NRSG 421 PEDIATRICS FINAL EXAM
QUESTIONS AND ANSWERS LATEST UPDATE
2026 ALREADY GRADED A+ SUCCESS
HOW TO USE THIS TEST BANK
This comprehensive test bank contains actual exam-style questions and verified answers for the
NRSG 421 Pediatrics Final Exam, updated for the 2026 testing year. Questions cover pediatric
nursing core concepts including growth and development milestones, common childhood
conditions, emergency interventions, and nursing care priorities .
SECTION 1: GROWTH AND DEVELOPMENT MILESTONES
Q1. Which is the best method for a nurse to perform a physical assessment on an 18-month-
old toddler?
A) Head-to-toe approach
B) Least to most invasive
C) Most invasive to least invasive
D) Focused assessment only
Answer: B) Least to most invasive
Rationale: For toddlers, the best approach is least to most invasive. Begin with less threatening
procedures (observation, auscultation) before progressing to more invasive assessments (ear
exam, throat swab). This builds trust and reduces anxiety .
Q2. At what age should children be able to sit unsupported?
,A) 2-3 months
B) 3-4 months
C) 5-6 months
D) 7-8 months
Answer: B) 3-4 months
Rationale: Most infants can sit unsupported by 3-4 months of age. By 6 months, they should be
able to sit upright alone .
Q3. At what age should babies first start eating solid foods?
A) 4 months
B) 5 months
C) 6 months
D) 8 months
Answer: C) 6 months
Rationale: The American Academy of Pediatrics recommends introducing solid foods at
approximately 6 months of age, starting with iron-fortified rice cereal mixed with formula or
breast milk .
Q4. The Emergency Room nurse is concerned about what finding when assessing a 5-month-
old infant?
A) Anterior fontanel is closed
B) Child rolls from side to side
C) Child is able to lift head
D) Rooting reflex has disappeared
Answer: A) Anterior fontanel is closed
Rationale: The anterior fontanel typically closes between 12-18 months. Closure at 5 months is
a concerning finding that should be reported to the provider .
Q5. A 12-month-old is at her well-child visit. What abnormal finding needs to be reported to
the provider?
, A) Birth length has increased by 50%
B) 8 teeth have erupted
C) Birth weight has doubled
D) Child is able to take 3 steps
Answer: C) Birth weight has doubled
Rationale: By 12 months, an infant's birth weight should have tripled, not doubled. Birth length
should have increased by approximately 50% .
Q6. A 7-month-old child who was full-term is in a clinic for a well-child visit. An early
intervention consult would be indicated for which of the following findings? Select all that
apply.
A) Pincer grasp
B) Head lag
C) Does not roll over
D) Stranger anxiety
Answer: B) Head lag; C) Does not roll over
Rationale: By 7 months, infants should have no head lag and should be able to roll over. Pincer
grasp and stranger anxiety are expected milestones at this age. Failure to meet these milestones
warrants early intervention referral .
Q7. What are two milestones expected at 3 months?
A) Sitting upright and walking
B) Lifting belly up and pushing themselves up with arms
C) Pincer grasp and crawling
D) Rolling over and sitting alone
Answer: B) Lifting belly up and pushing themselves up with arms
Rationale: At 3 months, infants can lift their belly up and push themselves up with their arms
while on their tummy. They should also begin to track objects with their eyes and coo .
Q8. What are two milestones expected at 6 months?
QUESTIONS AND ANSWERS LATEST UPDATE
2026 ALREADY GRADED A+ SUCCESS
HOW TO USE THIS TEST BANK
This comprehensive test bank contains actual exam-style questions and verified answers for the
NRSG 421 Pediatrics Final Exam, updated for the 2026 testing year. Questions cover pediatric
nursing core concepts including growth and development milestones, common childhood
conditions, emergency interventions, and nursing care priorities .
SECTION 1: GROWTH AND DEVELOPMENT MILESTONES
Q1. Which is the best method for a nurse to perform a physical assessment on an 18-month-
old toddler?
A) Head-to-toe approach
B) Least to most invasive
C) Most invasive to least invasive
D) Focused assessment only
Answer: B) Least to most invasive
Rationale: For toddlers, the best approach is least to most invasive. Begin with less threatening
procedures (observation, auscultation) before progressing to more invasive assessments (ear
exam, throat swab). This builds trust and reduces anxiety .
Q2. At what age should children be able to sit unsupported?
,A) 2-3 months
B) 3-4 months
C) 5-6 months
D) 7-8 months
Answer: B) 3-4 months
Rationale: Most infants can sit unsupported by 3-4 months of age. By 6 months, they should be
able to sit upright alone .
Q3. At what age should babies first start eating solid foods?
A) 4 months
B) 5 months
C) 6 months
D) 8 months
Answer: C) 6 months
Rationale: The American Academy of Pediatrics recommends introducing solid foods at
approximately 6 months of age, starting with iron-fortified rice cereal mixed with formula or
breast milk .
Q4. The Emergency Room nurse is concerned about what finding when assessing a 5-month-
old infant?
A) Anterior fontanel is closed
B) Child rolls from side to side
C) Child is able to lift head
D) Rooting reflex has disappeared
Answer: A) Anterior fontanel is closed
Rationale: The anterior fontanel typically closes between 12-18 months. Closure at 5 months is
a concerning finding that should be reported to the provider .
Q5. A 12-month-old is at her well-child visit. What abnormal finding needs to be reported to
the provider?
, A) Birth length has increased by 50%
B) 8 teeth have erupted
C) Birth weight has doubled
D) Child is able to take 3 steps
Answer: C) Birth weight has doubled
Rationale: By 12 months, an infant's birth weight should have tripled, not doubled. Birth length
should have increased by approximately 50% .
Q6. A 7-month-old child who was full-term is in a clinic for a well-child visit. An early
intervention consult would be indicated for which of the following findings? Select all that
apply.
A) Pincer grasp
B) Head lag
C) Does not roll over
D) Stranger anxiety
Answer: B) Head lag; C) Does not roll over
Rationale: By 7 months, infants should have no head lag and should be able to roll over. Pincer
grasp and stranger anxiety are expected milestones at this age. Failure to meet these milestones
warrants early intervention referral .
Q7. What are two milestones expected at 3 months?
A) Sitting upright and walking
B) Lifting belly up and pushing themselves up with arms
C) Pincer grasp and crawling
D) Rolling over and sitting alone
Answer: B) Lifting belly up and pushing themselves up with arms
Rationale: At 3 months, infants can lift their belly up and push themselves up with their arms
while on their tummy. They should also begin to track objects with their eyes and coo .
Q8. What are two milestones expected at 6 months?
