PEDIATRIC NP EXAM PRACTICE QUESTIONS
EXAM 3 |QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GRADED A+
The mother of a newborn brings the baby to the clinic because she is afraid something is wron
B B B B B B B B B B B B B B B B B
g with her baby ("his head is so big"). The PNP responds that:
B B B B B B B B B B B B
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
B B B B B B B B B B B B B B B B B
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a ne
B B B B B B B B B B B B B B B B B B B
urologist."
d. "your head appears large so it is probably genetic." - ANSWER-
B B B B B B B B B B B a
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked el
B B B B B B B B B B B B B B B B B
evation of the right scapula and right thoracic hump and spinal curve abnormally are noted. S
B B B B B B B B B B B B B B B
pinal films indicate 20 degree curve. The PNP should:
B B B B B B B B
a. refer the patient to an orthopedist
B B B B B B
b. monitor the patient every 3 mo until menarche
B B B B B B B B
c. refer the patient for physical therapy
B B B B B B
d. recommend bedrest and back brace - ANSWER-
B B B B B B B a
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
B B B B B B B B B B B B B B B B B
a. 25B
b. 50B
c. 100
B
d. none - ANSWER-
B B B b
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert th
B B B B B B B B B B B B B B B B B
e PNP to the presence of a possible genetic disorder?
B B B B B B B B B
a. <10% on growth chart, Tanner I, and learning difficulties
B B B B B B B B B
b. Precocious puberty, developmental delays, gifted piano player
B B B B B B B
c. Lactose intolerance, frequent ear infections, speech delays
B B B B B B B
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,d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - ANSWER-
B B B B B B B B B B a
The parents of a son with hemophilia are considering another pregnancy. The mother has bee
B B B B B B B B B B B B B B
n identified as a carrier of the hemophilia gene. What chance does each female offspring have
B B B B B B B B B B B B B B B B
of having hemophilia.
B B B
a. 100%
B
b. 50%
B
c. 25%
B
d. none - ANSWER-
B B B d
An adolescent is being seen at a community health center because of recurrent respiratory tra
B B B B B B B B B B B B B B
ct infections. The complete blood cell count (CBC) with differential shows a white blood cell co
B B B B B B B B B B B B B B B
unt of 20,500 with 35% blast cells. The next step in managing the adolescent's care is to:
B B B B B B B B B B B B B B B B
A) Repeat the CBC with differential in 1 week
B B B B B B B B
B) Refer to a specialist in pediatric hematology
B B B B B B B
C) Perform bone marrow aspiration
B B B B
D) Hospitalize the adolescent immediately - ANSWER-
B B B B B B b
A 9-month-
B
old infant was diagnosed with sickle cell disease shortly after birth. The mother telephones th
B B B B B B B B B B B B B B
e PNP to report that the infant has a fever of 103.2°F. The best response to the mother is:
B B B B B B B B B B B B B B B B B B
A) "Take the infant to the emergency room immediately."
B B B B B B B B
B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever continues."
B B B B B B B B B B B B B B B
C) "Give extra fluids and acetaminophen, and call back tomorrow if the fever continues."
B B B B B B B B B B B B B
D) "Give extra fluids and acetaminophen, and bring the infant to the clinic tomorrow morning.
B B B B B B B B B B B B B B
" - ANSWER-
B B a
A 5-year-
B
old child has sudden onset of nonblanching purpuric lesions scattered over the body and pete
B B B B B B B B B B B B B B
chiae scattered over the neck and shoulders. The mother reports that the child has been healt
B B B B B B B B B B B B B B B
hy, except for a cold a few weeks ago. The child is not taking any medications. Physical examin
B B B B B B B B B B B B B B B B B
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,ation reveals a healthy, afebrile child with no other significant findings. The laboratory data sh
B B B B B B B B B B B B B B
ow a hemoglobin level of 12.5 g/dL, white blood cell count of 6500/mm3, and platelet count o
B B B B B B B B B B B B B B B B
f 20,000/mm3. Based on this information, what should the PNP do next?
B B B B B B B B B B B
A) Reassure the parents that these findings are consistent with acute idiopathic thrombocytop
B B B B B B B B B B B B
enia purpura (ITP), and advise a hematology consultation for confirmation
B B B B B B B B B
B) Refer the child immediately to the pediatric hematology/oncology department of the neare
B B B B B B B B B B B B
st tertiary care center
B B B
C) Report the family to the local protective services department as soon as possible because o
B B B B B B B B B B B B B B B
f the - ANSWER-
B B B a
A 4-year-
B
old child is scheduled for a tonsillectomy and adenoidectomy. The preoperative laboratory tes
B B B B B B B B B B B B
ts indicate a prolonged active partial thromboplastin time (aPTT). The PNP should suggest that
B B B B B B B B B B B B B
Bthey:
A) Continue with the surgery, and monitor the child closely for bleeding complications
B B B B B B B B B B B B
B) Cancel the surgery, and recheck the aPTT in 1 week
B B B B B B B B B B
C) Cancel the surgery, and refer the child to a hematologist
B B B B B B B B B B
D) Obtain a family history, and determine whether there are other relatives with a bleeding dis
B B B B B B B B B B B B B B B
order - ANSWER- B B c
A 13-year-
B
old adolescent complains of having difficulty walking and the arms feeling weak. The adolesce
B B B B B B B B B B B B B
nt had a cold 2 weeks ago. On examination, the PNP is not able to elicit deep tendon reflexes.
B B B B B B B B B B B B B B B B B B B
The PNP knows that the most appropriate course of action is to:
B B B B B B B B B B B
A) Refer the adolescent to an orthopedic surgeon
B B B B B B B
B) Schedule a follow-up visit in 1 week
B B B B B B B
C) Refer the adolescent to a neurologist
B B B B B B
D) Refer the adolescent to an emergency room - ANSWER-
B B B B B B B B B d
A 1-year-
B
old child is brought to the clinic with a temperature of 102°F and left flank pain. The urine dips
B B B B B B B B B B B B B B B B B B
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, tick test indicates nitrates and leukocyte esterase. The presenting signs and symptoms suggest
B B B B B B B B B B B B
Bleft pyelonephritis. Based on the data, the most appropriate action for the PNP is to:
B B B B B B B B B B B B B B
A) Refer the child to a urologist for diagnosis and treatment
B B B B B B B B B B
B) Consult with a physician
B B B B
C) Provide symptomatic treatment for 24 hours, and repeat the urine dipstick test
B B B B B B B B B B B B
D) Send urine for culture and sensitivity testing - ANSWER-
B B B B B B B B B b
A 10-year-
B
old child is examined because of recurrent UTIs. A urologic workup is performed. No abnormal
B B B B B B B B B B B B B B
ities are found. To help prevent future UTIs, the PNP should suggest which of the following int
B B B B B B B B B B B B B B B B
erventions?
A) Taking a 30-minute bath daily
B B B B B
B) Avoiding showering
B B
C) Using a voiding schedule to expand the bladder
B B B B B B B B
D) Practicing good perineal hygiene - ANSWER-
B B B B B B d
A PNP responsible for neonatal discharge rounds at the hospital examines a male infant and n
B B B B B B B B B B B B B B B
otes that the urethral opening appears displaced ventrally along the glans. A closer assessmen
B B B B B B B B B B B B B
t reveals an undiagnosed mild hypospadias. What should the parents be told?
B B B B B B B B B B B
A) Hypospadias occurs in approximately 1 in 500 neonates
B B B B B B B B
B) The infant should be evaluated for other anomalies of the upper urinary tract
B B B B B B B B B B B B B
C) The infant should be assessed for undescended testes and inguinal hernia
B B B B B B B B B B B
D) Routine circumcision should be performed by 6 weeks of age - ANSWER-
B B B B B B B B B B B B c
A 2-month-
B
old infant is brought to clinic with a stuffy, runny nose of 3 days' duration. The infant is afebrile
B B B B B B B B B B B B B B B B B B B
and has no cough or respiratory difficulty but is not nursing or sleeping well. The tympanic me
B B B B B B B B B B B B B B B B
mbranes are within normal limits. What advice would the PNP give?
B B B B B B B B B B
A) Administer amoxicillin suspension 125 mg/5 mL, 1 tsp three times a day for 10 days
B B B B B B B B B B B B B B B
B) Elevate the head of the bed, administer saline nose drops, and use a room humidifier
B B B B B B B B B B B B B B B
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EXAM 3 |QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GRADED A+
The mother of a newborn brings the baby to the clinic because she is afraid something is wron
B B B B B B B B B B B B B B B B B
g with her baby ("his head is so big"). The PNP responds that:
B B B B B B B B B B B B
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
B B B B B B B B B B B B B B B B B
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a ne
B B B B B B B B B B B B B B B B B B B
urologist."
d. "your head appears large so it is probably genetic." - ANSWER-
B B B B B B B B B B B a
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked el
B B B B B B B B B B B B B B B B B
evation of the right scapula and right thoracic hump and spinal curve abnormally are noted. S
B B B B B B B B B B B B B B B
pinal films indicate 20 degree curve. The PNP should:
B B B B B B B B
a. refer the patient to an orthopedist
B B B B B B
b. monitor the patient every 3 mo until menarche
B B B B B B B B
c. refer the patient for physical therapy
B B B B B B
d. recommend bedrest and back brace - ANSWER-
B B B B B B B a
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
B B B B B B B B B B B B B B B B B
a. 25B
b. 50B
c. 100
B
d. none - ANSWER-
B B B b
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert th
B B B B B B B B B B B B B B B B B
e PNP to the presence of a possible genetic disorder?
B B B B B B B B B
a. <10% on growth chart, Tanner I, and learning difficulties
B B B B B B B B B
b. Precocious puberty, developmental delays, gifted piano player
B B B B B B B
c. Lactose intolerance, frequent ear infections, speech delays
B B B B B B B
1
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,d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - ANSWER-
B B B B B B B B B B a
The parents of a son with hemophilia are considering another pregnancy. The mother has bee
B B B B B B B B B B B B B B
n identified as a carrier of the hemophilia gene. What chance does each female offspring have
B B B B B B B B B B B B B B B B
of having hemophilia.
B B B
a. 100%
B
b. 50%
B
c. 25%
B
d. none - ANSWER-
B B B d
An adolescent is being seen at a community health center because of recurrent respiratory tra
B B B B B B B B B B B B B B
ct infections. The complete blood cell count (CBC) with differential shows a white blood cell co
B B B B B B B B B B B B B B B
unt of 20,500 with 35% blast cells. The next step in managing the adolescent's care is to:
B B B B B B B B B B B B B B B B
A) Repeat the CBC with differential in 1 week
B B B B B B B B
B) Refer to a specialist in pediatric hematology
B B B B B B B
C) Perform bone marrow aspiration
B B B B
D) Hospitalize the adolescent immediately - ANSWER-
B B B B B B b
A 9-month-
B
old infant was diagnosed with sickle cell disease shortly after birth. The mother telephones th
B B B B B B B B B B B B B B
e PNP to report that the infant has a fever of 103.2°F. The best response to the mother is:
B B B B B B B B B B B B B B B B B B
A) "Take the infant to the emergency room immediately."
B B B B B B B B
B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever continues."
B B B B B B B B B B B B B B B
C) "Give extra fluids and acetaminophen, and call back tomorrow if the fever continues."
B B B B B B B B B B B B B
D) "Give extra fluids and acetaminophen, and bring the infant to the clinic tomorrow morning.
B B B B B B B B B B B B B B
" - ANSWER-
B B a
A 5-year-
B
old child has sudden onset of nonblanching purpuric lesions scattered over the body and pete
B B B B B B B B B B B B B B
chiae scattered over the neck and shoulders. The mother reports that the child has been healt
B B B B B B B B B B B B B B B
hy, except for a cold a few weeks ago. The child is not taking any medications. Physical examin
B B B B B B B B B B B B B B B B B
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,ation reveals a healthy, afebrile child with no other significant findings. The laboratory data sh
B B B B B B B B B B B B B B
ow a hemoglobin level of 12.5 g/dL, white blood cell count of 6500/mm3, and platelet count o
B B B B B B B B B B B B B B B B
f 20,000/mm3. Based on this information, what should the PNP do next?
B B B B B B B B B B B
A) Reassure the parents that these findings are consistent with acute idiopathic thrombocytop
B B B B B B B B B B B B
enia purpura (ITP), and advise a hematology consultation for confirmation
B B B B B B B B B
B) Refer the child immediately to the pediatric hematology/oncology department of the neare
B B B B B B B B B B B B
st tertiary care center
B B B
C) Report the family to the local protective services department as soon as possible because o
B B B B B B B B B B B B B B B
f the - ANSWER-
B B B a
A 4-year-
B
old child is scheduled for a tonsillectomy and adenoidectomy. The preoperative laboratory tes
B B B B B B B B B B B B
ts indicate a prolonged active partial thromboplastin time (aPTT). The PNP should suggest that
B B B B B B B B B B B B B
Bthey:
A) Continue with the surgery, and monitor the child closely for bleeding complications
B B B B B B B B B B B B
B) Cancel the surgery, and recheck the aPTT in 1 week
B B B B B B B B B B
C) Cancel the surgery, and refer the child to a hematologist
B B B B B B B B B B
D) Obtain a family history, and determine whether there are other relatives with a bleeding dis
B B B B B B B B B B B B B B B
order - ANSWER- B B c
A 13-year-
B
old adolescent complains of having difficulty walking and the arms feeling weak. The adolesce
B B B B B B B B B B B B B
nt had a cold 2 weeks ago. On examination, the PNP is not able to elicit deep tendon reflexes.
B B B B B B B B B B B B B B B B B B B
The PNP knows that the most appropriate course of action is to:
B B B B B B B B B B B
A) Refer the adolescent to an orthopedic surgeon
B B B B B B B
B) Schedule a follow-up visit in 1 week
B B B B B B B
C) Refer the adolescent to a neurologist
B B B B B B
D) Refer the adolescent to an emergency room - ANSWER-
B B B B B B B B B d
A 1-year-
B
old child is brought to the clinic with a temperature of 102°F and left flank pain. The urine dips
B B B B B B B B B B B B B B B B B B
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, tick test indicates nitrates and leukocyte esterase. The presenting signs and symptoms suggest
B B B B B B B B B B B B
Bleft pyelonephritis. Based on the data, the most appropriate action for the PNP is to:
B B B B B B B B B B B B B B
A) Refer the child to a urologist for diagnosis and treatment
B B B B B B B B B B
B) Consult with a physician
B B B B
C) Provide symptomatic treatment for 24 hours, and repeat the urine dipstick test
B B B B B B B B B B B B
D) Send urine for culture and sensitivity testing - ANSWER-
B B B B B B B B B b
A 10-year-
B
old child is examined because of recurrent UTIs. A urologic workup is performed. No abnormal
B B B B B B B B B B B B B B
ities are found. To help prevent future UTIs, the PNP should suggest which of the following int
B B B B B B B B B B B B B B B B
erventions?
A) Taking a 30-minute bath daily
B B B B B
B) Avoiding showering
B B
C) Using a voiding schedule to expand the bladder
B B B B B B B B
D) Practicing good perineal hygiene - ANSWER-
B B B B B B d
A PNP responsible for neonatal discharge rounds at the hospital examines a male infant and n
B B B B B B B B B B B B B B B
otes that the urethral opening appears displaced ventrally along the glans. A closer assessmen
B B B B B B B B B B B B B
t reveals an undiagnosed mild hypospadias. What should the parents be told?
B B B B B B B B B B B
A) Hypospadias occurs in approximately 1 in 500 neonates
B B B B B B B B
B) The infant should be evaluated for other anomalies of the upper urinary tract
B B B B B B B B B B B B B
C) The infant should be assessed for undescended testes and inguinal hernia
B B B B B B B B B B B
D) Routine circumcision should be performed by 6 weeks of age - ANSWER-
B B B B B B B B B B B B c
A 2-month-
B
old infant is brought to clinic with a stuffy, runny nose of 3 days' duration. The infant is afebrile
B B B B B B B B B B B B B B B B B B B
and has no cough or respiratory difficulty but is not nursing or sleeping well. The tympanic me
B B B B B B B B B B B B B B B B
mbranes are within normal limits. What advice would the PNP give?
B B B B B B B B B B
A) Administer amoxicillin suspension 125 mg/5 mL, 1 tsp three times a day for 10 days
B B B B B B B B B B B B B B B
B) Elevate the head of the bed, administer saline nose drops, and use a room humidifier
B B B B B B B B B B B B B B B
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