PEDIATRIC NURSING GROWTH AND
DEVELOPMENT EXAM 2025 QUESTIONS
AND ANSWERS
The site of choice for administration of an intramuscular (IM) medication to an infant is: -
ANS Vastus lateralis
Upon interacting with the parent of an 8-month-old infant, the nurse anticipates that the infant
is at risk of childhood obesity. Which statement from the parent supports the nurse's
assumption? - ANS "I often give my child potato chips."
A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a
minor trauma. The mother states that the toddler being seen for the trauma is very active and
is difficult, constantly saying no. An appropriate response would be: - ANS Toddlers are
curious, trying to make decisions and be independent.
The nurse is explaining to the mother of two teenage children why her daughter's height is
comparatively less than her son's height. What is the reason for lower overall height in girls
compared to boys? - ANS Closure of epiphyses due to estrogen secretion
After assessing the behavior of a 3-year-old child, the nurse concludes that the child is slow to
warm up. Which behavior helps the nurse reach this conclusion? - ANS The child adapts
gradually to a new environment with repeated contact.
The nurse is teaching a group of adolescents about the calendar method of contraception.
Which statement made by an adolescent indicates effective learning? - ANS "This type of
contraception requires a regular menstrual cycle."
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, The nurse is educating the mother of an 8-year-old female about the sequences of maturational
changes. Which response by the mother indicates effective learning? - ANS "Appearance of
breast buds is an initial indication of puberty."
Which formula is most preferable for a child who has lactose intolerance? - ANS Soy-based
formula
The parents inform the nurse that their child is often seen daydreaming. What does the nurse
inform the parents? - ANS "The child is exhibiting normal behavior seen in children."
The nurse finds that an adolescent has a tattoo on the neck and piercings on the ear and
eyebrow. During the next visit, the nurse finds that the adolescent has an additional tattoo on
right upper arm and another piercing on the nose. What are the priority nursing interventions
in this situation? Select all that apply. - ANS Screen the adolescent for human
immunodeficiency virus (HIV).
Schedule an appointment for administering the hepatitis vaccine.
The nurse is assessing the Apgar scores of four different newborns in a pediatric ward. Which
child does the nurse anticipate is experiencing severe distress? - ANS Newborn A
The parents of a child often try to persuade their preschooler to touch their pet dog because
they want to reduce the child's fear of dogs. Instead, the child's fears and anxiety increase.
What does the nurse suggest the parents do to help overcome their child's fear? - ANS "Let
the child watch other children playing with dogs."
The parents of a preschooler are worried, as the child is often seen talking to imaginary friends.
The parents admit that they often scold the child for such behavior. What does the nurse
inform the parents? - ANS "The behavior is normal at this age and it will help counter
loneliness."
2 COPYRIGHT © 2025 SIRJOEL ALL RIGHTS RESERVED
DEVELOPMENT EXAM 2025 QUESTIONS
AND ANSWERS
The site of choice for administration of an intramuscular (IM) medication to an infant is: -
ANS Vastus lateralis
Upon interacting with the parent of an 8-month-old infant, the nurse anticipates that the infant
is at risk of childhood obesity. Which statement from the parent supports the nurse's
assumption? - ANS "I often give my child potato chips."
A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a
minor trauma. The mother states that the toddler being seen for the trauma is very active and
is difficult, constantly saying no. An appropriate response would be: - ANS Toddlers are
curious, trying to make decisions and be independent.
The nurse is explaining to the mother of two teenage children why her daughter's height is
comparatively less than her son's height. What is the reason for lower overall height in girls
compared to boys? - ANS Closure of epiphyses due to estrogen secretion
After assessing the behavior of a 3-year-old child, the nurse concludes that the child is slow to
warm up. Which behavior helps the nurse reach this conclusion? - ANS The child adapts
gradually to a new environment with repeated contact.
The nurse is teaching a group of adolescents about the calendar method of contraception.
Which statement made by an adolescent indicates effective learning? - ANS "This type of
contraception requires a regular menstrual cycle."
1 COPYRIGHT © 2025 SIRJOEL ALL RIGHTS RESERVED
, The nurse is educating the mother of an 8-year-old female about the sequences of maturational
changes. Which response by the mother indicates effective learning? - ANS "Appearance of
breast buds is an initial indication of puberty."
Which formula is most preferable for a child who has lactose intolerance? - ANS Soy-based
formula
The parents inform the nurse that their child is often seen daydreaming. What does the nurse
inform the parents? - ANS "The child is exhibiting normal behavior seen in children."
The nurse finds that an adolescent has a tattoo on the neck and piercings on the ear and
eyebrow. During the next visit, the nurse finds that the adolescent has an additional tattoo on
right upper arm and another piercing on the nose. What are the priority nursing interventions
in this situation? Select all that apply. - ANS Screen the adolescent for human
immunodeficiency virus (HIV).
Schedule an appointment for administering the hepatitis vaccine.
The nurse is assessing the Apgar scores of four different newborns in a pediatric ward. Which
child does the nurse anticipate is experiencing severe distress? - ANS Newborn A
The parents of a child often try to persuade their preschooler to touch their pet dog because
they want to reduce the child's fear of dogs. Instead, the child's fears and anxiety increase.
What does the nurse suggest the parents do to help overcome their child's fear? - ANS "Let
the child watch other children playing with dogs."
The parents of a preschooler are worried, as the child is often seen talking to imaginary friends.
The parents admit that they often scold the child for such behavior. What does the nurse
inform the parents? - ANS "The behavior is normal at this age and it will help counter
loneliness."
2 COPYRIGHT © 2025 SIRJOEL ALL RIGHTS RESERVED
