PEDS CMS EXAM COMPREHENSIVE EXAM
SCRIPT 2026 FULL 450 QUESTION SET
WITH ACCURATE SOLUTIONS
⩥ A nurse is assessing a 6-year-old client at a well-child visit. Which of
the following findings requires further assessment by the nurse?
A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
C. Increased leg length in relation to height
D. Presence of a loose central incisor. Answer: Correct Answer: A.
Presence of sparse, fine pubic hair
The development of sexual characteristics prior to the age of 9 years in
boys and 8 years in girls is an indication of precocious puberty and
requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when
compared to full height due to skeletal lengthening.
C. Body proportion varies with a slimmer appearance and longer legs in
a school-age child. Leg length increases and waist circumference
decreases related to height in this age group.
D. The deciduous teeth start shedding at this age, beginning with the
lower central incisors
⩥ RBC Range:. Answer: Male: 4.3-5.9 million/mm3
,Female 3.5 -5.5 million/mm3
⩥ A nurse is assessing an infant who develops respiratory distress,
absence of breath sounds on one side, and deviation of the trachea away
from the affected side. Based on these manifestations, which of the
following conditions is the infant experiencing?
A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib. Answer: Correct Answer: A. Tension pneumothorax
The nurse should identify these manifestations as an indication the infant
is developing a tension pneumothorax. The infant might also become
cyanotic and show asymmetry of the thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib
area inward during inspiration and outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath
sounds, tachycardia, tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the
area of trauma, swelling, and muscle spasms.
⩥ TSH Range:. Answer: (0.5-5.0 µU/mL
, ⩥ A nurse is assessing a toddler who has measles (rubeola). Which of
the following findings should the nurse expect?
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal coughing. Answer: Correct Answer: A. Koplik spots
Koplik spots are small, irregular oral lesions with a bluish-white center.
They are characteristic of measles (rubeola). Koplik spots appear about 2
days before the maculopapular rash and are accompanied by fevers,
malaise, conjunctivitis, and other cold manifestations.
Incorrect Answers:
B. Swollen parotid glands are an expected finding in a child who has
MUMPS.
C. Strawberry tongue is an expected finding in a child who has
SCARLET FEVER.
D. Paroxysmal coughing is an expected finding in a child who has
PERTUSSIS
⩥ Nevus simplex or Stork bite. Answer: Discoloration that typically
blanches with pressure and becomes more prominent with crying. This
finding does not require notification of the provider.
⩥ A nurse is assessing a preschooler who has HIV. Which of the
following manifestations should the nurse expect?
A. Generalized petechiae
SCRIPT 2026 FULL 450 QUESTION SET
WITH ACCURATE SOLUTIONS
⩥ A nurse is assessing a 6-year-old client at a well-child visit. Which of
the following findings requires further assessment by the nurse?
A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
C. Increased leg length in relation to height
D. Presence of a loose central incisor. Answer: Correct Answer: A.
Presence of sparse, fine pubic hair
The development of sexual characteristics prior to the age of 9 years in
boys and 8 years in girls is an indication of precocious puberty and
requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when
compared to full height due to skeletal lengthening.
C. Body proportion varies with a slimmer appearance and longer legs in
a school-age child. Leg length increases and waist circumference
decreases related to height in this age group.
D. The deciduous teeth start shedding at this age, beginning with the
lower central incisors
⩥ RBC Range:. Answer: Male: 4.3-5.9 million/mm3
,Female 3.5 -5.5 million/mm3
⩥ A nurse is assessing an infant who develops respiratory distress,
absence of breath sounds on one side, and deviation of the trachea away
from the affected side. Based on these manifestations, which of the
following conditions is the infant experiencing?
A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib. Answer: Correct Answer: A. Tension pneumothorax
The nurse should identify these manifestations as an indication the infant
is developing a tension pneumothorax. The infant might also become
cyanotic and show asymmetry of the thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib
area inward during inspiration and outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath
sounds, tachycardia, tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the
area of trauma, swelling, and muscle spasms.
⩥ TSH Range:. Answer: (0.5-5.0 µU/mL
, ⩥ A nurse is assessing a toddler who has measles (rubeola). Which of
the following findings should the nurse expect?
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal coughing. Answer: Correct Answer: A. Koplik spots
Koplik spots are small, irregular oral lesions with a bluish-white center.
They are characteristic of measles (rubeola). Koplik spots appear about 2
days before the maculopapular rash and are accompanied by fevers,
malaise, conjunctivitis, and other cold manifestations.
Incorrect Answers:
B. Swollen parotid glands are an expected finding in a child who has
MUMPS.
C. Strawberry tongue is an expected finding in a child who has
SCARLET FEVER.
D. Paroxysmal coughing is an expected finding in a child who has
PERTUSSIS
⩥ Nevus simplex or Stork bite. Answer: Discoloration that typically
blanches with pressure and becomes more prominent with crying. This
finding does not require notification of the provider.
⩥ A nurse is assessing a preschooler who has HIV. Which of the
following manifestations should the nurse expect?
A. Generalized petechiae
