1
NACE Care of the Child Exam 2025/2026
– Real Questions with Correct Detailed
Answers and Rationales (100%
Guaranteed Pass)
Question 1
A nurse is assessing a 3-year-old during a well-child visit. Which developmental milestone is
expected?
A. Engaging in complex conversations
B. Answering simple questions
C. Recognizing danger independently
D. Following complex rules
B. Answering simple questions
Rationale: By age 3, children develop basic language skills, enabling them to answer simple
questions using short sentences. Complex conversations, recognizing danger, and following rules
develop later, around ages 4–5.
Question 2
A nurse is caring for a 6-month-old infant. Which gross motor skill should the infant
demonstrate?
A. Walking independently
B. Rolling from back to stomach
C. Climbing stairs
D. Running short distances
B. Rolling from back to stomach
Rationale: At 6 months, infants typically achieve the gross motor skill of rolling from back
to stomach. Walking, climbing, and running develop later, around 12–18 months.
Question 3
What is the priority action for a nurse caring for a child with a suspected head injury?
A. Administer pain medication
, 2
B. Perform a neurological assessment
C. Notify the primary care provider
D. Collect a detailed medical history
B. Perform a neurological assessment
Rationale: The priority is assessing neurological status, airway, breathing, and circulation to
determine the severity of the head injury and guide interventions. Administering medication or
notifying the provider follows assessment.
Question 4
A nurse is teaching parents about bicycle safety for their 8-year-old. What should be included?
A. Ride against traffic
B. Walk the bike through intersections
C. Avoid wearing a helmet at night
D. Use hand signals only in daylight
B. Walk the bike through intersections
Rationale: Walking the bike through intersections reduces the risk of accidents. Riding
against traffic, avoiding helmets, or limiting hand signals is unsafe.
Question 5
Which intervention demonstrates atraumatic care for a child receiving insulin injections?
A. Administering the injection quickly
B. Explaining the procedure in simple terms
C. Using a larger needle for accuracy
D. Asking the child to look away
B. Explaining the procedure in simple terms
Rationale: Atraumatic care minimizes psychological distress by explaining procedures in
age-appropriate language, fostering trust and reducing anxiety. Quick injections or looking away
do not address emotional needs.
Question 6
A nurse is caring for a child with cystic fibrosis. Which finding requires immediate reporting?
A. Productive cough
B. Oxygen saturation of 85%
, 3
C. Increased appetite
D. Mild fatigue
B. Oxygen saturation of 85%
Rationale: An oxygen saturation of 85% indicates severe hypoxemia, requiring immediate
intervention to prevent respiratory failure. Other findings are common in cystic fibrosis but less
urgent.
Question 7
What is the priority intervention for a child with severe dehydration?
A. Administer oral rehydration solution
B. Start IV fluid replacement
C. Restrict all fluids
D. Monitor urine output only
B. Start IV fluid replacement
Rationale: Severe dehydration requires immediate IV fluid replacement to restore fluid and
electrolyte balance. Oral rehydration is suitable for mild cases, and restricting fluids is
contraindicated.
Question 8
A nurse is assessing a 4-month-old infant. Which finding should be reported to the provider?
A. Smiling responsively
B. Head lag when pulled to sitting
C. Grasping a rattle briefly
D. Following objects with eyes
B. Head lag when pulled to sitting
Rationale: Head lag at 4 months suggests delayed motor development, as infants should
have head control by this age. Other findings are age-appropriate.
Question 9
What is the first action for a nurse when a child is found seizing in bed?
A. Administer anticonvulsant medication
B. Turn the child onto their side
NACE Care of the Child Exam 2025/2026
– Real Questions with Correct Detailed
Answers and Rationales (100%
Guaranteed Pass)
Question 1
A nurse is assessing a 3-year-old during a well-child visit. Which developmental milestone is
expected?
A. Engaging in complex conversations
B. Answering simple questions
C. Recognizing danger independently
D. Following complex rules
B. Answering simple questions
Rationale: By age 3, children develop basic language skills, enabling them to answer simple
questions using short sentences. Complex conversations, recognizing danger, and following rules
develop later, around ages 4–5.
Question 2
A nurse is caring for a 6-month-old infant. Which gross motor skill should the infant
demonstrate?
A. Walking independently
B. Rolling from back to stomach
C. Climbing stairs
D. Running short distances
B. Rolling from back to stomach
Rationale: At 6 months, infants typically achieve the gross motor skill of rolling from back
to stomach. Walking, climbing, and running develop later, around 12–18 months.
Question 3
What is the priority action for a nurse caring for a child with a suspected head injury?
A. Administer pain medication
, 2
B. Perform a neurological assessment
C. Notify the primary care provider
D. Collect a detailed medical history
B. Perform a neurological assessment
Rationale: The priority is assessing neurological status, airway, breathing, and circulation to
determine the severity of the head injury and guide interventions. Administering medication or
notifying the provider follows assessment.
Question 4
A nurse is teaching parents about bicycle safety for their 8-year-old. What should be included?
A. Ride against traffic
B. Walk the bike through intersections
C. Avoid wearing a helmet at night
D. Use hand signals only in daylight
B. Walk the bike through intersections
Rationale: Walking the bike through intersections reduces the risk of accidents. Riding
against traffic, avoiding helmets, or limiting hand signals is unsafe.
Question 5
Which intervention demonstrates atraumatic care for a child receiving insulin injections?
A. Administering the injection quickly
B. Explaining the procedure in simple terms
C. Using a larger needle for accuracy
D. Asking the child to look away
B. Explaining the procedure in simple terms
Rationale: Atraumatic care minimizes psychological distress by explaining procedures in
age-appropriate language, fostering trust and reducing anxiety. Quick injections or looking away
do not address emotional needs.
Question 6
A nurse is caring for a child with cystic fibrosis. Which finding requires immediate reporting?
A. Productive cough
B. Oxygen saturation of 85%
, 3
C. Increased appetite
D. Mild fatigue
B. Oxygen saturation of 85%
Rationale: An oxygen saturation of 85% indicates severe hypoxemia, requiring immediate
intervention to prevent respiratory failure. Other findings are common in cystic fibrosis but less
urgent.
Question 7
What is the priority intervention for a child with severe dehydration?
A. Administer oral rehydration solution
B. Start IV fluid replacement
C. Restrict all fluids
D. Monitor urine output only
B. Start IV fluid replacement
Rationale: Severe dehydration requires immediate IV fluid replacement to restore fluid and
electrolyte balance. Oral rehydration is suitable for mild cases, and restricting fluids is
contraindicated.
Question 8
A nurse is assessing a 4-month-old infant. Which finding should be reported to the provider?
A. Smiling responsively
B. Head lag when pulled to sitting
C. Grasping a rattle briefly
D. Following objects with eyes
B. Head lag when pulled to sitting
Rationale: Head lag at 4 months suggests delayed motor development, as infants should
have head control by this age. Other findings are age-appropriate.
Question 9
What is the first action for a nurse when a child is found seizing in bed?
A. Administer anticonvulsant medication
B. Turn the child onto their side
