Page 1 of 132
“PEDS NCLEX STYLE QUESTIONS EXAM “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE
The nurse is planning care for an infant with candidiasis (moniliasis) diaper
dermatitis. Which topical ointments may be prescribed for the patient? (Select
all that apply.)
a. Nystatin
b. Bactroban
c. Neosporin
d. Miconazole
e. Clotrimazole
ANS: A, D, E
Candidiasis diaper dermatitis skin lesions are treated with topical nystatin,
miconazole, and clotrimazole. Bactroban and Neosporin are used to treat bacterial
dermatitides.
The nurse is examining an infant, age 10 months, who was brought to the
clinic for persistent diaper rash. The nurse finds perianal inflammation with
satellite lesions. What is the most likely cause?
a. Impetigo
b. Urine and feces
c. Candida albicans infection
d. Infrequent diapering
ANS: C
C. albicans infection produces perianal inflammation and a maculopapular rash with
satellite lesions that may cross the inguinal folds. Impetigo is a bacterial infection that
spreads peripherally in sharply marginated, irregular outlines. Eruptions involving the
skin in contact with the diaper but sparing the folds are likely to be caused by
chemical irritation, especially urine and feces, and may be related to infrequent
diapering
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A new parent asks the nurse, How can diaper rash be prevented? What should
the nurse recommend?
a. Wash the infant with soap before applying a thin layer of oil.
b. Clean the infant with soap and water every time diaper is changed.
c. Wipe stool from the skin using water and a mild cleanser.
d. When changing the diaper, wipe the buttocks with oil and powder the
creases.
ANS: C
Change the diaper as soon as it becomes soiled. Gently wipe stool from the skin with
water and mild soap. The skin should be thoroughly dried after washing. Applying oil
does not create an effective barrier. Over washing the skin should be avoided,
especially with perfumed soaps or commercial wipes, which may be irritating. Baby
powder should not be used because of the danger of aspiration.
. The nurse is teaching a class on preventing diaper rash in newborns to a
group of new parents. Which statement made by a parent indicates a correct
understanding of the teaching?
a. I should cleanse my infants skin with a commercial diaper wipe every time I
change the diaper.
b. If my infants buttocks become slightly red, I will expose the skin to air.
c. I should wash my infants buttocks with soap before applying a thin layer of
oil.
d. I will apply baby oil and powder to the creases in my infants buttocks.
ANS: B
Slightly irritated skin can be exposed to air, not heat, to dry completely. Overwashing
or cleansing the skin every diaper change with commercial wipes should be avoided.
The skin should be thoroughly dried after washing. Application of oil does not create
an effective barrier. Baby powder should not be used because of the danger of
aspiration.
The parents of a 3-month-old infant report that their infant sleeps supine (face
up) but is often prone (face down) while awake. The nurses response should
be based on remembering what?
a. This is acceptable to encourage head control and turning over.
b. This is acceptable to encourage fine motor development.
c. This is unacceptable because of the risk of sudden infant death syndrome
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(SIDS).
d. This is unacceptable because it does not encourage achievement of
developmental milestones.
ANS: A
These parents are implementing the guidelines to reduce the risk of SIDS. Infants
should sleep on their backs to reduce the risk of SIDS and then be placed on their
abdomens when awake to enhance achievement of milestones such as head
control. These position changes encourage gross motor, not fine motor,
development.
After the introduction of the Back to Sleep campaign in 1992, an increased
incidence has been noted of which pediatric issues?
a. Sudden infant death syndrome (SIDS)
b. Plagiocephaly
c. Failure to thrive
d. Apnea of infancy
ANS: B
Plagiocephaly is a misshapen head caused by the prolonged pressure on one side
of the skull. If that side becomes misshapen, facial asymmetry may result. SIDS has
decreased by more than 40% with the introduction of the Back to Sleep campaign.
Apnea of infancy and failure to thrive are unrelated to the Back to Sleep campaign
The nurse is interviewing the parents of a 4-month-old boy brought to the
hospital emergency department. The infant is dead, and no attempt at
resuscitation is made. The parents state that the baby was found in his crib
with a blanket over his head, lying face down in bloody fluid from his nose and
mouth. The nurse might initially suspect his death was caused by what?
a. Suffocation
b. Child abuse
c. Infantile apnea
d. Sudden infant death syndrome (SIDS)
ANS: D
The description of how the child was found in the crib is suggestive of SIDS. The
nurse is careful to tell the parents that a diagnosis cannot be confirmed until an
autopsy is performed.
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What do the psychosocial developmental tasks of toddlerhood include?
a. Development of a conscience
b. Recognition of sex differences
c. Ability to get along with age mates
d. Ability to delay gratification
ANS: D
If the need for basic trust has been satisfied, then toddlers can give up dependence
for control, independence, and autonomy. One of the tasks that toddlers are
concerned with is the ability to delay gratification. Development of a conscience and
recognition of sex differences occur during the preschool years. The ability to get
along with age mates develops during the preschool and school-age years.
A 17-month-old child should be expected to be in which stage, according to
Piaget?
a. Preoperations
b. Concrete operations
c. Tertiary circular reactions
d. Secondary circular reactions
ANS: C
A 17-month-old is in the fifth stage of the sensorimotor phase, tertiary circular
reactions. The child uses active experimentation to achieve previously unattainable
goals. Preoperations is the stage of cognitive development usually present in older
toddlers and preschoolers. Concrete operations is the cognitive stage associated
with school-age children. The secondary circular reaction stage lasts from about
ages 4 to 8 months
What is a characteristic of a toddlers language development at age 18
months?
a. Vocabulary of 25 words
b. Use of holophrases
c. Increasing level of understanding
d. Approximately one third of speech understandable
ANS: C
During the second year of life, the understanding and understanding of speech
increase to a level far greater than the childs vocabulary. This is also true for
bilingual children, who are able to achieve this linguistic milestone in both languages.
“PEDS NCLEX STYLE QUESTIONS EXAM “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE
The nurse is planning care for an infant with candidiasis (moniliasis) diaper
dermatitis. Which topical ointments may be prescribed for the patient? (Select
all that apply.)
a. Nystatin
b. Bactroban
c. Neosporin
d. Miconazole
e. Clotrimazole
ANS: A, D, E
Candidiasis diaper dermatitis skin lesions are treated with topical nystatin,
miconazole, and clotrimazole. Bactroban and Neosporin are used to treat bacterial
dermatitides.
The nurse is examining an infant, age 10 months, who was brought to the
clinic for persistent diaper rash. The nurse finds perianal inflammation with
satellite lesions. What is the most likely cause?
a. Impetigo
b. Urine and feces
c. Candida albicans infection
d. Infrequent diapering
ANS: C
C. albicans infection produces perianal inflammation and a maculopapular rash with
satellite lesions that may cross the inguinal folds. Impetigo is a bacterial infection that
spreads peripherally in sharply marginated, irregular outlines. Eruptions involving the
skin in contact with the diaper but sparing the folds are likely to be caused by
chemical irritation, especially urine and feces, and may be related to infrequent
diapering
, Page 2 of 132
A new parent asks the nurse, How can diaper rash be prevented? What should
the nurse recommend?
a. Wash the infant with soap before applying a thin layer of oil.
b. Clean the infant with soap and water every time diaper is changed.
c. Wipe stool from the skin using water and a mild cleanser.
d. When changing the diaper, wipe the buttocks with oil and powder the
creases.
ANS: C
Change the diaper as soon as it becomes soiled. Gently wipe stool from the skin with
water and mild soap. The skin should be thoroughly dried after washing. Applying oil
does not create an effective barrier. Over washing the skin should be avoided,
especially with perfumed soaps or commercial wipes, which may be irritating. Baby
powder should not be used because of the danger of aspiration.
. The nurse is teaching a class on preventing diaper rash in newborns to a
group of new parents. Which statement made by a parent indicates a correct
understanding of the teaching?
a. I should cleanse my infants skin with a commercial diaper wipe every time I
change the diaper.
b. If my infants buttocks become slightly red, I will expose the skin to air.
c. I should wash my infants buttocks with soap before applying a thin layer of
oil.
d. I will apply baby oil and powder to the creases in my infants buttocks.
ANS: B
Slightly irritated skin can be exposed to air, not heat, to dry completely. Overwashing
or cleansing the skin every diaper change with commercial wipes should be avoided.
The skin should be thoroughly dried after washing. Application of oil does not create
an effective barrier. Baby powder should not be used because of the danger of
aspiration.
The parents of a 3-month-old infant report that their infant sleeps supine (face
up) but is often prone (face down) while awake. The nurses response should
be based on remembering what?
a. This is acceptable to encourage head control and turning over.
b. This is acceptable to encourage fine motor development.
c. This is unacceptable because of the risk of sudden infant death syndrome
, Page 3 of 132
(SIDS).
d. This is unacceptable because it does not encourage achievement of
developmental milestones.
ANS: A
These parents are implementing the guidelines to reduce the risk of SIDS. Infants
should sleep on their backs to reduce the risk of SIDS and then be placed on their
abdomens when awake to enhance achievement of milestones such as head
control. These position changes encourage gross motor, not fine motor,
development.
After the introduction of the Back to Sleep campaign in 1992, an increased
incidence has been noted of which pediatric issues?
a. Sudden infant death syndrome (SIDS)
b. Plagiocephaly
c. Failure to thrive
d. Apnea of infancy
ANS: B
Plagiocephaly is a misshapen head caused by the prolonged pressure on one side
of the skull. If that side becomes misshapen, facial asymmetry may result. SIDS has
decreased by more than 40% with the introduction of the Back to Sleep campaign.
Apnea of infancy and failure to thrive are unrelated to the Back to Sleep campaign
The nurse is interviewing the parents of a 4-month-old boy brought to the
hospital emergency department. The infant is dead, and no attempt at
resuscitation is made. The parents state that the baby was found in his crib
with a blanket over his head, lying face down in bloody fluid from his nose and
mouth. The nurse might initially suspect his death was caused by what?
a. Suffocation
b. Child abuse
c. Infantile apnea
d. Sudden infant death syndrome (SIDS)
ANS: D
The description of how the child was found in the crib is suggestive of SIDS. The
nurse is careful to tell the parents that a diagnosis cannot be confirmed until an
autopsy is performed.
, Page 4 of 132
What do the psychosocial developmental tasks of toddlerhood include?
a. Development of a conscience
b. Recognition of sex differences
c. Ability to get along with age mates
d. Ability to delay gratification
ANS: D
If the need for basic trust has been satisfied, then toddlers can give up dependence
for control, independence, and autonomy. One of the tasks that toddlers are
concerned with is the ability to delay gratification. Development of a conscience and
recognition of sex differences occur during the preschool years. The ability to get
along with age mates develops during the preschool and school-age years.
A 17-month-old child should be expected to be in which stage, according to
Piaget?
a. Preoperations
b. Concrete operations
c. Tertiary circular reactions
d. Secondary circular reactions
ANS: C
A 17-month-old is in the fifth stage of the sensorimotor phase, tertiary circular
reactions. The child uses active experimentation to achieve previously unattainable
goals. Preoperations is the stage of cognitive development usually present in older
toddlers and preschoolers. Concrete operations is the cognitive stage associated
with school-age children. The secondary circular reaction stage lasts from about
ages 4 to 8 months
What is a characteristic of a toddlers language development at age 18
months?
a. Vocabulary of 25 words
b. Use of holophrases
c. Increasing level of understanding
d. Approximately one third of speech understandable
ANS: C
During the second year of life, the understanding and understanding of speech
increase to a level far greater than the childs vocabulary. This is also true for
bilingual children, who are able to achieve this linguistic milestone in both languages.
