Relias Pediatric A V1 Exam Actual Exam 2026/2027: Complete
Exam-Style Questions with Detailed Rationales | 100% Verified |
Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Pediatric Growth & Development | Q1 – Q11
Section 2 | Pediatric Assessment & Vital Signs | Q12 – Q22
Section 3 | Common Pediatric Medical Conditions | Q23 – Q33
Section 4 | Pediatric Emergency & Critical Care | Q34 – Q44
Section 5 | Pediatric Pharmacology & Family-Centered Care | Q45 – Q54
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
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SECTION 1: PEDIATRIC GROWTH & DEVELOPMENT Q1 – Q11
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Question 1 of 54
A mother brings her 6-month-old infant to the clinic for a well-child visit. She reports the
baby can sit with support, reaches for toys, and babbles with consonant sounds. The
nurse notes the infant has doubled her birth weight. Which developmental milestone
should the nurse expect this infant to demonstrate next?
A. Walks while holding furniture
B. Uses a pincer grasp to pick up small objects
C. Waves bye-bye
D. Says "mama" or "dada" specifically
A. Walks while holding furniture
B. Uses a pincer grasp to pick up small objects ✓ CORRECT
C. Waves bye-bye
D. Says "mama" or "dada" specifically
Correct Answer: B
,Rationale: A pincer grasp typically emerges around 9 months, which is the next
expected milestone after the 6-month skills described. Walking while holding furniture
usually appears around 9 to 12 months, which is further along the developmental
timeline. Most 6-month-olds are just beginning to explore object manipulation and will
refine fine motor skills over the next few months.
Question 2 of 54
During a preschool screening at a local daycare, the nurse is assessing a 4-year-old
child. The teacher mentions the child can hop on one foot, draws a person with three
parts, and speaks in complete sentences. The nurse knows that at this age, which
cognitive skill is typically developing?
A. Understands the concept of conservation
B. Engages in magical thinking and believes thoughts cause events
C. Can classify objects by multiple criteria
D. Thinks logically about abstract concepts
A. Understands the concept of conservation
B. Engages in magical thinking and believes thoughts cause events ✓ CORRECT
C. Can classify objects by multiple criteria
D. Thinks logically about abstract concepts
Correct Answer: B
Rationale: Preschool-aged children in the preoperational stage often display magical
thinking and egocentrism, believing their thoughts can influence reality. Understanding
conservation is a concrete operational milestone that typically emerges around age 7.
Magical thinking is very common in this age group and can affect how they interpret
illness or hospitalization.
Question 3 of 54
,A school nurse is evaluating the growth chart of a 10-year-old female student who has
been coming to the office frequently with vague complaints. The nurse notes the child
has dropped from the 50th percentile to the 15th percentile for weight over the past
year. Which action by the nurse is most appropriate?
A. Reassure the parents that percentile shifts are normal during preadolescence
B. Notify the provider and initiate a thorough psychosocial assessment
C. Recommend increasing caloric intake and rechecking in 6 months
D. Suggest the child eat more protein at lunch
A. Reassure the parents that percentile shifts are normal during preadolescence
B. Notify the provider and initiate a thorough psychosocial assessment ✓ CORRECT
C. Recommend increasing caloric intake and rechecking in 6 months
D. Suggest the child eat more protein at lunch
Correct Answer: B
Rationale: A significant drop across two major percentile lines warrants further
investigation and provider notification to rule out underlying medical or psychosocial
concerns. Simply reassuring the family or delaying evaluation could miss serious
conditions such as chronic illness, eating disorders, or neglect. Early intervention is
critical when growth deviates significantly from established patterns.
Question 4 of 54
A nurse is caring for a 2-week-old newborn in the pediatric clinic. The parents ask when
they can expect their baby to smile socially rather than reflexively. The nurse explains
that a true social smile typically appears at which age?
A. 2 to 4 weeks
B. 4 to 6 weeks
C. 2 to 3 months
D. 4 to 5 months
A. 2 to 4 weeks
, B. 4 to 6 weeks
C. 2 to 3 months ✓ CORRECT
D. 4 to 5 months
Correct Answer: C
Rationale: A genuine social smile in response to human interaction typically emerges
between 2 and 3 months of age. Reflexive smiling can occur in the first few weeks but is
not a true social response. Parents often worry if smiling is delayed, so accurate
guidance helps set appropriate expectations.
Question 5 of 54
A pediatric nurse is counseling the parents of a 15-month-old toddler who is not yet
walking independently. The child can cruise along furniture and pull to stand. The
parents are concerned about developmental delay. Which response by the nurse is most
accurate?
A. Independent walking is expected by 12 months, so a referral is needed now
B. Independent walking typically develops between 12 and 15 months, and this child is
on track
C. Most children walk by 9 months, so this is significantly delayed
D. The child should be evaluated if not walking by 18 months
A. Independent walking is expected by 12 months, so a referral is needed now
B. Independent walking typically develops between 12 and 15 months, and this child is
on track ✓ CORRECT
C. Most children walk by 9 months, so this is significantly delayed
D. The child should be evaluated if not walking by 18 months
Correct Answer: B
Rationale: Independent walking generally emerges between 12 and 15 months, and
cruising is a normal precursor skill. While evaluation may be warranted if a child is not
walking by 18 months, this toddler is demonstrating appropriate pre-walking skills.
Exam-Style Questions with Detailed Rationales | 100% Verified |
Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Pediatric Growth & Development | Q1 – Q11
Section 2 | Pediatric Assessment & Vital Signs | Q12 – Q22
Section 3 | Common Pediatric Medical Conditions | Q23 – Q33
Section 4 | Pediatric Emergency & Critical Care | Q34 – Q44
Section 5 | Pediatric Pharmacology & Family-Centered Care | Q45 – Q54
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: PEDIATRIC GROWTH & DEVELOPMENT Q1 – Q11
══════════════════════════════════════
Question 1 of 54
A mother brings her 6-month-old infant to the clinic for a well-child visit. She reports the
baby can sit with support, reaches for toys, and babbles with consonant sounds. The
nurse notes the infant has doubled her birth weight. Which developmental milestone
should the nurse expect this infant to demonstrate next?
A. Walks while holding furniture
B. Uses a pincer grasp to pick up small objects
C. Waves bye-bye
D. Says "mama" or "dada" specifically
A. Walks while holding furniture
B. Uses a pincer grasp to pick up small objects ✓ CORRECT
C. Waves bye-bye
D. Says "mama" or "dada" specifically
Correct Answer: B
,Rationale: A pincer grasp typically emerges around 9 months, which is the next
expected milestone after the 6-month skills described. Walking while holding furniture
usually appears around 9 to 12 months, which is further along the developmental
timeline. Most 6-month-olds are just beginning to explore object manipulation and will
refine fine motor skills over the next few months.
Question 2 of 54
During a preschool screening at a local daycare, the nurse is assessing a 4-year-old
child. The teacher mentions the child can hop on one foot, draws a person with three
parts, and speaks in complete sentences. The nurse knows that at this age, which
cognitive skill is typically developing?
A. Understands the concept of conservation
B. Engages in magical thinking and believes thoughts cause events
C. Can classify objects by multiple criteria
D. Thinks logically about abstract concepts
A. Understands the concept of conservation
B. Engages in magical thinking and believes thoughts cause events ✓ CORRECT
C. Can classify objects by multiple criteria
D. Thinks logically about abstract concepts
Correct Answer: B
Rationale: Preschool-aged children in the preoperational stage often display magical
thinking and egocentrism, believing their thoughts can influence reality. Understanding
conservation is a concrete operational milestone that typically emerges around age 7.
Magical thinking is very common in this age group and can affect how they interpret
illness or hospitalization.
Question 3 of 54
,A school nurse is evaluating the growth chart of a 10-year-old female student who has
been coming to the office frequently with vague complaints. The nurse notes the child
has dropped from the 50th percentile to the 15th percentile for weight over the past
year. Which action by the nurse is most appropriate?
A. Reassure the parents that percentile shifts are normal during preadolescence
B. Notify the provider and initiate a thorough psychosocial assessment
C. Recommend increasing caloric intake and rechecking in 6 months
D. Suggest the child eat more protein at lunch
A. Reassure the parents that percentile shifts are normal during preadolescence
B. Notify the provider and initiate a thorough psychosocial assessment ✓ CORRECT
C. Recommend increasing caloric intake and rechecking in 6 months
D. Suggest the child eat more protein at lunch
Correct Answer: B
Rationale: A significant drop across two major percentile lines warrants further
investigation and provider notification to rule out underlying medical or psychosocial
concerns. Simply reassuring the family or delaying evaluation could miss serious
conditions such as chronic illness, eating disorders, or neglect. Early intervention is
critical when growth deviates significantly from established patterns.
Question 4 of 54
A nurse is caring for a 2-week-old newborn in the pediatric clinic. The parents ask when
they can expect their baby to smile socially rather than reflexively. The nurse explains
that a true social smile typically appears at which age?
A. 2 to 4 weeks
B. 4 to 6 weeks
C. 2 to 3 months
D. 4 to 5 months
A. 2 to 4 weeks
, B. 4 to 6 weeks
C. 2 to 3 months ✓ CORRECT
D. 4 to 5 months
Correct Answer: C
Rationale: A genuine social smile in response to human interaction typically emerges
between 2 and 3 months of age. Reflexive smiling can occur in the first few weeks but is
not a true social response. Parents often worry if smiling is delayed, so accurate
guidance helps set appropriate expectations.
Question 5 of 54
A pediatric nurse is counseling the parents of a 15-month-old toddler who is not yet
walking independently. The child can cruise along furniture and pull to stand. The
parents are concerned about developmental delay. Which response by the nurse is most
accurate?
A. Independent walking is expected by 12 months, so a referral is needed now
B. Independent walking typically develops between 12 and 15 months, and this child is
on track
C. Most children walk by 9 months, so this is significantly delayed
D. The child should be evaluated if not walking by 18 months
A. Independent walking is expected by 12 months, so a referral is needed now
B. Independent walking typically develops between 12 and 15 months, and this child is
on track ✓ CORRECT
C. Most children walk by 9 months, so this is significantly delayed
D. The child should be evaluated if not walking by 18 months
Correct Answer: B
Rationale: Independent walking generally emerges between 12 and 15 months, and
cruising is a normal precursor skill. While evaluation may be warranted if a child is not
walking by 18 months, this toddler is demonstrating appropriate pre-walking skills.
