Certified Pediatric Nurse Study test in depth Examination and
100% correctly verified Solutions Latest version 2026/2027
You note that your patient's head circumference is now smaller than his chest
circumference; his age is most likely:
A. 3 months
B. 9 months
C. 15 months
D. 30 months - correct answer D. 30 months
The chest circumference is greater than the head circumference after the age of 24
months
2.49
Your patient's physical reveals that her BMI is at the 90th percentile; you correctly
explain to her mother:
A. "A BMI in the 90th percentile indicates that she is overweight, would you like to talk to
a dietician?"
B. She is very healthy and is taller than most children her age"
C. "A BMI in the 90th percentile indicates a risk of becoming overweight, we can discuss
ways to reduce this risk"
D. "A BMI in the 90th percentile indicates that she is underweight, let's talk about her
dietary i - correct answer A. "A BMI in the 90th percentile indicates that she is
overweight, would you like to talk to a dietician?"
BMI between 85-95% indicates that the child is overweight (25-29.9)
Obesity - greater than 95% (>30)
Underweight - less than 5% (<18.5)
,2.50
The nurse measures the head circumference of a 6 month old boy and finds that it has
changed from the 25th percentile to the 75th percentile; which of the following
represents the nurse's best action?
A. Immediately notify the physician as this may indicate increase intracranial pressure, a
medical emergency
B. Reassure his mother that this is a period of growth and changes in head
circumference are to be expected
C. Prepare his mother for the placement of a helmet as safety is a concern
D - correct answer D. Measure his head again and check for accuracy
Whenever a change in growth patterns are noted, both the measurement and plotting
on the growth chart Chou led be rechecked to assure accuracy
2.51
A group of children are playing in the playroom, the children are tested on the concept
of conservation; one child has just mastered this concept, how old is this child most
likely to be?
A. 4 years
B. 6 years
C. 8 years
D. 12 years - correct answer C. 8 years
An 8 year old child is considered to be in the concrete operations phase of cognitive
development - an appropriate time to to understand the concept of conservation
4 year old - preoperational phase - not likely to understand the concept of conservation
6 year old - preoperational phase - not likely to understand the concept of conservation
12 year old - formal operations phase - likely to have mastered the concept of
conservation
,2.52
The nurse is playing with an infant, the nurse hides a toy rattle under a blanket, the
infant looks for it while lifting up the blanket: how old is this infant most likely to be?
A. 2 months
B. 4 months
C. 6 months
D. 8 months - correct answer D. 8. Months
Object permanence is a concept that usually develops between 8-9 months where the
infant understands that even though an object can no longer be seen, it still exists
2.53
A 6 year old girl is being seen in the ER after a bike accident; the nurse is preparing to
assist with suturing her scalp lacerations, the child cries out, "I'm sorry I didn't wear my
helmet, I promise I'll be good next time, please don't hurt me!" which of the following is
the nurse's best response?
A. "Helmets are very important and protect your head, please make sure that you wear
it in the future"
B. "We need to fix your head, you are doing such a good job of trying to stay still"
C. " - correct answer B. "We need to fix your head, you are doing such a good job of
trying to stay still"
Actions should be geared toward encouraging the child and helping her to cope with a
stressful and potentially painful procedure
2.54
A 14 year old girl is being treated for acute renal failure, in order to help meet her
development needs, which of the following is important to include in her plan of care?
, A. Provide privacy and respect her need for modesty
B. Promptly respond to her call light and reassure her that needs will be met
C. Encourage one of her parents to spend the night
D. Provide opportunities for her to participate in her care and encourage a sense of
achievement - correct answer A. Provide privacy and respect her need for modesty
The adolescent is in Erickson's stage of identity vs. role confusion
It is important to to respect the adolescent's need for privacy and modesty as the child's
body is rapidly changing
2.55
A 2 year old boy admitted with RSV is in which of the following stages of psychosocial
development?
A. Trust vs. mistrust
B. Autonomy vs. guilt
C. Autonomy vs. shame and doubt
D. Initiative vs. guilt - correct answer C. Autonomy vs. shame and doubt
This is the developmental stage of toddlerhood
2.56
A 4 year old girl newly diagnosed with diabetes who is frightened of fingers stick; the
nurse's best response is:
A. Allow her to hold her favorite stuffed animal during finger sticks
B. Encourage her mother to coach her during finger sticks
C. Encourage her to count backward from 10 during finger stick
100% correctly verified Solutions Latest version 2026/2027
You note that your patient's head circumference is now smaller than his chest
circumference; his age is most likely:
A. 3 months
B. 9 months
C. 15 months
D. 30 months - correct answer D. 30 months
The chest circumference is greater than the head circumference after the age of 24
months
2.49
Your patient's physical reveals that her BMI is at the 90th percentile; you correctly
explain to her mother:
A. "A BMI in the 90th percentile indicates that she is overweight, would you like to talk to
a dietician?"
B. She is very healthy and is taller than most children her age"
C. "A BMI in the 90th percentile indicates a risk of becoming overweight, we can discuss
ways to reduce this risk"
D. "A BMI in the 90th percentile indicates that she is underweight, let's talk about her
dietary i - correct answer A. "A BMI in the 90th percentile indicates that she is
overweight, would you like to talk to a dietician?"
BMI between 85-95% indicates that the child is overweight (25-29.9)
Obesity - greater than 95% (>30)
Underweight - less than 5% (<18.5)
,2.50
The nurse measures the head circumference of a 6 month old boy and finds that it has
changed from the 25th percentile to the 75th percentile; which of the following
represents the nurse's best action?
A. Immediately notify the physician as this may indicate increase intracranial pressure, a
medical emergency
B. Reassure his mother that this is a period of growth and changes in head
circumference are to be expected
C. Prepare his mother for the placement of a helmet as safety is a concern
D - correct answer D. Measure his head again and check for accuracy
Whenever a change in growth patterns are noted, both the measurement and plotting
on the growth chart Chou led be rechecked to assure accuracy
2.51
A group of children are playing in the playroom, the children are tested on the concept
of conservation; one child has just mastered this concept, how old is this child most
likely to be?
A. 4 years
B. 6 years
C. 8 years
D. 12 years - correct answer C. 8 years
An 8 year old child is considered to be in the concrete operations phase of cognitive
development - an appropriate time to to understand the concept of conservation
4 year old - preoperational phase - not likely to understand the concept of conservation
6 year old - preoperational phase - not likely to understand the concept of conservation
12 year old - formal operations phase - likely to have mastered the concept of
conservation
,2.52
The nurse is playing with an infant, the nurse hides a toy rattle under a blanket, the
infant looks for it while lifting up the blanket: how old is this infant most likely to be?
A. 2 months
B. 4 months
C. 6 months
D. 8 months - correct answer D. 8. Months
Object permanence is a concept that usually develops between 8-9 months where the
infant understands that even though an object can no longer be seen, it still exists
2.53
A 6 year old girl is being seen in the ER after a bike accident; the nurse is preparing to
assist with suturing her scalp lacerations, the child cries out, "I'm sorry I didn't wear my
helmet, I promise I'll be good next time, please don't hurt me!" which of the following is
the nurse's best response?
A. "Helmets are very important and protect your head, please make sure that you wear
it in the future"
B. "We need to fix your head, you are doing such a good job of trying to stay still"
C. " - correct answer B. "We need to fix your head, you are doing such a good job of
trying to stay still"
Actions should be geared toward encouraging the child and helping her to cope with a
stressful and potentially painful procedure
2.54
A 14 year old girl is being treated for acute renal failure, in order to help meet her
development needs, which of the following is important to include in her plan of care?
, A. Provide privacy and respect her need for modesty
B. Promptly respond to her call light and reassure her that needs will be met
C. Encourage one of her parents to spend the night
D. Provide opportunities for her to participate in her care and encourage a sense of
achievement - correct answer A. Provide privacy and respect her need for modesty
The adolescent is in Erickson's stage of identity vs. role confusion
It is important to to respect the adolescent's need for privacy and modesty as the child's
body is rapidly changing
2.55
A 2 year old boy admitted with RSV is in which of the following stages of psychosocial
development?
A. Trust vs. mistrust
B. Autonomy vs. guilt
C. Autonomy vs. shame and doubt
D. Initiative vs. guilt - correct answer C. Autonomy vs. shame and doubt
This is the developmental stage of toddlerhood
2.56
A 4 year old girl newly diagnosed with diabetes who is frightened of fingers stick; the
nurse's best response is:
A. Allow her to hold her favorite stuffed animal during finger sticks
B. Encourage her mother to coach her during finger sticks
C. Encourage her to count backward from 10 during finger stick
