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