NUR 336 PEDS EXAM 1 150 QUESTIONS AND CORRECT ANSWERS
WITH EXPLANATIONS 2026 RECENT TESTED QUESTIONS COVERING
THE MOST TESTED QUESTIONS RELIABLE FOR A+ GRADE
1. At what age does the posterior fontanel typically close?
A. 2 months
B. 6–8 weeks
C. 2–3 months
D. 2–3 months
Explanation: The posterior fontanel generally closes by 2–3 months of age, while the anterior
fontanel closes around 12–18 months.
2. Which reflex disappears by 4–6 months of age?
A. Moro reflex
B. Palmar grasp
C. Rooting reflex
D. Babinski
Explanation: The Moro reflex (startle reflex) disappears around 4–6 months, indicating
neurological development.
3. Which immunization is given at birth?
A. MMR
B. Hepatitis B
C. DTaP
D. Varicella
Explanation: Hepatitis B vaccine is administered at birth to prevent early infection.
4. Normal respiratory rate for a toddler (1–3 years)?
A. 30–40
B. 60–80
C. 20–30
D. 15–25
Explanation: Toddlers typically have respiratory rates of 30–40 breaths/min.
,5. What is the first sign of dehydration in infants?
A. Sunken fontanel
B. Hypotension
C. Bradycardia
D. Cyanosis
Explanation: Sunken fontanel is an early indicator of dehydration in infants.
6. Which of the following is a priority for a child with acute asthma exacerbation?
A. Administering antibiotics
B. Maintaining airway and oxygenation
C. Hydration only
D. Administering antipyretics
Explanation: Airway management and oxygenation are the highest priorities in acute asthma.
7. The Denver II Developmental Screening Test assesses:
A. Immunization status
B. Developmental milestones
C. Growth charts
D. Lab values
Explanation: Denver II evaluates social, motor, language, and cognitive development.
8. Which pediatric pain assessment tool is appropriate for a 2-year-old?
A. Numeric scale
B. FLACC scale
C. Wong-Baker Faces (school-age)
D. Visual analog scale
Explanation: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is suitable for young
children who cannot self-report pain.
9. At what age should a child start using a cup?
,A. 6 months
B. 3 months
C. 12 months
D. 2 years
Explanation: By 6 months, most infants can begin using a cup with assistance.
10. Normal heart rate for a newborn?
A. 80–100
B. 100–120
C. 120–160
D. 60–80
Explanation: Newborns have heart rates of 120–160 bpm at rest.
11. Which of the following is a sign of respiratory distress in children?
A. Nasal flaring
B. Smiling
C. Sleeping
D. Talking
Explanation: Nasal flaring, retractions, and grunting are signs of respiratory distress.
12. Appropriate intervention for a febrile seizure?
A. Immediate lumbar puncture
B. Supportive care and safety
C. Administer antibiotics immediately
D. Place in prone position
Explanation: Most febrile seizures are benign; the focus is on preventing injury and
maintaining airway.
13. Which vaccine is live attenuated?
A. DTaP
B. IPV
, C. MMR
D. Hepatitis B
Explanation: MMR and Varicella vaccines are live attenuated, while others are inactivated.
14. A child with epiglottitis often presents with:
A. Barking cough
B. Drooling and tripod position
C. Runny nose
D. Diarrhea
Explanation: Drooling, dysphagia, and tripod positioning are classic signs of epiglottitis.
15. Which of the following is a common site for intramuscular injections in infants?
A. Deltoid
B. Vastus lateralis
C. Gluteus maximus
D. Dorsogluteal
Explanation: Vastus lateralis is preferred due to muscle development and safety.
16. Expected weight gain in infants:
A. Double birth weight by 4 months
B. Triple birth weight by 4 months
C. Double birth weight by 12 months
D. Triple birth weight by 24 months
Explanation: Infants typically double birth weight by 4–6 months and triple by 12 months.
17. Which is the most reliable indicator of pain in infants?
A. Facial expression
B. Crying only
C. Heart rate
D. Sleep pattern
WITH EXPLANATIONS 2026 RECENT TESTED QUESTIONS COVERING
THE MOST TESTED QUESTIONS RELIABLE FOR A+ GRADE
1. At what age does the posterior fontanel typically close?
A. 2 months
B. 6–8 weeks
C. 2–3 months
D. 2–3 months
Explanation: The posterior fontanel generally closes by 2–3 months of age, while the anterior
fontanel closes around 12–18 months.
2. Which reflex disappears by 4–6 months of age?
A. Moro reflex
B. Palmar grasp
C. Rooting reflex
D. Babinski
Explanation: The Moro reflex (startle reflex) disappears around 4–6 months, indicating
neurological development.
3. Which immunization is given at birth?
A. MMR
B. Hepatitis B
C. DTaP
D. Varicella
Explanation: Hepatitis B vaccine is administered at birth to prevent early infection.
4. Normal respiratory rate for a toddler (1–3 years)?
A. 30–40
B. 60–80
C. 20–30
D. 15–25
Explanation: Toddlers typically have respiratory rates of 30–40 breaths/min.
,5. What is the first sign of dehydration in infants?
A. Sunken fontanel
B. Hypotension
C. Bradycardia
D. Cyanosis
Explanation: Sunken fontanel is an early indicator of dehydration in infants.
6. Which of the following is a priority for a child with acute asthma exacerbation?
A. Administering antibiotics
B. Maintaining airway and oxygenation
C. Hydration only
D. Administering antipyretics
Explanation: Airway management and oxygenation are the highest priorities in acute asthma.
7. The Denver II Developmental Screening Test assesses:
A. Immunization status
B. Developmental milestones
C. Growth charts
D. Lab values
Explanation: Denver II evaluates social, motor, language, and cognitive development.
8. Which pediatric pain assessment tool is appropriate for a 2-year-old?
A. Numeric scale
B. FLACC scale
C. Wong-Baker Faces (school-age)
D. Visual analog scale
Explanation: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is suitable for young
children who cannot self-report pain.
9. At what age should a child start using a cup?
,A. 6 months
B. 3 months
C. 12 months
D. 2 years
Explanation: By 6 months, most infants can begin using a cup with assistance.
10. Normal heart rate for a newborn?
A. 80–100
B. 100–120
C. 120–160
D. 60–80
Explanation: Newborns have heart rates of 120–160 bpm at rest.
11. Which of the following is a sign of respiratory distress in children?
A. Nasal flaring
B. Smiling
C. Sleeping
D. Talking
Explanation: Nasal flaring, retractions, and grunting are signs of respiratory distress.
12. Appropriate intervention for a febrile seizure?
A. Immediate lumbar puncture
B. Supportive care and safety
C. Administer antibiotics immediately
D. Place in prone position
Explanation: Most febrile seizures are benign; the focus is on preventing injury and
maintaining airway.
13. Which vaccine is live attenuated?
A. DTaP
B. IPV
, C. MMR
D. Hepatitis B
Explanation: MMR and Varicella vaccines are live attenuated, while others are inactivated.
14. A child with epiglottitis often presents with:
A. Barking cough
B. Drooling and tripod position
C. Runny nose
D. Diarrhea
Explanation: Drooling, dysphagia, and tripod positioning are classic signs of epiglottitis.
15. Which of the following is a common site for intramuscular injections in infants?
A. Deltoid
B. Vastus lateralis
C. Gluteus maximus
D. Dorsogluteal
Explanation: Vastus lateralis is preferred due to muscle development and safety.
16. Expected weight gain in infants:
A. Double birth weight by 4 months
B. Triple birth weight by 4 months
C. Double birth weight by 12 months
D. Triple birth weight by 24 months
Explanation: Infants typically double birth weight by 4–6 months and triple by 12 months.
17. Which is the most reliable indicator of pain in infants?
A. Facial expression
B. Crying only
C. Heart rate
D. Sleep pattern
