# Pediatric Nursing — Comprehensive Test
Bank
**Course:** Pediatric Nursing
**Relevant Exam:** NCLEX-PN/RN, pediatric
nursing certification, and comprehensive
exams
**Document Edition:** 2025–2026 Blueprint
— standalone document
---
## PART 1 of 5: Foundations of Pediatric Nursing (Questions 1–70)
---
### Chapter 1: Growth and Development — Questions 1–18
**Q1.** A nurse is assessing a 6-month-old infant. Which developmental
milestone should the nurse expect?
A. Sitting without support
B. Rolling from back to abdomen
C. Walking independently
D. Speaking two-word sentences
**Correct Answer: B**
,**Rationale:** A 6-month-old infant typically rolls from back to abdomen.
Sitting without support (A) is expected at 8 months. Walking independently (C)
is expected at 12–15 months. Speaking two-word sentences (D) is expected at
18–24 months.
---
**Q2.** A nurse is assessing a 12-month-old infant. Which developmental
milestone should the nurse expect?
A. Using a pincer grasp
B. Speaking 10–20 words
C. Walking independently
D. Building a tower of two blocks
**Correct Answer: C**
**Rationale:** A 12-month-old typically walks independently. Pincer grasp
(A) develops at 9–10 months. Speaking 10–20 words (B) is expected at 18
months. Building a tower of two blocks (D) is expected at 15–18 months.
---
**Q3.** A nurse is assessing a 2-year-old toddler. Which developmental
milestone should the nurse expect?
A. Parallel play
B. Cooperative play
,C. Using 50–100 words
D. Riding a tricycle
**Correct Answer: A**
**Rationale:** A 2-year-old engages in parallel play (playing alongside
others). Cooperative play (B) develops at 4–5 years. Using 50–100 words (C) is
expected at 2 years. Riding a tricycle (D) is expected at 3 years.
---
**Q4.** A nurse is assessing a 4-year-old preschooler. Which developmental
milestone should the nurse expect?
A. Hopping on one foot
B. Tying shoelaces
C. Reading simple words
D. Writing full sentences
**Correct Answer: A**
**Rationale:** A 4-year-old can hop on one foot. Tying shoelaces (B) is
expected at 5–6 years. Reading simple words (C) is expected at 6–7 years.
Writing full sentences (D) is expected at 7–8 years.
---
**Q5.** A nurse is assessing a 6-year-old school-age child. Which
developmental milestone should the nurse expect?
, A. Understanding conservation of volume
B. Magical thinking
C. Egocentric thinking
D. Object permanence
**Correct Answer: A**
**Rationale:** A 6-year-old is in Piaget's concrete operational stage and
understands conservation of volume. Magical thinking (B) and egocentric
thinking (C) are characteristic of preoperational thought (2–7 years). Object
permanence (D) develops in infancy.
---
**Q6.** A nurse is assessing an adolescent. According to Erikson, which
psychosocial task is central to adolescence?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Identity vs. role confusion
D. Intimacy vs. isolation
**Correct Answer: C**
**Rationale:** Adolescence is characterized by Erikson's stage of identity vs.
role confusion. Trust vs. mistrust (A) is infancy. Autonomy vs. shame (B) is
toddlerhood. Intimacy vs. isolation (D) is young adulthood.
Bank
**Course:** Pediatric Nursing
**Relevant Exam:** NCLEX-PN/RN, pediatric
nursing certification, and comprehensive
exams
**Document Edition:** 2025–2026 Blueprint
— standalone document
---
## PART 1 of 5: Foundations of Pediatric Nursing (Questions 1–70)
---
### Chapter 1: Growth and Development — Questions 1–18
**Q1.** A nurse is assessing a 6-month-old infant. Which developmental
milestone should the nurse expect?
A. Sitting without support
B. Rolling from back to abdomen
C. Walking independently
D. Speaking two-word sentences
**Correct Answer: B**
,**Rationale:** A 6-month-old infant typically rolls from back to abdomen.
Sitting without support (A) is expected at 8 months. Walking independently (C)
is expected at 12–15 months. Speaking two-word sentences (D) is expected at
18–24 months.
---
**Q2.** A nurse is assessing a 12-month-old infant. Which developmental
milestone should the nurse expect?
A. Using a pincer grasp
B. Speaking 10–20 words
C. Walking independently
D. Building a tower of two blocks
**Correct Answer: C**
**Rationale:** A 12-month-old typically walks independently. Pincer grasp
(A) develops at 9–10 months. Speaking 10–20 words (B) is expected at 18
months. Building a tower of two blocks (D) is expected at 15–18 months.
---
**Q3.** A nurse is assessing a 2-year-old toddler. Which developmental
milestone should the nurse expect?
A. Parallel play
B. Cooperative play
,C. Using 50–100 words
D. Riding a tricycle
**Correct Answer: A**
**Rationale:** A 2-year-old engages in parallel play (playing alongside
others). Cooperative play (B) develops at 4–5 years. Using 50–100 words (C) is
expected at 2 years. Riding a tricycle (D) is expected at 3 years.
---
**Q4.** A nurse is assessing a 4-year-old preschooler. Which developmental
milestone should the nurse expect?
A. Hopping on one foot
B. Tying shoelaces
C. Reading simple words
D. Writing full sentences
**Correct Answer: A**
**Rationale:** A 4-year-old can hop on one foot. Tying shoelaces (B) is
expected at 5–6 years. Reading simple words (C) is expected at 6–7 years.
Writing full sentences (D) is expected at 7–8 years.
---
**Q5.** A nurse is assessing a 6-year-old school-age child. Which
developmental milestone should the nurse expect?
, A. Understanding conservation of volume
B. Magical thinking
C. Egocentric thinking
D. Object permanence
**Correct Answer: A**
**Rationale:** A 6-year-old is in Piaget's concrete operational stage and
understands conservation of volume. Magical thinking (B) and egocentric
thinking (C) are characteristic of preoperational thought (2–7 years). Object
permanence (D) develops in infancy.
---
**Q6.** A nurse is assessing an adolescent. According to Erikson, which
psychosocial task is central to adolescence?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Identity vs. role confusion
D. Intimacy vs. isolation
**Correct Answer: C**
**Rationale:** Adolescence is characterized by Erikson's stage of identity vs.
role confusion. Trust vs. mistrust (A) is infancy. Autonomy vs. shame (B) is
toddlerhood. Intimacy vs. isolation (D) is young adulthood.
