PEDIATRIC NP EXAM PRACTICE QUESTIONS | FROM
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Which of the following statements would be considered subjective data obtained from the client
during the review of systems for the skin?
a. the skin appears dry & excoriated
b. a lesion is noted on the lateral aspect of the right leg
c. there is moderate acne on the forehead and back
d. the patient denies changes in skin texture Answer: d
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a
cardiac problem in the infant & require a more thorough history?
a. the baby gets the hiccups often.
b. it takes the baby over 30min to complete a bottle
c. the baby's heart seems to beat rapidly sometimes
d. sometimes the baby sounds congested Answer: b
Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her mother's
arms. What should the PNP do first?
a. Examine the ears, since this is uncomfortable for the infant.
b. Quickly give any needed immunizations.
c. Begin with assessment of the head and proceed from head to toe.
d. auscultate the heart & lungs while the infant is sleeping. Answer: d
The mother of a newborn brings the baby to the clinic because she is afraid something is wrong
with her baby ("his head is so big"). The PNP responds that:
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a
neurologist."
d. "your head appears large so it is probably genetic." Answer: a
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked
elevation of the right scapula and right thoracic hump and spinal curve abnormally are noted.
Spinal films indicate 20 degree curve. The PNP should:
a. refer the patient to an orthopedist
b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, d. recommend bedrest and back brace Answer: a
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
a. 25
b. 50
c. 100
d. none Answer: b
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert the
PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior Answer: a
The parents of a child with cystic fibrosis are considering another pregnancy. They want to
know what their chances are of having another child with cystic fibrosis. The PNP explains that
cystic fibrosis is an autosomal recessive disorder and that each conception of carrier parents has
a:
a. 25% chance of being affected
b. 50% chance of being affected
c. 75% chance of being affected
d. 100% chance of being affected Answer: a
The parents of a son with hemophilia are considering another pregnancy. The mother has been
identified as a carrier of the hemophilia gene. What chance does each female offspring have of
having hemophilia.
a. 100%
b. 50%
c. 25%
d. none Answer: d
A male with Vitamin D-resistant rickets asks what his chances are of passing his disease to his
parents. The PNP answers:
a. all sons will be affected by only 25% daughters
b. all daughters are affected by only 25% sons
c. 50% of all offspring will have the disease
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Which of the following statements would be considered subjective data obtained from the client
during the review of systems for the skin?
a. the skin appears dry & excoriated
b. a lesion is noted on the lateral aspect of the right leg
c. there is moderate acne on the forehead and back
d. the patient denies changes in skin texture Answer: d
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a
cardiac problem in the infant & require a more thorough history?
a. the baby gets the hiccups often.
b. it takes the baby over 30min to complete a bottle
c. the baby's heart seems to beat rapidly sometimes
d. sometimes the baby sounds congested Answer: b
Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her mother's
arms. What should the PNP do first?
a. Examine the ears, since this is uncomfortable for the infant.
b. Quickly give any needed immunizations.
c. Begin with assessment of the head and proceed from head to toe.
d. auscultate the heart & lungs while the infant is sleeping. Answer: d
The mother of a newborn brings the baby to the clinic because she is afraid something is wrong
with her baby ("his head is so big"). The PNP responds that:
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a
neurologist."
d. "your head appears large so it is probably genetic." Answer: a
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked
elevation of the right scapula and right thoracic hump and spinal curve abnormally are noted.
Spinal films indicate 20 degree curve. The PNP should:
a. refer the patient to an orthopedist
b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, d. recommend bedrest and back brace Answer: a
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
a. 25
b. 50
c. 100
d. none Answer: b
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert the
PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior Answer: a
The parents of a child with cystic fibrosis are considering another pregnancy. They want to
know what their chances are of having another child with cystic fibrosis. The PNP explains that
cystic fibrosis is an autosomal recessive disorder and that each conception of carrier parents has
a:
a. 25% chance of being affected
b. 50% chance of being affected
c. 75% chance of being affected
d. 100% chance of being affected Answer: a
The parents of a son with hemophilia are considering another pregnancy. The mother has been
identified as a carrier of the hemophilia gene. What chance does each female offspring have of
having hemophilia.
a. 100%
b. 50%
c. 25%
d. none Answer: d
A male with Vitamin D-resistant rickets asks what his chances are of passing his disease to his
parents. The PNP answers:
a. all sons will be affected by only 25% daughters
b. all daughters are affected by only 25% sons
c. 50% of all offspring will have the disease
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
