Hello Dear Students, We Start NCLEX Exams Preparation MCQ Practice Series. In this this practice series we solved more than 1000+ MCQ from each subject. Today we will start 100 most important questions of Child Health Nursing. In this subject we cover all topics based mcq, practical based mcq, case scenario based mcq and also mixed types of questions practice which helps to enhance your knowledge and skills.
Preparing for the NCLEX exam can feel overwhelming, especially when it comes to Child Health Nursing—a section filled with critical concepts, clinical reasoning, and patient-care skills. The best way to succeed is not just by reading textbooks, but by practicing real NCLEX-style questions again and again.
Child Health Nursing 1000+ Free MCQs Practice
That’s exactly why we created this 1000+ MCQ practice collection on Child Health Nursing, designed to strengthen your knowledge, improve problem-solving, and boost your exam confidence. Each question is carefully structured to match the NCLEX exam format—ranging from easy recall-based questions to higher-level critical thinking scenarios.
At UPNURSINGNOTES 📚, our mission is to make exam preparation simple, effective, and stress-free for nursing students. Whether you are preparing for your first attempt or brushing up for extra confidence, this practice set will guide you step by step towards success.
Child Health Nursing Part-1 ( 100 MCQs Practice )
🔹 Section A: Low Level (Basic Recall – 35 MCQs)
-
The normal birth weight of a full-term baby is:
a) 1.5–2 kg
b) 2.5–4 kg
c) 4–5.5 kg
d) Above 6 kg
✅ Answer: b) 2.5–4 kg -
Posterior fontanelle closes by:
a) 6–8 weeks
b) 3 months
c) 6 months
d) 12 months
✅ Answer: a) 6–8 weeks -
Average head circumference at birth is:
a) 28 cm
b) 32 cm
c) 35 cm
d) 40 cm
✅ Answer: c) 35 cm -
The first permanent teeth to erupt are usually:
a) Central incisors
b) Canines
c) First molars
d) Second molars
✅ Answer: c) First molars -
Average respiratory rate of a newborn is:
a) 20–30/min
b) 30–60/min
c) 60–80/min
d) 80–100/min
✅ Answer: b) 30–60/min -
Normal Apgar score at 1 minute in healthy newborn is:
a) 0–3
b) 4–6
c) 7–10
d) 10–12
✅ Answer: c) 7–10 -
BCG vaccine is given:
a) Intramuscular
b) Subcutaneous
c) Intradermal
d) Oral
✅ Answer: c) Intradermal -
Which disease is prevented by DPT vaccine?
a) Polio, Tetanus, Measles
b) Diphtheria, Pertussis, Tetanus
c) Diphtheria, Polio, Tuberculosis
d) Measles, Rubella, Mumps
✅ Answer: b) Diphtheria, Pertussis, Tetanus -
“Strawberry tongue” is a sign of:
a) Scarlet fever
b) Measles
c) Mumps
d) Chickenpox
✅ Answer: a) Scarlet fever -
Which vitamin deficiency causes scurvy?
a) Vitamin A
b) Vitamin B
c) Vitamin C
d) Vitamin D
✅ Answer: c) Vitamin C -
Normal pulse of a school-aged child (6–12 years) is:
a) 60–100/min
b) 100–140/min
c) 40–60/min
d) 120–160/min
✅ Answer: a) 60–100/min -
Gower’s sign is seen in:
a) Poliomyelitis
b) Muscular dystrophy
c) Rickets
d) Spina bifida
✅ Answer: b) Muscular dystrophy -
The causative organism of whooping cough is:
a) Bordetella pertussis
b) Corynebacterium diphtheriae
c) Streptococcus pneumoniae
d) Haemophilus influenzae
✅ Answer: a) Bordetella pertussis -
Vitamin A deficiency causes:
a) Xerophthalmia
b) Scurvy
c) Pellagra
d) Beri-beri
✅ Answer: a) Xerophthalmia -
The earliest sign of puberty in girls is:
a) Menarche
b) Breast budding
c) Pubic hair growth
d) Growth spurt
✅ Answer: b) Breast budding -
Normal hemoglobin at birth is approximately:
a) 8–10 g/dl
b) 14–20 g/dl
c) 10–12 g/dl
d) 20–24 g/dl
✅ Answer: b) 14–20 g/dl -
The vaccine given at birth is:
a) MMR
b) BCG
c) Typhoid
d) DPT
✅ Answer: b) BCG -
Normal blood pressure of a 5-year-old is approximately:
a) 60/40 mmHg
b) 80/50 mmHg
c) 100/60 mmHg
d) 140/90 mmHg
✅ Answer: c) 100/60 mmHg -
Koplik’s spots are diagnostic of:
a) Mumps
b) Rubella
c) Measles
d) Chickenpox
✅ Answer: c) Measles -
Causative organism of rheumatic fever is:
a) Staphylococcus aureus
b) Streptococcus pyogenes
c) Klebsiella
d) E. coli
✅ Answer: b) Streptococcus pyogenes -
First dose of OPV is given at:
a) Birth
b) 6 weeks
c) 9 months
d) 15 months
✅ Answer: a) Birth -
The causative organism of mumps is:
a) Paramyxovirus
b) Rubivirus
c) Herpesvirus
d) Poxvirus
✅ Answer: a) Paramyxovirus -
Which mineral deficiency causes goiter?
a) Calcium
b) Iron
c) Iodine
d) Magnesium
✅ Answer: c) Iodine -
First measles vaccine is given at:
a) Birth
b) 6 weeks
c) 9 months
d) 2 years
✅ Answer: c) 9 months -
Normal weight of a child at 1 year is:
a) Birth weight
b) Twice birth weight
c) Three times birth weight
d) Four times birth weight
✅ Answer: c) Three times birth weight -
A child doubles his birth weight at:
a) 3 months
b) 6 months
c) 9 months
d) 12 months
✅ Answer: b) 6 months -
Which vitamin deficiency causes night blindness?
a) Vitamin A
b) Vitamin B1
c) Vitamin C
d) Vitamin D
✅ Answer: a) Vitamin A -
The “whoop” sound in pertussis occurs due to:
a) Bronchospasm
b) Spasm of glottis
c) Laryngeal edema
d) Nasal obstruction
✅ Answer: b) Spasm of glottis -
Causative agent of poliomyelitis is:
a) Arbovirus
b) Enterovirus
c) Rhinovirus
d) Adenovirus
✅ Answer: b) Enterovirus -
Fontanelle bulging indicates:
a) Dehydration
b) Intracranial pressure increased
c) Normal finding
d) Malnutrition
✅ Answer: b) Increased ICP -
The average length of a newborn is:
a) 40 cm
b) 50 cm
c) 60 cm
d) 70 cm
✅ Answer: b) 50 cm -
Which disease presents with Koplik’s spots?
a) Rubella
b) Measles
c) Chickenpox
d) Diphtheria
✅ Answer: b) Measles -
A newborn’s first stool is called:
a) Meconium
b) Chyme
c) Transitional stool
d) Colostrum
✅ Answer: a) Meconium -
At what age does the anterior fontanelle close?
a) 3 months
b) 6 months
c) 12–18 months
d) 24 months
✅ Answer: c) 12–18 months -
The causative agent of diphtheria is:
a) Corynebacterium diphtheriae
b) Bordetella pertussis
c) Mycobacterium tuberculosis
d) Streptococcus
✅ Answer: a) Corynebacterium diphtheriae
🔹 Section B: Moderate Level
-
A 6-month-old infant with diarrhea is admitted. The priority assessment is:
a) Bowel sounds
b) Daily weight
c) Skin turgor
d) Lung sounds
✅ Answer: c) Skin turgor -
A child with iron deficiency anemia is prescribed oral iron. The nurse instructs the mother to give iron with:
a) Milk
b) Orange juice
c) Water only
d) Tea
✅ Answer: b) Orange juice -
A child is admitted with acute glomerulonephritis. Which finding is expected?
a) Generalized edema
b) Tea-colored urine
c) Polyuria
d) Hypotension
✅ Answer: b) Tea-colored urine -
In bronchiolitis, the most important nursing intervention is:
a) Give high-protein diet
b) Position upright and give humidified oxygen
c) Restrict fluids completely
d) Avoid suctioning
✅ Answer: b) Position upright and humidified oxygen -
A 10-year-old with diabetes mellitus is found unconscious. First action by the nurse is:
a) Start IV insulin
b) Give oral glucose
c) Administer glucagon injection
d) Call physician
✅ Answer: c) Administer glucagon injection -
A child with cystic fibrosis needs which type of diet?
a) Low calorie, low fat
b) High calorie, high protein
c) Low sodium, high fluid
d) High carbohydrate, low fat
✅ Answer: b) High calorie, high protein -
Which intervention is appropriate for febrile seizures?
a) Apply restraints during seizure
b) Insert a tongue depressor
c) Place child on side and ensure safety
d) Give aspirin immediately
✅ Answer: c) Side position and safety -
A child with nephrotic syndrome has edema. Which intervention is best?
a) Restrict protein intake
b) Administer diuretics as prescribed
c) Encourage extra fluids
d) Provide high sodium diet
✅ Answer: b) Diuretics as prescribed -
A 5-year-old has rheumatic fever. Which finding is expected?
a) Koplik’s spots
b) Migratory joint pain
c) Strawberry tongue
d) Gray pseudomembrane
✅ Answer: b) Migratory joint pain -
Which lab finding is expected in a child with iron deficiency anemia?
a) High hemoglobin
b) Low hematocrit
c) High serum iron
d) High MCV
✅ Answer: b) Low hematocrit -
A child with leukemia develops fever and sore throat. Priority action?
a) Give acetaminophen
b) Notify physician
c) Encourage oral fluids
d) Allow rest
✅ Answer: b) Notify physician -
In Kawasaki disease, which drug is commonly given?
a) Aspirin
b) Penicillin
c) Corticosteroid
d) Iron supplements
✅ Answer: a) Aspirin -
A 2-year-old with diarrhea is prescribed ORS. Mother asks how to give. Best teaching?
a) Give large volumes quickly
b) Give small frequent sips
c) Mix ORS with milk
d) Stop ORS if child vomits once
✅ Answer: b) Small frequent sips -
A nurse is caring for a child post-tonsillectomy. Which sign indicates complication?
a) Drowsiness
b) Continuous swallowing
c) Mild sore throat
d) Decreased appetite
✅ Answer: b) Continuous swallowing -
A child with sickle cell anemia is in vaso-occlusive crisis. Priority intervention?
a) Restrict fluids
b) Provide oxygen and pain relief
c) Apply cold compress
d) Give aspirin
✅ Answer: b) O₂ and pain relief -
A 4-year-old is hospitalized for nephrotic syndrome. Which nursing intervention is most important?
a) Monitor daily weight
b) Encourage high sodium diet
c) Limit protein intake strictly
d) Stop corticosteroids
✅ Answer: a) Monitor daily weight -
A 6-month-old with bronchiolitis is having difficulty breathing. Priority?
a) Give cough syrup
b) Suction airway
c) Keep baby supine
d) Provide large feeding
✅ Answer: b) Suction airway -
The best site for IM injection in infants is:
a) Deltoid
b) Gluteus maximus
c) Vastus lateralis
d) Triceps
✅ Answer: c) Vastus lateralis -
A child with asthma has wheezing and SOB. Best immediate action?
a) Give salbutamol nebulizer
b) Encourage exercise
c) Restrict fluids
d) Give sedative
✅ Answer: a) Salbutamol nebulizer -
In a child with meningitis, which finding is most concerning?
a) Fever 39°C
b) Positive Kernig’s sign
c) Petechial rash
d) Headache
✅ Answer: c) Petechial rash -
A 9-month-old fails to sit unsupported. Nurse should:
a) Reassure mother
b) Refer for developmental assessment
c) Suggest extra feeding
d) Wait until 12 months
✅ Answer: b) Refer -
In Down syndrome, which feature is typical?
a) Low-set ears
b) Webbed neck
c) Epicanthal folds
d) Cleft palate
✅ Answer: c) Epicanthal folds -
Best nursing intervention for a child with laryngotracheobronchitis (croup)?
a) Cold mist tent
b) Restrict fluids
c) Give sedatives
d) Supine positioning
✅ Answer: a) Cold mist tent -
A child with pneumonia has O₂ sat 86%. Priority?
a) Encourage oral fluids
b) Administer oxygen
c) Give antibiotics
d) Suction nasopharynx
✅ Answer: b) Oxygen -
The nurse observes a child with diarrhea has sunken eyes. Interpretation?
a) Mild dehydration
b) Moderate dehydration
c) Severe dehydration
d) Normal finding
✅ Answer: b) Moderate dehydration
Section C: Mixed MCQ
Q61. The first permanent tooth usually erupts at what age?- a) 4 years
- b) 6 years ✅
- c) 10 years
- d) 12 years
Q62. Which vitamin prevents rickets in children?
- a) Vitamin A
- b) Vitamin D ✅
- c) Vitamin C
- d) Vitamin K
Q63. The Apgar score is usually taken at:
- a) 1 and 5 minutes after birth ✅
- b) 10 and 15 minutes after birth
- c) Only once after birth
- d) 30 minutes after birth
Q64. A 4-year-old child should be able to:
- a) Ride a tricycle ✅
- b) Write sentences
- c) Drive a toy car
- d) Multiply numbers
- a) 12–20 breaths/min ✅
- b) 30–40 breaths/min
- c) 40–60 breaths/min
- d) 8–10 breaths/min
- a) BCG
- b) MMR
- c) DPT ✅
- d) Polio
Q67. The leading cause of death in infants under 1 year is:
- a) Respiratory infections
- b) Congenital anomalies ✅
- c) Malnutrition
- d) Diarrhea
Q68. The main function of colostrum is:
- a) Source of iron
- b) Provides antibodies ✅
- c) Increases body weight
- d) Source of carbohydrates
Q69. Which of the following is a sign of dehydration in children?
- a) Sunken eyes ✅
- b) Weight gain
- c) Excess salivation
- d) Bulging fontanel
Q70. Exclusive breastfeeding should be continued up to:
- a) 3 months
- b) 6 months ✅
- c) 12 months
- d) 18 months
Q71. A child with epiglottitis should be managed by:
- a) Immediate intubation/tracheostomy ✅
- b) Giving oral fluids
- c) Forcing the child to lie flat
- d) Administering cough syrup
Q72. A toddler with iron deficiency anemia is best treated with:
- a) High-fat diet
- b) Iron supplements ✅
- c) Restricting milk intake
- d) Vitamin C only
Q73. The best way to assess hydration status in an infant with diarrhea is:
- a) Urine output ✅
- b) Skin color
- c) Weight of diapers
- d) Crying
Q74. Which condition presents with a "strawberry tongue"?
- a) Measles
- b) Scarlet fever ✅
- c) Mumps
- d) Diphtheria
Q75. In cystic fibrosis, the most important nursing intervention is:
- a) Chest physiotherapy ✅
- b) Fluid restriction
- c) Bed rest
- d) Low-protein diet
Q76. Kawasaki disease primarily affects:
- a) Coronary arteries ✅
- b) Pulmonary veins
- c) Carotid arteries
- d) Jugular veins
Q77. A child with nephrotic syndrome usually presents with:
- a) Proteinuria ✅
- b) Hematuria only
- c) Polyuria
- d) Increased appetite
Q78. The common sign of meningitis in infants is:
- a) Bulging fontanel ✅
- b) Pitting edema
- c) Jaundice
- d) Clubbing
Q79. Rheumatic fever commonly follows:
- a) Streptococcal throat infection ✅
- b) Viral hepatitis
- c) Influenza
- d) Pneumonia
Q80. A child with Down syndrome usually has:
- a) Epicanthic folds ✅
- b) Long face
- c) High IQ
- d) Tall stature
Q81. Which of the following is the best indicator of growth in children?
- a) Weight gain
- b) Height gain
- c) Head circumference
- d) Growth chart percentile ✅
Q82. A 5-year-old hospitalized child fears most about:
- a) Separation from parents ✅
- b) Death
- c) Future career
- d) Losing friends
Q83. A major complication of measles infection is:
- a) Pneumonia ✅
- b) Night blindness
- c) Anemia
- d) Rheumatic fever
Q84. Which deficiency leads to scurvy in children?
- a) Vitamin A
- b) Vitamin C ✅
- c) Vitamin D
- d) Vitamin B12
Q85. Which sign is specific to intussusception?
- a) Currant jelly stools ✅
- b) Projectile vomiting
- c) Steatorrhea
- d) Hematuria
Q86. In Tetralogy of Fallot, the cause of cyanosis is:
- a) Right-to-left shunt ✅
- b) Left-to-right shunt
- c) Pulmonary congestion
- d) Increased systemic circulation
Q87. The first line treatment in status epilepticus in children is:
- a) IV Lorazepam/Diazepam ✅
- b) Phenytoin
- c) Carbamazepine
- d) Phenobarbital
Q88. Which congenital heart defect causes "machine-like" murmur?
- a) Atrial septal defect
- b) Ventricular septal defect
- c) Patent ductus arteriosus ✅
- d) Tetralogy of Fallot
Q89. Which electrolyte imbalance is most common in acute gastroenteritis?
- a) Hyponatremia
- b) Hypokalemia ✅
- c) Hyperkalemia
- d) Hypocalcemia
Q90. The definitive diagnostic test for Hirschsprung disease is:
- a) Rectal biopsy ✅
- b) Abdominal X-ray
- c) Barium enema
- d) Ultrasound
Q91. In juvenile diabetes mellitus, the earliest sign of hypoglycemia is:
- a) Tremors ✅
- b) Coma
- c) Kussmaul breathing
- d) Abdominal pain
Q92. Which congenital condition presents with "sail sign" on chest X-ray?
- a) Thymic shadow in infants ✅
- b) Hyaline membrane disease
- c) Pneumothorax
- d) Diaphragmatic hernia
Q93. Which vaccine is contraindicated in immunocompromised children?
- a) BCG ✅
- b) IPV
- c) Hepatitis B
- d) DPT
Q94. The classic triad of congenital toxoplasmosis is:
- a) Chorioretinitis, hydrocephalus, intracranial calcifications ✅
- b) Rash, cough, conjunctivitis
- c) Deafness, cataract, PDA
- d) Hepatosplenomegaly, anemia, jaundice
Q95. A newborn with "failure to pass meconium within 48 hours" is suspected of:
- a) Hirschsprung disease ✅
- b) Intussusception
- c) Pyloric stenosis
- d) Meckel’s diverticulum
Q96. In acute rheumatic fever, the most serious complication is:
- a) Carditis ✅
- b) Polyarthritis
- c) Skin rash
- d) Chorea
Q97. Which condition shows "Koplik spots"?
- a) Measles ✅
- b) Chickenpox
- c) Mumps
- d) Rubella
Q98. The main pathophysiology in bronchiolitis (RSV infection) is:
- a) Airway obstruction due to mucus plugging ✅
- b) Alveolar fibrosis
- c) Pleural effusion
- d) Pulmonary edema
Q99. A child with Wilms’ tumor should NOT be:
- a) Palpated over abdomen ✅
- b) Given IV fluids
- c) Sent for surgery
- d) Monitored for hypertension
Q100. The earliest sign of puberty in girls is:
- a) Breast budding (thelarche) ✅
- b) Menstruation
- c) Pubic hair growth
- d) Growth spurt
Read Also More Related Post
✅ Conclusion
Success in the NCLEX exam doesn’t come from last-minute cramming—it comes from consistent practice and smart preparation. By solving these 1000+ Child Health Nursing MCQs, you’re not just memorizing facts—you’re training your brain to think like a nurse, apply knowledge in clinical settings, and build confidence for exam day.
At UPNURSINGNOTES 📚, we are committed to supporting nursing students with reliable, copyright-free, and exam-focused resources. This collection is your companion in mastering Child Health Nursing and achieving success in NCLEX.
👉 Now it’s your turn!
- Start practicing today.
- Challenge yourself with these MCQs daily.
- Share this resource with your nursing friends who are preparing for NCLEX.
The more you practice, the closer you get to your goal. Your NCLEX success story begins here with UPNURSINGNOTES 📚.