FNP PEDIATRIC: EXAM 2025/2026,
WITH CORRECT/ACCURATE
ANSWERS
A CERTIFIED ADVANCED PRACTICE REGISTERED NURSE
(APRN) WHO PROVIDES PRIMARY HEALTHCARE TO CHILDREN
WITHIN THE CONTEXT OF THE FAMILY UNIT
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to the clinic
with a fever of 103F, right pleuritic chest pain, and green sputum. Which of the following
examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After closed
manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the
arm C. The child quickly begins to use the affected arm.
Explanation
Spontaneous use: The immediate and spontaneous return to using
the arm, often within minutes of the procedure, is the definitive sign
of a successful reduction. This happens because the pain from the
displaced ligament is instantly resolved when the radial head is put
back in place. The child may be hesitant at first due to fear, but a
successful reduction usually results in them beginning to use the
arm within 5 to 30 minutes
Brainpower
Read More
,Which of the following would be an appropriate alternative to erythromycin therapy in an 18 year old
patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin
(Cleocin) A.
Azithromycin
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny
white papules with an erythematous base on the buccal mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
D. Measles
Explanation:
Koplik spots are a pathognomonic (unique and specific) sign of a
measles infection. They typically appear two to three days before
the characteristic red, blotchy skin rash and often fade as the rash
develops.
The overall constellation of symptoms (rash, runny nose [coryza],
and cough) fits the prodrome (early stage) of measles.
Why other options are incorrect:
A. Scarlet fever: Caused by a bacterial infection (Group
A Streptococcus), this presents with a sandpaper-like rash, a
"strawberry tongue," and a sore throat, but no Koplik spots.
B. Rubella (German measles): This virus typically causes a milder
illness with a rash that starts on the face and spreads quickly,
swollen glands, and low-grade fever, but does not present with
Koplik spots.
C. Erythema infectiosum (Fifth disease): This presents with a
characteristic "slapped cheek" rash on the face and a lacy, red rash
on the torso and limbs, but no Koplik spots.
Office Spriometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma
because it indicates:
, A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway
obstruction D. Whether a patient has reversible
airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal discharge for
14 days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin
A. Amoxicillin-Clavulanate (Augmentin)
Which of the following is the leading cause of cancer-related deaths in the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung
Cancer D. Lung
Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer
B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward.
A. The meaning of a common proverb
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to adjust to
the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70 before starting
on new medications.
WITH CORRECT/ACCURATE
ANSWERS
A CERTIFIED ADVANCED PRACTICE REGISTERED NURSE
(APRN) WHO PROVIDES PRIMARY HEALTHCARE TO CHILDREN
WITHIN THE CONTEXT OF THE FAMILY UNIT
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to the clinic
with a fever of 103F, right pleuritic chest pain, and green sputum. Which of the following
examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After closed
manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the
arm C. The child quickly begins to use the affected arm.
Explanation
Spontaneous use: The immediate and spontaneous return to using
the arm, often within minutes of the procedure, is the definitive sign
of a successful reduction. This happens because the pain from the
displaced ligament is instantly resolved when the radial head is put
back in place. The child may be hesitant at first due to fear, but a
successful reduction usually results in them beginning to use the
arm within 5 to 30 minutes
Brainpower
Read More
,Which of the following would be an appropriate alternative to erythromycin therapy in an 18 year old
patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin
(Cleocin) A.
Azithromycin
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny
white papules with an erythematous base on the buccal mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
D. Measles
Explanation:
Koplik spots are a pathognomonic (unique and specific) sign of a
measles infection. They typically appear two to three days before
the characteristic red, blotchy skin rash and often fade as the rash
develops.
The overall constellation of symptoms (rash, runny nose [coryza],
and cough) fits the prodrome (early stage) of measles.
Why other options are incorrect:
A. Scarlet fever: Caused by a bacterial infection (Group
A Streptococcus), this presents with a sandpaper-like rash, a
"strawberry tongue," and a sore throat, but no Koplik spots.
B. Rubella (German measles): This virus typically causes a milder
illness with a rash that starts on the face and spreads quickly,
swollen glands, and low-grade fever, but does not present with
Koplik spots.
C. Erythema infectiosum (Fifth disease): This presents with a
characteristic "slapped cheek" rash on the face and a lacy, red rash
on the torso and limbs, but no Koplik spots.
Office Spriometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma
because it indicates:
, A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway
obstruction D. Whether a patient has reversible
airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal discharge for
14 days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin
A. Amoxicillin-Clavulanate (Augmentin)
Which of the following is the leading cause of cancer-related deaths in the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung
Cancer D. Lung
Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer
B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward.
A. The meaning of a common proverb
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to adjust to
the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70 before starting
on new medications.
