PNP EXAM PREP |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
H.O. is a 5 yo Vietnamese child who has fallen off of his growth curve. The best
intervention would be to:
a. Suggest high-calorie breakfast drinks as supplements
b. incorporate traditional foods into a management plan that will provide increased calories
and nutrients
c. educate the family on the need for increased calories and nutrients
d. refer the family to growth clinic for evaluation
CORRECT ANSWER
B
Question 2
While taking the history of 6-month old E.M. you learn that she is not sleeping through the
night and will not fall back to sleep without the parents rocking or feeding her. This is an
example of:
a. somnambulism
b. pavor nocturnus
c. learned behavior
d. delayed sleep phase
CORRECT ANSWER
C
1
,Question 3
Which of the following scenarios is suggestive of a child who may not be ready to enter
first grade? An inability to:
a. recognize six colors and remember one's phone number
b. accurately use pronouns
c. empathize with others
d. count to five and draw a person with three parts
CORRECT ANSWER
d
Question 4
T.T. is a 9 week old preterm infant whose birth wt was 2.3 kg. Mom was HBs Ag Neg. He is
seen today for the first time since discharge from the nursery. He has received no prior
immunizations. The appropriate immunizations to give at this time would be:
a. Dtap, Hib, IPV, rotavirus, HepB 1, pneumo
b. Dtap, Hib, OPV, rotavirus, HepB 1
c. Dtap, Hib, rotavirus, IPV, pneumo
d. Dtap, Hib, IPV, pneumo
CORRECT ANSWER
a
Question 5
While examining 10 yo RMs teeth you note that the upper incisors slightly overlap the
lower incisors. The second and lower first molars are absent. Your assessment is:
a. malocclusion
b. delayed mandibular dentition
2
,c. normal dentition
d. hyperdontia
CORRECT ANSWER
b
Question 6
The mother of 5yo DW is concerned that her son often cheats when playing board games
with his older sister. What is the most appropriate response to DWs behavior?
a. encourage the parent to use 5 minute time-outs when cheating occurs
b. explain that DW is developmentally unable to comprehend rigid rules
c. make sure that DW understands the rules before starting to play the game
d. explain to DW that cheating is like lying and is not acceptable behavior
CORRECT ANSWER
b
Question 7
Which of the following is not a sign of readiness to toilet train?
a. can sit for extended periods
b. can follow directions
c. occasional waking from naps with dry diapers
d. regularity of bowel movements
CORRECT ANSWER
d
Question 8
3
, Which of the following physical findings in a 2 month old child warrants an immediate
referral to a neurologist/neurosurgeon?
a. head circumference growing faster than height and weight
b. unresolved cephalhematoma
c. rigid and immobile sagittal suture
d. snapping sensation when pressure is applied to parietal bone
CORRECT ANSWER
c
Question 9
While listening to 2.5 yo KL talk, you note that she frequently omits final consonants and
her sentences are two and three words in length. The appropriate plan of care would be.
a. routine follow up at next well child visit
b. referring for hearing screening
c. assessing for developmental delays
d. referring to a speech pathologist
CORRECT ANSWER
a
Question 10
The mother of 3 yo GW reports that he has begun to stutter. Further probing reveals that
the stuttering occurs frequently and lasts 1 to 2 seconds. GW does not seem bothered by
the stuttering. The appropirate management would be:
a. referral to a speech pathologist
b. referral for an evaluation for an anxiety disorder
c. reassuring the mother that this is a mild problem
d. demonstrating to GW slow, deep breathing before talking
4
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
H.O. is a 5 yo Vietnamese child who has fallen off of his growth curve. The best
intervention would be to:
a. Suggest high-calorie breakfast drinks as supplements
b. incorporate traditional foods into a management plan that will provide increased calories
and nutrients
c. educate the family on the need for increased calories and nutrients
d. refer the family to growth clinic for evaluation
CORRECT ANSWER
B
Question 2
While taking the history of 6-month old E.M. you learn that she is not sleeping through the
night and will not fall back to sleep without the parents rocking or feeding her. This is an
example of:
a. somnambulism
b. pavor nocturnus
c. learned behavior
d. delayed sleep phase
CORRECT ANSWER
C
1
,Question 3
Which of the following scenarios is suggestive of a child who may not be ready to enter
first grade? An inability to:
a. recognize six colors and remember one's phone number
b. accurately use pronouns
c. empathize with others
d. count to five and draw a person with three parts
CORRECT ANSWER
d
Question 4
T.T. is a 9 week old preterm infant whose birth wt was 2.3 kg. Mom was HBs Ag Neg. He is
seen today for the first time since discharge from the nursery. He has received no prior
immunizations. The appropriate immunizations to give at this time would be:
a. Dtap, Hib, IPV, rotavirus, HepB 1, pneumo
b. Dtap, Hib, OPV, rotavirus, HepB 1
c. Dtap, Hib, rotavirus, IPV, pneumo
d. Dtap, Hib, IPV, pneumo
CORRECT ANSWER
a
Question 5
While examining 10 yo RMs teeth you note that the upper incisors slightly overlap the
lower incisors. The second and lower first molars are absent. Your assessment is:
a. malocclusion
b. delayed mandibular dentition
2
,c. normal dentition
d. hyperdontia
CORRECT ANSWER
b
Question 6
The mother of 5yo DW is concerned that her son often cheats when playing board games
with his older sister. What is the most appropriate response to DWs behavior?
a. encourage the parent to use 5 minute time-outs when cheating occurs
b. explain that DW is developmentally unable to comprehend rigid rules
c. make sure that DW understands the rules before starting to play the game
d. explain to DW that cheating is like lying and is not acceptable behavior
CORRECT ANSWER
b
Question 7
Which of the following is not a sign of readiness to toilet train?
a. can sit for extended periods
b. can follow directions
c. occasional waking from naps with dry diapers
d. regularity of bowel movements
CORRECT ANSWER
d
Question 8
3
, Which of the following physical findings in a 2 month old child warrants an immediate
referral to a neurologist/neurosurgeon?
a. head circumference growing faster than height and weight
b. unresolved cephalhematoma
c. rigid and immobile sagittal suture
d. snapping sensation when pressure is applied to parietal bone
CORRECT ANSWER
c
Question 9
While listening to 2.5 yo KL talk, you note that she frequently omits final consonants and
her sentences are two and three words in length. The appropriate plan of care would be.
a. routine follow up at next well child visit
b. referring for hearing screening
c. assessing for developmental delays
d. referring to a speech pathologist
CORRECT ANSWER
a
Question 10
The mother of 3 yo GW reports that he has begun to stutter. Further probing reveals that
the stuttering occurs frequently and lasts 1 to 2 seconds. GW does not seem bothered by
the stuttering. The appropirate management would be:
a. referral to a speech pathologist
b. referral for an evaluation for an anxiety disorder
c. reassuring the mother that this is a mild problem
d. demonstrating to GW slow, deep breathing before talking
4
