CMS Practical Nursing (PN) Pediatrics Practice Test

These questions are part of the practice quiz. Start practicing

• Isotonic dehydration is characterized by which of the following?
• In immunization practice, which task is essential for safe vaccine administration?
• The DTaP vaccine schedule includes boosters at which ages?
• In suspected epiglottitis, which management approach is recommended?
• After a toddler undergoes a tonsillectomy, which finding is the priority for the nurse to report to the provider?
• In a health promotion program for guardians of adolescents, which information should be included?
• Which sleep position is recommended to reduce SIDS risk?
• When giving a liquid iron supplement, what is the primary reason to use a straw?
• Which infection control practice is essential in a pediatric clinical setting?
• Before starting isotretinoin therapy, which precaution should the adolescent be informed is required?
• If a transfusion reaction is suspected, what is the immediate nursing action?
• What is the recommended action when a child with fever is suspected of having a mild illness?
• Which of the following is a recommended feeding consideration for a newborn with cleft lip/palate?
• Which statement best describes the initial step in the pediatric trauma primary survey?
• When administering ophthalmic drops to a child, which action should the nurse take?
• A guardian of a child with juvenile idiopathic arthritis asks about discharge. Which statement indicates understanding?
• In which illness is aspirin use especially associated with Reye syndrome?
• Which combination enhances iron absorption when treating iron-deficiency anemia in toddlers?
• After a tonsillectomy, which sign should prompt immediate reporting to the clinician?
• For a child with dysphagia (e.g., cerebral palsy), what feeding strategy reduces aspiration risk?
• Which practice helps prevent medication errors in pediatric dosing?
• What is the typical dosing for acetaminophen in a pediatric patient?
• Which position should be maintained after an infant receives an NG tube feeding to minimize reflux risk?
• Which dietary pattern is associated with nutritional deficits in adolescents?
• What is a key technique to prevent aspiration when feeding an infant?
• Which finding would most strongly indicate dehydration in a pediatric patient?
• Which finding would support a diagnosis of infectious mononucleosis in a preschooler?
• Which statement describes a step not typically part of initial newborn resuscitation?
• What is a red flag symptom of acute appendicitis in a child?
• Which of the following is NOT an early sign of impending shock in a child?
• In a school-age child with congestive heart failure on digoxin, which manifestation should be reported?
• What is the purpose of standardized developmental screening tools in pediatrics?
• What is the recommended site for intramuscular vaccination in infants?
• Which statement indicates understanding of discharge instructions for a child with juvenile idiopathic arthritis?
• Pyloric stenosis typically causes which electrolyte disturbance?
• Which vaccination is recommended to help prevent cancer and is commonly given during adolescence?
• A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. Which of the following immunizations should the nurse plan to administer?
• When addressing parental vaccine hesitancy, which detail should be documented?
• What nonpharmacologic strategies help manage pediatric pain?
• During a blood transfusion, which finding would indicate a hemolytic reaction?
• Which statement regarding dehydration signs in toddlers is true?
• Febrile seizures most commonly occur in which age range?
• What growth assessment tool is used in pediatrics?
• Which sign is commonly associated with meningitis in a child?
• For a child with suspected urinary tract infection, which investigations are indicated?
• Which of the following statements about iron deficiency anemia in toddlers is true?
• In pediatric dehydration due to diarrhea, which electrolyte imbalance is most commonly observed?
• What is the recommended action if a child swallows a household chemical?
• When poison exposure is suspected in a child, which action is recommended first?
• In a pediatric emergency, which of the following represents a key component of airway management?
• Which statement best demonstrates safe practice for a school-age child on home oxygen therapy?
• Which medication is commonly used to reduce airway inflammation in croup?
• Which feeding guidance is recommended for infants starting solids?
• A nurse is assisting with the care of a school-age child following an appendectomy. Which data should the nurse monitor to detect potential postoperative infection?
• How should a caregiver respond to suspected poisoning exposure in a child?
• During a sterile dressing change for a partial-thickness burn on the hip, what should the nurse do first?
• Which statement indicates proper home care for a child with eczema?
• An adolescent with sickle cell anemia is being evaluated. Which laboratory finding should the nurse expect?
• At a 6-month well-child visit, which parental statement shows understanding of the immunization schedule?
• Which symptom strongly suggests diabetic ketoacidosis in a child with new-onset diabetes?
• Which finding would raise suspicion of physical abuse in a school-age child during data collection?
• What is a recommended method to monitor pediatric pain over time?
• Which action should the nurse take for parents immediately after their child's unexpected death?
• In the emergency department, a nurse has access to the Nurses' Notes and Vital Signs at 0100 and Provider Prescriptions at 0105. What practice best supports patient safety?
• True or false: A mild illness is not a contraindication to vaccination.
• Which statement about candidal diaper dermatitis is true?
• For a toddler receiving chemotherapy who develops stomatitis, which instruction is appropriate?
• A pyloric stenosis is most consistently associated with which electrolyte pattern?
• Which pediatric pain assessment tool is appropriate for a nonverbal infant?
• What factor most commonly contributes to pediatric dosing errors?
• When is the birth dose of the Hepatitis B vaccine given?
• The rotavirus vaccination schedule may require 2 or 3 doses depending on product. Which option correctly states this?
• Which assessment finding would warrant urgent evaluation in a child with a known bleeding disorder?
• In a child with cystic fibrosis who is taking pancrelipase, which parameter best indicates the medication's therapeutic effect?
• What organism is the most common cause of acute otitis media in children?
• Which pain assessment tool is appropriate for a nonverbal toddler?
• A school-age child with acute lymphoblastic leukemia has an absolute neutrophil count of 450/mm3. Which instruction should the nurse include?
• In burn assessment, TBSA is used to estimate which of the following?
• When reviewing diagnostic results and vitals at different times, the nurse should:
• In infant feeding, how should the infant be positioned after feeding to reduce aspiration risk?
• In a child with type 1 diabetes experiencing an acute illness, which action should the nurse include in the plan of care?
• Regarding croup, which statement is true?
• A 6.8 kg child needs acetaminophen. Dose range 10-15 mg/kg per dose every 4-6 hours; max 5 doses in 24 hours. What is the per-dose range in mg?
• How should a nurse respond to parental vaccine hesitancy?
• How is pediatric BMI percentile interpreted?
• Reye syndrome risk is increased when aspirin is given to children during which illness?
• Which symptom is typical of infant gastroesophageal reflux?
• Which finding in a school-age child is a manifestation of physical abuse?
• Which neonatal reflex typically disappears by 4-6 months?
• In evaluating a child with Wilms tumor, which precaution should the nurse observe during examination?
• Which statement best distinguishes diaper dermatitis from candidal diaper dermatitis?
• Which immunization should be administered by age 6?
• A 4-year-old is about to undergo IV therapy preoperatively. Which technique best helps the child cope with the procedure?
• A toddler with meningitis due to Haemophilus influenzae type B is admitted. Which isolation precaution should be planned?
• For a 2-year-old toddler, what is an appropriate serving size?
• Inhaled medications for a child who cannot coordinate inhalation with a spacer, which device is used?
• Before giving furosemide to a toddler, which action ensures correct patient identification?
• Which signs are red flags suggesting pediatric meningitis?
• What is the first-line antibiotic for acute otitis media in a child older than 2 years with non-severe symptoms?
• Which of the following is a key element of maintaining airway patency in a pediatric emergency?
• Which finding indicates successful fluid resuscitation in a dehydrated child?
• Which vaccine is typically administered at 12-15 months?
• What is the recommended feeding position for infants to reduce reflux?
• After an albuterol nebulizer in an adolescent with asthma, which finding indicates improvement?
• Which statement about adolescents should be included in a health promotion program?
• Which medication is preferred for fever management in children to avoid Reye syndrome?
• A teen with isotretinoin therapy should be monitored for which adverse effect?
• In pediatric trauma, the first step of the primary survey is...
• What should be screened before immunization administration to identify contraindications?
• Name a common early sign of respiratory distress in a child?
• During nasogastric enteral feeding for an infant, which action should the nurse take?
• The birth dose of Hepatitis B vaccine is given when?
• Which statement best describes the purpose of reviewing diagnostic results with nursing notes and vital signs at different times?
• A nurse is caring for a school-aged child who has hemophilia A. Which of the following should the nurse recognize as a manifestation of this disorder?
• In pediatric care, which practice helps monitor a child's stability or deterioration across shifts?
• Which therapy is not routinely recommended in bronchiolitis management?
• Which vital sign pattern would most strongly suggest dehydration in a young child?
• What are two key indicators of adequate hydration in a child?
• For a school-age child with lactose intolerance, which supplement should be included in the diet?
• During a clinic visit, the parent refuses vaccines for their infant. Which action should the nurse take?
• In suspected epiglottitis, which action should be avoided by the nurse?
• Which dietary habit puts an adolescent at risk for nutritional deficits?
• During scoliosis screening for school-age children, which position is used to assess curvature?
• Which newborn condition presents with abdominal distension and failure to pass meconium, commonly associated with cystic fibrosis?
• In anaphylaxis after IM antibiotic administration, which manifestation is expected first?
• Which developmental screening instrument is commonly used to identify delays in children in primary care?
• Which isolation precaution applies to measles in pediatrics?
• A nurse is collecting data from a toddler at a well-child visit. Which finding should the nurse identify as a possible indication of child maltreatment?
• Which action would be least aligned with standard infection control practices in a pediatric setting?
• Which potential complication can result from excessive vitamin A or vitamin D supplementation in a child?
• What is the initial priority in management of suspected meningitis in a child?
• During phototherapy for neonatal jaundice, what is an essential nursing consideration to prevent complications?
• During admission of a toddler with Haemophilus influenzae type B meningitis, which isolation precaution should be planed?
• Which precaution applies to measles in pediatrics?
• Which statement about pediatric burns assessment is least appropriate?
• Which therapy is associated with Kawasaki disease to reduce coronary artery aneurysm risk?
• Which therapy significantly reduces the risk of coronary artery aneurysm in Kawasaki disease?
• How are pediatric burns classified?
• In suspected epiglottitis, which action is contraindicated?
• Around which age is MMR vaccine commonly administered?
• Febrile seizures most commonly occur in which age range?
• In toddlers, which nutrition concern is commonly screened for?
• In toddlers, which statement best describes iron deficiency anemia risk and screening?
• Which food is safe for an adolescent with celiac disease?
• The rotavirus vaccine typically starts at what age?
• Which finding indicates improvement after bronchodilator therapy in an adolescent with asthma?
• Which lab finding can indicate dehydration or hemoconcentration in a child?
• By 12 months of age, which gross motor milestone is typically achieved?
• At about 9 months of age, which gross motor milestone is typically achieved?
• For a child with lactose intolerance, which nutrient intake should be emphasized due to reduced dairy consumption?
• Which finding indicates stable respiratory status in an 8-month-old during observation?
• How does phototherapy work for neonatal jaundice?
• Which action would NOT be appropriate to help a child cope with IV placement preoperatively?
• Which data in an 18-month-old should prompt further evaluation for hypertension?
• Which of the following is NOT a typical gross motor milestone for a 9-month-old?
• Which sign is most concerning for increased intracranial pressure in a child?
• Which signs may indicate septic shock in a child?
• Nuchal rigidity (stiff neck) is a red flag for which condition in children?
• During a well-child visit, the parent notes the toddler takes several hours to fall asleep. Which recommendation is appropriate?
• Which step best ensures you are giving furosemide to the correct patient?
• Which statement best describes a pediatric nurse's role in immunization education and administration?
• Which scenario is a contraindication to vaccination?
• What is a typical resting heart rate range for a 2-year-old child?
• A guardian is told about enterobiasis (pinworm). Which action helps prevent infection?
• Which finding is most characteristic of infectious mononucleosis?
• For a child with hypocalcemia, which manifestation is expected?
• What is the minimum expected urine output for a child per hour?
• Which statement about vaccination during mild illness is true?
• The nurse reviews diagnostic results at 0115 and Nurses' Notes and Vital Signs at 0230. What is the best use of these data?
• Which safety statement demonstrates understanding of home oxygen safety?
• A 20 kg child requires maintenance IV fluids. Using Holliday-Segar, what is the approximate total daily maintenance in mL?
• What is the correct initial management step for suspected epiglottitis in a child?
• Which combination of signs is commonly associated with heart failure in infants?
• How should feedings be managed for a newborn with a cleft lip/palate?
• Which approach best supports shared decision-making when addressing vaccine hesitancy?
• An adolescent with acne recently started isotretinoin. Which adverse effect should the nurse monitor?
• Which symptom is most characteristic of epiglottitis in a child?
• When reinforcing liquid oral iron supplementation with a guardian, which statement demonstrates understanding?
• What is the initial management step for a suspected anaphylactic reaction in a child?
• In a suspected anaphylactic reaction, what is the sequence of immediate actions?
• Which sign is most concerning for increased intracranial pressure in a child?
• Which dietary counseling is recommended to help treat iron-deficiency anemia in toddlers?
• Croup typically presents with which symptom?
• Which sign is commonly seen with dehydration due to gastroenteritis?
• Which statement about the Moro reflex is correct?
• Which sleep position reduces SIDS risk?
• What device is used to deliver inhaled meds to a child who cannot coordinate inhalation with a spacer?
• In a school-age child with lactose intolerance, which dietary modification supports adequate nutrient intake?
• Which finding would raise suspicion for maltreatment in a toddler?
• Which statement best reflects a core principle of family-centered pediatric care?
• A child with type 1 diabetes who uses an insulin pump: which laboratory test verifies average blood glucose over the past 2 to 3 months?
• What is the recommended management for mild to moderate dehydration due to gastroenteritis?
• Which laboratory result would confirm infectious mononucleosis?
• Which technique helps minimize systemic absorption when administering ophthalmic drops to a child?
• Which combination of signs most strongly suggests dehydration in a toddler?
• What nursing action is important when starting a new antibiotic in a pediatric patient?
• A 14-month-old with spastic cerebral palsy is being discharged with home care. Which statement indicates understanding of the plan?
• Which of the following actions is NOT recommended for a child with antibiotic-associated diarrhea?
• Which red flags in a febrile child suggest serious infection?
• What is the recommended initial management for mild croup in the ED?
• A nurse suspects a child is being abused. What action should the nurse take first?
• For the 6.8 kg child, what is the maximum number of acetaminophen doses allowed in 24 hours?
• Which statement accurately describes reassessment after starting IV fluids in dehydration?
• Which combination of signs is most indicative of septic shock in a child?
• What is a key SIDS prevention recommendation for infant sleep safety?
• When is the DTaP vaccine series given in infancy?
• Which vaccine is typically administered at 2 months of age?
• Which oxygen saturation value in a toddler with respiratory distress indicates hypoxemia requiring urgent evaluation?
• What is the maximum acetaminophen per day (mg/kg) in pediatric dosing?
• What indicates successful rehydration in dehydration?
• Using the 4-2-1 rule, what is the hourly maintenance IV rate for a 15-kg child?
• Meconium ileus in a newborn is often associated with which congenital condition?
• Which statement is NOT recommended in the management of antibiotic-associated diarrhea?
• In counseling parents about behavioral expectations for a 7-year-old, which behavior should the nurse include as typical?
• A preschooler with suspected Wilms tumor would most likely present with which finding?
• After starting IV fluids in a dehydrated child, which clinical parameters should be reassessed?
• A classic sign of appendicitis in children is which symptom?
• Which set of symptoms constitutes the classic triad of type 1 diabetes presentation?
• BMI percentiles are used in pediatric growth assessment to evaluate growth when?
• Which intervention during a well-child visit would help a toddler fall asleep more quickly at night?
• A child presents with polydipsia and polyuria. Which emergency complication must be considered?
• Which practice supports an effective seal during newborn resuscitation with bag-mask ventilation?
• A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. Which of the following immunizations should the nurse plan to administer?
• Which medication class is first-line for preventing symptoms in mild persistent pediatric asthma?
• Isotonic dehydration pattern described by?
• Which developmental screening tool is commonly used in pediatrics to identify delays?
• Which antibiotic is first-line for acute otitis media in a child older than 2 years with non-severe symptoms?
• In dehydration management, IV fluid resuscitation is indicated in which situation?
• Name two nonpharmacologic strategies to reduce a child's pain during injections.
• Which stool-related sign indicates adequate pancreatic enzyme therapy in a child with cystic fibrosis?
• A toddler presents in the ED with muffled voice, drooling, chin thrust forward, and inspiratory stridor with fever. Which action should the nurse take first?
• In bronchiolitis management, which treatment is typically avoided?
• When does physiologic jaundice typically appear and resolve in term newborns?
• What is the first-line treatment for mild to moderate croup in a child with stridor?