Test your knowledge with real exam-style questions. Answers and rationales included.
Question 1 of 10
At 6 months, which developmental milestone should the nurse expect?
📚 Rationale: At 6 months: sits with support, rolls over, reaches for objects. Walking at 12 months. Meaningful mama/dada at 10-12 months. Pincer grasp at 9-12 months.
Score: 0/0
Question 2 of 10
A child has barking cough worsening at night with low fever. What condition is this?
📚 Rationale: Barking seal-like cough, stridor, low-grade fever worse at night = croup. Epiglottitis has high fever, drooling, tripod position, no barking cough.
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Question 3 of 10
A 2-year-old has suspected epiglottitis. Priority nursing action?
📚 Rationale: NEVER examine throat in suspected epiglottitis — stimulation causes complete airway obstruction. Keep calm with parent, have intubation equipment ready, notify provider.
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Question 4 of 10
Which vaccine is given at birth?
📚 Rationale: Hepatitis B is given at birth, 1-2 months, and 6-18 months. MMR and varicella at 12-15 months. DTaP starts at 2 months.
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Question 5 of 10
When should solid foods be introduced to an infant?
📚 Rationale: WHO and AAP recommend exclusive breastfeeding for 6 months then introducing solids. Starting before 4 months increases allergy risk.
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Question 6 of 10
A child with sickle cell disease is in vaso-occlusive crisis. Priority intervention?
📚 Rationale: Pain management and IV hydration are priorities. Hydration rehydrates sickled cells. Opioid analgesia often required. Transfusion for aplastic crisis.
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Question 7 of 10
What is the leading cause of death in children ages 1-19?
📚 Rationale: Unintentional injuries (accidents) — especially motor vehicle accidents — are the leading cause of death ages 1-19. Safety anticipatory guidance is essential.
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Question 8 of 10
A child weighs 20kg. Ordered dose is 10mg/kg/day in 2 divided doses. How many mg per dose?
📚 Rationale: Total daily: 10mg x 20kg = 200mg/day. Per dose: 200 / 2 = 100mg. Always double-check pediatric weight-based calculations.
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Question 9 of 10
What is the most common cause of bronchiolitis in infants?
📚 Rationale: RSV causes 80% of bronchiolitis in infants under 2 years. Peaks in winter. Treatment: hydration, humidified O2, suctioning. Palivizumab prevents RSV in high-risk infants.
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Question 10 of 10
A 3-year-old still uses a bottle for milk. The nurse should advise:
📚 Rationale: Bottles should be discontinued by 12-18 months. Prolonged bottle use causes dental caries and increased ear infection risk from lying down with bottle.