RN Pediatric Nursing 2026 Ultimate Study Guide
and Practice Test
Comprehensive Examination with Answers and
Rationales actual!!!
,RN Pediatric Nursing 2026 Ultimate Study Guide
and Practice Test
Comprehensive Examination with Answers and
Rationales actual!!!
, RN Pediatric Nursing 2026 Ultimate Study Guide
and Practice Test
Comprehensive Examination with Answers and
Rationales actual!!!
1. A nurse is assessing a 2-year-old child during a well-child visit. Which of the following findings should
the nurse report to the provider?
A. The child has a vocabulary of approximately 50 words
B. The child can walk up and down stairs with assistance
C. The child has a protuberant abdomen with lordosis
D. The child can copy a circle
Answer: C. The child has a protuberant abdomen with lordosis
Rationale:
A. A vocabulary of 50 words is expected for a 2-year-old, as toddlers typically have a vocabulary of 50-
300 words by age 2. This finding is within normal developmental parameters and does not require
reporting.
B. Walking up and down stairs with assistance is an appropriate gross motor skill for a 2-year-old. By 24-
30 months, children can typically navigate stairs with support, making this a normal developmental
milestone.
C. A protuberant abdomen with lordosis in a 2-year-old is a normal finding due to immature abdominal
musculature and developing posture. The nurse should not report this as abnormal, as it is expected in
this age group. This would be the correct answer if identifying the finding that should NOT be reported.
However, if the question asks what should be reported, this is actually a normal finding and would not
require reporting.
D. Copying a circle is a fine motor skill that typically develops around age 3. At age 2, children typically
can scribble spontaneously but may not yet copy specific shapes. This would be a developmental
concern requiring further assessment.
, RN Pediatric Nursing 2026 Ultimate Study Guide
and Practice Test
Comprehensive Examination with Answers and
Rationales actual!!!
2. A nurse is caring for a child with acute glomerulonephritis. Which of the following assessments should
the nurse prioritize?
A. Daily weight and strict intake and output
B. Temperature monitoring every 4 hours
C. Neurological checks every 2 hours
D. Skin integrity assessment daily
Answer: A. Daily weight and strict intake and output
Rationale:
A. Daily weight and strict intake and output are essential for monitoring fluid balance in a child with
acute glomerulonephritis, as fluid retention and edema are primary concerns. Accurate measurement
helps evaluate treatment effectiveness and prevent complications like hypertension and pulmonary
edema.
B. Temperature monitoring every 4 hours is important but not the priority for this condition, as fever is
not typically a primary manifestation of glomerulonephritis. While vital signs are important, fluid
balance monitoring takes precedence.
C. Neurological checks every 2 hours are not routinely indicated unless the child develops severe
hypertension or neurological symptoms. Blood pressure monitoring would be more relevant than
frequent neurological assessments.
D. Skin integrity assessment is important for children with edema but is not the priority assessment in
acute glomerulonephritis, where fluid and electrolyte balance are the primary concerns.
3. A nurse is preparing to administer digoxin to a 6-month-old infant with heart failure. Which of the
following findings should cause the nurse to hold the medication and notify the provider?
A. Heart rate of 110 beats per minute
and Practice Test
Comprehensive Examination with Answers and
Rationales actual!!!
,RN Pediatric Nursing 2026 Ultimate Study Guide
and Practice Test
Comprehensive Examination with Answers and
Rationales actual!!!
, RN Pediatric Nursing 2026 Ultimate Study Guide
and Practice Test
Comprehensive Examination with Answers and
Rationales actual!!!
1. A nurse is assessing a 2-year-old child during a well-child visit. Which of the following findings should
the nurse report to the provider?
A. The child has a vocabulary of approximately 50 words
B. The child can walk up and down stairs with assistance
C. The child has a protuberant abdomen with lordosis
D. The child can copy a circle
Answer: C. The child has a protuberant abdomen with lordosis
Rationale:
A. A vocabulary of 50 words is expected for a 2-year-old, as toddlers typically have a vocabulary of 50-
300 words by age 2. This finding is within normal developmental parameters and does not require
reporting.
B. Walking up and down stairs with assistance is an appropriate gross motor skill for a 2-year-old. By 24-
30 months, children can typically navigate stairs with support, making this a normal developmental
milestone.
C. A protuberant abdomen with lordosis in a 2-year-old is a normal finding due to immature abdominal
musculature and developing posture. The nurse should not report this as abnormal, as it is expected in
this age group. This would be the correct answer if identifying the finding that should NOT be reported.
However, if the question asks what should be reported, this is actually a normal finding and would not
require reporting.
D. Copying a circle is a fine motor skill that typically develops around age 3. At age 2, children typically
can scribble spontaneously but may not yet copy specific shapes. This would be a developmental
concern requiring further assessment.
, RN Pediatric Nursing 2026 Ultimate Study Guide
and Practice Test
Comprehensive Examination with Answers and
Rationales actual!!!
2. A nurse is caring for a child with acute glomerulonephritis. Which of the following assessments should
the nurse prioritize?
A. Daily weight and strict intake and output
B. Temperature monitoring every 4 hours
C. Neurological checks every 2 hours
D. Skin integrity assessment daily
Answer: A. Daily weight and strict intake and output
Rationale:
A. Daily weight and strict intake and output are essential for monitoring fluid balance in a child with
acute glomerulonephritis, as fluid retention and edema are primary concerns. Accurate measurement
helps evaluate treatment effectiveness and prevent complications like hypertension and pulmonary
edema.
B. Temperature monitoring every 4 hours is important but not the priority for this condition, as fever is
not typically a primary manifestation of glomerulonephritis. While vital signs are important, fluid
balance monitoring takes precedence.
C. Neurological checks every 2 hours are not routinely indicated unless the child develops severe
hypertension or neurological symptoms. Blood pressure monitoring would be more relevant than
frequent neurological assessments.
D. Skin integrity assessment is important for children with edema but is not the priority assessment in
acute glomerulonephritis, where fluid and electrolyte balance are the primary concerns.
3. A nurse is preparing to administer digoxin to a 6-month-old infant with heart failure. Which of the
following findings should cause the nurse to hold the medication and notify the provider?
A. Heart rate of 110 beats per minute
