Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 3 — Questions and Answers
Question 1: A 2-year-old is brought to the clinic for a well-child visit. Which blood lead level (BLL) requires immediate medical management according to the CDC?
- ≥3.5 mcg/dL
- ≥5 mcg/dL (Correct answer)
- ≥10 mcg/dL
- ≥25 mcg/dL
Correct answer: ≥5 mcg/dL
The CDC reference value for elevated blood lead levels is ≥5 mcg/dL, which triggers public health actions and case management.
Question 2: Which activity best promotes cognitive development in toddlers (ages 1–3 years)?
- Allowing unlimited screen time for educational videos
- Engaging in parallel play with minimal adult interaction
- Reading aloud and interactive storytelling (Correct answer)
- Providing structured academic worksheets
Correct answer: Reading aloud and interactive storytelling
Reading aloud and interactive storytelling build vocabulary, language, and cognitive skills essential during toddlerhood.
Question 3: A parent asks when to schedule their child's first dental visit. The nurse's best response is:
- When the child loses the first baby tooth
- By age 3 when most teeth have erupted
- Within 6 months of the first tooth eruption or by age 1 (Correct answer)
- At age 5 before starting school
Correct answer: Within 6 months of the first tooth eruption or by age 1
The American Academy of Pediatric Dentistry recommends the first dental visit within 6 months after the first tooth appears or by age 1.
Question 4: Which immunization is recommended for ALL adolescents at the 11–12 year well visit regardless of sex?
- Varicella booster
- Hepatitis A vaccine
- HPV vaccine (Correct answer)
- Rotavirus vaccine
Correct answer: HPV vaccine
The HPV vaccine is universally recommended at age 11–12 years for all adolescents to protect against HPV-related cancers.
Question 5: Which sign or symptom in a neonate should prompt the nurse to immediately evaluate for hyperbilirubinemia?
- Milia on the nose
- Jaundice appearing within 24 hours of birth (Correct answer)
- Physiologic jaundice at day 3 of life
- Mild acrocyanosis of hands and feet
Correct answer: Jaundice appearing within 24 hours of birth
Jaundice within the first 24 hours of life is pathologic and requires urgent evaluation for hemolytic disease or other serious causes.
Question 6: A pediatric nurse is calculating a child's BMI percentile. The child is 8 years old with a BMI at the 88th percentile. How should the nurse classify this child?
- Healthy weight
- Overweight (Correct answer)
- Obese
- Severely obese
Correct answer: Overweight
A BMI between the 85th and 94th percentile for age and sex is classified as overweight in children.
Question 7: Which protective factor should a nurse reinforce to reduce the risk of sudden infant death syndrome (SIDS)?
- Placing the infant prone to prevent aspiration
- Using soft bedding and bumper pads for comfort
- Breastfeeding for at least the first 6 months (Correct answer)
- Keeping the room temperature above 75°F
Correct answer: Breastfeeding for at least the first 6 months
Breastfeeding is associated with a reduced risk of SIDS and is recommended as a protective strategy by the AAP.
Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 3
A 2-year-old is brought to the clinic for a well-child visit.
Which blood lead level (BLL) requires immediate medical management according to the CDC?