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Quizzes > Health & Medicine

RN VATI Pediatric Nursing Quiz

Quick, free pediatric nursing practice quiz with instant, scored feedback.

Editorial: Review CompletedCreated By: Chs Book BuddiesUpdated Aug 24, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration for RN VATI pediatric nursing quiz on a teal background

This RN VATI pediatric nursing quiz helps you check dosage calculations, growth milestones, and safe pediatric care, so you can spot study gaps fast. Questions are scored with instant feedback. When you finish, keep building skills with pediatric NCLEX practice or review essentials in the fundamentals of nursing quiz.

At what age should a child typically be able to sit unsupported?
3 months
9 months
6 months
12 months
Most infants develop the muscle control to sit without support by about 6 months of age as part of gross motor development. Sitting independently is a key milestone monitored by pediatricians. Delays beyond this age may warrant further evaluation.
What is the normal respiratory rate range for a newborn?
60 - 80 breaths/min
40 - 60 breaths/min
20 - 30 breaths/min
30 - 40 breaths/min
Healthy newborns typically breathe between 40 and 60 breaths per minute. Rates outside this range can indicate respiratory distress or other pathology. Monitoring neonatal vital signs is essential in the first days of life.
Which pain assessment tool is most appropriate for a 3-year-old child?
COMFORT scale
Numeric Rating Scale
Wong-Baker FACES Pain Rating Scale
FLACC scale
The Wong-Baker FACES scale is validated for children aged 3 years and older who can point to a face that best represents their pain. It uses facial expressions to help young children communicate pain intensity. Other scales are designed for nonverbal or older children.
Which immunization is administered at birth?
Polio (IPV)
DTaP
Hib
Hepatitis B
The first dose of the hepatitis B vaccine is recommended for all newborns before hospital discharge. Early immunization helps prevent perinatal transmission of hepatitis B virus. Other vaccines are administered at later well-child visits.
At what age does a child typically develop a pincer grasp?
9 months
12 months
6 months
3 months
A mature pincer grasp, using the thumb and forefinger to pick up small objects, typically emerges around 9 months. This fine motor skill is an important developmental milestone. Delays may suggest neuromuscular concerns.
What is the preferred method for administering oral medication to an infant to reduce aspiration risk?
Use a medicine dropper at the front of the tongue
Use a syringe at the side of the cheek
Mix medication with a bottle feed
Use a straw
Administering small volumes of oral medication with a syringe placed at the side of the cheek helps control flow and reduces the risk of aspiration. This technique allows the infant to swallow safely and prevents choking. Mixing with feeds can lead to inconsistent dosing.
How is pediatric medication dosage commonly calculated?
Based on body weight in mg/kg
Fixed dose for all children
By body surface area only
Age-based formula ignoring weight
Most pediatric dosages are weight-based, calculated in milligrams per kilogram, to ensure accurate and safe dosing. This method accounts for variations in size and metabolism among children. Body surface area is used for certain chemotherapeutic agents but not routinely.
What is the preferred intramuscular injection site for a 6-month-old infant?
Dorsogluteal
Deltoid
Vastus lateralis
Ventrogluteal
The vastus lateralis muscle in the anterolateral thigh is the recommended site for IM injections in infants under 1 year due to its muscle mass and safety. The deltoid is not well developed until later childhood, and gluteal sites risk hitting the sciatic nerve.
A 20 kg child is prescribed amoxicillin 5 mg/kg. What is the total dose?
100 mg
125 mg
75 mg
50 mg
Dosage is calculated by multiplying weight (20 kg) by 5 mg/kg, yielding 100 mg. Accurate weight-based dosing is critical for effectiveness and safety. Double-check calculations to avoid under- or overdosing.
Which clinical sign is an early indicator of dehydration in infants?
Hypertension
Hypothermia
Tachycardia
Bradycardia
Tachycardia is one of the first compensatory mechanisms in pediatric dehydration as the heart rate increases to maintain perfusion. Other signs include dry mucous membranes and decreased urine output. Monitoring vital signs is essential.
The first dose of the rotavirus vaccine is recommended at what age?
6 months
12 months
2 months
4 months
The CDC recommends administering the first dose of rotavirus vaccine at 2 months of age, with subsequent doses at 4 and 6 months depending on the brand. Early immunization reduces the risk of severe rotavirus gastroenteritis.
A child with theophylline toxicity is most likely to exhibit which symptom?
Seizures
Constipation
Hypoglycemia
Bradycardia
Theophylline toxicity often presents with central nervous system stimulation, including seizures, due to its narrow therapeutic index. Other signs may include tachycardia and nausea. Monitoring drug levels is critical.
What is the normal capillary refill time in a child?
4 - 6 seconds
< 2 seconds
> 6 seconds
2 - 4 seconds
A capillary refill time of less than 2 seconds indicates adequate peripheral perfusion in children. Delays beyond 2 seconds may suggest dehydration or circulatory compromise. It's a quick bedside assessment.
What is the best immediate action for a nosebleed in a child?
Pack nostrils with cotton balls
Insert tissue into nostril
Tilt head backward
Lean forward and apply pressure
Having the child lean forward and apply firm pressure to the soft part of the nose helps compress the bleeding vessels and prevents blood from entering the airway. Tilting backward can lead to aspiration.
Using the Holliday-Segar method, what is the maintenance fluid rate for a 15 kg child (mL/hr)?
52 mL/hr
35 mL/hr
42 mL/hr
60 mL/hr
For the first 10 kg: 100 mL/kg = 1,000 mL; next 5 kg: 50 mL/kg = 250 mL; total 1,250 mL/24 hr ? 52 mL/hr. Accurate calculations prevent fluid overload or deficit.
At what age does stranger anxiety typically begin in infants?
12 months
6 months
9 months
3 months
Stranger anxiety usually starts around 6 to 8 months when infants recognize familiar and unfamiliar faces. It is a normal part of social-emotional development. Parents and caregivers should provide comfort and reassurance.
A 25 kg child is to receive 10 mg/kg/day of medication in three divided doses. What is the dose per administration?
90 mg
75 mg
83.3 mg
100 mg
Total daily dose = 25 kg × 10 mg/kg = 250 mg/day; divided into three doses yields 83.3 mg each. Precision in calculation ensures therapeutic effect and safety.
A child's blood lead level is 8 µg/dL. What is the recommended nursing action?
Start high-dose iron supplementation only
Educate family on lead sources and retest in 1 month
No action needed at this level
Initiate chelation therapy immediately
Levels between 5 and 10 µg/dL warrant environmental assessment, family education on lead avoidance, and follow-up testing. Chelation is reserved for levels >45 µg/dL. Early intervention prevents neurodevelopmental harm.
Which acid-base imbalance is indicated by a pH of 7.25 and HCO3? of 18 mEq/L?
Metabolic acidosis
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
A pH below 7.35 and low bicarbonate indicate metabolic acidosis. Compensation by respiratory rate changes may occur, but primary disturbance is metabolic. Assessment of ABGs guides therapy.
Which infant qualifies for RSV prophylaxis with palivizumab?
Healthy full-term 6-month-old
32-week gestation infant under 6 months
2-month-old with mild asthma
28-week gestation infant at 3 years
Palivizumab is recommended for premature infants (<35 weeks gestation) who are under 6 months of age at the start of RSV season. It reduces hospitalization from severe RSV. Full-term and older children do not routinely qualify.
Which vaccine is contraindicated in a 4-year-old child with a history of anaphylactic reaction to neomycin?
Inactivated poliovirus (IPV)
DTaP
Hib
Varicella
The varicella vaccine contains neomycin, so a history of anaphylactic reaction to neomycin is a contraindication. Healthcare providers must screen for severe allergies before vaccination. Other routine vaccines may be given safely.
Which primitive reflex should disappear by 6 months of age in an infant?
Moro reflex
Rooting reflex
Palmar grasp reflex
Babinski reflex
The palmar grasp reflex typically disappears by 5 to 6 months of age as voluntary grasp develops. Persistence beyond this age may indicate neurologic issues. Other reflexes have different timelines.
A child with thrombocytopenia (platelets 25,000/mm³) shows a new nosebleed. What is the nurse's best action?
Report immediately to the provider
Monitor and document only
Encourage the child to lie flat
Apply ice pack to bridge of nose
A platelet count under 50,000/mm³ puts the child at high risk for spontaneous bleeding. A new nosebleed warrants immediate notification of the provider for potential platelet transfusion. Supportive measures are secondary.
In neonatal pharmacokinetics, which factor most significantly alters drug metabolism compared to older children?
Accelerated gastric emptying
Increased glomerular filtration rate
Reduced hepatic enzyme activity
Enhanced plasma protein binding
Neonates have immature hepatic cytochrome P450 enzyme systems, leading to reduced drug metabolism and prolonged half-lives. Renal and gastrointestinal factors also play a role but hepatic immaturity is most significant. Dose adjustments are critical.
Which congenital heart defect typically presents with bounding peripheral pulses and a continuous 'machinery' murmur?
Coarctation of the aorta
Tetralogy of Fallot
Patent ductus arteriosus (PDA)
Atrial septal defect (ASD)
Patent ductus arteriosus causes a continuous left-to-right shunt resulting in bounding pulses, wide pulse pressure, and a machinery-like murmur. Early detection and treatment prevent complications.
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Study Outcomes

  1. Calculate Pediatric Medication Dosages -

    Use weight-based formulas and dimensional analysis to accurately determine medication doses for pediatric patients in various clinical scenarios.

  2. Interpret Developmental Milestones -

    Match age-specific developmental milestones to pediatric age groups and recognize early signs of delays to guide timely interventions.

  3. Assess Pediatric Vital Signs -

    Differentiate normal and abnormal vital sign ranges across neonatal, infant, child, and adolescent populations to inform nursing assessments.

  4. Apply Pediatric Care Interventions -

    Implement evidence-based nursing interventions for common pediatric conditions, ensuring safe, effective, and compassionate patient care.

  5. Analyze Clinical Case Scenarios -

    Examine real-world pediatric nursing cases to enhance critical thinking and reinforce best-practice decision making.

  6. Prepare for Pediatric Nurse Exam -

    Utilize pediatric nursing practice questions and trivia to boost confidence and readiness for the RN VATI pediatric nursing quiz.

Cheat Sheet

  1. Mastering Dosage Calculations with Clark's Rule -

    Dosage = (child's weight in lbs ÷ 150) × adult dose is a staple formula you'll encounter on the rn vati pediatric nursing quiz. For example, a 30 lb child requiring a 200 mg adult dose would get (30 ÷ 150) × 200 = 40 mg. Practice several variations to build speed and confidence in pediatric nursing quiz online scenarios.

  2. Applying the Holliday-Segar Method for Fluid Maintenance -

    Use the 100 - 50 - 20 rule: 100 mL/kg for the first 10 kg, 50 mL/kg for the next 10 kg, and 20 mL/kg for each additional kg to estimate daily fluid needs. A 15 kg child would require (10×100)+(5×50)=1,250 mL/24 hr. This peds nursing practice questions staple ensures safe hydration during exam scenarios.

  3. Interpreting Growth Charts and Percentiles -

    Regularly reference CDC growth charts to plot height, weight, and head circumference percentiles; a child between the 5th and 85th percentile is generally growing appropriately. Mnemonic trick: "FEW" for Fraction (percentile), Evaluate trend, and Watch for sudden drops or spikes. Many pediatric nurse exam prep quiz questions hinge on recognizing abnormal growth patterns.

  4. Recognizing Developmental Milestones with Piaget and Erickson -

    At 2 years (Toddler), sensorimotor transitions to preoperational thought and autonomy vs. shame/doubt per Erickson. Recall "I Do It" for autonomy at 1 - 3 years and "Magic Thinking" for preoperational play at 2 - 7 years. Solid grasp of developmental stages is vital for the pediatric nursing trivia section.

  5. Memorizing Immunization Schedules Effectively -

    Use the mnemonic "B DR. HIP" (Birth: HBV; 2m: DTaP, RV, Hib, IPV; 4m: same; 6m: HepB, DTaP, flu; 12 - 15m: Hib, MMR, Var, PCV) to recall key vaccine timing. Always check the latest CDC guidelines for catch-up schedules and contraindications. This quick-reference tool shines in any pediatric nurse exam prep quiz scenario.

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