NCLEX Pediatric Nursing Practice Exam –
RN Version (2025 Edition)
Comprehensive Review | 100 Questions | Answers in Bold | Rationales Included
Overview
This full-length NCLEX Pediatric Nursing RN Practice Exam (2025) is designed to assess
and strengthen your knowledge in all major pediatric domains tested on the NCLEX-RN.
It includes 100 updated NCLEX-style questions that simulate real testing conditions and
emphasize:
Clinical decision-making
Safety and infection control
Growth and developmental stages
Family-centered care
Pharmacology and nursing interventions
Each question includes a bolded correct answer and a brief rationale for quick
review.
Domains Covered
1. Growth & Development
2. Respiratory & Cardiac Disorders
3. GI & GU Disorders
4. Neurological & Endocrine Disorders
5. Hematology & Oncology
6. Musculoskeletal & Integumentary Conditions
7. Pediatric Pharmacology
8. Psychosocial & Family-Centered Care
9. Safety, Emergency, and Priority Nursing
,Growth & Development / Health Promotion
1. The nurse is assessing the developmental milestones of a 12-month-old infant.
Which finding should the nurse expect?
A) Uses a spoon independently
B) Walks up stairs without help
C) Pulls to a standing position and cruises along furniture
D) Forms two-word sentences
Rationale: Most infants can stand and cruise by 12 months; independent walking
and speech occur later.
2. The nurse teaches parents of a 2-year-old about nutrition. Which statement
indicates understanding?
A) “We will give him a new food every meal.”
B) “He may refuse new foods several times before accepting them.”
C) “He needs 2,000 calories a day.”
D) “We will force him to eat all his food.”
Rationale: Toddlers are picky eaters; repeated exposure promotes acceptance.
3. When performing a physical exam on a toddler, which approach is most
appropriate?
A) Examine head to toe quickly
B) Allow the child to sit on the parent’s lap during assessment
C) Perform painful procedures first
D) Maintain strict separation from parents
Rationale: Parental presence reduces anxiety and promotes cooperation.
4. Which toy is most appropriate for a hospitalized 5-year-old child?
A) Rattle
B) Handheld video game
C) Coloring books and crayons
D) Board books
Rationale: Preschoolers enjoy creative, quiet play activities.
5. The nurse should expect which finding in a 4-year-old’s speech development?
A) Uses two-word phrases
B) Understands only simple commands
C) Speaks in full sentences and asks many questions
D) Says about 20 words
Rationale: By age 4, vocabulary and sentence complexity expand rapidly.
, 6. A nurse is teaching injury prevention to parents of a 6-year-old. Which
statement requires further teaching?
A) “We keep all medicines on the counter so they’re easy to reach.”
B) “We make sure he wears a helmet when biking.”
C) “We supervise swimming activities.”
D) “We use car booster seats.”
Rationale: Medications must always be kept locked and out of reach.
7. A 10-year-old is newly diagnosed with type 1 diabetes. Which nursing
intervention best promotes independence?
A) Have parents administer all injections
B) Encourage the child to participate in self-testing under supervision
C) Restrict child from learning until adolescence
D) Schedule daily insulin teaching for parents only
Rationale: School-age children should begin assuming self-care responsibilities.
8. During a well-child visit, the nurse observes bruises in various stages of healing
on a toddler’s arms. What is the priority nursing action?
A) Report the findings to child protective services.
B) Document and monitor for a few weeks.
C) Ask the child for an explanation.
D) Discuss discipline techniques with the parent.
Rationale: Mandatory reporting is required when abuse is suspected.
9. A 7-month-old infant’s mother reports that the child cries when she leaves the
room. The nurse should explain this is due to:
A) Stranger anxiety
B) Separation anxiety
C) Fear of loud noises
D) Regression
Rationale: Separation anxiety typically develops around 6–8 months of age.
10. The nurse is reinforcing teaching about immunizations. Which vaccine should
a 4-year-old receive before starting school?
A) Hepatitis B
B) DTaP, IPV, MMR, and Varicella boosters
C) Influenza only
D) HPV
Rationale: These boosters are due at age 4–6 before school entry.
RN Version (2025 Edition)
Comprehensive Review | 100 Questions | Answers in Bold | Rationales Included
Overview
This full-length NCLEX Pediatric Nursing RN Practice Exam (2025) is designed to assess
and strengthen your knowledge in all major pediatric domains tested on the NCLEX-RN.
It includes 100 updated NCLEX-style questions that simulate real testing conditions and
emphasize:
Clinical decision-making
Safety and infection control
Growth and developmental stages
Family-centered care
Pharmacology and nursing interventions
Each question includes a bolded correct answer and a brief rationale for quick
review.
Domains Covered
1. Growth & Development
2. Respiratory & Cardiac Disorders
3. GI & GU Disorders
4. Neurological & Endocrine Disorders
5. Hematology & Oncology
6. Musculoskeletal & Integumentary Conditions
7. Pediatric Pharmacology
8. Psychosocial & Family-Centered Care
9. Safety, Emergency, and Priority Nursing
,Growth & Development / Health Promotion
1. The nurse is assessing the developmental milestones of a 12-month-old infant.
Which finding should the nurse expect?
A) Uses a spoon independently
B) Walks up stairs without help
C) Pulls to a standing position and cruises along furniture
D) Forms two-word sentences
Rationale: Most infants can stand and cruise by 12 months; independent walking
and speech occur later.
2. The nurse teaches parents of a 2-year-old about nutrition. Which statement
indicates understanding?
A) “We will give him a new food every meal.”
B) “He may refuse new foods several times before accepting them.”
C) “He needs 2,000 calories a day.”
D) “We will force him to eat all his food.”
Rationale: Toddlers are picky eaters; repeated exposure promotes acceptance.
3. When performing a physical exam on a toddler, which approach is most
appropriate?
A) Examine head to toe quickly
B) Allow the child to sit on the parent’s lap during assessment
C) Perform painful procedures first
D) Maintain strict separation from parents
Rationale: Parental presence reduces anxiety and promotes cooperation.
4. Which toy is most appropriate for a hospitalized 5-year-old child?
A) Rattle
B) Handheld video game
C) Coloring books and crayons
D) Board books
Rationale: Preschoolers enjoy creative, quiet play activities.
5. The nurse should expect which finding in a 4-year-old’s speech development?
A) Uses two-word phrases
B) Understands only simple commands
C) Speaks in full sentences and asks many questions
D) Says about 20 words
Rationale: By age 4, vocabulary and sentence complexity expand rapidly.
, 6. A nurse is teaching injury prevention to parents of a 6-year-old. Which
statement requires further teaching?
A) “We keep all medicines on the counter so they’re easy to reach.”
B) “We make sure he wears a helmet when biking.”
C) “We supervise swimming activities.”
D) “We use car booster seats.”
Rationale: Medications must always be kept locked and out of reach.
7. A 10-year-old is newly diagnosed with type 1 diabetes. Which nursing
intervention best promotes independence?
A) Have parents administer all injections
B) Encourage the child to participate in self-testing under supervision
C) Restrict child from learning until adolescence
D) Schedule daily insulin teaching for parents only
Rationale: School-age children should begin assuming self-care responsibilities.
8. During a well-child visit, the nurse observes bruises in various stages of healing
on a toddler’s arms. What is the priority nursing action?
A) Report the findings to child protective services.
B) Document and monitor for a few weeks.
C) Ask the child for an explanation.
D) Discuss discipline techniques with the parent.
Rationale: Mandatory reporting is required when abuse is suspected.
9. A 7-month-old infant’s mother reports that the child cries when she leaves the
room. The nurse should explain this is due to:
A) Stranger anxiety
B) Separation anxiety
C) Fear of loud noises
D) Regression
Rationale: Separation anxiety typically develops around 6–8 months of age.
10. The nurse is reinforcing teaching about immunizations. Which vaccine should
a 4-year-old receive before starting school?
A) Hepatitis B
B) DTaP, IPV, MMR, and Varicella boosters
C) Influenza only
D) HPV
Rationale: These boosters are due at age 4–6 before school entry.
