TEST BANK FOR ACUTE CARE PEDIATRIC NURSE
PRACTITIONER |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Prepare for the Certified Pediatric Nurse Practitioner–Acute Care (CPNP-AC) certification
examination with this comprehensive practice resource designed for advanced nursing
students and pediatric acute care certification candidates.
This document features 150 original multiple-choice practice questions with correct
answers and detailed rationales covering pediatric acute and complex care.
TOPICS COVERED
1. Pediatric Emergency Assessment and Stabilization
2. Respiratory Distress and Respiratory Failure
3. Cardiovascular Emergencies
4. Sepsis and Septic Shock
5. Neurologic Emergencies
6. Pediatric Trauma and Injury Management
7. Fluid, Electrolyte, and Acid–Base Disorders
8. Pediatric Renal Emergencies
9. Gastrointestinal Emergencies
10. Endocrine and Metabolic Crises
11. Hematologic Disorders
12. Pediatric Oncology Complications
13. Infectious Diseases in Critically Ill Children
14. Multisystem Organ Dysfunction
15. Diagnostic Imaging and Laboratory Interpretation
16. Critical Care Pharmacology
17. Mechanical Ventilation Principles
18. Hemodynamic Monitoring
1
,19. Pain and Sedation Management
20. Complex Care, Clinical Prioritization, and Treatment Planning
2
,Question 1
The PNP is examining a neonate with a heart murmur. The S2 sound is loudest at the apex.
The respiratory rate is 65 breaths per minute, and the heart rate is 180 beats per minute.
Which of the following would be an appropriate action by the PNP?
A) Reevaluate the neonate in 24 hours
B) Increase the number of oral feedings
C) Order cardiac catheterization
D) Refer the neonate to a cardiologist
CORRECT ANSWER
d
Question 2
On examination of a 3-month-old infant the PNP is unable to elicit a red reflex in the right
eye. Previous examinations failed to note the presence or absence of a red reflex. The
PNP's response is to:
A) Reassure the parents that this is not a problem because the infant has dark eyes
B) Note this finding in the infant's chart and check again in a few months
C) Refer the infant to an ophthalmologist to rule out retinal trauma
D) Immediately refer the infant to a pediatric ophthalmologist to rule out a congenital
cataract or retinoblastoma
CORRECT ANSWER
d
Question 3
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."
3
, 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
Question 4
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 5
A 14-year-old adolescent, who appears to be in acute distress and is anxious, is brought to
the clinic with symptoms of high fever, chills, malaise, pharyngitis, vomiting, peripheral
cyanosis, tachypnea, tachycardia, low blood pressure, and erythroderma. The PNP
recognizes this as toxic shock syndrome and:
A) Orders a CBC and blood culture immediately
4
PRACTITIONER |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Prepare for the Certified Pediatric Nurse Practitioner–Acute Care (CPNP-AC) certification
examination with this comprehensive practice resource designed for advanced nursing
students and pediatric acute care certification candidates.
This document features 150 original multiple-choice practice questions with correct
answers and detailed rationales covering pediatric acute and complex care.
TOPICS COVERED
1. Pediatric Emergency Assessment and Stabilization
2. Respiratory Distress and Respiratory Failure
3. Cardiovascular Emergencies
4. Sepsis and Septic Shock
5. Neurologic Emergencies
6. Pediatric Trauma and Injury Management
7. Fluid, Electrolyte, and Acid–Base Disorders
8. Pediatric Renal Emergencies
9. Gastrointestinal Emergencies
10. Endocrine and Metabolic Crises
11. Hematologic Disorders
12. Pediatric Oncology Complications
13. Infectious Diseases in Critically Ill Children
14. Multisystem Organ Dysfunction
15. Diagnostic Imaging and Laboratory Interpretation
16. Critical Care Pharmacology
17. Mechanical Ventilation Principles
18. Hemodynamic Monitoring
1
,19. Pain and Sedation Management
20. Complex Care, Clinical Prioritization, and Treatment Planning
2
,Question 1
The PNP is examining a neonate with a heart murmur. The S2 sound is loudest at the apex.
The respiratory rate is 65 breaths per minute, and the heart rate is 180 beats per minute.
Which of the following would be an appropriate action by the PNP?
A) Reevaluate the neonate in 24 hours
B) Increase the number of oral feedings
C) Order cardiac catheterization
D) Refer the neonate to a cardiologist
CORRECT ANSWER
d
Question 2
On examination of a 3-month-old infant the PNP is unable to elicit a red reflex in the right
eye. Previous examinations failed to note the presence or absence of a red reflex. The
PNP's response is to:
A) Reassure the parents that this is not a problem because the infant has dark eyes
B) Note this finding in the infant's chart and check again in a few months
C) Refer the infant to an ophthalmologist to rule out retinal trauma
D) Immediately refer the infant to a pediatric ophthalmologist to rule out a congenital
cataract or retinoblastoma
CORRECT ANSWER
d
Question 3
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."
3
, 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
Question 4
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 5
A 14-year-old adolescent, who appears to be in acute distress and is anxious, is brought to
the clinic with symptoms of high fever, chills, malaise, pharyngitis, vomiting, peripheral
cyanosis, tachypnea, tachycardia, low blood pressure, and erythroderma. The PNP
recognizes this as toxic shock syndrome and:
A) Orders a CBC and blood culture immediately
4
