WONG’S NURSING CARE OF INFANTS & CHILDREN,
12TH EDITION
EXAM-STYLE MULTIPLE-CHOICE 100 QUESTIONS &
CORRECT DETAILED ANSWERS GRADED
A+||BRAND 2026 NEW VERSION!!
based on standard pediatric nursing syllabus and
difficulty level.
1. Which factor is the most significant influence on growth during infancy?
A. Genetic potential
B. Environmental stimulation
C. Nutrition
D. Socioeconomic status
*Explanation: Adequate nutrition is the primary determinant of physical
growth during infancy.
2. The nurse knows that the posterior fontanel of a newborn normally closes
by:
A. 2 weeks
B. 2–3 months
C. 6–9 months
D. 12–18 months
*Explanation: The posterior fontanel typically closes by 2–3 months of age.
3. Which behavior best demonstrates trust according to Erikson’s
developmental theory?
A. Playing alongside peers
B. Calmness when caregiver is present
C. Independence in self-care
, D. Following rules
*Explanation: Trust is shown when infants feel secure and comforted by
caregivers.
4. A normal heart rate for a resting newborn is:
A. 60–80 bpm
B. 80–100 bpm
C. 110–160 bpm
D. 160–190 bpm
*Explanation: Newborns have higher metabolic demands, resulting in higher
heart rates.
5. Which immunization is recommended at birth?
A. DTaP
B. IPV
C. Hepatitis B
D. Hib
*Explanation: Hepatitis B vaccine is routinely administered at birth.
6. The nurse assesses a 6-month-old infant. Which finding requires immediate
attention?
A. Babbling
B. Rolling over
C. Absent Moro reflex
D. Sitting with support
*Explanation: The Moro reflex should persist until 4–6 months; absence
earlier may indicate neurologic issues.
7. The most effective pain assessment tool for an infant is:
A. Numeric rating scale
B. Faces pain scale
C. FLACC scale
D. Visual analog scale
*Explanation: FLACC assesses pain based on observable behaviors.
, 8. Which statement by parents indicates correct understanding of safe sleep
practices?
A. Infant sleeps prone
B. Crib has soft blankets
C. Infant sleeps on the back
D. Infant sleeps with parents
*Explanation: Back sleeping reduces the risk of sudden infant death
syndrome (SIDS).
9. A toddler is hospitalized. The nurse should prioritize which intervention to
reduce anxiety?
A. Provide detailed explanations
B. Limit parental visits
C. Maintain routines
D. Encourage peer interaction
*Explanation: Toddlers benefit from familiar routines to reduce stress.
10.Which toy is most appropriate for a 9-month-old infant?
A. Puzzle with small pieces
B. Board game
C. Large stacking blocks
D. Coloring books
*Explanation: Large blocks support fine motor development and are safe.
11.The nurse recognizes that separation anxiety typically peaks at what age?
A. 2–4 months
B. 4–6 months
C. 8–18 months
D. 2–3 years
*Explanation: Separation anxiety peaks during late infancy and early
toddlerhood.
12.Which vital sign change is expected during fever in children?
A. Decreased heart rate
B. Decreased respiratory rate
12TH EDITION
EXAM-STYLE MULTIPLE-CHOICE 100 QUESTIONS &
CORRECT DETAILED ANSWERS GRADED
A+||BRAND 2026 NEW VERSION!!
based on standard pediatric nursing syllabus and
difficulty level.
1. Which factor is the most significant influence on growth during infancy?
A. Genetic potential
B. Environmental stimulation
C. Nutrition
D. Socioeconomic status
*Explanation: Adequate nutrition is the primary determinant of physical
growth during infancy.
2. The nurse knows that the posterior fontanel of a newborn normally closes
by:
A. 2 weeks
B. 2–3 months
C. 6–9 months
D. 12–18 months
*Explanation: The posterior fontanel typically closes by 2–3 months of age.
3. Which behavior best demonstrates trust according to Erikson’s
developmental theory?
A. Playing alongside peers
B. Calmness when caregiver is present
C. Independence in self-care
, D. Following rules
*Explanation: Trust is shown when infants feel secure and comforted by
caregivers.
4. A normal heart rate for a resting newborn is:
A. 60–80 bpm
B. 80–100 bpm
C. 110–160 bpm
D. 160–190 bpm
*Explanation: Newborns have higher metabolic demands, resulting in higher
heart rates.
5. Which immunization is recommended at birth?
A. DTaP
B. IPV
C. Hepatitis B
D. Hib
*Explanation: Hepatitis B vaccine is routinely administered at birth.
6. The nurse assesses a 6-month-old infant. Which finding requires immediate
attention?
A. Babbling
B. Rolling over
C. Absent Moro reflex
D. Sitting with support
*Explanation: The Moro reflex should persist until 4–6 months; absence
earlier may indicate neurologic issues.
7. The most effective pain assessment tool for an infant is:
A. Numeric rating scale
B. Faces pain scale
C. FLACC scale
D. Visual analog scale
*Explanation: FLACC assesses pain based on observable behaviors.
, 8. Which statement by parents indicates correct understanding of safe sleep
practices?
A. Infant sleeps prone
B. Crib has soft blankets
C. Infant sleeps on the back
D. Infant sleeps with parents
*Explanation: Back sleeping reduces the risk of sudden infant death
syndrome (SIDS).
9. A toddler is hospitalized. The nurse should prioritize which intervention to
reduce anxiety?
A. Provide detailed explanations
B. Limit parental visits
C. Maintain routines
D. Encourage peer interaction
*Explanation: Toddlers benefit from familiar routines to reduce stress.
10.Which toy is most appropriate for a 9-month-old infant?
A. Puzzle with small pieces
B. Board game
C. Large stacking blocks
D. Coloring books
*Explanation: Large blocks support fine motor development and are safe.
11.The nurse recognizes that separation anxiety typically peaks at what age?
A. 2–4 months
B. 4–6 months
C. 8–18 months
D. 2–3 years
*Explanation: Separation anxiety peaks during late infancy and early
toddlerhood.
12.Which vital sign change is expected during fever in children?
A. Decreased heart rate
B. Decreased respiratory rate
