PEDIATRIC NURSING CERTIFICATION PRACTICE
EXAMINATION — STUDY GUIDE | LATEST UPDATE
2026/2027 | ACTUAL EXAM | PRACTICE QUESTIONS
AND ANSWERS | EXAM REVIEW | 100% CORRECT
ANSWERS | VERIFIED SOLUTIONS|GRADE A+.
Course/Program: PEDS-RN — Pediatric Nursing
Field of Study: Pediatric Nursing, Growth and Development, Pediatric
Pharmacology, Family-Centered Care
Level: RN, Pediatric Nursing Certification Examination Preparation
Edition: 2026–2027
Table of Contents
1. Growth, Development, and Health Promotion
2. Immunizations and Infectious Diseases
3. Respiratory and ENT Disorders
4. Cardiovascular and Hematologic Disorders
5. Gastrointestinal and Nutritional Disorders
6. Renal and Genitourinary Disorders
7. Neurologic and Musculoskeletal Disorders
8. Endocrine and Metabolic Disorders
9. Pediatric Emergencies, Safety, and Abuse
10.Chronic Conditions and Family-Centered Care
1. Growth, Development, and Health Promotion
2.
,A nurse is assessing a 6-month-old infant. Which gross motor skill should the
nurse expect?
A) Walking independently
B) Sitting without support
C) Rolling from back to abdomen
D) Crawling on hands and knees
Correct Answer: C
A 6-month-old typically rolls from back to abdomen and may begin to sit with
support. Sitting without support is expected around 8 months, crawling around 9–
10 months, and walking at 12–15 months. Gross motor skills follow a predictable
sequence, and deviations warrant further assessment.
2.
A 3-year-old child is brought for a well visit. Which fine motor skill is
developmentally appropriate?
A) Tying shoelaces
B) Copying a circle
C) Drawing a person with 6 body parts
D) Using scissors to cut out shapes
Correct Answer: B
A 3-year-old can copy a circle and build a tower of blocks. Tying shoes, drawing
detailed people, and cutting with scissors are skills of older preschoolers or
school-age children. Fine motor skills refine gradually with age.
3.
Which of the following is the best response when a 4-year-old child asks, "Where
do babies come from?"
A) Provide a detailed anatomical explanation
B) Ask the child what they think and give simple, honest answers
C) Tell the child they are too young to know
D) Change the subject to avoid embarrassment
,Correct Answer: B
Preschoolers are curious and benefit from simple, honest answers appropriate to
their developmental level. Asking what they think clarifies their question and
avoids over- or under-answering. Detailed anatomy may confuse; dismissing the
question or avoiding it discourages communication.
4.
A nurse is teaching parents about toilet training readiness. Which behavior
indicates a child is ready?
A) The child can walk and is dry for 2 hours at a time
B) The child is exactly 24 months old
C) The child has frequent temper tantrums
D) The child does not mind a wet diaper
Correct Answer: A
Toilet training readiness includes staying dry for at least 2 hours, showing interest,
being able to walk, and communicating needs. Age alone, temper tantrums, or
indifference to wetness are not reliable readiness indicators.
5.
The parent of a 2-year-old expresses concern that the child says only a few words.
What is the nurse's best response?
A) "This is a sign of autism spectrum disorder."
B) "At this age, a vocabulary of about 50 words and two-word phrases is typical;
let's do a developmental screening."
C) "You should wait until age 4 to assess speech."
D) "This is always normal, no need to worry."
Correct Answer: B
By age 2, children typically have a vocabulary of about 50 words and begin two-
word phrases. If a child has significantly fewer words, a developmental screening
is indicated. Waiting until age 4 delays intervention; telling the parent not to
worry without assessment is inappropriate.
6.
, Which of the following is the expected weight of a 1-year-old infant whose birth
weight was 7 pounds?
A) 10–12 pounds
B) 14–16 pounds
C) 21–24 pounds
D) 28–30 pounds
Correct Answer: C
An infant typically triples birth weight by 12 months. Tripling 7 pounds equals
about 21 pounds. Options A, B, and D are below or above expected weight gain.
Weight gain is a key indicator of nutritional status.
7.
A nurse is assessing a 5-year-old's language. Which of the following is expected?
A) Uses only single words
B) Speaks in complete sentences and can tell a simple story
C) Has a vocabulary of 20 words
D) Cannot understand prepositions
Correct Answer: B
A 5-year-old speaks in complete sentences, tells simple stories, and uses future
tense. Single words and a 20-word vocabulary are expected in younger toddlers;
understanding prepositions develops earlier.
8.
During a well-child visit, the parent of a 9-month-old asks when the infant can
start eating finger foods. What is the nurse's best response?
A) "Now is a good time to offer soft finger foods like small pieces of banana."
B) "Wait until 18 months to introduce finger foods."
C) "Finger foods are not necessary until age 2."
D) "Only hard foods like raw carrots are appropriate."
Correct Answer: A
By 9–10 months, infants can begin soft finger foods that dissolve easily, such as
EXAMINATION — STUDY GUIDE | LATEST UPDATE
2026/2027 | ACTUAL EXAM | PRACTICE QUESTIONS
AND ANSWERS | EXAM REVIEW | 100% CORRECT
ANSWERS | VERIFIED SOLUTIONS|GRADE A+.
Course/Program: PEDS-RN — Pediatric Nursing
Field of Study: Pediatric Nursing, Growth and Development, Pediatric
Pharmacology, Family-Centered Care
Level: RN, Pediatric Nursing Certification Examination Preparation
Edition: 2026–2027
Table of Contents
1. Growth, Development, and Health Promotion
2. Immunizations and Infectious Diseases
3. Respiratory and ENT Disorders
4. Cardiovascular and Hematologic Disorders
5. Gastrointestinal and Nutritional Disorders
6. Renal and Genitourinary Disorders
7. Neurologic and Musculoskeletal Disorders
8. Endocrine and Metabolic Disorders
9. Pediatric Emergencies, Safety, and Abuse
10.Chronic Conditions and Family-Centered Care
1. Growth, Development, and Health Promotion
2.
,A nurse is assessing a 6-month-old infant. Which gross motor skill should the
nurse expect?
A) Walking independently
B) Sitting without support
C) Rolling from back to abdomen
D) Crawling on hands and knees
Correct Answer: C
A 6-month-old typically rolls from back to abdomen and may begin to sit with
support. Sitting without support is expected around 8 months, crawling around 9–
10 months, and walking at 12–15 months. Gross motor skills follow a predictable
sequence, and deviations warrant further assessment.
2.
A 3-year-old child is brought for a well visit. Which fine motor skill is
developmentally appropriate?
A) Tying shoelaces
B) Copying a circle
C) Drawing a person with 6 body parts
D) Using scissors to cut out shapes
Correct Answer: B
A 3-year-old can copy a circle and build a tower of blocks. Tying shoes, drawing
detailed people, and cutting with scissors are skills of older preschoolers or
school-age children. Fine motor skills refine gradually with age.
3.
Which of the following is the best response when a 4-year-old child asks, "Where
do babies come from?"
A) Provide a detailed anatomical explanation
B) Ask the child what they think and give simple, honest answers
C) Tell the child they are too young to know
D) Change the subject to avoid embarrassment
,Correct Answer: B
Preschoolers are curious and benefit from simple, honest answers appropriate to
their developmental level. Asking what they think clarifies their question and
avoids over- or under-answering. Detailed anatomy may confuse; dismissing the
question or avoiding it discourages communication.
4.
A nurse is teaching parents about toilet training readiness. Which behavior
indicates a child is ready?
A) The child can walk and is dry for 2 hours at a time
B) The child is exactly 24 months old
C) The child has frequent temper tantrums
D) The child does not mind a wet diaper
Correct Answer: A
Toilet training readiness includes staying dry for at least 2 hours, showing interest,
being able to walk, and communicating needs. Age alone, temper tantrums, or
indifference to wetness are not reliable readiness indicators.
5.
The parent of a 2-year-old expresses concern that the child says only a few words.
What is the nurse's best response?
A) "This is a sign of autism spectrum disorder."
B) "At this age, a vocabulary of about 50 words and two-word phrases is typical;
let's do a developmental screening."
C) "You should wait until age 4 to assess speech."
D) "This is always normal, no need to worry."
Correct Answer: B
By age 2, children typically have a vocabulary of about 50 words and begin two-
word phrases. If a child has significantly fewer words, a developmental screening
is indicated. Waiting until age 4 delays intervention; telling the parent not to
worry without assessment is inappropriate.
6.
, Which of the following is the expected weight of a 1-year-old infant whose birth
weight was 7 pounds?
A) 10–12 pounds
B) 14–16 pounds
C) 21–24 pounds
D) 28–30 pounds
Correct Answer: C
An infant typically triples birth weight by 12 months. Tripling 7 pounds equals
about 21 pounds. Options A, B, and D are below or above expected weight gain.
Weight gain is a key indicator of nutritional status.
7.
A nurse is assessing a 5-year-old's language. Which of the following is expected?
A) Uses only single words
B) Speaks in complete sentences and can tell a simple story
C) Has a vocabulary of 20 words
D) Cannot understand prepositions
Correct Answer: B
A 5-year-old speaks in complete sentences, tells simple stories, and uses future
tense. Single words and a 20-word vocabulary are expected in younger toddlers;
understanding prepositions develops earlier.
8.
During a well-child visit, the parent of a 9-month-old asks when the infant can
start eating finger foods. What is the nurse's best response?
A) "Now is a good time to offer soft finger foods like small pieces of banana."
B) "Wait until 18 months to introduce finger foods."
C) "Finger foods are not necessary until age 2."
D) "Only hard foods like raw carrots are appropriate."
Correct Answer: A
By 9–10 months, infants can begin soft finger foods that dissolve easily, such as
