PEDIATRIC NURSE PRACTITIONER EXAM | FROM
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,The concept of health promotion consists of efforts to prevent rather than to cure disease or
disability. This description best describes:
a. tertiary prevention
b. secondary prevention
c. primary prevention
d. morbidity prevention Answer: c
Standards for well child care and health promotion are set forth by the:
a. Task Force on Preventative Services, US Department of Health and Human services
b. American Academy of Family Physicians
c. American Academy of pediatrics
d. Healthy People 2010 and 2020 Answer: c
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no
complaints. She does well in school, has many friends, and gets along well with her parents and
two siblings. She has recently become sexually active with her boyfriend of 6mo. The physical
exam is normal for her age. What screening, lab tests, and/or immunizations should the PNP
order?
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if
indicated. Answer: a
Which of the following is the best written chief complaint?
a. 5yo asian female with itchy red rash
b. 1 mo with difficulty feeding
c. 15yo african american female complaining of lower abdominal pain for 3 days
d. 12yo caucasian with itchy eye for 1 week Answer: c
The past history should include
a. family history
b. social hx
c. symptom analysis
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, d. hospitalization Answer: d
The family history should include:
a. the health status of the paternal grandparents
b. the living conditions of the family
c. the work status of the parents
d. school information Answer: a
Which of the following statements would be considered subjective data obtained from the client
during the review of systems for the skin?
a. the skin appears dry & excoriated
b. a lesion is noted on the lateral aspect of the right leg
c. there is moderate acne on the forehead and back
d. the patient denies changes in skin texture Answer: d
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a
cardiac problem in the infant & require a more thorough history?
a. the baby gets the hiccups often.
b. it takes the baby over 30min to complete a bottle
c. the baby's heart seems to beat rapidly sometimes
d. sometimes the baby sounds congested Answer: b
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to
include:
a. the date of last breast self-exam.
b. any limitations related to sports participation.
c. the last hematocrit and hemoglobin
d. the last lead screen Answer: b
The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP explores
further, asking:
a. how the mother did the toilet training
b. if the child is dry at night and fully trained for urine and stool day and night
c. at what age did the mother begin toilet training the other child.
d. if the child gets up at night to use the bathroom Answer: b
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,The concept of health promotion consists of efforts to prevent rather than to cure disease or
disability. This description best describes:
a. tertiary prevention
b. secondary prevention
c. primary prevention
d. morbidity prevention Answer: c
Standards for well child care and health promotion are set forth by the:
a. Task Force on Preventative Services, US Department of Health and Human services
b. American Academy of Family Physicians
c. American Academy of pediatrics
d. Healthy People 2010 and 2020 Answer: c
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no
complaints. She does well in school, has many friends, and gets along well with her parents and
two siblings. She has recently become sexually active with her boyfriend of 6mo. The physical
exam is normal for her age. What screening, lab tests, and/or immunizations should the PNP
order?
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if
indicated. Answer: a
Which of the following is the best written chief complaint?
a. 5yo asian female with itchy red rash
b. 1 mo with difficulty feeding
c. 15yo african american female complaining of lower abdominal pain for 3 days
d. 12yo caucasian with itchy eye for 1 week Answer: c
The past history should include
a. family history
b. social hx
c. symptom analysis
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, d. hospitalization Answer: d
The family history should include:
a. the health status of the paternal grandparents
b. the living conditions of the family
c. the work status of the parents
d. school information Answer: a
Which of the following statements would be considered subjective data obtained from the client
during the review of systems for the skin?
a. the skin appears dry & excoriated
b. a lesion is noted on the lateral aspect of the right leg
c. there is moderate acne on the forehead and back
d. the patient denies changes in skin texture Answer: d
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a
cardiac problem in the infant & require a more thorough history?
a. the baby gets the hiccups often.
b. it takes the baby over 30min to complete a bottle
c. the baby's heart seems to beat rapidly sometimes
d. sometimes the baby sounds congested Answer: b
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to
include:
a. the date of last breast self-exam.
b. any limitations related to sports participation.
c. the last hematocrit and hemoglobin
d. the last lead screen Answer: b
The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP explores
further, asking:
a. how the mother did the toilet training
b. if the child is dry at night and fully trained for urine and stool day and night
c. at what age did the mother begin toilet training the other child.
d. if the child gets up at night to use the bathroom Answer: b
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
