All Free Paediatric Nursing MCQs with Answers
Every Paediatric Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
350 questions · page 8 of 18
- A. Mix the packet with the stated volume of safe water
- B. Mix the packet with less water to make it stronger
- C. Add sugar and salt to improve the solution
- D. Keep the prepared solution at room temperature for three days
Explanation: The packet must be dissolved in the exact volume of safe water printed on it.
Correct answer: Mix the packet with the stated volume of safe water- A. Vitamin A
- B. Vitamin K
- C. Folic acid
- D. Calcium gluconate
Explanation: Vitamin A is recommended for children with measles because it reduces severity and complications, especially eye and respiratory…
Correct answer: Vitamin A- A. Stop aspirin and inform the prescriber
- B. Continue aspirin after giving it with food
- C. Replace aspirin with an extra dose of antibiotic
- D. Give aspirin only when the rash becomes painful
Explanation: Aspirin should be avoided in children with viral infections because of its association with Reye syndrome.
Correct answer: Stop aspirin and inform the prescriber- A. Wearing shoes outdoors
- B. Sharing towels only with siblings
- C. Drinking milk before sleeping
- D. Avoiding citrus fruits during summer
Explanation: Hookworm larvae can penetrate skin, especially when children walk barefoot on contaminated soil.
Correct answer: Wearing shoes outdoors- A. Intestinal obstruction
- B. Acute glomerulonephritis
- C. Bacterial meningitis
- D. Middle-ear effusion
Explanation: A large mass of Ascaris worms can obstruct the intestine and cause pain, vomiting and distension.
Correct answer: Intestinal obstruction- A. Use droplet precautions during the infectious period
- B. Use contact precautions only after the cough stops
- C. Allow close contact because the child is afebrile
- D. Place the child in airborne isolation for the whole admission
Explanation: Pertussis spreads mainly through respiratory droplets, so droplet precautions help protect staff and other children.
Correct answer: Use droplet precautions during the infectious period- A. Dysentery
- B. Simple viral gastroenteritis
- C. Lactose intolerance
- D. Functional constipation
Explanation: Visible blood in diarrhoeal stool suggests dysentery, often caused by invasive intestinal infection, and requires clinical assessment for…
Correct answer: Dysentery- A. Antibiotics are not routinely needed for this uncomplicated illness
- B. Antibiotics prevent every chest infection from developing
- C. Antibiotics should be started whenever nasal mucus is thick
- D. Antibiotics are needed until the cough has completely stopped
Explanation: An uncomplicated upper respiratory infection is commonly viral and is managed with fluids, feeding and symptom care.
Correct answer: Antibiotics are not routinely needed for this uncomplicated illness- A. Measure weight and record urine output
- B. Check the colour of the child’s hair
- C. Assess the number of erupted teeth
- D. Measure the length of the child’s fingernails
Explanation: Daily weight and accurate urine output provide objective information about changing fluid balance.
Correct answer: Measure weight and record urine output- A. Tinea capitis
- B. Measles
- C. Mumps
- D. Pertussis
Explanation: Tinea capitis is a fungal infection of the scalp that may cause circular scaly lesions, itching and hair loss.
Correct answer: Tinea capitis- A. Growth is measurable physical change, while development is progressive skill acquisition
- B. Growth is emotional change, while development is increase in height and weight
- C. Growth is learned behaviour, while development is only genetically determined
- D. Growth and development are identical terms for increasing age and maturity
Explanation: Growth refers to quantitative changes such as weight, length, and head circumference.
Correct answer: Growth is measurable physical change, while development is progressive skill acquisition- A. About 4.5 kg
- B. About 6 kg
- C. About 9 kg
- D. About 12 kg
Explanation: Birth weight usually doubles by about 5 to 6 months and triples by approximately 12 months.
Correct answer: About 9 kg- A. Sits without support
- B. Walks independently
- C. Uses three-word sentences
- D. Copies a circle with a pencil
Explanation: Many infants can sit without support at approximately 6 months. Independent walking and three-word sentences occur later, while copying a…
Correct answer: Sits without support154. A toddler is 2 years old. Which finding most appropriately reflects expected language development?
- A. Uses two-word phrases with meaning
- B. Uses only crying to communicate
- C. Reads short sentences aloud
- D. Uses complex adult grammar consistently
Explanation: By about 2 years, a child commonly combines two words, such as “more milk,” and understands more language than the child can express.
Correct answer: Uses two-word phrases with meaning- A. Arrange prompt developmental assessment and referral
- B. Advise the parents to wait until the child is three years old
- C. Tell the parents that all children develop at the same rate
- D. Begin intensive speech training before assessing the child
Explanation: Loss of an acquired skill is a significant warning sign and requires prompt assessment rather than reassurance.
Correct answer: Arrange prompt developmental assessment and referral- A. Comparing one weight with the population average
- B. Plotting serial weight and length measurements over time
- C. Assessing appetite without measuring the child
- D. Measuring height only when the child appears thin
Explanation: Serial measurements plotted on an appropriate growth chart show the child’s growth pattern and whether the child is crossing percentile…
Correct answer: Plotting serial weight and length measurements over time- A. Assess hydration, feeding, and stool history
- B. Teach the caregiver to stop all complementary foods
- C. Reassure the caregiver that downward crossing is always normal
- D. Measure the child’s head circumference only
Explanation: Poor weight gain with repeated loose stools may reflect dehydration, inadequate nutrient absorption, infection, or feeding problems.
Correct answer: Assess hydration, feeding, and stool history- A. It is a genetically programmed process of biological readiness
- B. It occurs only after formal teaching by an adult
- C. It is the same as practising a newly taught skill
- D. It depends entirely on the child’s social environment
Explanation: Maturation is the unfolding of biologically programmed changes that allow new abilities to appear.
Correct answer: It is a genetically programmed process of biological readiness- A. Long-term inadequate nutrition and chronic illness
- B. Brief crying before a routine feeding
- C. A single missed daytime nap
- D. Normal variation in tooth eruption by several weeks
Explanation: Chronic illness and inadequate nutrition can reduce physical growth, energy, attention, and opportunities for learning.
Correct answer: Long-term inadequate nutrition and chronic illness- A. The infant transfers a toy from one hand to the other
- B. The infant makes repeated consonant sounds
- C. The infant cannot sit without support
- D. The infant responds to a familiar caregiver’s voice
Explanation: By around 9 months, most infants can sit independently, so inability to sit without support warrants further developmental assessment.
Correct answer: The infant cannot sit without support