CPN Pediatric Nurse Prep practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q1A 9-month-old infant has a borderline developmental screening result, but the nurse observes significant motor delays. Which action should the nurse take immediately?
✓ Correct answer: D. Refer to Early Intervention
Clinical concern overrides screening scores. Immediate Early Intervention referral is required for suspected delays to ensure timely evaluation and access to services.
Q2A Medicaid-enrolled child requires a specialist evaluation that the family cannot find locally. Under EPSDT mandates, which action must the nurse take?
✓ Correct answer: A. Facilitate out-of-network referral
EPSDT mandates that states provide necessary diagnostic and treatment services. Nurses must facilitate access, including out-of-network referrals or scheduling assistance, rather than advising passive searching.
Q3A 32-month-old child receiving Early Intervention services will turn three years old soon. To prevent service gaps, which transition step is required?
✓ Correct answer: C. Refer to the school district
Part C services end at age three. Referrals to the local education agency (Part B) must occur at least 90 days prior to ensure continuous support.
Q4A homeless adolescent parent reveals active suicidal ideation during a visit for housing support. Which priority action constitutes an appropriate warm handoff?
✓ Correct answer: E. Ensure immediate safety assessment
Immediate safety is the priority. A warm handoff for crisis intervention takes precedence over addressing housing or social needs, which can be coordinated after safety is established.
Q5A grandmother has legal custody of a 3-year-old and receives SNAP benefits. Which statement accurately describes the child's WIC eligibility status?
✓ Correct answer: B. Eligible based on adjunctive criteria
WIC serves children up to age five. Receipt of SNAP benefits provides adjunctive income eligibility for the household, regardless of the caregiver's relationship to the child.
Q6A student with ADHD requires preferential seating and extra time but is performing at grade level. Which school-based plan is most appropriate?
✓ Correct answer: D. Section 504 accommodation plan
A 504 plan provides accommodations for access when specialized instruction is not needed. An IEP is reserved for students requiring specialized education to make progress.
Q7A family consents to an Early Intervention evaluation on May 1st. By which timeline must the initial Individualized Family Service Plan be completed?
✓ Correct answer: A. 45 calendar days
Federal regulations mandate that the evaluation and initial IFSP be completed within 45 calendar days of the referral and consent, not business days.
Q8The nurse refers a child for urgent developmental evaluation. To ensure the referral loop is closed, which follow-up action is required?
✓ Correct answer: C. Confirming appointment attendance
Closing the loop requires verifying that the appointment was kept. Documentation alone does not ensure the child received the necessary care or that barriers were addressed.
Q9A formula-feeding mother of a 7-month-old infant requests WIC assistance. Which statement correctly identifies the eligibility for this family unit?
✓ Correct answer: E. Only the infant is eligible
Postpartum eligibility for non-breastfeeding mothers ends at six months. However, the infant remains eligible for WIC services up to five years of age.
Q10A 2-year-old child has a venous blood lead level of 4 µg/dL. Which action should the nurse include in the plan of care?
✓ Correct answer: B. Assess the child's nutrition and home environment
Levels ≥3.5 µg/dL require nutritional assessment and environmental history to identify lead sources. Chelation starts at ≥45 µg/dL. Elevated levels require monitoring, not discharge.
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