PEDSCE PNP-PC CERTIFIED QUALITY EXAM QUESTIONS & ANSWERS
2026 UPDATE GUARANTEED PASS
A mother brings her seven-month-old infant to the clinic and reports
concerns that the mother has had for one month. The infant is no
longer sitting and crawling, and been vomiting. Physical examination
reveals that the infant's head circumference has markedly increased
from the last visit and is at a much greater percentile than the
infant's height or weight. The child is alert, but not playful. Which
pathology does the practitioner suspect?
A. Congenital hydrocephalus
B. Craniosynostosis
C. Increased intracranial pressure
D. Nutritional deficiency
C. Increased intracranial pressure
A loss of developmental milestones and increase in head
circumference makes the PNP suspicious of increased intracranial
pressure (either from a space occupying lesion or other reasons).
Congenital hydrocephalus should have shown up in early infancy,
nutritional deficiency results in lower than normal growth velocity of
the head, and craniosynostosis is early fusion of one or more sutures
so would result in misshapen head (Burns)
A five-year-old child requires daily use of a short-acting beta2-
agonist for wheezing and the child's symptoms exacerbate at least
,twice a week during physical exercise. The parentreports that the
child has a dry cough at night, which occurs several times a week.
The child's asthma is classified as:
A. Mild persistent
B. Moderate intermittent
C. Moderate persistent
D. Severe persistent
C. Moderate persistent
Rationale: Moderate persistent asthma in the child between 5-11
years is defined by daily syptoms, night time awakingenings more
than once per week, daily SABA use, and some limitation in normal
activity. Any child taking a SABA daily is classified as having persistent
asthma. Because the child's symptoms happen on a daily basis, the
severity is greater than "mild". Additionally, because the child has
"some" limitation innormal activity but is not "extremely limited" the
classification would not rank as severe. (Guidelines from the National
Asthma Education and Prevention Program)
The parents of a seven-year-old child subscribe to Taoist philosopy of
yin and yang. Based on this philosophy, which practice are the
parents likely to engage in?
A. Applying a heated glass to draw out infection
B. Burning incense to drive away evil spirits
, C. Giving "hot" foods to counteract a "cold" illness
D. Using an onion to eradicate a fever
C. Giving "hot" foods to counteract a "cold" illness
Rationale: The philosophy of yin and yang is one where there is a
belief that you must have balance. Therefore, if you have "cold"
illness then you should give it "hot" foods. The PNP must be
prepared to discuss cultural beliefs with families and allow shared
decision making through patient/family centered care as long as it
does not endanger the life of the child or cause harm.
A pediatric primary care nurse practitioner obtains a sexual history
from a 15-year-old female patient The adolescent reports that her
boyfriend has recently been pressuring her to agree to engage in
sexual intercourse. The nurse practitioner's next action is to:
A. Explain the risks of having unprotected sexual intercourse
B. Explore the adolescent's feelings about her desire to consent to
sexual activities
C. Offer the adolescent oral or transdermal birth control medications
D. Perform a gynecologic examination and obtain a baseline Pap
smear
B. Explore the adolescent's feelings about her desire to consent to
sexual activities
2026 UPDATE GUARANTEED PASS
A mother brings her seven-month-old infant to the clinic and reports
concerns that the mother has had for one month. The infant is no
longer sitting and crawling, and been vomiting. Physical examination
reveals that the infant's head circumference has markedly increased
from the last visit and is at a much greater percentile than the
infant's height or weight. The child is alert, but not playful. Which
pathology does the practitioner suspect?
A. Congenital hydrocephalus
B. Craniosynostosis
C. Increased intracranial pressure
D. Nutritional deficiency
C. Increased intracranial pressure
A loss of developmental milestones and increase in head
circumference makes the PNP suspicious of increased intracranial
pressure (either from a space occupying lesion or other reasons).
Congenital hydrocephalus should have shown up in early infancy,
nutritional deficiency results in lower than normal growth velocity of
the head, and craniosynostosis is early fusion of one or more sutures
so would result in misshapen head (Burns)
A five-year-old child requires daily use of a short-acting beta2-
agonist for wheezing and the child's symptoms exacerbate at least
,twice a week during physical exercise. The parentreports that the
child has a dry cough at night, which occurs several times a week.
The child's asthma is classified as:
A. Mild persistent
B. Moderate intermittent
C. Moderate persistent
D. Severe persistent
C. Moderate persistent
Rationale: Moderate persistent asthma in the child between 5-11
years is defined by daily syptoms, night time awakingenings more
than once per week, daily SABA use, and some limitation in normal
activity. Any child taking a SABA daily is classified as having persistent
asthma. Because the child's symptoms happen on a daily basis, the
severity is greater than "mild". Additionally, because the child has
"some" limitation innormal activity but is not "extremely limited" the
classification would not rank as severe. (Guidelines from the National
Asthma Education and Prevention Program)
The parents of a seven-year-old child subscribe to Taoist philosopy of
yin and yang. Based on this philosophy, which practice are the
parents likely to engage in?
A. Applying a heated glass to draw out infection
B. Burning incense to drive away evil spirits
, C. Giving "hot" foods to counteract a "cold" illness
D. Using an onion to eradicate a fever
C. Giving "hot" foods to counteract a "cold" illness
Rationale: The philosophy of yin and yang is one where there is a
belief that you must have balance. Therefore, if you have "cold"
illness then you should give it "hot" foods. The PNP must be
prepared to discuss cultural beliefs with families and allow shared
decision making through patient/family centered care as long as it
does not endanger the life of the child or cause harm.
A pediatric primary care nurse practitioner obtains a sexual history
from a 15-year-old female patient The adolescent reports that her
boyfriend has recently been pressuring her to agree to engage in
sexual intercourse. The nurse practitioner's next action is to:
A. Explain the risks of having unprotected sexual intercourse
B. Explore the adolescent's feelings about her desire to consent to
sexual activities
C. Offer the adolescent oral or transdermal birth control medications
D. Perform a gynecologic examination and obtain a baseline Pap
smear
B. Explore the adolescent's feelings about her desire to consent to
sexual activities
