1. Which of the following is a key component of the well-child visit? a) Assessment of developmental milestones b) Immediate treatment of acute illnesses c) Prescription of antibiotics d) Referral to a specialist for any complaint Answer: a) Assessment of developmental milestones 2. The primary purpose of routine vaccinations in children is to: a) Prevent the spread of infectious diseases b) Increase the child’s appetite c) Ensure growth and development d) Reduce the need for regular check-ups Answer: a) Prevent the spread of infectious diseases 3. When assessing a child’s growth, which measure is commonly used? a) Height and weight b) Blood pressure and temperature c) Heart rate and respiratory rate d) Blood glucose and hemoglobin levels Answer: a) Height and weight 4. The most common symptom of otitis media in children is: a) Ear pain b) Headache c) Nausea d) Abdominal pain Answer: a) Ear pain 5. Which developmental milestone is expected for a 12-month-old child? a) Walking with assistance b) Speaking in full sentences c) Riding a tricycle d) Using utensils for self-feeding Answer: a) Walking with assistance 6. The nurse should advise parents of a newborn to: a) Place the baby on their back for sleep b) Use a soft pillow for sleeping c) Co-sleep with the baby in the same bed d) Ignore signs of colic Answer: a) Place the baby on their back for sleep 7. In managing asthma in children, which medication is often prescribed? a) Inhaled corticosteroids b) Oral antibiotics c) Antihistamines d) Decongestants Answer: a) Inhaled corticosteroids 8. Which of the following is a common sign of dehydration in children? a) Dry mucous membranes b) Excessive thirst c) Frequent urination d) Weight gain Answer: a) Dry mucous membranes 9. At what age should a child typically have their first dental check-up? a) By 1 year of age b) By 3 years of age c) By 5 years of age d) By 7 years of age Answer: a) By 1 year of age 10. The primary goal in managing childhood obesity is to: a) Promote healthy eating and physical activity b) Limit caloric intake only c) Increase sedentary activities d) Avoid monitoring growth and development Answer: a) Promote healthy eating and physical activity 11. The nurse is assessing a child with croup. What is a classic sign of croup? a) A barking cough b) High fever c) Abdominal pain d) Rash Answer: a) A barking cough 12. Which of the following should be included in the education for parents of a child with type 1 diabetes? a) Monitoring blood glucose levels regularly b) Restricting all carbohydrate intake c) Ignoring insulin administration schedules d) Avoiding regular exercise Answer: a) Monitoring blood glucose levels regularly 13. Which of the following is a common cause of failure to thrive in infants? a) Inadequate caloric intake b) Excessive physical activity c) High energy levels d) Overfeeding Answer: a) Inadequate caloric intake 14. The most effective way to prevent the spread of respiratory infections in children is: a) Handwashing and hygiene practices b) Use of antibiotics c) Restricting social interactions d) Avoiding vaccinations Answer: a) Handwashing and hygiene practices 15. At what age should children begin to use a toilet independently? a) 2-3 years b) 4-5 years c) 6-7 years d) 8-9 years Answer: a) 2-3 years 16. What is a common symptom of chickenpox in children? a) Itchy rash with fluid-filled blisters b) High fever and vomiting c) Severe headache and stiff neck d) Persistent cough and wheezing Answer: a) Itchy rash with fluid-filled blisters 17. The nurse is evaluating a child’s developmental progress. At what age should a child be able to say a few words and understand simple commands? a) 12 months b) 18 months c) 2 years d) 3 years Answer: a) 12 months 18. The primary management for a child with an acute gastroenteritis is: a) Rehydration and electrolyte replacement b) Immediate use of antibiotics c) High-dose antidiarrheal medications d) Strict bed rest Answer: a) Rehydration and electrolyte replacement 19. In children with ADHD, the nurse should focus on: a) Behavioral management strategies and support b) Complete elimination of sugary foods c) Restriction of all physical activity d) Ignoring medication needs Answer: a) Behavioral management strategies and support 20. What is an important aspect of care for a child with scoliosis? a) Regular monitoring and evaluation of spinal curvature b) Avoiding any form of physical exercise c) Immediate spinal surgery without prior assessment d) Disregarding the need for follow-up appointments Answer: a) Regular monitoring and evaluation of spinal curvature 21. Which immunization is recommended for infants at 2 months of age? a) DTaP (diphtheria, tetanus, and pertussis) b) Varicella (chickenpox) c) MMR (measles, mumps, and rubella) d) Hepatitis B Answer: a) DTaP (diphtheria, tetanus, and pertussis) 22. The primary focus of nursing care for a child with sickle cell disease is: a) Pain management and prevention of complications b) Avoiding blood transfusions c) Restricting fluid intake d) Ignoring signs of infection Answer: a) Pain management and prevention of complications 23. For a child with a suspected fracture, the nurse should: a) Immobilize the affected limb and seek medical evaluation b) Allow the child to move the limb freely c) Apply heat to the area immediately d) Ignore the potential for injury Answer: a) Immobilize the affected limb and seek medical evaluation 24. What is an appropriate intervention for a child experiencing anaphylaxis? a) Administering epinephrine and calling for emergency medical help b) Waiting for symptoms to subside c) Applying a cold compress d) Providing a large meal Answer: a) Administering epinephrine and calling for emergency medical help 25. In assessing a child’s pain, the nurse should consider: a) The child’s age and developmental level b) Only physical symptoms of pain c) The child’s preference for medication d) Ignoring non-verbal cues of pain Answer: a) The child’s age and developmental level 26. Which dietary recommendation is important for a child with iron-deficiency anemia? a) Increased intake of iron-rich foods like spinach and red meat b) High-fat diet c) Avoidance of all fruits and vegetables d) High sugar diet Answer: a) Increased intake of iron-rich foods like spinach and red meat 27. What is a key consideration when administering medications to children? a) Correct dosage based on weight and age b) Using adult dosage forms c) Ignoring the child’s preferences d) Skipping medication if the child refuses Answer: a) Correct dosage based on weight and age 28. For a child with asthma, which of the following is important to manage symptoms? a) Using a peak flow meter to monitor lung function b) Avoiding all physical activities c) Ignoring medication schedules d) Restricting fluid intake Answer: a) Using a peak flow meter to monitor lung function 29. The nurse should educate parents of a child with eczema to: a) Apply moisturizers and avoid known irritants b) Avoid using any skin care products c) Restrict all forms of skin care d) Ignore flare-ups Answer: a) Apply moisturizers and avoid known irritants 30. The most common cause of pneumonia in children is: a) Viral infections b) Bacterial infections c) Allergies d) Fungal infections Answer: a) Viral infections