Your Ultimate Guide to Conquering the Pediatric
Nurse Practitioner Exam: Tips, Insights, and
Strategies for Success!
Comprehensive Exam Study Guide for
Guaranteed Success with Top Grade A+.
100% Certified and Verified by Expert Latest
Updated 2025/2026.
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 - ansc
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 - ansc
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. - ansa
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 - ansc
The past history should include
a. family history
b. social hx
c. symptom analysis
d. hospitalization - ansd
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 - ansa
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
,Your Ultimate Guide to Conquering the Pediatric
Nurse Practitioner Exam: Tips, Insights, and
Strategies for Success!
Comprehensive Exam Study Guide for
Guaranteed Success with Top Grade A+.
100% Certified and Verified by Expert Latest
Updated 2025/2026.
d. the patient denies changes in skin texture - ansd
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 - ansb
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 - ansb
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 - ansb
Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her
mother's arms. What should the PNP do first?
a. Examine the ears, since this is uncomfortable for the infant.
b. Quickly give any needed immunizations.
c. Begin with assessment of the head and proceed from head to toe.
d. auscultate the heart & lungs while the infant is sleeping. - ansd
The mother of a newborn brings the baby to the clinic because she is afraid something is
wrong with her baby ("his head is so big"). The PNP responds that:
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a
neurologist."
d. "your head appears large so it is probably genetic." - ansa
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked
elevation of the right scapula and right thoracic hump and spinal curve abnormally are noted.
Spinal films indicate 20 degree curve. The PNP should:
a. refer the patient to an orthopedist
b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
d. recommend bedrest and back brace - ansa
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
a. 25
b. 50
,Your Ultimate Guide to Conquering the Pediatric
Nurse Practitioner Exam: Tips, Insights, and
Strategies for Success!
Comprehensive Exam Study Guide for
Guaranteed Success with Top Grade A+.
100% Certified and Verified by Expert Latest
Updated 2025/2026.
c. 100
d. none - ansb
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert
the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - ansa
The parents of a child with cystic fibrosis are considering another pregnancy. They want to
know what their chances are of having another child with cystic fibrosis. The PNP explains
that cystic fibrosis is an autosomal recessive disorder and that each conception of carrier
parents has a:
a. 25% chance of being affected
b. 50% chance of being affected
c. 75% chance of being affected
d. 100% chance of being affected - ansa
The parents of a son with hemophilia are considering another pregnancy. The mother has
been identified as a carrier of the hemophilia gene. What chance does each female offspring
have of having hemophilia.
a. 100%
b. 50%
c. 25%
d. none - ansd
A male with Vitamin D-resistant rickets asks what his chances are of passing his disease to
his parents. The PNP answers:
a. all sons will be affected by only 25% daughters
b. all daughters are affected by only 25% sons
c. 50% of all offspring will have the disease
d. all daughters will be affected but no sons. - ansd
The PNP is following a 15-year-old male adolescent with consistent blood pressure readings
of 132 to 138/84 to 86 mm Hg, which is classified as significant hypertension. After
performing a workup, the PNP determines that the adolescent has primary hypertension. The
most judicious recommendation for therapy is:
A) Diet and exercise counseling and referral to a specialist
B) A diuretic, low-salt diet, exercise, and counseling by a dietician
C) Perform an extensive family history to determine other risk factors
D) A vasodilator, restricted activity, and a low-fat diet - ansa
A 2-week-old neonate is brought to the clinic with excessive lacrimation of both eyes. The
eyes are clear, with no areas of redness, but the corneas appear hazy. The PNP explains to the
parents the possible diagnosis and treatment as follows:
A) Congenital glaucoma requiring an ophthalmology referral
, Your Ultimate Guide to Conquering the Pediatric
Nurse Practitioner Exam: Tips, Insights, and
Strategies for Success!
Comprehensive Exam Study Guide for
Guaranteed Success with Top Grade A+.
100% Certified and Verified by Expert Latest
Updated 2025/2026.
B) Corneal foreign body requiring fluorescein staining and removal
C) Chalazion requiring treatment with antibiotic eyedrops
D) Allergic conjunctivitis requiring treatment with Benadryl eyedrops - ansa
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 - ansd
A 4-year-old child with chickenpox has vesicles on the skin of the right eyelid. The child
complains of eye pain and blurred vision. The PNP should treat the condition by:
A) Applying cool compresses to the eye and lesions
B) Prescribing eyedrops containing steroids to decrease inflammation and pain
C) Prescribing polyspoium ophthalmic ointment for the secondary bacterial infection
D) Immediately referring the child to an ophthalmologist - ansd
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."
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." - ansa
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 - ansa
A 9-year-old child is brought to the clinic for the evaluation and treatment of a rash. While
examining the child, the PNP detects a speech dysfluency. The most appropriate plan of
treatment should include:
A) Treating the rash and scheduling a well-child visit to address the speech problem
Nurse Practitioner Exam: Tips, Insights, and
Strategies for Success!
Comprehensive Exam Study Guide for
Guaranteed Success with Top Grade A+.
100% Certified and Verified by Expert Latest
Updated 2025/2026.
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 - ansc
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 - ansc
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. - ansa
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 - ansc
The past history should include
a. family history
b. social hx
c. symptom analysis
d. hospitalization - ansd
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 - ansa
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
,Your Ultimate Guide to Conquering the Pediatric
Nurse Practitioner Exam: Tips, Insights, and
Strategies for Success!
Comprehensive Exam Study Guide for
Guaranteed Success with Top Grade A+.
100% Certified and Verified by Expert Latest
Updated 2025/2026.
d. the patient denies changes in skin texture - ansd
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 - ansb
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 - ansb
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 - ansb
Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her
mother's arms. What should the PNP do first?
a. Examine the ears, since this is uncomfortable for the infant.
b. Quickly give any needed immunizations.
c. Begin with assessment of the head and proceed from head to toe.
d. auscultate the heart & lungs while the infant is sleeping. - ansd
The mother of a newborn brings the baby to the clinic because she is afraid something is
wrong with her baby ("his head is so big"). The PNP responds that:
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a
neurologist."
d. "your head appears large so it is probably genetic." - ansa
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked
elevation of the right scapula and right thoracic hump and spinal curve abnormally are noted.
Spinal films indicate 20 degree curve. The PNP should:
a. refer the patient to an orthopedist
b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
d. recommend bedrest and back brace - ansa
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
a. 25
b. 50
,Your Ultimate Guide to Conquering the Pediatric
Nurse Practitioner Exam: Tips, Insights, and
Strategies for Success!
Comprehensive Exam Study Guide for
Guaranteed Success with Top Grade A+.
100% Certified and Verified by Expert Latest
Updated 2025/2026.
c. 100
d. none - ansb
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert
the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - ansa
The parents of a child with cystic fibrosis are considering another pregnancy. They want to
know what their chances are of having another child with cystic fibrosis. The PNP explains
that cystic fibrosis is an autosomal recessive disorder and that each conception of carrier
parents has a:
a. 25% chance of being affected
b. 50% chance of being affected
c. 75% chance of being affected
d. 100% chance of being affected - ansa
The parents of a son with hemophilia are considering another pregnancy. The mother has
been identified as a carrier of the hemophilia gene. What chance does each female offspring
have of having hemophilia.
a. 100%
b. 50%
c. 25%
d. none - ansd
A male with Vitamin D-resistant rickets asks what his chances are of passing his disease to
his parents. The PNP answers:
a. all sons will be affected by only 25% daughters
b. all daughters are affected by only 25% sons
c. 50% of all offspring will have the disease
d. all daughters will be affected but no sons. - ansd
The PNP is following a 15-year-old male adolescent with consistent blood pressure readings
of 132 to 138/84 to 86 mm Hg, which is classified as significant hypertension. After
performing a workup, the PNP determines that the adolescent has primary hypertension. The
most judicious recommendation for therapy is:
A) Diet and exercise counseling and referral to a specialist
B) A diuretic, low-salt diet, exercise, and counseling by a dietician
C) Perform an extensive family history to determine other risk factors
D) A vasodilator, restricted activity, and a low-fat diet - ansa
A 2-week-old neonate is brought to the clinic with excessive lacrimation of both eyes. The
eyes are clear, with no areas of redness, but the corneas appear hazy. The PNP explains to the
parents the possible diagnosis and treatment as follows:
A) Congenital glaucoma requiring an ophthalmology referral
, Your Ultimate Guide to Conquering the Pediatric
Nurse Practitioner Exam: Tips, Insights, and
Strategies for Success!
Comprehensive Exam Study Guide for
Guaranteed Success with Top Grade A+.
100% Certified and Verified by Expert Latest
Updated 2025/2026.
B) Corneal foreign body requiring fluorescein staining and removal
C) Chalazion requiring treatment with antibiotic eyedrops
D) Allergic conjunctivitis requiring treatment with Benadryl eyedrops - ansa
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 - ansd
A 4-year-old child with chickenpox has vesicles on the skin of the right eyelid. The child
complains of eye pain and blurred vision. The PNP should treat the condition by:
A) Applying cool compresses to the eye and lesions
B) Prescribing eyedrops containing steroids to decrease inflammation and pain
C) Prescribing polyspoium ophthalmic ointment for the secondary bacterial infection
D) Immediately referring the child to an ophthalmologist - ansd
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."
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." - ansa
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 - ansa
A 9-year-old child is brought to the clinic for the evaluation and treatment of a rash. While
examining the child, the PNP detects a speech dysfluency. The most appropriate plan of
treatment should include:
A) Treating the rash and scheduling a well-child visit to address the speech problem
