PEDIATRIC MIDTERM EXAM LATEST 2025-2026
ACTUAL EXAM COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Overview
This comprehensive Pediatric Midterm Study Guide is designed to reflect the rigor, structure, and
clinical reasoning focus of midterm pediatric nursing assessments. Featuring 300 high-quality,
exam-style practice questions with correct, detailed explanations, it helps nursing students
strengthen pediatric knowledge, enhance clinical judgment, and prepare confidently for midterm
exams. Updated for the 2025–2026 cycle, it is a complete study solution.
─────────────────────────────
Key Features
✅ 300 Pediatric Exam-Style Questions with Correct, Detailed Rationales
✅ Fully Updated for 2025–2026 Pediatric Nursing Standards
✅ NGN-Aligned Formats: Case Studies, Highlighting, Matrix, Drop-Down, and Clinical
Judgment Scenarios
✅ Covers Core Areas: Growth & Development, Pediatric Assessment, Common Pediatric
Illnesses, Pharmacology, Safety, and Family-Centered Care
✅ Expert-Verified, A+ Graded Content for Accuracy and Reliability
─────────────────────────────
Purpose
• Provide a complete review for pediatric midterm exam preparation
• Reinforce clinical judgment, prioritization, and safe patient-care decision-making
• Support learners aiming for high exam scores and NGN readiness
─────────────────────────────
Recommended For
• Nursing students preparing for pediatric midterm exams
• Learners seeking structured, rationale-supported practice questions
• Instructors and tutors developing high-quality pediatric nursing study materials
─────────────────────────────
Your Complete Pediatric Midterm Study Resource
With 300 expertly crafted, NGN-style questions and detailed rationales, the Pediatric Midterm
,Exam Study Guide 2025–2026 is your most reliable, up-to-date, and effective resource for
mastering pediatric nursing concepts and preparing with confidence.
As the nurse approaches billy which presentation would be most concerning and require immediate
attention? (Acute asthma attack child)
1. alert and irritable, lying recumbent on the exam table
2. awake and nervous, sitting upright and crying, skin pale and dry
3. agitated, sweating, and sitting upright with shoulders hunched forward
4. asleep in a side lying postion breathing through open mouth - ANSWER-3
Which assessment finding for Billy is the most urgent and requires immediate intervention and
notification of the pediatrician?
1. suddenly increase in respiratory rate and decreased breath sounds
2. rattling cough productive of frothy, clear, gelatinous sputum
3. crackles auscultated on inspiration in the lower lung fields
4. restlessness and wheezing auscultated at the end of expiration - ANSWER-1
RATIONALE: increased resp rate and decreased breath sounds indicate airway obstruction and
respiratory arrest is imminent
The parents of a newborn are asking the nurse how to use the infant car seat and where it should be
placed in their vehicle. Which is the next most appropriate actionby the nurse?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car, and show them how to install the car seat.
3. Contact the hospital's car-seat safety officer, and ask the officer to accompany the parents to the
car for car-seat installation.
,4. Show the parents a video on car-seat installation and safety, and ask if they are comfortable with the
information. - ANSWER-3
The mother of a newborn asks the nurse when the infant will receive the first hepatitis B immunization.
Which is the nurse's best response?
1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-positive."
2. "The first dose of the hepatitis B vaccine will be given prior to discharge today."
3. "The first dose of hepatitis B vaccine is given at 1 year of age."
4. "Babies receive their first hepatitis B vaccine at 6 months of age." - ANSWER-2
Which finding would the nurse consider abnormal when performing a physical assessment
on a 6-month-old?
1. Posterior fontanel is open.
2. Anterior fontanel is open.
3. Beginning signs of tooth eruption.
4. Able to track and follow objects. - ANSWER-1
A mother requests that her child receive the varicella vaccine at the 9-month well-
child checkup. The nurse tells the mother that:
1. Children who are vaccinated will likely develop a mild case of the disease.
2. The vaccine cannot be given at that visit.
3. The vaccine will be administered after the physician examines the child. 4. A booster vaccination will
be needed at 18 months of age. - ANSWER-2
, What should parents understand is one of the most common causes of injury and death
for a 7-month-old infant?
1. Poisoning.
2. Child abuse.
3. Aspiration.
4. Dog bites. - ANSWER-3
An 8-day-old was admitted to the hospital with vomiting and dehydration. The newborn's heart rate is
170, respiratory rate is 44, blood pressure is 85/52, and temperature is 99°F (37.2°C). What is the nurse's
best response to the parents who ask if the vital signs are normal?
1. "The blood pressure is elevated, but the other vital signs are within normal limits."
2. "The temperature is elevated, but the other vital signs are within normal limits."
3. "The respiratory rate is elevated, but the other vital signs are within normal limits."
4. "The heart rate is elevated, but the other vital signs are within normal limits." - ANSWER-4
The nurse is using the FLACC scale to rate the pain level in a 9-month-old. Which is
the nurse's best response to the father's question of what the FLACC scale is?
1. "It estimates a child's level of pain utilizing vital sign information."
2. "It estimates a child's level of pain based on parents' perception."
3. "It estimates a child's level of pain utilizing behavioral and physical responses."
4. "It estimates a child's level of pain utilizing a numeric scale from 0 to 5." - ANSWER-3
A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should
the nurse caring for the child expect the current weight to be?
ACTUAL EXAM COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Overview
This comprehensive Pediatric Midterm Study Guide is designed to reflect the rigor, structure, and
clinical reasoning focus of midterm pediatric nursing assessments. Featuring 300 high-quality,
exam-style practice questions with correct, detailed explanations, it helps nursing students
strengthen pediatric knowledge, enhance clinical judgment, and prepare confidently for midterm
exams. Updated for the 2025–2026 cycle, it is a complete study solution.
─────────────────────────────
Key Features
✅ 300 Pediatric Exam-Style Questions with Correct, Detailed Rationales
✅ Fully Updated for 2025–2026 Pediatric Nursing Standards
✅ NGN-Aligned Formats: Case Studies, Highlighting, Matrix, Drop-Down, and Clinical
Judgment Scenarios
✅ Covers Core Areas: Growth & Development, Pediatric Assessment, Common Pediatric
Illnesses, Pharmacology, Safety, and Family-Centered Care
✅ Expert-Verified, A+ Graded Content for Accuracy and Reliability
─────────────────────────────
Purpose
• Provide a complete review for pediatric midterm exam preparation
• Reinforce clinical judgment, prioritization, and safe patient-care decision-making
• Support learners aiming for high exam scores and NGN readiness
─────────────────────────────
Recommended For
• Nursing students preparing for pediatric midterm exams
• Learners seeking structured, rationale-supported practice questions
• Instructors and tutors developing high-quality pediatric nursing study materials
─────────────────────────────
Your Complete Pediatric Midterm Study Resource
With 300 expertly crafted, NGN-style questions and detailed rationales, the Pediatric Midterm
,Exam Study Guide 2025–2026 is your most reliable, up-to-date, and effective resource for
mastering pediatric nursing concepts and preparing with confidence.
As the nurse approaches billy which presentation would be most concerning and require immediate
attention? (Acute asthma attack child)
1. alert and irritable, lying recumbent on the exam table
2. awake and nervous, sitting upright and crying, skin pale and dry
3. agitated, sweating, and sitting upright with shoulders hunched forward
4. asleep in a side lying postion breathing through open mouth - ANSWER-3
Which assessment finding for Billy is the most urgent and requires immediate intervention and
notification of the pediatrician?
1. suddenly increase in respiratory rate and decreased breath sounds
2. rattling cough productive of frothy, clear, gelatinous sputum
3. crackles auscultated on inspiration in the lower lung fields
4. restlessness and wheezing auscultated at the end of expiration - ANSWER-1
RATIONALE: increased resp rate and decreased breath sounds indicate airway obstruction and
respiratory arrest is imminent
The parents of a newborn are asking the nurse how to use the infant car seat and where it should be
placed in their vehicle. Which is the next most appropriate actionby the nurse?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car, and show them how to install the car seat.
3. Contact the hospital's car-seat safety officer, and ask the officer to accompany the parents to the
car for car-seat installation.
,4. Show the parents a video on car-seat installation and safety, and ask if they are comfortable with the
information. - ANSWER-3
The mother of a newborn asks the nurse when the infant will receive the first hepatitis B immunization.
Which is the nurse's best response?
1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-positive."
2. "The first dose of the hepatitis B vaccine will be given prior to discharge today."
3. "The first dose of hepatitis B vaccine is given at 1 year of age."
4. "Babies receive their first hepatitis B vaccine at 6 months of age." - ANSWER-2
Which finding would the nurse consider abnormal when performing a physical assessment
on a 6-month-old?
1. Posterior fontanel is open.
2. Anterior fontanel is open.
3. Beginning signs of tooth eruption.
4. Able to track and follow objects. - ANSWER-1
A mother requests that her child receive the varicella vaccine at the 9-month well-
child checkup. The nurse tells the mother that:
1. Children who are vaccinated will likely develop a mild case of the disease.
2. The vaccine cannot be given at that visit.
3. The vaccine will be administered after the physician examines the child. 4. A booster vaccination will
be needed at 18 months of age. - ANSWER-2
, What should parents understand is one of the most common causes of injury and death
for a 7-month-old infant?
1. Poisoning.
2. Child abuse.
3. Aspiration.
4. Dog bites. - ANSWER-3
An 8-day-old was admitted to the hospital with vomiting and dehydration. The newborn's heart rate is
170, respiratory rate is 44, blood pressure is 85/52, and temperature is 99°F (37.2°C). What is the nurse's
best response to the parents who ask if the vital signs are normal?
1. "The blood pressure is elevated, but the other vital signs are within normal limits."
2. "The temperature is elevated, but the other vital signs are within normal limits."
3. "The respiratory rate is elevated, but the other vital signs are within normal limits."
4. "The heart rate is elevated, but the other vital signs are within normal limits." - ANSWER-4
The nurse is using the FLACC scale to rate the pain level in a 9-month-old. Which is
the nurse's best response to the father's question of what the FLACC scale is?
1. "It estimates a child's level of pain utilizing vital sign information."
2. "It estimates a child's level of pain based on parents' perception."
3. "It estimates a child's level of pain utilizing behavioral and physical responses."
4. "It estimates a child's level of pain utilizing a numeric scale from 0 to 5." - ANSWER-3
A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should
the nurse caring for the child expect the current weight to be?
