• 68 questions

Pediatric NCLEX Questions

Unofficial NCLEX-style questions on the care of children, from the newborn to the teenager.

A parent asks how long a time-out should last for a 3-year-old. What does the nurse advise?

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Exam mode: 30 questions, 60 minutes.

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Unofficial practice questions, not affiliated with the National Council of State Boards of Nursing. Bank checked October 12, 2026.

The real exam, as NCSBN describes it

Time limit
300 minutes
Children in the plan
No category is named for children. Care from birth through 17 years is part of health promotion and maintenance, 6 to 12% of items.
Car seats
Fitting car seats for infants and children correctly falls under safety and infection prevention and control, 10 to 16% of items.
Length
At least 85 and at most 150 items, given by computerized adaptive testing. The number depends on your answers.
Breaks
The five hours include all breaks.

Checked October 12, 2026 against 2026 NCLEX-RN Test Plan, NCSBN, effective April 1, 2026 through March 31, 2029. Rules change, so confirm with the agency itself before your test.

NCSBN's own test plans page

All 68 questions

Growth and development 18

  • A 10-year-old girl has begun to develop breasts this year. When does the first menstrual period typically follow? MedlinePlus Medical Encyclopedia, "Adolescent development", Information: physical development. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • A 15-year-old asks that her mother wait outside during a procedure. What should the nurse do? MedlinePlus Medical Encyclopedia, "Adolescent test or procedure preparation", Information: during the procedure. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • A hospitalized 20-month-old needs a painful procedure. Which arrangement does the nurse make where possible? MedlinePlus Medical Encyclopedia, "Separation anxiety in children", Treatment. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • A mother says her 11-month-old screams whenever she leaves the room. By about what age does normal separation anxiety usually end? MedlinePlus Medical Encyclopedia, "Separation anxiety in children", Causes. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • A nurse cannot feel a posterior fontanelle on a healthy 3-month-old. How is this finding interpreted? MedlinePlus Medical Encyclopedia, "Cranial sutures", Information. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • A parent asks how long a time-out should last for a 3-year-old. What does the nurse advise? MedlinePlus Medical Encyclopedia, "Discipline in children", Information. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • A parent is worried because a 4-year-old talks to an imaginary friend every day. What does the nurse tell the parent? MedlinePlus Medical Encyclopedia, "Developmental milestones record - 4 years", Information: sensory and cognitive. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • A term infant weighed 7 pounds at birth. By what age does the nurse expect the weight to have reached about 14 pounds? MedlinePlus Medical Encyclopedia, "Normal growth and development", opening. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • An infant reflex is still present long after the age at which it normally disappears. What can this finding indicate? MedlinePlus Medical Encyclopedia, "Infant reflexes", Considerations. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • At an 18-month well visit the nurse feels the top of the child's head. Which finding is expected at this age? MedlinePlus Medical Encyclopedia, "Developmental milestones record - 18 months", Information: physical and motor skill markers. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • Before an injection a 4-year-old asks, "Is this because I was bad?" What does the nurse understand about this question? MedlinePlus Medical Encyclopedia, "Preschooler test or procedure preparation", Information. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • How does preparing a 9-year-old for a procedure differ from preparing a toddler? MedlinePlus Medical Encyclopedia, "School age test or procedure preparation", Information: preparing for the procedure. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • The parent of a 3-year-old says that people outside the family cannot make out most of what the child says. How does this compare with the expected milestone? MedlinePlus Medical Encyclopedia, "Developmental milestones record - 3 years", Information. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • When does the nurse explain a blood test to a 2-year-old? MedlinePlus Medical Encyclopedia, "Toddler test or procedure preparation", Information: preparing before the procedure. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • Where should a painful procedure on a hospitalized infant be carried out? MedlinePlus Medical Encyclopedia, "Infant test procedure preparation", Information: other considerations. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • Which fine motor skill appears at about 5 years of age? MedlinePlus Medical Encyclopedia, "Preschooler development", Information: physical development. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • Which sign tells a parent that a 2-year-old may be ready for toilet training? MedlinePlus Medical Encyclopedia, "Toilet training tips", When to Start Training. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.
  • Which skill is typical of a 3-year-old? MedlinePlus Medical Encyclopedia, "Developmental milestones record - 3 years", Information. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Developmental Stages and Transitions.

Child safety 11

  • A 9-month-old who was chewing on a toy cannot cry or cough and makes only a faint, high-pitched sound. What does the rescuer do first? MedlinePlus Medical Encyclopedia, "Choking - infant under 1 year", First Aid. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • A 9-year-old has outgrown the booster seat and now fits the vehicle's seat belt. Where is the safest place for this child to ride? MedlinePlus Medical Encyclopedia, "Child safety seats", opening. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • A grandmother who gives her grandchildren their vitamins calls them "candy" so that they will take them. What does the nurse teach? MedlinePlus Medical Encyclopedia, "Medicine safety and children", Keep Medicines out of Reach and Sight. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • A parent drives a pickup truck that has no back seat. When may a child's car seat be secured on the front passenger seat? MedlinePlus Medical Encyclopedia, "Child safety seats", opening. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • A parent says a 4-year-old can be left alone in the bath for a minute while the parent answers the door. What does the nurse teach? MedlinePlus Medical Encyclopedia, "Bathroom safety - children", Bathtub Safety. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • A toddler has swallowed some drain cleaner. On the phone, the parent asks whether to make the child vomit. What is the correct advice? MedlinePlus Medical Encyclopedia, "Poisoning first aid", First Aid. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • An 8-month-old gags on a piece of food but is coughing hard and has a strong cry. What is the correct response? MedlinePlus Medical Encyclopedia, "Choking - infant under 1 year", First Aid. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • An exhausted father says he gets very angry when his baby will not stop crying. What does the nurse teach him to do at that moment? MedlinePlus Medical Encyclopedia, "Shaken baby syndrome", Prevention. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • For which activity does the nurse tell parents that a school-age child should wear a properly fitted helmet? MedlinePlus Medical Encyclopedia, "Preventing head injuries in children", Wearing a Helmet. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • To prevent scald burns, which setting does the nurse recommend for a home water heater in a house with a toddler? MedlinePlus Medical Encyclopedia, "Bathroom safety - children", Preventing Burns. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.
  • Which detail in a family history raises a toddler's risk of lead exposure? MedlinePlus Medical Encyclopedia, "Lead poisoning", Where Found. Outline: 2026 NCLEX-RN Test Plan, Safety and Infection Prevention and Control, Accident/Error/Injury Prevention.

Feeding and newborn care 9

  • A newborn's umbilical cord stump is still attached at 6 days. How does the nurse tell the parents to bathe the baby? MedlinePlus Medical Encyclopedia, "Umbilical cord care in newborns", opening. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).
  • A parent of a 7-month-old wants to offer three new foods this week. What does the nurse advise? MedlinePlus Medical Encyclopedia, "Feeding patterns and diet - children 6 months to 2 years", Recommendations. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).
  • A parent plans to sweeten a 7-month-old's cereal with honey. What does the nurse say? MedlinePlus Medical Encyclopedia, "Feeding patterns and diet - children 6 months to 2 years", Recommendations. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).
  • A parent settles a 10-month-old to sleep with a bottle of juice in the crib. What is the main risk the nurse explains? MedlinePlus Medical Encyclopedia, "Feeding patterns and diet - children 6 months to 2 years", Recommendations. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).
  • An infant drinks half a bottle of formula. What does the parent do with the rest? MedlinePlus Medical Encyclopedia, "Infant Formula - buying, preparing, storing, and feeding", Feeding Formula to Baby. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).
  • At what age may whole cow's milk take the place of breast milk or formula? MedlinePlus Medical Encyclopedia, "Feeding patterns and diet - children 6 months to 2 years", Recommendations. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).
  • Which sign tells a breastfeeding mother that her 3-week-old is getting enough milk? MedlinePlus Medical Encyclopedia, "Timing of breastfeeding", Concerns About Milk Production. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).
  • Which statement by a parent who is bottle-feeding shows a need for more teaching? MedlinePlus Medical Encyclopedia, "Infant Formula - buying, preparing, storing, and feeding", Feeding Formula to Baby. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).
  • Why is an iron-fortified cereal suggested as a first solid food for a breastfed infant after 6 months? MedlinePlus Medical Encyclopedia, "Feeding patterns and diet - children 6 months to 2 years", Recommendations. Outline: 2026 NCLEX-RN Test Plan, Health Promotion and Maintenance, Aging Process (care and education from birth through 2 years).

Fever, medicines and vaccines 11

  • A 6-week-old has a rectal temperature of 100.6°F (38.1°C) and is feeding a little less than usual. What should the parent do? MedlinePlus Medical Encyclopedia, "When your baby or infant has a fever", When to Call the Doctor. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • A child is prescribed liquid iron. Which instruction does the nurse give the parent? MedlinePlus Medical Encyclopedia, "Taking iron supplements", Information: tips for taking iron. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • A feverish 2-year-old has chills, and the parent wants to wrap the child in two blankets. What does the nurse advise? MedlinePlus Medical Encyclopedia, "When your baby or infant has a fever", Treating Your Child's Fever. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • A parent asks for an over-the-counter cold medicine for a 2-year-old with a runny nose. What does the nurse say? MedlinePlus Medical Encyclopedia, "Cold medicines and children", Use OTC Cold Medicines With Care. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • A parent says a temperature of 102°F in a 9-month-old is "only teething". What does the nurse explain? MedlinePlus Medical Encyclopedia, "Teething", Information. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • A parent wants to give aspirin to a 7-year-old who has a fever with chickenpox. What does the nurse explain? MedlinePlus Medical Encyclopedia, "Reye syndrome", Prevention. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • At what age is the first dose of the MMR vaccine usually given? CDC Vaccine Information Statement, MMR vaccine (on MedlinePlus), MMR vaccine. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • At what age is the HPV vaccine routinely recommended? CDC Vaccine Information Statement, HPV vaccine (on MedlinePlus), HPV vaccine. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • How is the rotavirus vaccine given to an infant? CDC Vaccine Information Statement, Rotavirus vaccine (on MedlinePlus), Rotavirus vaccine. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • In the week after a rotavirus vaccine, which signs does the nurse tell parents to act on at once? CDC Vaccine Information Statement, Rotavirus vaccine (on MedlinePlus), What if there is a serious problem?. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).
  • The parent of a 4-month-old with a fever asks whether ibuprofen can be given. What does the nurse say? MedlinePlus Medical Encyclopedia, "Ibuprofen dosing for children", Proper Dosing. Outline: 2026 NCLEX-RN Test Plan, Health Promotion/Disease Prevention; Pharmacological Pain Management (children).

Common childhood conditions 19

  • A 2-year-old with a fever begins to have a seizure. Which action is correct? MedlinePlus Medical Encyclopedia, "Febrile seizures", Treatment. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A 4-month-old's fontanelle bulges during hard crying and is flat again once the infant is calm and held upright. How is this interpreted? MedlinePlus Medical Encyclopedia, "Fontanelles - bulging", Considerations. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A 6-year-old uses a metered-dose inhaler by spraying it straight into the mouth. Which device does the nurse add? MedlinePlus Medical Encyclopedia, "Asthma in children", Treatment, Asthma medicines. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A child at day care has the "slapped cheek" rash of fifth disease. Which adult should tell her own provider about the exposure? MedlinePlus Medical Encyclopedia, "Fifth disease", Possible Complications. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A child went home after a tonsillectomy this morning. Which finding does the nurse tell the parents to report? MedlinePlus Medical Encyclopedia, "Tonsil and adenoid removal - discharge", When to Call the Doctor. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A first-grader has head lice. Which instruction helps to stop the spread in the classroom? MedlinePlus Medical Encyclopedia, "Head lice", Causes. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A parent asks why epiglottitis, once feared in young children, is now rarely seen. Which routine vaccine does the nurse name? MedlinePlus Medical Encyclopedia, "Epiglottitis", Prevention. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A parent has stopped a child's daily inhaled steroid because the child "has had no asthma for a month". What does the nurse teach? MedlinePlus Medical Encyclopedia, "Asthma in children", Treatment, Asthma medicines. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A parent is asked to do a tape test for pinworms. When is the best time to press the tape to the skin around the anus? MedlinePlus Medical Encyclopedia, "Pinworm test", How the Test is Performed. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A sleeping 3-month-old has an apical heart rate of 124 and a respiratory rate of 38. How does the nurse interpret these values? Open RN Nursing Skills 2e (WisTech Open, CC BY 4.0), 9.3 Cardiovascular Assessment, Life Span Considerations, Table 9.3c. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • A toddler with tetralogy of Fallot turns blue during a crying spell. What does the nurse do at once? MedlinePlus Medical Encyclopedia, "Tetralogy of Fallot", When to Contact a Medical Professional. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • An infant with two days of vomiting and diarrhea has a soft spot that is clearly sunken. How does the nurse interpret this finding? MedlinePlus Medical Encyclopedia, "Fontanelles - sunken", Considerations. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • At night a parent phones about a 2-year-old with croup. The barking cough has gone on for two days, and now there is a crowing noise on each breath in while the child sits quietly. What does the nurse advise? MedlinePlus Medical Encyclopedia, "Croup", When to Contact a Medical Professional. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • The parent of a 5-month-old with bronchiolitis asks for an antibiotic. What does the nurse explain? MedlinePlus Medical Encyclopedia, "Bronchiolitis", Treatment. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • When may a child with chickenpox go back to school? MedlinePlus Medical Encyclopedia, "Chickenpox", Treatment. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • Which choice is best for a child in the first days after a tonsillectomy? MedlinePlus Medical Encyclopedia, "Tonsil and adenoid removal - discharge", Self-care. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • Which drink does the nurse tell a parent to avoid for a 3-year-old with diarrhea? MedlinePlus Medical Encyclopedia, "When your child has diarrhea", Things Your Child Should Avoid Eating or Drinking. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • Which site does the nurse use to count the heart rate of a 2-year-old? Open RN Nursing Skills 2e (WisTech Open, CC BY 4.0), 9.3 Cardiovascular Assessment, Life Span Considerations, Infants and Children. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.
  • Why can a blocked nose cause real breathing difficulty in a 6-week-old? Open RN Nursing Skills 2e (WisTech Open, CC BY 4.0), 10.3 Respiratory Assessment, Life Span Considerations, Children. Outline: 2026 NCLEX-RN Test Plan, Aging Process (care and education, ages 3 through 17) and Physiological Adaptation, Illness Management.

How it works

These 68 free pediatric NCLEX questions are our own, written to what the 2026 NCLEX-RN Test Plan says about children. They are unofficial, not affiliated with, endorsed by or sponsored by the National Council of State Boards of Nursing (NCSBN).

Read the full guide

Where children sit in the test plan

The 2026 NCLEX-RN Test Plan, read October 12, 2026, has no pediatric category: children come up inside its client needs categories. The questions here are sorted by topic instead.

Timing

Exam mode asks 30 of the 68 in 60 minutes: two minutes each, the pace of 150 items in five hours.

Where the answers come from

Each of these pediatric nursing practice questions names the page its answer was read in: a MedlinePlus article, a CDC vaccine statement or an open nursing textbook. No review book was used.

  • Age decides many answers: the rule for an infant under 3 months is often not the rule for a toddler.

Questions and answers

Are these real NCLEX pediatric questions?

No. The test plan says disclosing exam items is a violation of law. All 68 are our own, and none repeats or rewords an item of the exam, of NCSBN's samples or of a review book.

How many pediatric questions are on the NCLEX?

NCSBN publishes no figure. Most of the plan's statements on children sit under health promotion and maintenance, 6 to 12% of items, beside pregnancy, adults and screening. The exam adapts, so the number differs for each candidate.

What pediatric topics does the NCLEX cover?

By the plan's activity statements: care and education from birth through 2 years and from 3 through 17, developmental stages and milestones, age-appropriate explanations of procedures, infant and child car seats, and pain medication suited to the child's age.

Is this for the NCLEX-RN or the NCLEX-PN?

It follows the registered nurse test plan. The practical nurse exam has its own plan and its own practice test on this site.