PEDIATRIC NURSE PRACTITIONER PREP EXAM
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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."
CORRECT ANSWER
a
Question 2
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
d. recommend bedrest and back brace
CORRECT ANSWER
a
1
,Question 3
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
a. 25
b. 50
c. 100
d. none
CORRECT ANSWER
b
Question 4
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
CORRECT ANSWER
a
Question 5
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%
2
,d. none
CORRECT ANSWER
d
Question 6
An adolescent is being seen at a community health center because of recurrent respiratory
tract infections. The complete blood cell count (CBC) with differential shows a white blood
cell count of 20,500 with 35% blast cells. The next step in managing the adolescent's care
is to:
A) Repeat the CBC with differential in 1 week
B) Refer to a specialist in pediatric hematology
C) Perform bone marrow aspiration
D) Hospitalize the adolescent immediately
CORRECT ANSWER
b
Question 7
A 9-month-old infant was diagnosed with sickle cell disease shortly after birth. The mother
telephones the PNP to report that the infant has a fever of 103.2°F. The best response to
the mother is:
A) "Take the infant to the emergency room immediately."
B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever continues."
C) "Give extra fluids and acetaminophen, and call back tomorrow if the fever continues."
D) "Give extra fluids and acetaminophen, and bring the infant to the clinic tomorrow
morning."
CORRECT ANSWER
a
3
, Question 8
A 5-year-old child has sudden onset of nonblanching purpuric lesions scattered over the
body and petechiae scattered over the neck and shoulders. The mother reports that the
child has been healthy, except for a cold a few weeks ago. The child is not taking any
medications. Physical examination reveals a healthy, afebrile child with no other
significant findings. The laboratory data show a hemoglobin level of 12.5 g/dL, white
blood cell count of 6500/mm3, and platelet count of 20,000/mm3. Based on this
information, what should the PNP do next?
A) Reassure the parents that these findings are consistent with acute idiopathic
thrombocytopenia purpura (ITP), and advise a hematology consultation for confirmation
B) Refer the child immediately to the pediatric hematology/oncology department of the
nearest tertiary care center
C) Report the family to the local protective services department as soon as possible because
of the
CORRECT ANSWER
a
Question 9
A 4-year-old child is scheduled for a tonsillectomy and adenoidectomy. The preoperative
laboratory tests indicate a prolonged active partial thromboplastin time (aPTT). The PNP
should suggest that they:
A) Continue with the surgery, and monitor the child closely for bleeding complications
B) Cancel the surgery, and recheck the aPTT in 1 week
C) Cancel the surgery, and refer the child to a hematologist
D) Obtain a family history, and determine whether there are other relatives with a bleeding
disorder
CORRECT ANSWER
c
4
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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."
CORRECT ANSWER
a
Question 2
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
d. recommend bedrest and back brace
CORRECT ANSWER
a
1
,Question 3
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
a. 25
b. 50
c. 100
d. none
CORRECT ANSWER
b
Question 4
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
CORRECT ANSWER
a
Question 5
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%
2
,d. none
CORRECT ANSWER
d
Question 6
An adolescent is being seen at a community health center because of recurrent respiratory
tract infections. The complete blood cell count (CBC) with differential shows a white blood
cell count of 20,500 with 35% blast cells. The next step in managing the adolescent's care
is to:
A) Repeat the CBC with differential in 1 week
B) Refer to a specialist in pediatric hematology
C) Perform bone marrow aspiration
D) Hospitalize the adolescent immediately
CORRECT ANSWER
b
Question 7
A 9-month-old infant was diagnosed with sickle cell disease shortly after birth. The mother
telephones the PNP to report that the infant has a fever of 103.2°F. The best response to
the mother is:
A) "Take the infant to the emergency room immediately."
B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever continues."
C) "Give extra fluids and acetaminophen, and call back tomorrow if the fever continues."
D) "Give extra fluids and acetaminophen, and bring the infant to the clinic tomorrow
morning."
CORRECT ANSWER
a
3
, Question 8
A 5-year-old child has sudden onset of nonblanching purpuric lesions scattered over the
body and petechiae scattered over the neck and shoulders. The mother reports that the
child has been healthy, except for a cold a few weeks ago. The child is not taking any
medications. Physical examination reveals a healthy, afebrile child with no other
significant findings. The laboratory data show a hemoglobin level of 12.5 g/dL, white
blood cell count of 6500/mm3, and platelet count of 20,000/mm3. Based on this
information, what should the PNP do next?
A) Reassure the parents that these findings are consistent with acute idiopathic
thrombocytopenia purpura (ITP), and advise a hematology consultation for confirmation
B) Refer the child immediately to the pediatric hematology/oncology department of the
nearest tertiary care center
C) Report the family to the local protective services department as soon as possible because
of the
CORRECT ANSWER
a
Question 9
A 4-year-old child is scheduled for a tonsillectomy and adenoidectomy. The preoperative
laboratory tests indicate a prolonged active partial thromboplastin time (aPTT). The PNP
should suggest that they:
A) Continue with the surgery, and monitor the child closely for bleeding complications
B) Cancel the surgery, and recheck the aPTT in 1 week
C) Cancel the surgery, and refer the child to a hematologist
D) Obtain a family history, and determine whether there are other relatives with a bleeding
disorder
CORRECT ANSWER
c
4
