20 Pediatric Nursing Quiz Questions and Answers

Pediatric nursing is a specialized branch of nursing focused on the care of infants, children, and adolescents from birth through young adulthood. It emphasizes promoting health, preventing illness, and managing acute and chronic conditions in a way that supports physical, emotional, and developmental needs.

Key Responsibilities
Pediatric nurses assess growth and development, administer medications, perform treatments, and educate families on health management. They work in various settings, including hospitals, clinics, schools, and community health programs, often collaborating with physicians, therapists, and social workers to deliver holistic care.

Common Pediatric Conditions
Nurses frequently manage issues such as respiratory infections, asthma, diabetes, congenital disorders, injuries, and mental health concerns like anxiety or ADHD. They also address vaccination schedules, nutrition, and preventive care to reduce disease risks.

Developmental Considerations
Care is tailored to the child’s age and stage, incorporating play therapy, age-appropriate communication, and family involvement. For example, infants require monitoring for milestones, while teenagers may need support for independence and confidentiality.

Family-Centered Approach
Pediatric nursing prioritizes family-centered care, involving parents and guardians in decision-making, providing emotional support, and teaching home care techniques to ensure continuity and better outcomes.

Education and Skills Required
To become a pediatric nurse, one typically needs a nursing degree (e.g., BSN) followed by certification in pediatric nursing (e.g., CPN). Essential skills include empathy, communication, critical thinking, and knowledge of child psychology, as well as proficiency in handling medical equipment suited for pediatric patients.

Table of contents

Part 1: Best AI quiz making software for creating a pediatric nursing quiz

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Part 2: 20 pediatric nursing quiz questions & answers

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1. Question: A 6-month-old infant is brought to the clinic for a well-child visit. What is the expected weight gain for this infant since birth?
A. Doubled birth weight
B. Tripled birth weight
C. Quadrupled birth weight
D. No change in weight
Answer: A
Explanation: By 6 months, infants typically double their birth weight due to rapid growth in the first half-year of life, reflecting adequate nutrition and development.

2. Question: A 2-year-old child is diagnosed with acute otitis media. What is the first-line treatment for this condition?
A. Oral antibiotics
B. Surgical intervention
C. Antihistamines
D. Observation only
Answer: A
Explanation: Oral antibiotics are the first-line treatment for acute otitis media in children to eradicate bacterial infection and reduce complications like hearing loss.

3. Question: During a routine check-up, a 4-year-old child has a heart rate of 120 beats per minute. Is this normal?
A. Yes, it is within the normal range
B. No, it indicates tachycardia
C. No, it indicates bradycardia
D. It requires immediate hospitalization
Answer: A
Explanation: A heart rate of 70-140 beats per minute is normal for a 4-year-old, as pediatric heart rates are higher than in adults due to their smaller body size and higher metabolic rate.

4. Question: A 1-year-old child is at risk for iron-deficiency anemia. What food should be encouraged in the diet?
A. Pureed fruits
B. Fortified cereals
C. Whole milk
D. White bread
Answer: B
Explanation: Fortified cereals are rich in iron and help prevent iron-deficiency anemia in toddlers by providing an easily absorbable form of the mineral during rapid growth.

5. Question: What is the primary immunization schedule milestone for a 12-month-old child?
A. MMR vaccine
B. DTaP booster
C. Hepatitis B series completion
D. Polio vaccine only
Answer: A
Explanation: The MMR vaccine is typically administered at 12 months to provide immunity against measles, mumps, and rubella, aligning with the standard pediatric immunization schedule.

6. Question: A 5-year-old with asthma experiences an acute attack. What is the immediate nursing intervention?
A. Administer oral corticosteroids
B. Use a nebulizer with albuterol
C. Apply a cool compress
D. Encourage deep breathing exercises
Answer: B
Explanation: A nebulizer with albuterol provides quick relief by bronchodilation during an acute asthma attack, helping to open airways and improve breathing.

7. Question: In assessing a 3-month-old infant, what reflex should be present?
A. Babinski reflex
B. Moro reflex
C. Grasp reflex
D. All of the above
Answer: D
Explanation: At 3 months, infants should still exhibit the Babinski, Moro, and grasp reflexes, which are primitive reflexes that gradually disappear as neurological development progresses.

8. Question: A 7-year-old child is admitted with dehydration from gastroenteritis. What is the best initial fluid replacement?
A. Intravenous normal saline
B. Oral rehydration solution
C. Fruit juice
D. Sports drinks
Answer: B
Explanation: Oral rehydration solution is the best initial choice for mild to moderate dehydration in children, as it restores electrolytes and fluids without overwhelming the system.

9. Question: What is a key sign of respiratory distress in a neonate?
A. Nasal flaring
B. Bradycardia
C. Hypothermia
D. Decreased urine output
Answer: A
Explanation: Nasal flaring indicates increased effort to breathe and is a common early sign of respiratory distress in neonates, requiring prompt intervention.

10. Question: A 10-year-old with type 1 diabetes is learning to self-administer insulin. What should the nurse emphasize?
A. Rotating injection sites
B. Using the same needle multiple times
C. Injecting into the same area daily
D. Skipping doses if feeling well
Answer: A
Explanation: Rotating injection sites prevents lipohypertrophy and ensures even insulin absorption, which is crucial for maintaining stable blood glucose levels.

11. Question: During playtime, a 4-year-old sustains a minor head injury. When should the nurse advise seeking medical help?
A. If vomiting occurs
B. Only if there’s bleeding
C. After 24 hours of observation
D. Never, as it’s minor
Answer: A
Explanation: Vomiting after a head injury can indicate increased intracranial pressure or concussion, necessitating immediate medical evaluation to prevent complications.

12. Question: What is the most appropriate pain assessment tool for a 6-year-old child?
A. FLACC scale
B. Wong-Baker Faces scale
C. Numeric rating scale
D. CRIES scale
Answer: B
Explanation: The Wong-Baker Faces scale is suitable for school-aged children as it uses visual faces to help them communicate pain levels effectively.

13. Question: A 2-week-old newborn has jaundice. What is the primary nursing action?
A. Monitor bilirubin levels
B. Initiate phototherapy if needed
C. Discontinue breastfeeding
D. Administer antibiotics
Answer: A
Explanation: Monitoring bilirubin levels is essential to determine if jaundice is physiological or pathological, guiding further interventions like phototherapy.

14. Question: In caring for a child with cystic fibrosis, what dietary recommendation is most important?
A. High-fat diet
B. Low-salt diet
C. High-protein diet
D. Restrict fluids
Answer: C
Explanation: A high-protein diet supports growth and compensates for malabsorption in children with cystic fibrosis, who often have pancreatic insufficiency.

15. Question: What developmental milestone is typical for an 18-month-old child?
A. Walking independently
B. Speaking in full sentences
C. Riding a bicycle
D. Tying shoelaces
Answer: A
Explanation: By 18 months, most children can walk independently, marking a key motor development milestone.

16. Question: A 3-year-old is prescribed amoxicillin for an infection. What side effect should the nurse monitor?
A. Diarrhea
B. Hypertension
C. Insomnia
D. Weight gain
Answer: A
Explanation: Diarrhea is a common side effect of amoxicillin due to disruption of gut flora, and monitoring helps in managing potential complications like dehydration.

17. Question: When preparing a 5-year-old for surgery, what technique reduces anxiety?
A. Therapeutic play
B. Detailed medical explanations
C. Isolation from parents
D. Immediate preoperative fasting
Answer: A
Explanation: Therapeutic play allows children to express fears and understand procedures in a non-threatening way, reducing preoperative anxiety.

18. Question: A 9-month-old infant refuses solid foods. What is the nurse’s best response?
A. Continue offering variety patiently
B. Force-feed the infant
C. Switch to formula only
D. Consult a dietician immediately
Answer: A
Explanation: At 9 months, infants may be picky eaters, so continuing to offer a variety of foods patiently encourages acceptance without causing aversion.

19. Question: In preventing sudden infant death syndrome (SIDS), what position should infants be placed in for sleep?
A. On their back
B. On their stomach
C. On their side
D. In a seated position
Answer: A
Explanation: Placing infants on their back for sleep reduces the risk of SIDS by preventing airway obstruction and allowing easier breathing.

20. Question: A 14-year-old adolescent is diagnosed with scoliosis. What is a key component of the nursing care plan?
A. Regular spinal monitoring
B. Immediate surgical correction
C. Weight-bearing exercises
D. High-impact sports encouragement
Answer: A
Explanation: Regular spinal monitoring tracks the progression of scoliosis, allowing for timely interventions like bracing to prevent worsening.

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