NUR203 Pediatrics
Midterm Exam Review (Qns & Ans)
2025
1. What is the primary nursing concern for a pediatric patient
with dehydration?
A. Preventing respiratory distress
B. Monitoring growth and development milestones
C. Maintaining fluid and electrolyte balance
D. Managing caregiver stress
ANS: C. Maintaining fluid and electrolyte balance
Rationale: Dehydration can lead to severe complications in
children, making fluid and electrolyte management a top priority.
©2025
,2. Which developmental milestone is typically achieved by a 2-
year-old child?
A. Speaking in full sentences
B. Walking up stairs with assistance
C. Drawing a perfect circle
D. Riding a tricycle
ANS: B. Walking up stairs with assistance
Rationale: By 2 years old, children generally develop gross
motor skills to climb stairs with some support.
3. Which condition is commonly associated with a cyanotic
heart defect in children?
A. Tetralogy of Fallot
B. Patent ductus arteriosus
C. Atrial septal defect
D. Ventricular septal defect
ANS: A. Tetralogy of Fallot
Rationale: Tetralogy of Fallot is a congenital defect that causes
oxygen-poor blood to flow into systemic circulation, leading to
cyanosis.
©2025
,4. What is the appropriate action for a nurse when administering
medication to a pediatric patient?
A. Measuring adult doses using pediatric weight
B. Relying on standard dosing for all children
C. Calculating medication dosages based on weight or body
surface area (BSA)
D. Avoiding liquid medications for children under 5 years old
ANS: C. Calculating medication dosages based on weight or
body surface area (BSA)
Rationale: Dosing based on weight or BSA ensures safe and
accurate administration for children.
5. Which of the following vaccinations is recommended at birth?
A. DTaP
B. Rotavirus
C. Hepatitis B
D. Measles, mumps, and rubella (MMR)
ANS: C. Hepatitis B
Rationale: The hepatitis B vaccine is the first vaccine given
shortly after birth.
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©2025
, Fill-in-the-Blank Questions
6. In pediatric resuscitation, a child’s heart rate is considered
bradycardic if it falls below ________ beats per minute.
ANS: 60
Rationale: A heart rate below 60 bpm in children often
indicates bradycardia and requires intervention.
7. ________ is the most common cause of diarrhea in pediatric
patients worldwide.
ANS: Rotavirus
Rationale: Rotavirus is a leading cause of severe diarrheal
illness in children under 5 years old.
8. The ________ percentile on a growth chart represents the
median growth pattern for children of the same age and sex.
ANS: 50th
Rationale: The 50th percentile is the average growth point
based on population standards.
9. In pediatric nursing, ________ is the process of assessing a
child’s physical, cognitive, and emotional development relative to
their age.
©2025
Midterm Exam Review (Qns & Ans)
2025
1. What is the primary nursing concern for a pediatric patient
with dehydration?
A. Preventing respiratory distress
B. Monitoring growth and development milestones
C. Maintaining fluid and electrolyte balance
D. Managing caregiver stress
ANS: C. Maintaining fluid and electrolyte balance
Rationale: Dehydration can lead to severe complications in
children, making fluid and electrolyte management a top priority.
©2025
,2. Which developmental milestone is typically achieved by a 2-
year-old child?
A. Speaking in full sentences
B. Walking up stairs with assistance
C. Drawing a perfect circle
D. Riding a tricycle
ANS: B. Walking up stairs with assistance
Rationale: By 2 years old, children generally develop gross
motor skills to climb stairs with some support.
3. Which condition is commonly associated with a cyanotic
heart defect in children?
A. Tetralogy of Fallot
B. Patent ductus arteriosus
C. Atrial septal defect
D. Ventricular septal defect
ANS: A. Tetralogy of Fallot
Rationale: Tetralogy of Fallot is a congenital defect that causes
oxygen-poor blood to flow into systemic circulation, leading to
cyanosis.
©2025
,4. What is the appropriate action for a nurse when administering
medication to a pediatric patient?
A. Measuring adult doses using pediatric weight
B. Relying on standard dosing for all children
C. Calculating medication dosages based on weight or body
surface area (BSA)
D. Avoiding liquid medications for children under 5 years old
ANS: C. Calculating medication dosages based on weight or
body surface area (BSA)
Rationale: Dosing based on weight or BSA ensures safe and
accurate administration for children.
5. Which of the following vaccinations is recommended at birth?
A. DTaP
B. Rotavirus
C. Hepatitis B
D. Measles, mumps, and rubella (MMR)
ANS: C. Hepatitis B
Rationale: The hepatitis B vaccine is the first vaccine given
shortly after birth.
---
©2025
, Fill-in-the-Blank Questions
6. In pediatric resuscitation, a child’s heart rate is considered
bradycardic if it falls below ________ beats per minute.
ANS: 60
Rationale: A heart rate below 60 bpm in children often
indicates bradycardia and requires intervention.
7. ________ is the most common cause of diarrhea in pediatric
patients worldwide.
ANS: Rotavirus
Rationale: Rotavirus is a leading cause of severe diarrheal
illness in children under 5 years old.
8. The ________ percentile on a growth chart represents the
median growth pattern for children of the same age and sex.
ANS: 50th
Rationale: The 50th percentile is the average growth point
based on population standards.
9. In pediatric nursing, ________ is the process of assessing a
child’s physical, cognitive, and emotional development relative to
their age.
©2025
