PEDIATRIC NURSE PRACTITIONER EXAM
PRACTICE QUESTIONS AND ANSWERS
COMPREHENSIVE AND DETAILED GRADE
A+ GURANTEED PASS
A 12-year-old child reveals to the PNP during a visit for acne that she
may be pregnant. In this community the pregnancy rate among females
aged 15 to 19 years is 3 in 100. What is the most important area to
explore?
A) The possibility of sexual abuse
B) The expected date of confinement
,C) Plans for telling her family
D) The source of prenatal care - ANSWER - a
Most states require that a battery of screening tests be performed on
the blood of neonates, usually after the neonate has taken formula or
breast milk. Many of the diseases being screened for are rare. The most
common disease screened for is:
A) Phenylketonuria
B) Galactosemia
C) Maple syrup urine disease
D) Hypothyroidism - ANSWER - d
A 5-year-old child is brought to a community health clinic for a physical
examination and immunizations before starting kindergarten. The father
says he is unsure whether the child had chickenpox. The immunization
record reads as follows:
Age 1 month Hep B
Age 2 months DTaP, Hib, Prevnar, and IPV
Age 4 months DTaP, Hep B, Hib, Prevnar, and IPV
Age 6 months DTaP, Hep B, Prevnar, and Hib
Age 15 months Hib, Prevnar, and MMR
Age 18 months DTaP and IPV
,What would be the most appropriate action?
A) Order a serum varicella titer
B) Administer DTaP, IPV, MMR, and Var
C) Administer one dose of Var now and another dose in 1 month
D) Administer DTaP, IPV, and MMR at this visit and one dose of Var in 1
month - ANSWER - b
The PNP examines a 9-year-old child with a history of reactive airway
disease since birth for the first time. In the past 2 weeks the child has
had three exacerbations. After evaluating the child, the PNP determines
that the mostappropriate medication is:
A) Oral steroids and albuterol
B) Pirbuterol acetate (Maxair) or Salmeterol
C) Albuterol (Ventolin, Proventil)
D) Beclomethasone (Beclovent) or Fluticason (Flovent) - ANSWER - a
The foster mother of a 16-year-old adolescent calls the office to make
an appointment. She suspects that the adolescent is "doing drugs" and
wants to secretly test for drugs. Which one of the following responses is
most appropriate?
A) Explain that such drug testing is unethical
B) Tell the foster mother that drug use is rare in 16-year-old
adolescents
, C) Schedule an appointment for the adolescent to be tested
D) Schedule separate appointments for the foster mother and the
adolescent - ANSWER - d
A 2-year-old child is currently receiving chemotherapy for
neuroblastoma. An older sibling is due to receive a poliovirus vaccine
before starting kindergarten. The appropriate action at this time is to:
A) Give IPV
B) Withhold IPV, and give it 1 year after the sibling completes
chemotherapy
C) Withhold IPV, and give it as soon as the sibling completes
chemotherapy
D) Give oral poliovirus (OPV) - ANSWER - a
A 7-year-old child has been seen in the clinic and emergency room
several times in the past month for epistaxis. The nosebleeds last
approximately 20 minutes and eventually stop with the application of
pressure, but the child tends to begin bleeding again within a couple of
days. While the PNP is obtaining a family history, the mother states that
she experienced frequent nosebleeds as a child. When questioned, the
mother states that she now has heavy menses. What is the mostlikely
diagnosis for this child? - ANSWER - d
PRACTICE QUESTIONS AND ANSWERS
COMPREHENSIVE AND DETAILED GRADE
A+ GURANTEED PASS
A 12-year-old child reveals to the PNP during a visit for acne that she
may be pregnant. In this community the pregnancy rate among females
aged 15 to 19 years is 3 in 100. What is the most important area to
explore?
A) The possibility of sexual abuse
B) The expected date of confinement
,C) Plans for telling her family
D) The source of prenatal care - ANSWER - a
Most states require that a battery of screening tests be performed on
the blood of neonates, usually after the neonate has taken formula or
breast milk. Many of the diseases being screened for are rare. The most
common disease screened for is:
A) Phenylketonuria
B) Galactosemia
C) Maple syrup urine disease
D) Hypothyroidism - ANSWER - d
A 5-year-old child is brought to a community health clinic for a physical
examination and immunizations before starting kindergarten. The father
says he is unsure whether the child had chickenpox. The immunization
record reads as follows:
Age 1 month Hep B
Age 2 months DTaP, Hib, Prevnar, and IPV
Age 4 months DTaP, Hep B, Hib, Prevnar, and IPV
Age 6 months DTaP, Hep B, Prevnar, and Hib
Age 15 months Hib, Prevnar, and MMR
Age 18 months DTaP and IPV
,What would be the most appropriate action?
A) Order a serum varicella titer
B) Administer DTaP, IPV, MMR, and Var
C) Administer one dose of Var now and another dose in 1 month
D) Administer DTaP, IPV, and MMR at this visit and one dose of Var in 1
month - ANSWER - b
The PNP examines a 9-year-old child with a history of reactive airway
disease since birth for the first time. In the past 2 weeks the child has
had three exacerbations. After evaluating the child, the PNP determines
that the mostappropriate medication is:
A) Oral steroids and albuterol
B) Pirbuterol acetate (Maxair) or Salmeterol
C) Albuterol (Ventolin, Proventil)
D) Beclomethasone (Beclovent) or Fluticason (Flovent) - ANSWER - a
The foster mother of a 16-year-old adolescent calls the office to make
an appointment. She suspects that the adolescent is "doing drugs" and
wants to secretly test for drugs. Which one of the following responses is
most appropriate?
A) Explain that such drug testing is unethical
B) Tell the foster mother that drug use is rare in 16-year-old
adolescents
, C) Schedule an appointment for the adolescent to be tested
D) Schedule separate appointments for the foster mother and the
adolescent - ANSWER - d
A 2-year-old child is currently receiving chemotherapy for
neuroblastoma. An older sibling is due to receive a poliovirus vaccine
before starting kindergarten. The appropriate action at this time is to:
A) Give IPV
B) Withhold IPV, and give it 1 year after the sibling completes
chemotherapy
C) Withhold IPV, and give it as soon as the sibling completes
chemotherapy
D) Give oral poliovirus (OPV) - ANSWER - a
A 7-year-old child has been seen in the clinic and emergency room
several times in the past month for epistaxis. The nosebleeds last
approximately 20 minutes and eventually stop with the application of
pressure, but the child tends to begin bleeding again within a couple of
days. While the PNP is obtaining a family history, the mother states that
she experienced frequent nosebleeds as a child. When questioned, the
mother states that she now has heavy menses. What is the mostlikely
diagnosis for this child? - ANSWER - d
