Pediatric Nursing
Comprehensive Practice Exam
50 Original Practice Questions with Answer Key and Rationales
Prepared for: Undergraduate Pre-Licensure Nursing Students
Focus area: Pediatric Nursing (NCLEX-style, Clinical Judgment Focus)
Verified Exam Vault — Original Study Guides
This is an original, independently authored practice resource created for
academic study and self-assessment purposes.
,Table of Contents
1. Growth and Development ................................................Questions 1–5
2. Respiratory Disorders .....................................................Questions 6–10
3. Cardiovascular Disorders .............................................Questions 11–15
4. Gastrointestinal Disorders ............................................Questions 16–20
5. Hematologic and Oncologic Disorders ........................Questions 21–25
6. Neurologic Disorders ...................................................Questions 26–30
7. Musculoskeletal Disorders ...........................................Questions 31–35
8. Endocrine and Metabolic Disorders .............................Questions 36–40
9. Genitourinary and Renal Disorders ..............................Questions 41–45
10. Safety, Medication Administration, and Family Education . Questions
46–50
Answer Key and Rationales ...................................Page follows questions
, Practice Questions
Instructions: Read each clinical scenario carefully and select the best
answer. Answers and rationales are provided in the Answer Key section
at the end of this document.
1. Growth and Development
Question 1. A nurse is assessing a 9-month-old infant during a well-
child visit. Which finding should the nurse expect as part of typical
development at this age?
A. The infant says two-word phrases.
B. The infant pulls to a standing position.
C. The infant walks independently across the room.
D. The infant uses a mature pincer grasp to self-feed with a spoon.
Question 2. A nurse is teaching the parent of a 2-year-old about
expected behavior during toddlerhood. Which statement by the parent
indicates understanding of normal development at this age?
A. "I expect her to share her toys easily with other children."
B. "I expect her to say 'no' and want to do things herself."
C. "I expect her to understand that stealing is wrong."
D. "I expect her to sit quietly through a 30-minute meal."
Question 3. A nurse is caring for a 4-year-old who is hospitalized.
Which play activity is most appropriate to offer based on the child's
developmental stage?
A. A solitary puzzle completed alone in the room
B. Parallel play alongside another child with similar toys
C. Associative play that involves sharing materials with peers in a
group activity
D. Competitive board games with multiple complex rules
Question 4. A school-age child who is newly diagnosed with type 1
diabetes mellitus asks the nurse why he has to give himself injections.
Comprehensive Practice Exam
50 Original Practice Questions with Answer Key and Rationales
Prepared for: Undergraduate Pre-Licensure Nursing Students
Focus area: Pediatric Nursing (NCLEX-style, Clinical Judgment Focus)
Verified Exam Vault — Original Study Guides
This is an original, independently authored practice resource created for
academic study and self-assessment purposes.
,Table of Contents
1. Growth and Development ................................................Questions 1–5
2. Respiratory Disorders .....................................................Questions 6–10
3. Cardiovascular Disorders .............................................Questions 11–15
4. Gastrointestinal Disorders ............................................Questions 16–20
5. Hematologic and Oncologic Disorders ........................Questions 21–25
6. Neurologic Disorders ...................................................Questions 26–30
7. Musculoskeletal Disorders ...........................................Questions 31–35
8. Endocrine and Metabolic Disorders .............................Questions 36–40
9. Genitourinary and Renal Disorders ..............................Questions 41–45
10. Safety, Medication Administration, and Family Education . Questions
46–50
Answer Key and Rationales ...................................Page follows questions
, Practice Questions
Instructions: Read each clinical scenario carefully and select the best
answer. Answers and rationales are provided in the Answer Key section
at the end of this document.
1. Growth and Development
Question 1. A nurse is assessing a 9-month-old infant during a well-
child visit. Which finding should the nurse expect as part of typical
development at this age?
A. The infant says two-word phrases.
B. The infant pulls to a standing position.
C. The infant walks independently across the room.
D. The infant uses a mature pincer grasp to self-feed with a spoon.
Question 2. A nurse is teaching the parent of a 2-year-old about
expected behavior during toddlerhood. Which statement by the parent
indicates understanding of normal development at this age?
A. "I expect her to share her toys easily with other children."
B. "I expect her to say 'no' and want to do things herself."
C. "I expect her to understand that stealing is wrong."
D. "I expect her to sit quietly through a 30-minute meal."
Question 3. A nurse is caring for a 4-year-old who is hospitalized.
Which play activity is most appropriate to offer based on the child's
developmental stage?
A. A solitary puzzle completed alone in the room
B. Parallel play alongside another child with similar toys
C. Associative play that involves sharing materials with peers in a
group activity
D. Competitive board games with multiple complex rules
Question 4. A school-age child who is newly diagnosed with type 1
diabetes mellitus asks the nurse why he has to give himself injections.
