NMC Children's Nursing OSCE - September Sessions
Comprehensive Multiple-Choice Question Bank (150
Questions) updated 2026. Well written direct pass !!!!
Table of Contents
Section Topic Area Questions
1 NMC Code of Conduct & Professional Values 1-15
2 Child Development & Family-Centred Care 16-30
3 Assessment & Clinical Observations (ABCDE, PEWS) 31-45
4 Medication Administration & Paediatric Calculations 46-60
5 Safeguarding & Child Protection 61-75
6 Acute & Emergency Care (BLS, Deterioration) 76-90
7 Long-term Conditions & Chronic Illness Management 91-105
8 Mental Health & Psychological Well-being 106-120
9 Evidence-Based Practice & Research 121-135
10 Communication, Consent & Legal Frameworks 136-150
SECTION 1: NMC CODE OF CONDUCT & PROFESSIONAL VALUES
, Question 1
A children's nurse is caring for a 4-year-old child who requires a painful procedure. The child is
screaming and resisting. The parent asks the nurse to "just hold them down and get it done."
What is the MOST appropriate action by the nurse?
A. Proceed with the procedure using therapeutic holding techniques while the parent
comforts the child
B. Pause the procedure, explain the need for consent, and explore alternative distraction
techniques with the parent
C. Ask the parent to leave the room so the procedure can be completed quickly
D. Sedate the child without further discussion to minimise distress
Rationale: The NMC Code requires nurses to prioritise people, listen to their preferences and
concerns, and act in the best interest of the patient. The nurse must uphold the child's dignity,
obtain valid consent, and explore less distressing options before proceeding.
Question 2
According to the NMC Code (2018), which of the following is NOT one of the four themes?
A. Prioritise people
B. Promote excellence
C. Preserve safety
D. Promote professionalism and trust
Rationale: The NMC Code is structured around four themes: prioritise people, practise
effectively, preserve safety, and promote professionalism and trust. "Promote excellence" is not
one of the four themes.
Question 3
A children's nurse notices that a colleague is consistently documenting observations
retrospectively rather than in real time. What is the nurse's PRIMARY responsibility?
A. Ignore the behaviour as it does not directly affect patient care
B. Challenge the colleague's practice and escalate through appropriate channels if
concerns persist
,C. Report the colleague to the police immediately
D. Document the colleague's behaviour in the patient's notes
Rationale: The NMC Code requires nurses to challenge the practice of self and others when it
falls below expected standards. Nurses have a professional duty to raise concerns and escalate
through appropriate channels.
Question 4
A 6-year-old child with cerebral palsy is admitted for elective surgery. The child has a severe
learning disability and cannot communicate verbally. How should the nurse approach consent?
A. Obtain consent from the child's parent or legal guardian as the child lacks capacity
B. Assess the child's capacity to understand the procedure and involve them in decision-
making to the greatest extent possible
C. Proceed without consent as the child cannot understand
D. Only seek consent from the child's consultant
Rationale: The NMC standards emphasise a person-centred approach demonstrating shared
assessment, planning, decision-making and goal setting. Even when a child lacks full capacity,
they should be involved in decisions to the greatest extent possible.
Question 5
Which of the following best describes the 6 Cs of nursing as applied to children's nursing?
A. Care, Compassion, Competence, Communication, Courage, Commitment
B. Care, Courtesy, Competence, Communication, Confidentiality, Commitment
C. Compassion, Competence, Consistency, Communication, Courage, Confidence
D. Care, Compassion, Competence, Coordination, Courage, Commitment
Rationale: The 6 Cs are Care, Compassion, Competence, Communication, Courage and
Commitment. These underpin everyday nursing practice and are fundamental to delivering
person-centred care.
Question 6
A children's nurse is asked by a parent to share information about another child on the ward.
What is the CORRECT response?
, A. Share the information as parents have a right to know about other children's conditions
B. Politely decline and explain that patient confidentiality prevents sharing information
about other patients
C. Share only non-identifying information
D. Ask the parent to speak to the ward manager
Rationale: The NMC standards require nurses to work within legal frameworks for data
protection including access to and storage of records. Confidentiality must be maintained at all
times.
Question 7
A 2-year-old child is brought to the emergency department with a fever. The parents appear
anxious and ask multiple questions. The nurse notices that the parents are speaking in a
language different from English. What is the MOST appropriate action?
A. Continue the assessment using non-verbal communication
B. Arrange for a professional interpreter to ensure accurate communication
C. Ask the parents to use a translation app on their phone
D. Proceed with the assessment and hope the parents understand
Rationale: The NMC standards require nurses to provide information in accessible ways to help
people understand and make decisions about their health. Professional interpreters should be
used to ensure accurate communication.
Question 8
A children's nurse witnesses a colleague administering the wrong dose of medication to a child.
The child appears stable. What is the nurse's FIRST action?
A. Wait to see if the child develops any adverse effects
B. Immediately inform the prescribing doctor and complete an incident report
C. Discuss the error with the colleague privately
D. Document the incident in the child's notes but do not report it
Rationale: The NMC Code requires nurses to preserve safety and act immediately when patient
safety is compromised. The prescribing doctor must be informed, and the incident must be
reported through appropriate channels.
Comprehensive Multiple-Choice Question Bank (150
Questions) updated 2026. Well written direct pass !!!!
Table of Contents
Section Topic Area Questions
1 NMC Code of Conduct & Professional Values 1-15
2 Child Development & Family-Centred Care 16-30
3 Assessment & Clinical Observations (ABCDE, PEWS) 31-45
4 Medication Administration & Paediatric Calculations 46-60
5 Safeguarding & Child Protection 61-75
6 Acute & Emergency Care (BLS, Deterioration) 76-90
7 Long-term Conditions & Chronic Illness Management 91-105
8 Mental Health & Psychological Well-being 106-120
9 Evidence-Based Practice & Research 121-135
10 Communication, Consent & Legal Frameworks 136-150
SECTION 1: NMC CODE OF CONDUCT & PROFESSIONAL VALUES
, Question 1
A children's nurse is caring for a 4-year-old child who requires a painful procedure. The child is
screaming and resisting. The parent asks the nurse to "just hold them down and get it done."
What is the MOST appropriate action by the nurse?
A. Proceed with the procedure using therapeutic holding techniques while the parent
comforts the child
B. Pause the procedure, explain the need for consent, and explore alternative distraction
techniques with the parent
C. Ask the parent to leave the room so the procedure can be completed quickly
D. Sedate the child without further discussion to minimise distress
Rationale: The NMC Code requires nurses to prioritise people, listen to their preferences and
concerns, and act in the best interest of the patient. The nurse must uphold the child's dignity,
obtain valid consent, and explore less distressing options before proceeding.
Question 2
According to the NMC Code (2018), which of the following is NOT one of the four themes?
A. Prioritise people
B. Promote excellence
C. Preserve safety
D. Promote professionalism and trust
Rationale: The NMC Code is structured around four themes: prioritise people, practise
effectively, preserve safety, and promote professionalism and trust. "Promote excellence" is not
one of the four themes.
Question 3
A children's nurse notices that a colleague is consistently documenting observations
retrospectively rather than in real time. What is the nurse's PRIMARY responsibility?
A. Ignore the behaviour as it does not directly affect patient care
B. Challenge the colleague's practice and escalate through appropriate channels if
concerns persist
,C. Report the colleague to the police immediately
D. Document the colleague's behaviour in the patient's notes
Rationale: The NMC Code requires nurses to challenge the practice of self and others when it
falls below expected standards. Nurses have a professional duty to raise concerns and escalate
through appropriate channels.
Question 4
A 6-year-old child with cerebral palsy is admitted for elective surgery. The child has a severe
learning disability and cannot communicate verbally. How should the nurse approach consent?
A. Obtain consent from the child's parent or legal guardian as the child lacks capacity
B. Assess the child's capacity to understand the procedure and involve them in decision-
making to the greatest extent possible
C. Proceed without consent as the child cannot understand
D. Only seek consent from the child's consultant
Rationale: The NMC standards emphasise a person-centred approach demonstrating shared
assessment, planning, decision-making and goal setting. Even when a child lacks full capacity,
they should be involved in decisions to the greatest extent possible.
Question 5
Which of the following best describes the 6 Cs of nursing as applied to children's nursing?
A. Care, Compassion, Competence, Communication, Courage, Commitment
B. Care, Courtesy, Competence, Communication, Confidentiality, Commitment
C. Compassion, Competence, Consistency, Communication, Courage, Confidence
D. Care, Compassion, Competence, Coordination, Courage, Commitment
Rationale: The 6 Cs are Care, Compassion, Competence, Communication, Courage and
Commitment. These underpin everyday nursing practice and are fundamental to delivering
person-centred care.
Question 6
A children's nurse is asked by a parent to share information about another child on the ward.
What is the CORRECT response?
, A. Share the information as parents have a right to know about other children's conditions
B. Politely decline and explain that patient confidentiality prevents sharing information
about other patients
C. Share only non-identifying information
D. Ask the parent to speak to the ward manager
Rationale: The NMC standards require nurses to work within legal frameworks for data
protection including access to and storage of records. Confidentiality must be maintained at all
times.
Question 7
A 2-year-old child is brought to the emergency department with a fever. The parents appear
anxious and ask multiple questions. The nurse notices that the parents are speaking in a
language different from English. What is the MOST appropriate action?
A. Continue the assessment using non-verbal communication
B. Arrange for a professional interpreter to ensure accurate communication
C. Ask the parents to use a translation app on their phone
D. Proceed with the assessment and hope the parents understand
Rationale: The NMC standards require nurses to provide information in accessible ways to help
people understand and make decisions about their health. Professional interpreters should be
used to ensure accurate communication.
Question 8
A children's nurse witnesses a colleague administering the wrong dose of medication to a child.
The child appears stable. What is the nurse's FIRST action?
A. Wait to see if the child develops any adverse effects
B. Immediately inform the prescribing doctor and complete an incident report
C. Discuss the error with the colleague privately
D. Document the incident in the child's notes but do not report it
Rationale: The NMC Code requires nurses to preserve safety and act immediately when patient
safety is compromised. The prescribing doctor must be informed, and the incident must be
reported through appropriate channels.
