VATI Nursing Care of Children Assessment
Exam – 60 Pediatric Nursing Questions with
Rationales | Graded A | 2025 Edition
Total Questions: 60
Overview: This assessment exam evaluates knowledge in pediatric nursing, focusing on
growth and development, medications, respiratory disorders, neurological conditions, and
teaching strategies. Questions are multiple-choice with 4 options (A–D), the correct answer in
bold, and a concise rationale based on evidence-based sources like Wong's Nursing Care of
Infants and Children (12th Ed., Hockenberry, 2025) and American Academy of Pediatrics (AAP)
guidelines. Organized by topic for study ease.
Growth and Development (Questions 1–12)
Question 1
A 2-month-old infant's expected weight gain is:
A) 100–200 g/week
B) 150–250 g/week
C) 300–400 g/week
D) 50 g/week
Correct Answer: B
Rationale : Infants double birth weight by 6 months (150–250 g/week); A low, C excessive, D
insufficient (Hockenberry, Ch. 7).
Question 2
According to Erikson, the psychosocial stage for a 3-year-old is:
A) Trust vs. mistrust
B) Initiative vs. guilt
C) Industry vs. inferiority
D) Autonomy vs. shame
Correct Answer: B
,Rationale : Preschoolers explore (initiative); A infancy, C school-age, D toddler (AAP
Developmental Milestones, 2025).
Question 3
A 6-year-old child's expected height increase is:
A) 5–7 cm/year
B) 2–3 cm/year
C) 10 cm/year
D) 1 cm/year
Correct Answer: A
Rationale : School-age growth 5–7 cm/year; B infant, C adolescent, D stagnant (Hockenberry,
Ch. 7).
Question 4
Piaget's preoperational stage (2–7 years) features:
A) Egocentrism
B) Conservation
C) Formal operations
D) Sensorimotor
Correct Answer: A
Rationale : Self-centered thinking; B concrete, C abstract, D infant (AAP Cognitive Development,
2025).
Question 5
A 9-month-old should demonstrate:
A) Object permanence
B) Stranger anxiety
C) Parallel play
D) Cooperative play
Correct Answer: A
Rationale : Sensorimotor end; B 8 months, C 2 years, D 3 years (Hockenberry, Ch. 8).
Question 6
Adolescent growth spurt peaks at:
A) 10–14 years girls, 12–16 boys
B) 5–7 years
C) 18–20 years
, D) Birth
Correct Answer: A
Rationale : Puberty timing; B school, C post, D neonatal (AAP Adolescent Health, 2025).
Question 7
A 4-year-old's language milestone is:
A) 5–6 word sentences
B) Single words
C) Babbling
D) Telegraphic speech
Correct Answer: A
Rationale : Complex sentences; B 1 year, C 6 months, D 2 years (Hockenberry, Ch. 8).
Question 8
Fine motor skill at 12 months:
A) Pincer grasp
B) Raking grasp
C) Palmar grasp
D) Ulnar grasp
Correct Answer: A
Rationale : Thumb-finger precision; B 9 months, C newborn, D 4 months (AAP Motor
Milestones, 2025).
Question 9
A 15-month-old's gross motor is:
A) Walking independently
B) Crawling
C) Standing with support
D) Sitting alone
Correct Answer: A
Rationale : Independent by 15 months; B 8 months, C 9 months, D 6 months (Hockenberry, Ch.
8).
Question 10
Erikson's stage for school-age (6–12 years):
A) Industry vs. inferiority
Exam – 60 Pediatric Nursing Questions with
Rationales | Graded A | 2025 Edition
Total Questions: 60
Overview: This assessment exam evaluates knowledge in pediatric nursing, focusing on
growth and development, medications, respiratory disorders, neurological conditions, and
teaching strategies. Questions are multiple-choice with 4 options (A–D), the correct answer in
bold, and a concise rationale based on evidence-based sources like Wong's Nursing Care of
Infants and Children (12th Ed., Hockenberry, 2025) and American Academy of Pediatrics (AAP)
guidelines. Organized by topic for study ease.
Growth and Development (Questions 1–12)
Question 1
A 2-month-old infant's expected weight gain is:
A) 100–200 g/week
B) 150–250 g/week
C) 300–400 g/week
D) 50 g/week
Correct Answer: B
Rationale : Infants double birth weight by 6 months (150–250 g/week); A low, C excessive, D
insufficient (Hockenberry, Ch. 7).
Question 2
According to Erikson, the psychosocial stage for a 3-year-old is:
A) Trust vs. mistrust
B) Initiative vs. guilt
C) Industry vs. inferiority
D) Autonomy vs. shame
Correct Answer: B
,Rationale : Preschoolers explore (initiative); A infancy, C school-age, D toddler (AAP
Developmental Milestones, 2025).
Question 3
A 6-year-old child's expected height increase is:
A) 5–7 cm/year
B) 2–3 cm/year
C) 10 cm/year
D) 1 cm/year
Correct Answer: A
Rationale : School-age growth 5–7 cm/year; B infant, C adolescent, D stagnant (Hockenberry,
Ch. 7).
Question 4
Piaget's preoperational stage (2–7 years) features:
A) Egocentrism
B) Conservation
C) Formal operations
D) Sensorimotor
Correct Answer: A
Rationale : Self-centered thinking; B concrete, C abstract, D infant (AAP Cognitive Development,
2025).
Question 5
A 9-month-old should demonstrate:
A) Object permanence
B) Stranger anxiety
C) Parallel play
D) Cooperative play
Correct Answer: A
Rationale : Sensorimotor end; B 8 months, C 2 years, D 3 years (Hockenberry, Ch. 8).
Question 6
Adolescent growth spurt peaks at:
A) 10–14 years girls, 12–16 boys
B) 5–7 years
C) 18–20 years
, D) Birth
Correct Answer: A
Rationale : Puberty timing; B school, C post, D neonatal (AAP Adolescent Health, 2025).
Question 7
A 4-year-old's language milestone is:
A) 5–6 word sentences
B) Single words
C) Babbling
D) Telegraphic speech
Correct Answer: A
Rationale : Complex sentences; B 1 year, C 6 months, D 2 years (Hockenberry, Ch. 8).
Question 8
Fine motor skill at 12 months:
A) Pincer grasp
B) Raking grasp
C) Palmar grasp
D) Ulnar grasp
Correct Answer: A
Rationale : Thumb-finger precision; B 9 months, C newborn, D 4 months (AAP Motor
Milestones, 2025).
Question 9
A 15-month-old's gross motor is:
A) Walking independently
B) Crawling
C) Standing with support
D) Sitting alone
Correct Answer: A
Rationale : Independent by 15 months; B 8 months, C 9 months, D 6 months (Hockenberry, Ch.
8).
Question 10
Erikson's stage for school-age (6–12 years):
A) Industry vs. inferiority
