Peds Proctored Exam 2026

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Sample questions from Peds Proctored Exam 2026

This material has 75 questions with answers and rationales. Here are the first 5.

1. 1.Which finding is expected in a healthy 2-month-old infant?

   • A.The infant walks independently and follows a two-step command.
   • B.The infant rolls from the abdomen to the back and sits without support.
   • C.The infant has a social smile and briefly raises the head when prone.
   • D.The infant uses a pincer grasp and says two-word phrases.

   Rationale: A social smile and brief head lifting while prone are expected around 2 months. Rolling, sitting independently, and a pincer grasp emerge later, and two-word phrases and following two-step commands are toddler milestones. Milestone questions require matching the behavior to the child's age rather than assuming that more advanced skills are expected.

2. 2.During a home visit, the parent of a 7-month-old asks which feeding practices are appropriate. Which instructions should the nurse provide? Select all that apply.

   • A.Give honey mixed into cereal if the infant refuses its usual flavor.
   • B.Replace several daily formula feedings with whole cow's milk.
   • C.Continue breast milk or iron-fortified formula as the primary source of nutrition.
   • D.Offer small, soft pieces of food only when the infant can sit with support and is closely supervised.
   • E.Offer iron-fortified infant cereal by spoon as the infant shows readiness for complementary foods.
   • F.Avoid foods that are choking hazards, such as whole grapes and nuts.

   Rationale: Iron-fortified cereal and other appropriate complementary foods can be introduced around 6 months when readiness cues are present, while breast milk or iron-fortified formula remains the primary nutrition during infancy. Supported upright positioning and close supervision reduce choking risk, and whole grapes and nuts are choking hazards. Honey is avoided before 12 months because of infant botulism risk, and whole cow's milk should not replace breast milk or formula before 12 months.

3. 3.At a 12-month well-child visit, which caregiver statement shows correct understanding of an age-appropriate safety measure?

   • A.'I will use a pillow in the crib to keep my child positioned on the side.'
   • B.'I will keep small objects, such as coins and button batteries, out of reach.'
   • C.'I will leave my child in the bathtub briefly while I answer the door.'
   • D.'I will place the rear-facing car seat in the front passenger seat so I can watch my child.'

   Rationale: Small objects, particularly button batteries, can cause choking or severe internal injury and must be kept inaccessible. A rear-facing car seat should be installed in the back seat according to the manufacturer's limits, not in front of an active air bag. Pillows are unsafe in the sleep space, and a young child must never be left unattended in a bathtub, even briefly.

4. 4.Which activity is most appropriate for supporting autonomy in a 2-year-old during a health visit?

   • A.Offer a choice between two acceptable bandage colors.
   • B.Insist that the child share a favorite toy with another child in the room.
   • C.Ask the child to wait alone while the caregiver completes the history.
   • D.Explain the procedure using abstract medical terms before beginning.

   Answer and rationale are in the full material.

5. 5.Which play activity is most appropriate for a hospitalized 4-year-old?

   • A.A competitive team sport with complex rules.
   • B.A long discussion about future career goals.
   • C.A board game requiring strategic planning several steps ahead.
   • D.Pretend play with a toy medical kit and a doll.

   Answer and rationale are in the full material.