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Peds Exam 1 questions with correct answers latest
update 2026
A nurse is performing a developmental age assessment on a 10-month-
old. Which will the nurse document as consistent with the infant's age?
1. Infant discriminates between pictures of objects.
2. Infant stands without support.
3. Infant builds a tower of 3 cubes.
4. Infant eats with fingers. - ANSWER -4. Infant eats with fingers
Eating with fingers typically occurs between 10 and 12 months. The
baby can build a tower of 3 cubes occurs between 16 and 18 months.
Standing occurs at 15 months. Discrimination of pictures typically
begins by 24 months.
A nurse is performing an assessment on an infant. Which assessment
should be performed last?
1. Check heart and respiratory rates.
2. Assess deep tendon reflexes.
3. Assess ears and mouth.
4. Evaluate genitalia. - ANSWER -3. Assess ears and mouth.
Uncomfortable examinations may induce crying and should be done
last. The nurse should perform auscultation and less upsetting
assessments first while the patient is calm and quiet.
pg. 1
,2|Page
A pediatric clinic nurse teaches about behavior modification for young
children. It is most important to emphasize which points?
1. Once the child has calmed down, review what occurred.
2. If a child cries and refuses time-out, add another time-out period.
3. Time-outs should be 1 minute for each year of age.
4. Explain to the child why an act is wrong. - ANSWER -3. Time-outs
should be 1 minute for each year of age.
One minute of time-out for each year of the child's age is the
recommended practice for time-outs. For toddlers the concept of time
is limited and 1 minute can seem like hours. For preschoolers, time is
still not fully understood. A kitchen timer with an audible bell can be
useful for timing time-outs.
A 9-year-old girl is to receive amoxicillin/clavulanate. Which statement
by the nurse is most likely to elicit cooperation from the child?
1. You can play after you take your medicine.
2. Would you like to take this medicine with juice?
3. This medicine tastes good.
4. Amoxicillin is antibiotic which will help you get well. - ANSWER -4.
Amoxicillin is an antibiotic which will help you get well.
Rationale: Discussion of facts is correct with school-age child.
Medication should not be described as food or candy. Associating
medication with food may cause the child to develop an aversion to
that specific food.
pg. 2
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The mother of a 9-year-old boy with the mental age of 4 years old asks
the clinic nurse, "what should my child be able to do?" Which is
correct?
1. Your child should be able to load and start the dishwasher.
2. Your child should be able to join a baseball team.
3. Your child should be able to take care of his dog.
4. Your child should be able to dress himself. - ANSWER -4. Your child
should be able to dress himself.
Rationale: A child with moderate intellectual disorder should be able to
perform ADLs with supervision. Moderate intellectual disorder is an IQ
of 35-55. These children can learn self-care activities and simple manual
skills.
A nurse is leading a class about immunizations? Which statement by the
student is correct?
1. Vaccinations do decrease hospitalizations.
2. Pneumococcal vaccine prevents all complications from lung disease.
3. Pneumococcal and influenza vaccine can be given together.
4. Influenza vaccine is contraindicated if the patient is allergic to eggs. -
ANSWER -3. Pneumococcal and influenza vaccine can be given together.
Rationale: Vaccines can be given simultaneously at different sites. The
influenza vaccine can be given to persons with an allergy to eggs.
pg. 3
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Vaccines may decrease complications but it will not prevent
complications. Immunizations decrease the rate of hospitalizations.
The mother of an 8-year-old expresses surprise that her son is finally
becoming more cooperative and understanding the consequences of his
actions. This describes which of the following stages of development?
1. Trust vs. Mistrust
2. Identity role vs. Confusion
3. Industry vs. Inferiority
4. Initiative vs. Guilt - ANSWER -3. Industry vs. Inferiority
Rationale: School-aged children become more cooperative and
reasonable. They better understand cause and effect, and they feel the
desire to win approval by becoming competent in ways that are valued
by society. If their initiative is encouraged, they feel industrious and
confident and begin to develop a sense of pride in their
accomplishments (industry). If this initiative is restricted, the child
begins to feel inferior, doubting his abilities (inferiority).
A toddler's parents ask the nurse how long the child is required to use a
front facing car seat. How should the nurse respond?
1. The child can stop using the front facing car seat when he is mature
enough.
2. The child must be at least 6-years-old to use a regular seat belt.
3. Your child must be at least 2 years old.
pg. 4
Peds Exam 1 questions with correct answers latest
update 2026
A nurse is performing a developmental age assessment on a 10-month-
old. Which will the nurse document as consistent with the infant's age?
1. Infant discriminates between pictures of objects.
2. Infant stands without support.
3. Infant builds a tower of 3 cubes.
4. Infant eats with fingers. - ANSWER -4. Infant eats with fingers
Eating with fingers typically occurs between 10 and 12 months. The
baby can build a tower of 3 cubes occurs between 16 and 18 months.
Standing occurs at 15 months. Discrimination of pictures typically
begins by 24 months.
A nurse is performing an assessment on an infant. Which assessment
should be performed last?
1. Check heart and respiratory rates.
2. Assess deep tendon reflexes.
3. Assess ears and mouth.
4. Evaluate genitalia. - ANSWER -3. Assess ears and mouth.
Uncomfortable examinations may induce crying and should be done
last. The nurse should perform auscultation and less upsetting
assessments first while the patient is calm and quiet.
pg. 1
,2|Page
A pediatric clinic nurse teaches about behavior modification for young
children. It is most important to emphasize which points?
1. Once the child has calmed down, review what occurred.
2. If a child cries and refuses time-out, add another time-out period.
3. Time-outs should be 1 minute for each year of age.
4. Explain to the child why an act is wrong. - ANSWER -3. Time-outs
should be 1 minute for each year of age.
One minute of time-out for each year of the child's age is the
recommended practice for time-outs. For toddlers the concept of time
is limited and 1 minute can seem like hours. For preschoolers, time is
still not fully understood. A kitchen timer with an audible bell can be
useful for timing time-outs.
A 9-year-old girl is to receive amoxicillin/clavulanate. Which statement
by the nurse is most likely to elicit cooperation from the child?
1. You can play after you take your medicine.
2. Would you like to take this medicine with juice?
3. This medicine tastes good.
4. Amoxicillin is antibiotic which will help you get well. - ANSWER -4.
Amoxicillin is an antibiotic which will help you get well.
Rationale: Discussion of facts is correct with school-age child.
Medication should not be described as food or candy. Associating
medication with food may cause the child to develop an aversion to
that specific food.
pg. 2
,3|Page
The mother of a 9-year-old boy with the mental age of 4 years old asks
the clinic nurse, "what should my child be able to do?" Which is
correct?
1. Your child should be able to load and start the dishwasher.
2. Your child should be able to join a baseball team.
3. Your child should be able to take care of his dog.
4. Your child should be able to dress himself. - ANSWER -4. Your child
should be able to dress himself.
Rationale: A child with moderate intellectual disorder should be able to
perform ADLs with supervision. Moderate intellectual disorder is an IQ
of 35-55. These children can learn self-care activities and simple manual
skills.
A nurse is leading a class about immunizations? Which statement by the
student is correct?
1. Vaccinations do decrease hospitalizations.
2. Pneumococcal vaccine prevents all complications from lung disease.
3. Pneumococcal and influenza vaccine can be given together.
4. Influenza vaccine is contraindicated if the patient is allergic to eggs. -
ANSWER -3. Pneumococcal and influenza vaccine can be given together.
Rationale: Vaccines can be given simultaneously at different sites. The
influenza vaccine can be given to persons with an allergy to eggs.
pg. 3
, 4|Page
Vaccines may decrease complications but it will not prevent
complications. Immunizations decrease the rate of hospitalizations.
The mother of an 8-year-old expresses surprise that her son is finally
becoming more cooperative and understanding the consequences of his
actions. This describes which of the following stages of development?
1. Trust vs. Mistrust
2. Identity role vs. Confusion
3. Industry vs. Inferiority
4. Initiative vs. Guilt - ANSWER -3. Industry vs. Inferiority
Rationale: School-aged children become more cooperative and
reasonable. They better understand cause and effect, and they feel the
desire to win approval by becoming competent in ways that are valued
by society. If their initiative is encouraged, they feel industrious and
confident and begin to develop a sense of pride in their
accomplishments (industry). If this initiative is restricted, the child
begins to feel inferior, doubting his abilities (inferiority).
A toddler's parents ask the nurse how long the child is required to use a
front facing car seat. How should the nurse respond?
1. The child can stop using the front facing car seat when he is mature
enough.
2. The child must be at least 6-years-old to use a regular seat belt.
3. Your child must be at least 2 years old.
pg. 4
