1
PEDS EXAM 1 CERTIFIED QUESTIONS
WITH CORRECT ANSWERS 2026 JUST
RELEASED VERSION
While inspecting a 5-year-old childs ears, the nurse notes that the right pinna
protrudes outward and that there is a mass behind the right ear. In light of these
findings, which vital-sign parameter would the nurse assess on priority?
1. Temperature
2. Heart rate
3. Respirations
4. Blood pressure-correct-answer-1. Temperature
A 7-year-old child presents to the clinic with an exacerbation of asthma
symptoms. On physical examination, the nurse would expect which assessment
findings? Select all that apply.
1. Wheezing
2. Increased tactile fremitus
3. Decreased vocal resonance
4. Decreased tactile fremitus
5. Bronchophony-correct-answer-1. Wheezing
3. Decreased vocal resonance
4. Decreased tactile fremitus
,2
The nurse is caring for a newly-admitted infant diagnosed with failure to thrive.
The nurse begins to implement the healthcare provider prescribed orders by
taking blood pressures in all four extremities. Which congenital cardiac defect
does the nurse anticipate based on the prescribed order?
1. Tetralogy of Fallot
2. Pulmonary atresia
3. Coarctation of the aorta
4. Ventricular septal defect-correct-answer-3. Coarctation of the aorta
During an examination, a nurse asks a 5-year-old child to repeat his address. What
is the nurse evaluating with this action?
1. Recent memory
2. Language development
3. Remote memory
4. Social-skill development-correct-answer-3. Remote memory
During the newborn examination, the nurse assesses the infant for signs of
developmental dysplasia of the hip. A finding that would strongly indicate this
disorder would be:
1. soles are flat with prominent fat pads.
2. positive Babinski reflex.
,3
3. metatarsus varus.
4. asymmetric thigh and gluteal folds.-correct-answer-4. asymmetric thigh and
gluteal folds.
The nurse must assess each of the 2-year-olds listed below. Which one should be
evaluated first?
1. A child with a temperature of 101 degrees F
2. A child who has stridor
3. A child who has absent Babinski sign
4. A child who has a pot belly appearance-correct-answer-2. A child who has
stridor
The nurse notes a history of a grade III heart murmur in a small infant. When
assessing the heart, the nurse would expect to:
1. hear a quiet but easily heard murmur.
2. hear a moderately loud murmur without a palpable thrill.
3. hear a very loud murmur with easily palpable thrill.
4. listen without a stethoscope and hear a murmur at chest wall.-correct-answer-
2. hear a moderately loud murmur without a palpable thrill.
, 4
The nurse is measuring an abdominal girth on a child with abdominal distension.
Identify the area on the child's abdomen where the tape measure should be
placed for an accurate abdominal girth.
1. Just above the umbilicus, around the largest circumference of the abdomen
2. Below the umbilicus
3. Just below the sternum
4. Just above the pubic bone-correct-answer-1. Just above the umbilicus, around
the largest circumference of the abdomen
The nurse is preparing to assessment a toddler client. Which activities would gain
cooperation from the toddler? Select all that apply.
1. Asking the parents to wait outside
2. Allowing the client to sit in the parents lap
3. Administering vaccinations prior to the assessment
4. Handing the client a stethoscope while taking the health history
5. Making a game out of the assessment process-correct-answer-2. Allowing the
client to sit in the parents lap
4. Handing the client a stethoscope while taking the health history
The nurse is assessing an infant client during a health supervision visit. Which
assessment findings are considered normal variations for this client? Select all that
apply.
1. Sucking pads in the mouth
PEDS EXAM 1 CERTIFIED QUESTIONS
WITH CORRECT ANSWERS 2026 JUST
RELEASED VERSION
While inspecting a 5-year-old childs ears, the nurse notes that the right pinna
protrudes outward and that there is a mass behind the right ear. In light of these
findings, which vital-sign parameter would the nurse assess on priority?
1. Temperature
2. Heart rate
3. Respirations
4. Blood pressure-correct-answer-1. Temperature
A 7-year-old child presents to the clinic with an exacerbation of asthma
symptoms. On physical examination, the nurse would expect which assessment
findings? Select all that apply.
1. Wheezing
2. Increased tactile fremitus
3. Decreased vocal resonance
4. Decreased tactile fremitus
5. Bronchophony-correct-answer-1. Wheezing
3. Decreased vocal resonance
4. Decreased tactile fremitus
,2
The nurse is caring for a newly-admitted infant diagnosed with failure to thrive.
The nurse begins to implement the healthcare provider prescribed orders by
taking blood pressures in all four extremities. Which congenital cardiac defect
does the nurse anticipate based on the prescribed order?
1. Tetralogy of Fallot
2. Pulmonary atresia
3. Coarctation of the aorta
4. Ventricular septal defect-correct-answer-3. Coarctation of the aorta
During an examination, a nurse asks a 5-year-old child to repeat his address. What
is the nurse evaluating with this action?
1. Recent memory
2. Language development
3. Remote memory
4. Social-skill development-correct-answer-3. Remote memory
During the newborn examination, the nurse assesses the infant for signs of
developmental dysplasia of the hip. A finding that would strongly indicate this
disorder would be:
1. soles are flat with prominent fat pads.
2. positive Babinski reflex.
,3
3. metatarsus varus.
4. asymmetric thigh and gluteal folds.-correct-answer-4. asymmetric thigh and
gluteal folds.
The nurse must assess each of the 2-year-olds listed below. Which one should be
evaluated first?
1. A child with a temperature of 101 degrees F
2. A child who has stridor
3. A child who has absent Babinski sign
4. A child who has a pot belly appearance-correct-answer-2. A child who has
stridor
The nurse notes a history of a grade III heart murmur in a small infant. When
assessing the heart, the nurse would expect to:
1. hear a quiet but easily heard murmur.
2. hear a moderately loud murmur without a palpable thrill.
3. hear a very loud murmur with easily palpable thrill.
4. listen without a stethoscope and hear a murmur at chest wall.-correct-answer-
2. hear a moderately loud murmur without a palpable thrill.
, 4
The nurse is measuring an abdominal girth on a child with abdominal distension.
Identify the area on the child's abdomen where the tape measure should be
placed for an accurate abdominal girth.
1. Just above the umbilicus, around the largest circumference of the abdomen
2. Below the umbilicus
3. Just below the sternum
4. Just above the pubic bone-correct-answer-1. Just above the umbilicus, around
the largest circumference of the abdomen
The nurse is preparing to assessment a toddler client. Which activities would gain
cooperation from the toddler? Select all that apply.
1. Asking the parents to wait outside
2. Allowing the client to sit in the parents lap
3. Administering vaccinations prior to the assessment
4. Handing the client a stethoscope while taking the health history
5. Making a game out of the assessment process-correct-answer-2. Allowing the
client to sit in the parents lap
4. Handing the client a stethoscope while taking the health history
The nurse is assessing an infant client during a health supervision visit. Which
assessment findings are considered normal variations for this client? Select all that
apply.
1. Sucking pads in the mouth
