Pediatric Nurse Exam Review

The Pediatric Nurse certification indicates specialization in providing nursing care for the pediatric patient. Nurses with this certification are frequently employed in outpatient clinics, pediatric hospital emergency rooms and inpatient settings, and school-based clinics.

In order to take the Pediatric Nurse certification exam, the applicant must be a licensed Registered Nurse with an Associate Degree or diploma from an accredited 2-year RN program. The RN must have worked at least 2 years in a full-time capacity as a pediatric nurse, with at least 2,000 hours within the past 3 years. In addition, at least 30 hours of continuing education hours should have been completed in pediatric nursing over the past 3years.

The Pediatric Nurse certification exam is offered throughout the year at testing centers across the United States. The RN has 90 days in which to take the exam after receiving the test admission ticket. The fee to take the exam is $230 for members of the American Nurses Association (ANA) and $370 for non-members.

The exam consists of 175 multiple-choice questions with 25 of those questions used for pretesting purposes for possible use on future exams. The exam focuses on testing the RN's knowledge of pediatric illness and potential complications associated with these diseases. Nursing interventions for the pediatric patient are also included on the exam. Patient and family education are also areas of focus on the Pediatric Nursing exam.

Pediatric Nurse certification is valid for 3 years. At the end of that time period, the licensed RN must have completed at least 1,000 hours of employment as a pediatric nurse. In addition, at least 75 continuing education hours should have been completed or other educational activities should have been completed as outlined by the American Nurses Credentialing Center. The fee for renewal is $160 for ANA members and $290 for non-members as long as the practice hour and continuing education hour requirements are met. For those who wish to retake the exam in order to recertify, the fee is $230 for ANA members and $370 for non-members.

For more information regarding the Pediatric Nurse certification for the Associate Degree or diploma RN, go to,, or

Nursing Certification Central

Pediatric Nurse Certification Practice Questions

1. Following a diagnosis of cystic fibrosis in their infant child, the parents should be educated in all of the following EXCEPT:

  1. Genetic counseling.
  2. Sign language.
  3. Home chest percussions.
  4. Dietary modifications.

2. A 15-year-old female is diagnosed with a newly-acquired infectious disease. Which of the following is NOT a mandatory reportable disease to the health department?

  1. TB.
  2. Varicella.
  3. Syphilis.
  4. Rabies.

3. Following an exposure to a TB-infected family member, a twelve-year-old male is screened for TB with a PPD (Mantoux) test. After administration of the test, when should he be brought back for reading of the result?

  1. 24 to 36 hours.
  2. 36 to 48 hours.
  3. 48 to 72 hours.
  4. 72 to 96 hours.

4. A 15-year-old female has been diagnosed with hyperthyroidism due to Graves's disease. Which of the following symptoms would NOT likely be present in this patient?

  1. Bradycardia.
  2. Insomnia.
  3. Heat intolerance.
  4. Weight loss.

5. Cystic fibrosis is an inherited disease that affects the respiratory and digestive systems. What is the genetic etiology of cystic fibrosis?

  1. Autosomal dominant.
  2. Autosomal recessive.
  3. Y chromosome linked.
  4. Spontaneous mutation.

Pediatric Nurse Certification Answer Key

1. Answer: B

CF is not directly associated with deafness, so education in sign language is not indicated although repeated treatment with antibiotics (aminoglycosides) can cause sensorineural hearing deficit. Cystic fibrosis is an autosomal recessive disease and the parents should receive genetic counseling about the risk of the disease in future offspring. CF has both pulmonary and pancreatic manifestations so chest percussions and dietary modifications would be appropriate.

2. Answer: B

Varicella (chickenpox) is not a reportable disease, and most children are vaccinated for varicella; however, the CDC requires reporting of TB, syphilis, and rabies as these are public health concerns.

3. Answer: C

PPD tests should be read 48 to 72 hours after administration. Any sign of induration is measured. Induration of 15 mm or blistering is a positive finding for general screening, but if the person has been exposed to someone with active TB, then 10 mm induration is considered positive.

4. Answer: A

Tachycardia, not bradycardia is a common symptom of hyperthyroidism due to increase in circulating thyroid hormone levels. Insomnia, heat intolerance, and weight loss are common symptoms. Ophthalmic changes, including bulging of the eyeball, may also occur.

5. Answer: B

Cystic fibrosis is an autosomal recessive genetic disease, so both parents must pass on a recessive gene to the child. Parents of a child with CF should have genetic counseling so they are aware that they have a 1 in 4 chance of any additional children being born with CF.


Last Updated: 04/18/2018

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