Pediatric Nursing EXAM WITH
Growth/development, respiratory, cardiac,
infections, emergencies ALREADY COVERED EXAM
2024 VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS ALREADY GRDAED A+
Section 1: Growth & Development (Questions 1-15)
1. The nurse is assessing a 12-month-old infant. Which developmental milestone should the
nurse expect?
A. Walks independently
B. Says 2-3 words
C. Builds a tower of 4 blocks
D. Throws a ball overhand
Answer: B
Rationale: At 12 months, a child typically says 2-3 words (B) (e.g., "mama," "dada"), stands with
support, and may take a few steps. Walking independently (A) occurs around 15 months.
Building a tower of 4 blocks (C) is an 18-month milestone. Throwing a ball overhand (D) is a 2-
year milestone.
2. The nurse is assessing a 4-year-old child. Which developmental milestone is expected?
A. Rides a tricycle
B. Ties shoelaces
C. Copies a square
D. Dresses without assistance
Answer: A
Rationale: A 4-year-old can ride a tricycle (A), hop on one foot, and copy a circle. Tying
shoelaces (B) is a 5-6 year milestone. Copying a square (C) is a 5-year milestone. Dressing
without assistance (D) is a 5-year milestone.
1
, 3. The nurse is assessing a 2-month-old infant. Which reflex should be present?
A. Moro reflex
B. Babinski reflex
C. Rooting reflex
D. All of the above
Answer: D
Rationale: All of these reflexes (D) should be present at 2 months. The Moro (A), Babinski (B),
and rooting (C) reflexes are present at birth and disappear at different ages (Moro at 4-6
months, Babinski at 12 months, rooting at 4 months).
4. The nurse is teaching parents about teething. At what age does the first tooth typically
erupt?
A. 2-4 months
B. 6-10 months
C. 12-15 months
D. 18-24 months
Answer: B
Rationale: The first tooth (usually the lower central incisor) erupts at approximately 6-10
months (B). Teething symptoms include irritability, drooling, and gum inflammation. Parents can
use a cold teething ring and acetaminophen for pain relief.
5. The nurse is assessing a 6-year-old child. Which fine motor skill is expected?
A. Builds a tower of 10 blocks
B. Ties shoelaces
C. Uses scissors to cut out shapes
D. Writes lowercase letters
Answer: C
Rationale: A 6-year-old can use scissors to cut out shapes (C) and copy a triangle. Tying
shoelaces (B) is a 5-6 year milestone, but cutting shapes is more specific to 6 years. Writing
lowercase letters (D) is a 7-year milestone.
6. The nurse is teaching a group of parents about developmental milestones for a 9-month-
old. Which finding indicates a delay?
A. The infant is not sitting without support.
B. The infant is not crawling.
C. The infant is not pulling to stand.
D. The infant is not walking.
2
, Answer: A
Rationale: By 9 months, most infants can sit without support (A). If a 9-month-old cannot sit
without support, this indicates a developmental delay. Crawling (B) and pulling to stand (C) are
also expected but may vary. Walking (D) is not expected until 12-15 months.
7. The nurse is assessing a 2-year-old child. Which language milestone is expected?
A. Speaks in 2-3 word phrases
B. Speaks in full sentences
C. Uses pronouns correctly
D. Asks "why" questions
Answer: A
Rationale: A 2-year-old speaks in 2-3 word phrases (A) ("more milk," "go bye-bye"). Full
sentences (B) occur at 3 years. Correct use of pronouns (C) occurs at 3-4 years. Asking "why"
questions (D) is a 3-4 year milestone.
8. The nurse is performing a head circumference measurement on a 12-month-old. The nurse
knows that head circumference should be approximately:
A. 32 cm
B. 34 cm
C. 46 cm
D. 50 cm
Answer: C
Rationale: Average head circumference at 12 months is approximately 46 cm (C). At birth, it's
about 35 cm. Head circumference increases by about 2 cm per month in the first 3 months and
then slows down. Microcephaly is < 2 standard deviations below the mean.
9. The nurse is assessing a 3-year-old child. Which gross motor skill is expected?
A. Pedals a tricycle
B. Walks up and down stairs using alternating feet
C. Skips
D. Stands on one foot for 10 seconds
Answer: A
Rationale: A 3-year-old can pedal a tricycle (A). Walking up and down stairs using alternating
feet (B) is a 4-year milestone. Skipping (C) is a 5-year milestone. Standing on one foot for 10
seconds (D) is a 5-year milestone.
10. The nurse is assessing a 5-year-old child. Which cognitive milestone is expected?
A. Counts to 10
B. Counts to 20
3
Growth/development, respiratory, cardiac,
infections, emergencies ALREADY COVERED EXAM
2024 VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS ALREADY GRDAED A+
Section 1: Growth & Development (Questions 1-15)
1. The nurse is assessing a 12-month-old infant. Which developmental milestone should the
nurse expect?
A. Walks independently
B. Says 2-3 words
C. Builds a tower of 4 blocks
D. Throws a ball overhand
Answer: B
Rationale: At 12 months, a child typically says 2-3 words (B) (e.g., "mama," "dada"), stands with
support, and may take a few steps. Walking independently (A) occurs around 15 months.
Building a tower of 4 blocks (C) is an 18-month milestone. Throwing a ball overhand (D) is a 2-
year milestone.
2. The nurse is assessing a 4-year-old child. Which developmental milestone is expected?
A. Rides a tricycle
B. Ties shoelaces
C. Copies a square
D. Dresses without assistance
Answer: A
Rationale: A 4-year-old can ride a tricycle (A), hop on one foot, and copy a circle. Tying
shoelaces (B) is a 5-6 year milestone. Copying a square (C) is a 5-year milestone. Dressing
without assistance (D) is a 5-year milestone.
1
, 3. The nurse is assessing a 2-month-old infant. Which reflex should be present?
A. Moro reflex
B. Babinski reflex
C. Rooting reflex
D. All of the above
Answer: D
Rationale: All of these reflexes (D) should be present at 2 months. The Moro (A), Babinski (B),
and rooting (C) reflexes are present at birth and disappear at different ages (Moro at 4-6
months, Babinski at 12 months, rooting at 4 months).
4. The nurse is teaching parents about teething. At what age does the first tooth typically
erupt?
A. 2-4 months
B. 6-10 months
C. 12-15 months
D. 18-24 months
Answer: B
Rationale: The first tooth (usually the lower central incisor) erupts at approximately 6-10
months (B). Teething symptoms include irritability, drooling, and gum inflammation. Parents can
use a cold teething ring and acetaminophen for pain relief.
5. The nurse is assessing a 6-year-old child. Which fine motor skill is expected?
A. Builds a tower of 10 blocks
B. Ties shoelaces
C. Uses scissors to cut out shapes
D. Writes lowercase letters
Answer: C
Rationale: A 6-year-old can use scissors to cut out shapes (C) and copy a triangle. Tying
shoelaces (B) is a 5-6 year milestone, but cutting shapes is more specific to 6 years. Writing
lowercase letters (D) is a 7-year milestone.
6. The nurse is teaching a group of parents about developmental milestones for a 9-month-
old. Which finding indicates a delay?
A. The infant is not sitting without support.
B. The infant is not crawling.
C. The infant is not pulling to stand.
D. The infant is not walking.
2
, Answer: A
Rationale: By 9 months, most infants can sit without support (A). If a 9-month-old cannot sit
without support, this indicates a developmental delay. Crawling (B) and pulling to stand (C) are
also expected but may vary. Walking (D) is not expected until 12-15 months.
7. The nurse is assessing a 2-year-old child. Which language milestone is expected?
A. Speaks in 2-3 word phrases
B. Speaks in full sentences
C. Uses pronouns correctly
D. Asks "why" questions
Answer: A
Rationale: A 2-year-old speaks in 2-3 word phrases (A) ("more milk," "go bye-bye"). Full
sentences (B) occur at 3 years. Correct use of pronouns (C) occurs at 3-4 years. Asking "why"
questions (D) is a 3-4 year milestone.
8. The nurse is performing a head circumference measurement on a 12-month-old. The nurse
knows that head circumference should be approximately:
A. 32 cm
B. 34 cm
C. 46 cm
D. 50 cm
Answer: C
Rationale: Average head circumference at 12 months is approximately 46 cm (C). At birth, it's
about 35 cm. Head circumference increases by about 2 cm per month in the first 3 months and
then slows down. Microcephaly is < 2 standard deviations below the mean.
9. The nurse is assessing a 3-year-old child. Which gross motor skill is expected?
A. Pedals a tricycle
B. Walks up and down stairs using alternating feet
C. Skips
D. Stands on one foot for 10 seconds
Answer: A
Rationale: A 3-year-old can pedal a tricycle (A). Walking up and down stairs using alternating
feet (B) is a 4-year milestone. Skipping (C) is a 5-year milestone. Standing on one foot for 10
seconds (D) is a 5-year milestone.
10. The nurse is assessing a 5-year-old child. Which cognitive milestone is expected?
A. Counts to 10
B. Counts to 20
3
