CPN Pediatric Nurse Prep Exam Questions & Answers 2026 (21–30)

Q21A family with a 2-month-old infant relies on private well water. The water appears clear and has no odor. Which specific safety recommendation should the nurse provide?

• AAdd chlorine tablets to the well cistern monthly
• BInstall a reverse osmosis system before testing
• CRestrict water use if turbidity visibly increases
• DTest the water for nitrates and coliform bacteria
• EBoil water for ten minutes before mixing formula

Q22A pediatric nurse identifies a pattern of three unrelated children from the same daycare facility presenting with similar unexplained respiratory symptoms. The facility is located near an industrial zone. Which action is required?

• AContact the local public health department to report the cluster
• BAdvise the parents to organize a meeting with the facility director
• CTreat each child individually and schedule follow-up in one month
• DConduct an independent site visit to the daycare to inspect for mold
• ERequest that the facility close immediately until the cause is found

Q23A parent of an infant admits to smoking cigarettes but states they are currently unable to quit. To minimize the infant's exposure to third-hand smoke, which harm reduction strategy should the nurse recommend?

• AUse a standalone air purifier in the room where smoking occurs
• BRestrict smoking to times when the infant is asleep in another room
• CWear a designated jacket outside and remove it upon entering
• DOpen windows in the smoking room to ensure cross-ventilation
• ESmoke only in the kitchen while the exhaust fan is running on high

Q24The local Air Quality Index (AQI) is reported as 155 (Unhealthy) due to wildfire smoke. A 10-year-old with asthma has soccer practice scheduled. Which advice is most appropriate?

• AAdminister prophylactic albuterol before playing outside
• BWear a surgical mask while participating in practice
• CAttend practice but limit running to short intervals
• DAllow participation if the child remains symptom-free
• EMove the practice indoors or cancel the outdoor session

Q25A child with elevated lead levels lives in a rental home with peeling paint. The family has limited financial resources and the landlord is unresponsive. Which immediate, low-cost intervention is most effective for reducing exposure?

• AApply fresh paint over peeling areas in all rooms
• BPerform weekly wet mopping of floors and sills
• CHire a contractor for professional paint abatement
• DReplace wall-to-wall carpeting with vinyl flooring
• ESweep floors daily to remove paint chips and dust

Q26A 6-year-old presents with recurrent respiratory infections and poor asthma control despite medication adherence. History reveals the family lives 100 meters from a major interstate highway. Which environmental factor is the likely trigger?

• APrimary immunodeficiency affecting B-cell function
• BIndoor mold growth from structural humidity issues
• CSeasonal allergic rhinitis unrelated to location
• DExposure to traffic-related air pollution nearby
• EUndiagnosed cystic fibrosis requiring sweat tests

Q27A toddler has a blood lead level of 8 mcg/dL and lives in a home where caregivers smoke inside. Which combination of interventions addresses the highest priority environmental risks?

• ARefer for lead hazard reduction and advise smoking outside
• BInitiate chelation therapy and prescribe a nicotine patch
• CRecommend calcium supplementation and installing air purifiers
• DAdvise increasing iron intake and daily standard vacuuming
• EReport family to child protective services for neglect

Q28During a well-child visit, a parent discloses they have no food at home and received an eviction notice yesterday. The child also requires a referral for speech delay. Which action should the nurse prioritize?

• AProvide educational materials regarding developmental milestones
• BSchedule a follow-up appointment to monitor the child's weight
• CConnect the family with emergency housing and food banks
• DComplete the referral for the speech-language pathologist
• EAssist family with online Medicaid enrollment application

Q29A 16-year-old screens positive for moderate depression. To facilitate a successful "warm handoff" to a behavioral health partner, which action should the nurse take?

• AProvide printed list of local mental health providers and numbers
• BInstruct parent to call insurance to find an in-network provider
• CSend referral letter to specialist via electronic medical record
• DAdvise teen to call crisis hotline if symptoms worsen overnight
• EIntroduce patient to counselor immediately via phone or in-person

Q30A grandmother raising her 6-year-old grandchild requests food assistance. The household income is below the federal poverty level. Which program is the child most likely eligible for?

• AHealthy Families America program
• BSNAP food assistance benefits
• CWIC nutrition program support
• DEarly Head Start support services
• ENurse-Family Partnership program