspiratory stridor when active. What condition does the nurse suspect?
A) Acute epiglottitis
B) Laryngotracheobronchitis (Croup)
C) Bronchiolitis
D) Asthma exacerbation
Rationale: Croup typically presents in toddlers with a characteristic seal-like barking cough and inspiratory stridor
caused by subglottic viral inflammation.
5. Which oral rehydration strategy is recommended for a 3-year-old child presenting with
mild to moderate dehydration secondary to viral gastroenteritis?
A) Administering commercial oral rehydration solution (ORS) in small, frequent sips
B) Giving full-strength apple juice and sports drinks
C) Restricting all oral fluids for 12 hours to rest the gut
D) Administering a bolus of plain tap water rapidly
Rationale: Standard ORS contains balanced glucose and electrolytes that optimize intestinal sodium-glucose
cotransport, restoring hydration safely without worsening diarrhea.
6. What lead exposure screening recommendation applies to young children living in
homes built before 1978?
A) Screening blood lead levels only if the child develops anemia
B) Blood lead level testing at 12 and 24 months of age
C) Urine lead excretion screening at age 5 years
D) Routine abdominal X-rays at age 3 years
Rationale: Blood lead screening at 12 and 24 months identifies subclinical lead toxicity early in high-risk older
housing environments, preventing neurological damage.
7. A mother brings her 18-month-old toddler to the clinic for a routine checkup. Which
language milestone should the nurse evaluate?
A) Using full complex sentences of 5 to 6 words
B) Speaking 10 to 20 single words and pointing to object requests
C) Understanding abstract concepts and metaphors
D) Repeating entire nursery rhymes from memory
Rationale: Typical 18-month-old toddlers use a vocabulary of 10 to 20 discrete words, follow simple one-step
commands, and point to express needs.
8. What assessment finding in a 6-month-old infant requires immediate follow-up by the
community health nurse?
A) Absence of head lag when pulled to a sitting position
NUR 365 COMMUNITY CHILD HEALTH FINAL EXAMINATION
PRACTICE QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS
LATEST 2026-2027 UPDATE
Instructions: Answer all fifty-five (55) practice questions. Select the single best option for each
multiple-choice question. Highlighted options indicate correct answers along with verified solutions
and comprehensive rationales.
1. A community health nurse evaluates a 12-month-old infant at a well-child clinic. Which
motor milestone should the nurse expect the infant to have achieved?
A) Walking up and down stairs unsupported
B) Standing alone and taking a few independent steps
C) Jumping off the ground with both feet
D) Building a tower of six small wooden blocks
Rationale: Standing independently and taking early steps represents a typical 12-month gross motor milestone.
Stair climbing and jumping develop later during toddlerhood.
2. What primary immunization is administered to infants at 2, 4, and 6 months of age to
protect against Haemophilus influenzae type b infections?
A) Hib conjugate vaccine
B) MMR vaccine
C) Varicella vaccine
D) Hepatitis A vaccine
Rationale: The Hib conjugate vaccine prevents invasive bacterial infections like meningitis and epiglottitis in
infants, following a standard multi-dose primary series starting at 2 months.
3. During a home visit to a family with a 4-month-old infant, the community health nurse
reviews sudden infant death syndrome (SIDS) prevention strategies. Which position
should the nurse emphasize for sleep?
A) Prone position on a soft mattress
B) Side-lying position supported by pillows
C) Supine position on a firm, flat sleep surface
D) Slightly elevated head position with soft bumper pads
Rationale: Placing infants on their back (supine) on a firm, clear surface for every sleep reduces SIDS risks
significantly. Soft bedding and prone placement raise suffocation risks.
, 4. A 2-year-old child presents to the community clinic with a low-grade fever, barking
cough, and mild inspiratory stridor when active. What condition does the nurse suspect?
A) Acute epiglottitis
B) Laryngotracheobronchitis (Croup)
C) Bronchiolitis
D) Asthma exacerbation
Rationale: Croup typically presents in toddlers with a characteristic seal-like barking cough and inspiratory stridor
caused by subglottic viral inflammation.
5. Which oral rehydration strategy is recommended for a 3-year-old child presenting with
mild to moderate dehydration secondary to viral gastroenteritis?
A) Administering commercial oral rehydration solution (ORS) in small, frequent sips
B) Giving full-strength apple juice and sports drinks
C) Restricting all oral fluids for 12 hours to rest the gut
D) Administering a bolus of plain tap water rapidly
Rationale: Standard ORS contains balanced glucose and electrolytes that optimize intestinal sodium-glucose
cotransport, restoring hydration safely without worsening diarrhea.
6. What lead exposure screening recommendation applies to young children living in
homes built before 1978?
A) Screening blood lead levels only if the child develops anemia
B) Blood lead level testing at 12 and 24 months of age
C) Urine lead excretion screening at age 5 years
D) Routine abdominal X-rays at age 3 years
Rationale: Blood lead screening at 12 and 24 months identifies subclinical lead toxicity early in high-risk older
housing environments, preventing neurological damage.
7. A mother brings her 18-month-old toddler to the clinic for a routine checkup. Which
language milestone should the nurse evaluate?
A) Using full complex sentences of 5 to 6 words
B) Speaking 10 to 20 single words and pointing to object requests
C) Understanding abstract concepts and metaphors
D) Repeating entire nursery rhymes from memory
Rationale: Typical 18-month-old toddlers use a vocabulary of 10 to 20 discrete words, follow simple one-step
commands, and point to express needs.
8. What assessment finding in a 6-month-old infant requires immediate follow-up by the
community health nurse?
A) Absence of head lag when pulled to a sitting position
