Peds Final Exam Practice Questions and answers
2026\2027 A+ Grade
An 18 month old has an appointment for a well check. Which approach should the nurse use to conduct
assessment?
A) have the parent hold the toddler during the physical
B) assess ears and mouth first
C) carry out the head to toe assessment, toddles will always be defiant
D) assess fine motor function by letting the child jump, run, and walk around the room
- correct answer A) have the parent hold the toddler during the physical
A young mother asks for advice about handling her 2 year old's negative behavior. Which statement is
the best recommendation?
A) ignore the behavior because it is expected in this age group
B) set realistic limits for the child, then be sure to stick to them
C) encourage the young mom to ask the grandmother for more help
D) punish the child for misbehaving
- correct answer B) set realistic limits for the child, then be sure to stick to them
which of the following vaccines provides some protection against bacterial meningitis, epiglottitis, and
bacterial pneumonia?
A) Hib vaccine
B) hep B vaccine
C) Varicella vaccine
,D) Influenza Vaccine
- correct answer A) Hib vaccine
a nurse is assessing the growth and development of a 10 year old. What is the expected behavior of this
child?
A) enjoys physical demonstration of the affection
B) is selfish and insensitive to the welfare of others
C) is uncooperative in play and in school
D) has a strong sense of justice & fairness
- correct answer D) has a strong sense of justice & fairness
the nurse explains to a parent that the normal reaction an infant may experience 12-25 hrs after
receiving a DTaP immunization. The nurse determines the teaching is effective when the parent asks:
A) should i wake my baby up to breastfeed more frequently?
B) how much acetaminophen should i give for the fever?
C) can you give imodium to an infant?
D) what kind of nose spray can I use for the baby's condition
- correct answer B) how much acetaminophen should i give for the fever?
A father brings his 2.5 yo to the clinic and states he says "no" whenever he is asked to do something.
The nurse should explain that negativism demonstrated by toddlers is frequently an expression of
A) pursuit of autonomy
B) Fear
C) separation anxiety
D) an identity crisis
- correct answer A) pursuit of autonomy
a nurse conducts teaching with parents about the cause of tinea capitis. The nurse evaluates success of
the teaching when the parent repeats which of the following?
,A) it is a result from overexposure to the sun
B) it is caused by infestations with mites
C) it is an allergic reaction
D) it is a fungal infection of the scalp
- correct answer D) it is a fungal infection of the scalp
a mother calls the clinic because her 2 yo daughter has a rectal temp of 37.8 C (100*F). She wonders
how high the fever should be before she gives medications to reduce it. What is the best response by
the nurse?
A) all fevers should be treated to prevent seizures
B) Antipyretics should be used with any rise in temperature. they can help change the course of an
infection
C) Give you child aspirin when the fever is above 38 C (100.4*F)
D) usually in a normal healthy child, if your child is not uncomfortable, fevers less than 38 C (100.4*F) do
not require medication
- correct answer D) usually in a normal healthy child, if your child is not uncomfortable, fevers less than
38 C (100.4*F) do not require medication
the nurse recognizes that the single most important factor to consider when communicating with
children is:
A) the child's physical condition
B) presence or absence of the child's parents
C) nonverbal behaviors of the child
D) developmental level of the child
- correct answer D) developmental level of the child
The mother of a newborn expresses concern that her breastfeeding baby is not gaining weight. She tells
the nurse that when she brought the baby home from the hospital, he weighed 8 lbs. The nurse weighs
the baby at the 2 week checkup and notes that the infant now weighs 8 lbs 12 oz. The nurse should
, A) inform the mom that she should add rice cereal to the infant's diet to improve wt gain
B) recommend supplementing breastfeeding with rice cereal
C) Inform the mom that the infant's wt gain is normal
D) encourage the mom to limit breastfeeding to every 4 hours because the infant is gaining too much wt
- correct answer C) Inform the mom that the infant's wt gain is normal
After reading the vaccine info sheets provided, a parent of a 2 month old is hesitant to consent to a
recommended vaccine. The nurse should first ask the parent:
A) did you know that vaccines are required by law for school entry
B) what personal beliefs or safety concerns do you have about vaccinations?
C) would you prefer that fewer vaccines are given at a time?
D) Do you wish to postpone the vaccines?
- correct answer B) what personal beliefs or safety concerns do you have about vaccinations?
The nurse assesses a 6 month old for vaccine readiness. Which finding would most likely indicate the
need to delay administering the DTaP vaccine?
A) a family hx of sudden infant death syndrome
B) a fever of 38 C following the 4 month vaccination
C) an acute bilateral ear infection
D) living with a family member who is immunosuppressed
- correct answer C) an acute bilateral ear infection
the parent of a 9 month old is concerned that the infant's anterior fontanelle is somewhat open. The
nurse should tell the parent:
A) I will measure your baby's head circumference to see it is developing properly
B) your infant will need to be referred for more testing
C) you should contact the physician immediately, we expect closing of the cranial sutures by now
2026\2027 A+ Grade
An 18 month old has an appointment for a well check. Which approach should the nurse use to conduct
assessment?
A) have the parent hold the toddler during the physical
B) assess ears and mouth first
C) carry out the head to toe assessment, toddles will always be defiant
D) assess fine motor function by letting the child jump, run, and walk around the room
- correct answer A) have the parent hold the toddler during the physical
A young mother asks for advice about handling her 2 year old's negative behavior. Which statement is
the best recommendation?
A) ignore the behavior because it is expected in this age group
B) set realistic limits for the child, then be sure to stick to them
C) encourage the young mom to ask the grandmother for more help
D) punish the child for misbehaving
- correct answer B) set realistic limits for the child, then be sure to stick to them
which of the following vaccines provides some protection against bacterial meningitis, epiglottitis, and
bacterial pneumonia?
A) Hib vaccine
B) hep B vaccine
C) Varicella vaccine
,D) Influenza Vaccine
- correct answer A) Hib vaccine
a nurse is assessing the growth and development of a 10 year old. What is the expected behavior of this
child?
A) enjoys physical demonstration of the affection
B) is selfish and insensitive to the welfare of others
C) is uncooperative in play and in school
D) has a strong sense of justice & fairness
- correct answer D) has a strong sense of justice & fairness
the nurse explains to a parent that the normal reaction an infant may experience 12-25 hrs after
receiving a DTaP immunization. The nurse determines the teaching is effective when the parent asks:
A) should i wake my baby up to breastfeed more frequently?
B) how much acetaminophen should i give for the fever?
C) can you give imodium to an infant?
D) what kind of nose spray can I use for the baby's condition
- correct answer B) how much acetaminophen should i give for the fever?
A father brings his 2.5 yo to the clinic and states he says "no" whenever he is asked to do something.
The nurse should explain that negativism demonstrated by toddlers is frequently an expression of
A) pursuit of autonomy
B) Fear
C) separation anxiety
D) an identity crisis
- correct answer A) pursuit of autonomy
a nurse conducts teaching with parents about the cause of tinea capitis. The nurse evaluates success of
the teaching when the parent repeats which of the following?
,A) it is a result from overexposure to the sun
B) it is caused by infestations with mites
C) it is an allergic reaction
D) it is a fungal infection of the scalp
- correct answer D) it is a fungal infection of the scalp
a mother calls the clinic because her 2 yo daughter has a rectal temp of 37.8 C (100*F). She wonders
how high the fever should be before she gives medications to reduce it. What is the best response by
the nurse?
A) all fevers should be treated to prevent seizures
B) Antipyretics should be used with any rise in temperature. they can help change the course of an
infection
C) Give you child aspirin when the fever is above 38 C (100.4*F)
D) usually in a normal healthy child, if your child is not uncomfortable, fevers less than 38 C (100.4*F) do
not require medication
- correct answer D) usually in a normal healthy child, if your child is not uncomfortable, fevers less than
38 C (100.4*F) do not require medication
the nurse recognizes that the single most important factor to consider when communicating with
children is:
A) the child's physical condition
B) presence or absence of the child's parents
C) nonverbal behaviors of the child
D) developmental level of the child
- correct answer D) developmental level of the child
The mother of a newborn expresses concern that her breastfeeding baby is not gaining weight. She tells
the nurse that when she brought the baby home from the hospital, he weighed 8 lbs. The nurse weighs
the baby at the 2 week checkup and notes that the infant now weighs 8 lbs 12 oz. The nurse should
, A) inform the mom that she should add rice cereal to the infant's diet to improve wt gain
B) recommend supplementing breastfeeding with rice cereal
C) Inform the mom that the infant's wt gain is normal
D) encourage the mom to limit breastfeeding to every 4 hours because the infant is gaining too much wt
- correct answer C) Inform the mom that the infant's wt gain is normal
After reading the vaccine info sheets provided, a parent of a 2 month old is hesitant to consent to a
recommended vaccine. The nurse should first ask the parent:
A) did you know that vaccines are required by law for school entry
B) what personal beliefs or safety concerns do you have about vaccinations?
C) would you prefer that fewer vaccines are given at a time?
D) Do you wish to postpone the vaccines?
- correct answer B) what personal beliefs or safety concerns do you have about vaccinations?
The nurse assesses a 6 month old for vaccine readiness. Which finding would most likely indicate the
need to delay administering the DTaP vaccine?
A) a family hx of sudden infant death syndrome
B) a fever of 38 C following the 4 month vaccination
C) an acute bilateral ear infection
D) living with a family member who is immunosuppressed
- correct answer C) an acute bilateral ear infection
the parent of a 9 month old is concerned that the infant's anterior fontanelle is somewhat open. The
nurse should tell the parent:
A) I will measure your baby's head circumference to see it is developing properly
B) your infant will need to be referred for more testing
C) you should contact the physician immediately, we expect closing of the cranial sutures by now
