NCLEX Pediatric Nursing Practice Exam
Licensed Practical Nurse (LPN/PN) Version | 2025 Edition
Full-Length Practice Test | 100 Questions with Answers & Rationales
Updated for 2025 NCLEX Next Generation (NGN) Format
This Pediatric Nursing NCLEX Practice Exam (LPN/PN Version) is a comprehensive, 100-
question test designed to assess knowledge and clinical judgment across all major pediatric
nursing domains.
Each question reflects current NCLEX-PN standards, including Next Generation-style
scenarios, safe practice principles, and rationale-based learning.
Exam Content Outline
I. Growth & Development / Health Promotion (Q1–10)
Milestones, play, and family teaching
Developmental delays and anticipatory guidance
II. Respiratory & Cardiac Disorders (Q11–20, 76–85)
Asthma, bronchiolitis, cystic fibrosis
Congenital heart defects, post-op cardiac care
III. Neurologic, Endocrine, & Hematologic Disorders (Q31–50)
Seizures, meningitis, diabetes, anemia, hemophilia
IV. Musculoskeletal & Integumentary (Q51–70)
Fractures, traction, burns, eczema, infection control
V. Pharmacology & Medication Safety (Q71–75, 96–99)
Pediatric dosage, routes, error prevention, immunizations
VI. Psychosocial, Family-Centered, and Safety Care (Q86–95, 100)
Coping, grief, hospitalization reactions, family teaching
,Growth and Development
1. The nurse cares for a 6-month-old infant. Which developmental milestone
should be expected?
A) Walks independently
B) Says several words
C) Rolls from back to abdomen
D) Uses a spoon
Rationale: By 6 months, infants roll both ways but do not yet walk or feed
themselves.
2. A toddler is in the "autonomy vs. shame" stage. The nurse should encourage:
A) Constant supervision and control
B) Choices in daily routines, like which shirt to wear
C) Complete independence
D) Strict rules
Rationale: Giving choices supports autonomy without compromising safety.
3. A 4-year-old is hospitalized. The best play activity is:
A) Video games
B) Reading novels
C) Playing with dolls or toy medical kits
D) Crossword puzzles
Rationale: Pretend play helps preschoolers express feelings and reduce anxiety.
4. A school-age child values:
A) Immediate gratification
B) Dependence on parents
C) Success in school and following rules
D) Solitary play
Rationale: School-age children develop a sense of industry through achievements.
5. When teaching parents of an adolescent, the nurse emphasizes:
A) Limit peer interaction
B) Encourage open communication and support independence
C) Avoid discussing sex
D) Focus only on academics
Rationale: Adolescents need trust and independence balanced with parental
guidance.
, 6. A nurse observes a 2-year-old playing next to other children but not with them.
This is:
A) Cooperative play
B) Competitive play
C) Parallel play
D) Team play
Rationale: Toddlers engage in parallel play—side-by-side without interaction.
7. The nurse encourages tummy time for infants because it helps:
A) Speech development
B) Strengthen neck and shoulder muscles
C) Sleep longer
D) Promote feeding
Rationale: Tummy time develops upper body strength for later mobility.
8. A 5-year-old believes illness is caused by misbehavior. This reflects:
A) Logical thinking
B) Magical thinking
C) Concrete reasoning
D) Abstract reasoning
Rationale: Preschoolers use magical thinking—believing actions cause events.
9. When caring for a hospitalized school-age child, the best nursing approach is:
A) Give no explanations
B) Make all decisions
C) Explain procedures using simple, concrete terms
D) Treat as adult
Rationale: School-age children need honest, clear explanations.
10. A 10-month-old refuses new foods. The nurse advises the parent to:
A) Force-feed
B) Offer multiple new foods
C) Reintroduce one food at a time after several days
D) Withhold milk
Rationale: Repeated, slow introduction promotes acceptance and prevents allergy
risk.
Respiratory Disorders
Licensed Practical Nurse (LPN/PN) Version | 2025 Edition
Full-Length Practice Test | 100 Questions with Answers & Rationales
Updated for 2025 NCLEX Next Generation (NGN) Format
This Pediatric Nursing NCLEX Practice Exam (LPN/PN Version) is a comprehensive, 100-
question test designed to assess knowledge and clinical judgment across all major pediatric
nursing domains.
Each question reflects current NCLEX-PN standards, including Next Generation-style
scenarios, safe practice principles, and rationale-based learning.
Exam Content Outline
I. Growth & Development / Health Promotion (Q1–10)
Milestones, play, and family teaching
Developmental delays and anticipatory guidance
II. Respiratory & Cardiac Disorders (Q11–20, 76–85)
Asthma, bronchiolitis, cystic fibrosis
Congenital heart defects, post-op cardiac care
III. Neurologic, Endocrine, & Hematologic Disorders (Q31–50)
Seizures, meningitis, diabetes, anemia, hemophilia
IV. Musculoskeletal & Integumentary (Q51–70)
Fractures, traction, burns, eczema, infection control
V. Pharmacology & Medication Safety (Q71–75, 96–99)
Pediatric dosage, routes, error prevention, immunizations
VI. Psychosocial, Family-Centered, and Safety Care (Q86–95, 100)
Coping, grief, hospitalization reactions, family teaching
,Growth and Development
1. The nurse cares for a 6-month-old infant. Which developmental milestone
should be expected?
A) Walks independently
B) Says several words
C) Rolls from back to abdomen
D) Uses a spoon
Rationale: By 6 months, infants roll both ways but do not yet walk or feed
themselves.
2. A toddler is in the "autonomy vs. shame" stage. The nurse should encourage:
A) Constant supervision and control
B) Choices in daily routines, like which shirt to wear
C) Complete independence
D) Strict rules
Rationale: Giving choices supports autonomy without compromising safety.
3. A 4-year-old is hospitalized. The best play activity is:
A) Video games
B) Reading novels
C) Playing with dolls or toy medical kits
D) Crossword puzzles
Rationale: Pretend play helps preschoolers express feelings and reduce anxiety.
4. A school-age child values:
A) Immediate gratification
B) Dependence on parents
C) Success in school and following rules
D) Solitary play
Rationale: School-age children develop a sense of industry through achievements.
5. When teaching parents of an adolescent, the nurse emphasizes:
A) Limit peer interaction
B) Encourage open communication and support independence
C) Avoid discussing sex
D) Focus only on academics
Rationale: Adolescents need trust and independence balanced with parental
guidance.
, 6. A nurse observes a 2-year-old playing next to other children but not with them.
This is:
A) Cooperative play
B) Competitive play
C) Parallel play
D) Team play
Rationale: Toddlers engage in parallel play—side-by-side without interaction.
7. The nurse encourages tummy time for infants because it helps:
A) Speech development
B) Strengthen neck and shoulder muscles
C) Sleep longer
D) Promote feeding
Rationale: Tummy time develops upper body strength for later mobility.
8. A 5-year-old believes illness is caused by misbehavior. This reflects:
A) Logical thinking
B) Magical thinking
C) Concrete reasoning
D) Abstract reasoning
Rationale: Preschoolers use magical thinking—believing actions cause events.
9. When caring for a hospitalized school-age child, the best nursing approach is:
A) Give no explanations
B) Make all decisions
C) Explain procedures using simple, concrete terms
D) Treat as adult
Rationale: School-age children need honest, clear explanations.
10. A 10-month-old refuses new foods. The nurse advises the parent to:
A) Force-feed
B) Offer multiple new foods
C) Reintroduce one food at a time after several days
D) Withhold milk
Rationale: Repeated, slow introduction promotes acceptance and prevents allergy
risk.
Respiratory Disorders
