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NRSG 421 PEDIATRICS FINAL EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2025/2026

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Prepare for the Pediatrics NRSC 421 final exam with the latest 2025/2026 Q&A. Topics include child development, immunization, respiratory illnesses, congenital defects, medication math, and nursing interventions. pediatrics nursing exam, NRSC 421 final, nursing student study guide, pediatric development, child health assessment, immunization schedule, respiratory syncytial virus, congenital heart defects, nursing math calculations, clinical scenarios

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2025/2026
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NRSG 421 PEDIATRICS FINAL EXAM
QUESTIONS AND ANSWERS LATEST
UPDATE 2025/2026

The Emergency room nurse is concerned about what findings when a 5 month old
infant is assessed?


A. Anterior Fontanel is closed
B. Child rolls from side to side
C. Child is able to lift head
D. Rooting reflex has disapeared - ANSWER A. Anterior Fontanel is Closed


The parents of a 3 month old are instructed to have all family members and
caregivers to have there tdap and dtap booster vaccines to prevent the potentially
fatal illness?


A. Rubella
B. Mumps
C. Measles

D. Pertussis - ANSWER D. Pertussis


A first time mother wants to start her 6 month old on solid foods . The nurse would
educate the parent that she should begin with what food choices?

,A. any food the family is eating
B. Strained meats
C. Rice cereal mixed with whole cows milk
D. Rice cereal for infants mixed with formula - ANSWER D. Rice cereal for
infants mixed with formula


A 7 month child that was full term is in a clinic for a well child visit . A early
intervention consult would be indicated for which of the following findings? Select
all that apply


A. Pincer grasp
B. Head lag
C. Does not roll over

D. Stranger anxiety - ANSWER B. Head lag
C. Does not roll over


A 9 month old is in for there well child visit the child has met all milestones. The
nurse will provide additional health and safety information and educates her on
foods to avoid until 1 yr of age. What would she include? Select all that apply


A. Strained Banana

B. Honey
C. Peanuts
D. Strained Carrots - ANSWER B. Honey
C. Peanuts

,The mother of a 2 year old is concerned that her child is a picky eater .He is
gaining weight and is in the 75th percentile on the growth chart ? The nurse would
respond with the following statement
A. This is normal development for a 2 year old
B. I will set up a appointment with a nutrition expert

C. Force him to eat all the food on his plate
D. You need to follow up with a gastroenterologist - ANSWER A. This is normal
development for a 2 year old


The mother of a 2 month old calls and states her child was in the Emergency room
and has been diagnosed with colic . The nurse explains that colic is ?


A. Self limiting resolves around 12-16 weeks
B. Common in breast fed infants

C. Intolerance to soy based formula
D. Related to constipation - ANSWER B. Self limiting resolves around 12-16
weeks


What statements are true regarding the back to sleep campaign to prevent Sudden
Infant Death Syndrome? Select all that apply


A. The back to sleep campaign has dramatically reduced the incidence of SIDS

B. the child should be placed prone

C. the child should be placed supine
D. With the back to sleep campaign the child is at greater risk for plagiocep -
ANSWER A. The back to sleep campaign has dramatically reduced the incidence
of SIDS

, C. the child should be placed supine

D. With the back to sleep campaign the child is at greater risk for plagiocep
The nurse is assessing a 3 year old what would be appropriate action to prepare the
child for the exam ?


A. Don't allow the child to hold a toy it may annoy the doctor
B. allow the child to sit on parents lap

C. Use medical terminology so the child doesn't understand the exam
D. Separate the child from the parent - ANSWER B. allow the child to sit on
parents lap


A 12 month old is at her well child visit .What abnormal finding needs to be
reported to the provider?


A. Birth length Birth length has increased by 50%
B. 8 teeth have erupted

C. Birth weight has doubled
D. Child is able to take 3 steps - ANSWER C. Birth weight has doubled


The nurses is providing a health promotion course to a group of pre school
moms.The focus is accidental poisoning the nurse educated them to ?


A. Tell the child not to touch medications

B. All medications should be in a locked cabinet
C. Place medications on counters the children can't reach
D. place medications in containers the children would not play with - CORRECT

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