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100+ Free CPedN(C) - Pediatric Nursing Practice Questions

Pass your CNA Certified in Pediatric Nursing (Canada) Exam exam on the first try — instant access, no signup required.

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Key Facts: CPedN(C) - Pediatric Nursing Exam

165

Total Questions

CNA Certification Specifications

3 Hours

Time Limit

CNA Exam Guidelines

Scaled Score

Passing Score

CNA Grading Policies

$570 / $756

CNA Member / Non-Member Fee (CAD)

CNA 2026 Fee Schedule

5 Years

Validity Period

CNA Renewal Policies

Computer

Exam Delivery Format

CNA Exam Guidelines

The CNA CPedN(C) exam features 165 multiple-choice questions with a 3-hour limit, validating pediatric RN clinical competency in Canada. It requires an active RN license and 3,000 hours of specialty experience to register.

Sample CPedN(C) - Pediatric Nursing Practice Questions

Try these sample questions to test your CPedN(C) - Pediatric Nursing exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1At what age should a pediatric nurse expect a typically developing infant to achieve a neat pincer grasp (using the thumb and index finger to pick up small objects)?
A.5 to 6 months
B.8 to 9 months
C.10 to 12 months
D.15 to 18 months
Explanation: A neat pincer grasp is typically achieved between 10 and 12 months of age. This fine motor milestone is crucial as it precedes the ability to self-feed small finger foods safely. An infant who has not achieved this milestone by 12 months may require developmental screening.
2According to Erik Erikson's stages of psychosocial development, which developmental conflict is characteristic of a toddler aged 18 months to 3 years?
A.Trust vs. Mistrust
B.Autonomy vs. Shame and Doubt
C.Initiative vs. Guilt
D.Industry vs. Inferiority
Explanation: Toddlers aged 18 months to 3 years are in the Autonomy vs. Shame and Doubt stage. During this period, children strive to gain control over their bodily functions and environment, developing independence. Successful resolution leads to a sense of self-confidence and self-control.
3A 4-year-old child is hospitalized and believes that their illness is a punishment for being angry with a sibling the day before. Which cognitive developmental concept explains this belief?
A.Conservation
B.Egocentrism
C.Animism
D.Transductive reasoning
Explanation: Transductive reasoning is a characteristic of Piaget's preoperational stage (ages 2 to 7) where children connect two unrelated events as having a cause-and-effect relationship, often leading to guilt or fear. In this case, the child incorrectly links their thoughts about their sibling with their hospitalization.
4A 9-year-old child is recovering from orthopedic surgery and expresses frustration because they cannot complete school assignments on time. According to Erikson's theory, the nurse should recognize this behavior as a threat to which developmental task?
A.Identity vs. Role Confusion
B.Autonomy vs. Shame and Doubt
C.Industry vs. Inferiority
D.Initiative vs. Guilt
Explanation: School-age children (6 to 12 years) are in the Industry vs. Inferiority stage, where they derive self-esteem from mastering tasks, achieving academic goals, and developing peer relationships. Inability to participate in these activities due to illness can cause feelings of inadequacy.
5An adolescent patient refuses to wear a hospital gown and insists on wearing their own clothes. According to psychosocial development theories, the nurse understands that this behavior represents the adolescent's search for:
A.Autonomy and peer approval
B.Identity and self-expression
C.Industry and competence
D.Trust and safety
Explanation: Adolescents (12 to 18 years) are navigating Identity vs. Role Confusion. Maintaining personal clothing is a way for them to assert their unique identity, control, and self-expression during a stressful hospitalization where their routine is disrupted.
6During a routine wellness check, the nurse assesses a 2-month-old infant. At what age should the nurse expect the posterior fontanelle to be completely closed?
A.6 to 8 weeks
B.3 to 4 months
C.9 to 12 months
D.12 to 18 months
Explanation: The posterior fontanelle typically closes by 6 to 8 weeks of age. It is a small, triangular fontanelle located at the intersection of the sagittal and lambdoid sutures.
7A nurse is assessing a sleeping 15-month-old toddler in a pediatric clinic. Which vital sign measurement should the nurse identify as an expected finding for this age group?
A.Respiratory rate of 45 breaths per minute
B.Heart rate of 110 beats per minute
C.Systolic blood pressure of 60 mmHg
D.Axillary temperature of 35.8 degrees Celsius
Explanation: A normal resting heart rate for a toddler aged 1 to 2 years is typically between 90 and 140 beats per minute. A rate of 110 bpm is well within this range.
8In accordance with the National Advisory Committee on Immunization (NACI) guidelines in Canada, at what age should a child receive their first dose of the Measles, Mumps, Rubella, and Varicella (MMRV) vaccine?
A.2 months
B.6 months
C.12 to 15 months
D.4 to 6 years
Explanation: NACI recommends that the first dose of the measles, mumps, and rubella (MMR) or MMRV vaccine be administered at 12 to 15 months of age. Administering it earlier is generally less effective due to the presence of maternal antibodies.
9A nurse is performing a newborn assessment on a 3-day-old infant. When evaluating for developmental dysplasia of the hip (DDH), which physical assessment finding should the nurse identify as a positive indicator of hip instability?
A.Asymmetry of the gluteal and thigh skin folds
B.A clicking sound heard during hip extension
C.A palpable clunk felt during the Ortolani maneuver
D.Inability to fully extend both legs to the examination table
Explanation: A positive Ortolani maneuver is characterized by a palpable 'clunk' as the femoral head is reduced back into the acetabulum during abduction. This is a definitive sign of hip instability in newborns.
10A nurse is teaching parents of a newborn about sudden infant death syndrome (SIDS) risk reduction. In alignment with Health Canada's safe sleep guidelines, which recommendation should the nurse include?
A.Place the infant to sleep in a prone position
B.Ensure the infant sleeps on a firm, flat mattress in their own crib
C.Use soft bumpers and plush blankets inside the crib for comfort
D.Have the infant sleep in the parents' bed for the first six months
Explanation: Health Canada recommends that infants sleep on a firm, flat mattress in their own crib, cradle, or bassinet that meets current safety standards. This reduces the risk of suffocation and SIDS.

About the CPedN(C) - Pediatric Nursing Exam

The Certified in Pediatric Nursing (Canada) (CPedN(C)) examination is a national certification designed for registered nurses specializing in pediatric healthcare. The exam measures knowledge and competencies across pediatric growth and development, promotion of health, acute and chronic disease management, emergency/trauma care, family-centered care models, and ethical-legal frameworks specific to Canadian nursing practice.

Assessment

165 multiple-choice questions (Computer-based)

Time Limit

3 hours

Passing Score

Scaled Score

Exam Fee

$588 CAD (CNA member) / $780 CAD (non-member) application fee, plus $85 online (ProctorU) or $110 in-person writing appointment fee; rewrite $378 (member) / $500 (non-member). Applicable taxes extra. (Canadian Nurses Association (CNA))

CPedN(C) - Pediatric Nursing Exam Content Outline

25%

Growth, Development, and Promotion of Health/Well-being

Assessment of child growth milestones, vaccinations, psychosocial stages, nutrition, and wellness promotion.

40%

Management of Acute and Chronic Conditions

Nursing interventions for common pediatric illnesses, congenital defects, pharmacology, pain management, and care coordination.

20%

Pediatric Emergencies and Trauma

Cardiopulmonary resuscitation, airway obstructions, toxic ingestion, shock, and critical pediatric trauma response.

15%

Child- and Family-Centred Care and Professional/Ethical Practice

Therapeutic family systems, Canadian nursing ethics, consent/assent laws, advocacy, and child protection standards.

How to Pass the CPedN(C) - Pediatric Nursing Exam

What You Need to Know

  • Passing score: Scaled Score
  • Assessment: 165 multiple-choice questions (Computer-based)
  • Time limit: 3 hours
  • Exam fee: $588 CAD (CNA member) / $780 CAD (non-member) application fee, plus $85 online (ProctorU) or $110 in-person writing appointment fee; rewrite $378 (member) / $500 (non-member). Applicable taxes extra.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CPedN(C) - Pediatric Nursing Study Tips from Top Performers

1Familiarize yourself with developmental theories (Piaget, Erikson, Kohlberg) and how they apply to pediatric nursing care and communication.
2Review the Canadian immunization guidelines and schedules, including catch-up schedules for common childhood vaccines.
3Understand fluid and electrolyte management in pediatrics, particularly calculating daily maintenance fluids and identifying signs of dehydration.
4Study pediatric advanced life support (PALS) protocols, especially regarding airway management, shock recognition, and pediatric arrest drug dosages.
5Understand the principles of family-centred care, sibling reactions, and Canadian legal concepts regarding mature minor consent and child welfare reporting duties.

Frequently Asked Questions

What is the qualification path for the CPedN(C) exam?

You must hold an active registered nurse license in Canada and have completed 3,000 hours of practice in pediatric nursing within the past 5 years. Alternatively, you can qualify with 1,800 hours of practice if you have completed an approved post-basic academic program in pediatric nursing.

How long is the CPedN(C) exam, and what is its format?

The exam is a 3-hour computer-based test comprising 165 multiple-choice questions. It is offered in exam windows during the year and can be written at a test centre or via remote proctoring.

What passing score is required for the CPedN(C)?

The CNA uses a scaled scoring method based on a minimum passing standard set by the specialty committee. Raw scores or exact percentages required to pass are not publicly disclosed.

How do I maintain my pediatric nursing certification?

The CPedN(C) designation is valid for 5 years. To renew, you must either complete 2,925 practice hours in pediatrics and obtain 100 continuous learning hours over the 5 years, or successfully rewrite the exam.