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FNP Pediatric Exam Practice Questions
With 100% Verified Solutions 2025| A+
Study Guide
The PNP in the Emergency Department is evaluating a 3-year-old child with a
history of sudden onset of high fever and stridor. The child refuses to move and is
sitting upright, leaning forward with the mouth open, and drooling. The safest and
most helpful diagnostic test to order now would be:
A) Urine culture
B) A lateral neck x-ray film
C) A chest x-ray film
D) A throat culture -correct-answer-b
In evaluating a 7-year-old child for ADHD, the PNP questions the parents about
reported behavior at school. Of the following symptoms, which would be most
descriptive of ADHD?
A) The child will not listen to direction or when spoken to, submits messy papers
with careless mistakes, runs about or climbs excessively, has difficulty sustaining
attention, and exhibits intrusive behavior
B) The child has a short attention span, has difficulty listening, has difficulty
organizing tasks, and interrupts others who are talking
C) The child seems to want attention, has a short attention span for schoolwork,
talks out of turn, fidgets a lot, and interrupts others
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D) The child wants attention, makes careless mistakes in schoolwork, has difficulty
taking turns, and fidgets a lot -correct-answer-a
A 6-year-old child with asthma is brought to the clinic because the parents have
noticed daily wheezing for the past week, especially during the night. The PNP
recognizes that this may indicate the child has:
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma -correct-answer-c
A 7-year-old child with cerebral palsy is brought to the clinic. The child is unable to
walk but is able to use a wheelchair. The child uses the arms and hands to eat and
perform self-care tasks. The PNP diagnoses this child with:
A) Spastic diplegia
B) Spastic quadriplegia
C) Athetoid cerebral palsy
D) Spastic hemiplegia -correct-answer-a
The parents of a 3-year-old child have noticed that the child experiences episodes
of abrupt, brief loss of consciousness many times during the day. The PNP
suspects that the child is having:
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A) Status epilepticus
B) Absence seizures
C) Atonic seizures
D) Myoclonic seizures -correct-answer-b
A 3-month-old infant is brought to the clinic for a well-child visit. The mother is
concerned because the infant has not been feeding as well as usual during the
past few days. On examination of the mouth the PNP notes white, cottage cheese-
like patches on the inner aspect of the cheeks. The PNP plans to treat the lesions
with:
A) Acyclovir
B) Erythromycin suspension
C) Nystatin oral suspension
D) Hydrogen peroxide soaks -correct-answer-c
A mother brings a 1-year-old child with Down's syndrome to the clinic. She is
concerned that the child has been congested for 10 days. The child was born at
home and has never been seen in this practice. The mother reports that the child
is doing well, has no problems, and is still being breastfed. The child has never
been examined by a doctor. The PNP's initial plan of care for the child is:
A) Treat the congestion, and start immunizations
B) Start immunizations, and refer the parents for genetic counseling
C) Rule out an ear infection, and refer the child to a physician for a hearing
evaluation
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D) Rule out a heart defect, and refer the child to a physician -correct-answer-a
The PNP has completed vision screens on the children who attend a day care and
preschool center. Which of the following children should be referred for further
testing?
A) A 3-year-old child (tested with a Sjögren hand chart) with the following results:
right eye, 20/40; left eye, 20/20
B) A 4-year-old child (tested with an HOTV chart) with the following results: right
eye, 20/40; left eye, 20/40
C) A 4-year-old child (tested with a Snellen E chart) with the following results: right
eye, 20/20; left eye, 20/30
D) A 3-year-old child (tested with an Allen chart) with the following results: right
eye, 20/30; left eye, 20/30 -correct-answer-a
An infant brought to the clinic is diagnosed with failure to thrive (FTT), persistent
growth deficiency of the head, and delayed development. Some unusual facial
abnormalities are noted. The mother has a history of consuming large amounts of
alcohol. The PNP suspects fetal alcohol syndrome (FAS) and refers the infant:
A) To a First Steps Program or Birth to Three Program
B) For consultation with a neurologist
C) For a genetic workup
D) For consultation with an endocrinologist -correct-answer-a
FNP Pediatric Exam Practice Questions
With 100% Verified Solutions 2025| A+
Study Guide
The PNP in the Emergency Department is evaluating a 3-year-old child with a
history of sudden onset of high fever and stridor. The child refuses to move and is
sitting upright, leaning forward with the mouth open, and drooling. The safest and
most helpful diagnostic test to order now would be:
A) Urine culture
B) A lateral neck x-ray film
C) A chest x-ray film
D) A throat culture -correct-answer-b
In evaluating a 7-year-old child for ADHD, the PNP questions the parents about
reported behavior at school. Of the following symptoms, which would be most
descriptive of ADHD?
A) The child will not listen to direction or when spoken to, submits messy papers
with careless mistakes, runs about or climbs excessively, has difficulty sustaining
attention, and exhibits intrusive behavior
B) The child has a short attention span, has difficulty listening, has difficulty
organizing tasks, and interrupts others who are talking
C) The child seems to want attention, has a short attention span for schoolwork,
talks out of turn, fidgets a lot, and interrupts others
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D) The child wants attention, makes careless mistakes in schoolwork, has difficulty
taking turns, and fidgets a lot -correct-answer-a
A 6-year-old child with asthma is brought to the clinic because the parents have
noticed daily wheezing for the past week, especially during the night. The PNP
recognizes that this may indicate the child has:
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma -correct-answer-c
A 7-year-old child with cerebral palsy is brought to the clinic. The child is unable to
walk but is able to use a wheelchair. The child uses the arms and hands to eat and
perform self-care tasks. The PNP diagnoses this child with:
A) Spastic diplegia
B) Spastic quadriplegia
C) Athetoid cerebral palsy
D) Spastic hemiplegia -correct-answer-a
The parents of a 3-year-old child have noticed that the child experiences episodes
of abrupt, brief loss of consciousness many times during the day. The PNP
suspects that the child is having:
,3|Page
A) Status epilepticus
B) Absence seizures
C) Atonic seizures
D) Myoclonic seizures -correct-answer-b
A 3-month-old infant is brought to the clinic for a well-child visit. The mother is
concerned because the infant has not been feeding as well as usual during the
past few days. On examination of the mouth the PNP notes white, cottage cheese-
like patches on the inner aspect of the cheeks. The PNP plans to treat the lesions
with:
A) Acyclovir
B) Erythromycin suspension
C) Nystatin oral suspension
D) Hydrogen peroxide soaks -correct-answer-c
A mother brings a 1-year-old child with Down's syndrome to the clinic. She is
concerned that the child has been congested for 10 days. The child was born at
home and has never been seen in this practice. The mother reports that the child
is doing well, has no problems, and is still being breastfed. The child has never
been examined by a doctor. The PNP's initial plan of care for the child is:
A) Treat the congestion, and start immunizations
B) Start immunizations, and refer the parents for genetic counseling
C) Rule out an ear infection, and refer the child to a physician for a hearing
evaluation
, 4|Page
D) Rule out a heart defect, and refer the child to a physician -correct-answer-a
The PNP has completed vision screens on the children who attend a day care and
preschool center. Which of the following children should be referred for further
testing?
A) A 3-year-old child (tested with a Sjögren hand chart) with the following results:
right eye, 20/40; left eye, 20/20
B) A 4-year-old child (tested with an HOTV chart) with the following results: right
eye, 20/40; left eye, 20/40
C) A 4-year-old child (tested with a Snellen E chart) with the following results: right
eye, 20/20; left eye, 20/30
D) A 3-year-old child (tested with an Allen chart) with the following results: right
eye, 20/30; left eye, 20/30 -correct-answer-a
An infant brought to the clinic is diagnosed with failure to thrive (FTT), persistent
growth deficiency of the head, and delayed development. Some unusual facial
abnormalities are noted. The mother has a history of consuming large amounts of
alcohol. The PNP suspects fetal alcohol syndrome (FAS) and refers the infant:
A) To a First Steps Program or Birth to Three Program
B) For consultation with a neurologist
C) For a genetic workup
D) For consultation with an endocrinologist -correct-answer-a
