CPN EXAM NEWEST 2026 TEST BANK| PEDIATRIC
NURSING CERTIFICATION REVIEW 7TH EDITION WITH
COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH WELL
ELLABORATED RATIONALES/ ALREADY GRADED A+
(BRAND NEW!!)
1. A 4-month-old infant weighs 6 kg. The birth weight was 3 kg.
The nurse evaluates this weight gain as:
A) Appropriate (doubled birth weight by 4-5 months)
B) Excessive (weight gain too rapid)
C) Inadequate (should have tripled birth weight)
D) Normal for a breastfed infant only
Correct Answer: A
Rationale: Infants typically double birth weight by 4-5
1
,months and triple by 12 months. 3 kg to 6 kg = doubled, which
is appropriate. Tripling (C) occurs by 12 months, not 4 months.
2. The nurse is assessing a 2-year-old child. Which fine motor
skill is expected at this age?
A) Turns pages of a book one at a time
B) Draws a circle
C) Builds a tower of 6-7 blocks
D) Uses a spoon without spilling
Correct Answer: A
Rationale: At 2 years, a child can turn pages one at a time.
Drawing a circle (B) occurs at 3 years. Building a tower of 6-7
blocks (C) is 4-5 years. Using a spoon without spilling (D) is 3-4
years.
3. The nurse is assessing a 6-month-old infant. Which reflex
should have disappeared by this age?
A) Moro reflex
2
,B) Babinski reflex (disappears by 12 months)
C) Palmar grasp (disappears by 3-4 months)
D) Rooting reflex (disappears by 3-4 months)
Correct Answer: A
Rationale: The Moro (startle) reflex disappears by 4-6 months.
Babinski (B) disappears by 12 months. Palmar grasp (C)
disappears by 3-4 months. Rooting (D) disappears by 3-4
months. All should be gone except Babinski may still be present
at 6 months.
4. According to Erikson, the developmental task of the
preschooler (3-6 years) is:
A) Initiative vs. guilt
B) Autonomy vs. shame and doubt
C) Industry vs. inferiority
D) Trust vs. mistrust
3
, Correct Answer: A
Rationale: Erikson: Initiative vs. guilt (preschool, 3-6 years).
Autonomy (B) is toddler (1-3 years). Industry (C) is school-age
(6-12 years). Trust (D) is infancy (0-1 year).
5. A 15-month-old child is brought to the clinic. The nurse expects
the child to be able to:
A) Walk independently
B) Run well
C) Jump in place
D) Walk up stairs with alternating feet
Correct Answer: A
Rationale: Most children walk independently by 12-15 months.
Running (B) occurs at 18-24 months. Jumping in place (C) at 2-3
years. Walking up stairs alternating feet (D) at 3-4 years.
6. The nurse is teaching parents about age-appropriate play for
a 9-month-old. Which toy is most appropriate?
4
NURSING CERTIFICATION REVIEW 7TH EDITION WITH
COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH WELL
ELLABORATED RATIONALES/ ALREADY GRADED A+
(BRAND NEW!!)
1. A 4-month-old infant weighs 6 kg. The birth weight was 3 kg.
The nurse evaluates this weight gain as:
A) Appropriate (doubled birth weight by 4-5 months)
B) Excessive (weight gain too rapid)
C) Inadequate (should have tripled birth weight)
D) Normal for a breastfed infant only
Correct Answer: A
Rationale: Infants typically double birth weight by 4-5
1
,months and triple by 12 months. 3 kg to 6 kg = doubled, which
is appropriate. Tripling (C) occurs by 12 months, not 4 months.
2. The nurse is assessing a 2-year-old child. Which fine motor
skill is expected at this age?
A) Turns pages of a book one at a time
B) Draws a circle
C) Builds a tower of 6-7 blocks
D) Uses a spoon without spilling
Correct Answer: A
Rationale: At 2 years, a child can turn pages one at a time.
Drawing a circle (B) occurs at 3 years. Building a tower of 6-7
blocks (C) is 4-5 years. Using a spoon without spilling (D) is 3-4
years.
3. The nurse is assessing a 6-month-old infant. Which reflex
should have disappeared by this age?
A) Moro reflex
2
,B) Babinski reflex (disappears by 12 months)
C) Palmar grasp (disappears by 3-4 months)
D) Rooting reflex (disappears by 3-4 months)
Correct Answer: A
Rationale: The Moro (startle) reflex disappears by 4-6 months.
Babinski (B) disappears by 12 months. Palmar grasp (C)
disappears by 3-4 months. Rooting (D) disappears by 3-4
months. All should be gone except Babinski may still be present
at 6 months.
4. According to Erikson, the developmental task of the
preschooler (3-6 years) is:
A) Initiative vs. guilt
B) Autonomy vs. shame and doubt
C) Industry vs. inferiority
D) Trust vs. mistrust
3
, Correct Answer: A
Rationale: Erikson: Initiative vs. guilt (preschool, 3-6 years).
Autonomy (B) is toddler (1-3 years). Industry (C) is school-age
(6-12 years). Trust (D) is infancy (0-1 year).
5. A 15-month-old child is brought to the clinic. The nurse expects
the child to be able to:
A) Walk independently
B) Run well
C) Jump in place
D) Walk up stairs with alternating feet
Correct Answer: A
Rationale: Most children walk independently by 12-15 months.
Running (B) occurs at 18-24 months. Jumping in place (C) at 2-3
years. Walking up stairs alternating feet (D) at 3-4 years.
6. The nurse is teaching parents about age-appropriate play for
a 9-month-old. Which toy is most appropriate?
4
