Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 2 — Questions and Answers
Question 1: At what age should a child receive the first dose of the MMR (measles, mumps, rubella) vaccine according to the CDC schedule?
- 6 months
- 12–15 months (Correct answer)
- 18 months
- 24 months
Correct answer: 12–15 months
The first MMR dose is recommended at 12–15 months of age, with a second dose at 4–6 years.
Question 2: A pediatric nurse is teaching parents about car seat safety. Which guideline reflects current American Academy of Pediatrics (AAP) recommendations?
- Forward-facing seats should be used from birth
- Children should remain rear-facing as long as possible up to the seat's height/weight limit (Correct answer)
- Booster seats can be discontinued at age 6
- Children may use a seatbelt alone once they reach 40 pounds
Correct answer: Children should remain rear-facing as long as possible up to the seat's height/weight limit
The AAP recommends keeping children rear-facing as long as possible until they reach the maximum height or weight allowed by the car seat manufacturer.
Question 3: Which developmental milestone is expected in a healthy 9-month-old infant?
- Walking independently
- Speaking in 2-word phrases
- Pincer grasp developing (Correct answer)
- Drawing a circle
Correct answer: Pincer grasp developing
The pincer grasp (using thumb and forefinger) typically develops around 9–10 months of age.
Question 4: A nurse is counseling a family about fluoride supplementation. At what age should supplementation be considered for a child drinking non-fluoridated water?
- Birth
- 6 months (Correct answer)
- 12 months
- 24 months
Correct answer: 6 months
The AAP recommends fluoride supplementation starting at 6 months for infants who drink non-fluoridated water.
Question 5: According to the Bright Futures guidelines, when should a child receive their first routine vision screening using an eye chart?
- Age 1 year
- Age 2 years
- Age 3–4 years (Correct answer)
- Age 6 years
Correct answer: Age 3–4 years
Formal visual acuity screening with an eye chart is typically initiated at ages 3–4 years when children can cooperate with the test.
Question 6: Which anticipatory guidance topic is MOST appropriate for parents of a 6-month-old infant?
- Poison control and medication safety
- Introduction of solid foods and iron-rich foods (Correct answer)
- Bicycle helmet fitting
- Stranger danger education
Correct answer: Introduction of solid foods and iron-rich foods
Solid food introduction, including iron-rich foods, is a key anticipatory guidance topic at the 6-month well visit.
Question 7: Which of the following is the recommended daily intake of vitamin D for infants who are exclusively breastfed?
- 200 IU
- 400 IU (Correct answer)
- 600 IU
- 800 IU
Correct answer: 400 IU
The AAP recommends 400 IU of vitamin D daily beginning shortly after birth for all breastfed infants.
Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 2
At what age should a child receive the first dose of the MMR (measles, mumps, rubella) vaccine according to the CDC schedule?