PEDIATRIC NP EXAM PRACTICE QUESTIONS EXAM 3 |QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026|GRADED A+

PEDIATRIC NP EXAM PRACTICE QUESTIONS
EXAM 3 |QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GRADED A+

The mother of a newborn brings the baby to the clinic because she is afraid something is wron
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g with her baby ("his head is so big"). The PNP responds that:
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a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
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b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a ne
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urologist."

d. "your head appears large so it is probably genetic." - ANSWER-
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A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked el
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evation of the right scapula and right thoracic hump and spinal curve abnormally are noted. S
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pinal films indicate 20 degree curve. The PNP should:
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a. refer the patient to an orthopedist
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b. monitor the patient every 3 mo until menarche
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c. refer the patient for physical therapy
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d. recommend bedrest and back brace - ANSWER-
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What is the % of risk an autosomal dominant gene is being passed on to each offspring?
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a. 25B




b. 50B




c. 100
B




d. none - ANSWER-
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A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert th
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e PNP to the presence of a possible genetic disorder?
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a. <10% on growth chart, Tanner I, and learning difficulties
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b. Precocious puberty, developmental delays, gifted piano player
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c. Lactose intolerance, frequent ear infections, speech delays
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,d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - ANSWER-
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The parents of a son with hemophilia are considering another pregnancy. The mother has bee
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n identified as a carrier of the hemophilia gene. What chance does each female offspring have
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of having hemophilia.
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a. 100%
B




b. 50%
B




c. 25%
B




d. none - ANSWER-
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An adolescent is being seen at a community health center because of recurrent respiratory tra
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ct infections. The complete blood cell count (CBC) with differential shows a white blood cell co
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unt of 20,500 with 35% blast cells. The next step in managing the adolescent's care is to:
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A) Repeat the CBC with differential in 1 week
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B) Refer to a specialist in pediatric hematology
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C) Perform bone marrow aspiration
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D) Hospitalize the adolescent immediately - ANSWER-
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A 9-month-
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old infant was diagnosed with sickle cell disease shortly after birth. The mother telephones th
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e PNP to report that the infant has a fever of 103.2°F. The best response to the mother is:
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A) "Take the infant to the emergency room immediately."
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B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever continues."
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C) "Give extra fluids and acetaminophen, and call back tomorrow if the fever continues."
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D) "Give extra fluids and acetaminophen, and bring the infant to the clinic tomorrow morning.
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" - ANSWER-
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A 5-year-
B



old child has sudden onset of nonblanching purpuric lesions scattered over the body and pete
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chiae scattered over the neck and shoulders. The mother reports that the child has been healt
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hy, except for a cold a few weeks ago. The child is not taking any medications. Physical examin
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,ation reveals a healthy, afebrile child with no other significant findings. The laboratory data sh
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ow a hemoglobin level of 12.5 g/dL, white blood cell count of 6500/mm3, and platelet count o
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f 20,000/mm3. Based on this information, what should the PNP do next?
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A) Reassure the parents that these findings are consistent with acute idiopathic thrombocytop
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enia purpura (ITP), and advise a hematology consultation for confirmation
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B) Refer the child immediately to the pediatric hematology/oncology department of the neare
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st tertiary care center
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C) Report the family to the local protective services department as soon as possible because o
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f the - ANSWER-
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A 4-year-
B



old child is scheduled for a tonsillectomy and adenoidectomy. The preoperative laboratory tes
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ts indicate a prolonged active partial thromboplastin time (aPTT). The PNP should suggest that
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Bthey:

A) Continue with the surgery, and monitor the child closely for bleeding complications
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B) Cancel the surgery, and recheck the aPTT in 1 week
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C) Cancel the surgery, and refer the child to a hematologist
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D) Obtain a family history, and determine whether there are other relatives with a bleeding dis
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order - ANSWER- B B c



A 13-year-
B



old adolescent complains of having difficulty walking and the arms feeling weak. The adolesce
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nt had a cold 2 weeks ago. On examination, the PNP is not able to elicit deep tendon reflexes.
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The PNP knows that the most appropriate course of action is to:
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A) Refer the adolescent to an orthopedic surgeon
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B) Schedule a follow-up visit in 1 week
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C) Refer the adolescent to a neurologist
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D) Refer the adolescent to an emergency room - ANSWER-
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A 1-year-
B



old child is brought to the clinic with a temperature of 102°F and left flank pain. The urine dips
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, tick test indicates nitrates and leukocyte esterase. The presenting signs and symptoms suggest
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Bleft pyelonephritis. Based on the data, the most appropriate action for the PNP is to:
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A) Refer the child to a urologist for diagnosis and treatment
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B) Consult with a physician
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C) Provide symptomatic treatment for 24 hours, and repeat the urine dipstick test
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D) Send urine for culture and sensitivity testing - ANSWER-
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A 10-year-
B



old child is examined because of recurrent UTIs. A urologic workup is performed. No abnormal
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ities are found. To help prevent future UTIs, the PNP should suggest which of the following int
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erventions?

A) Taking a 30-minute bath daily
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B) Avoiding showering
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C) Using a voiding schedule to expand the bladder
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D) Practicing good perineal hygiene - ANSWER-
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A PNP responsible for neonatal discharge rounds at the hospital examines a male infant and n
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otes that the urethral opening appears displaced ventrally along the glans. A closer assessmen
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t reveals an undiagnosed mild hypospadias. What should the parents be told?
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A) Hypospadias occurs in approximately 1 in 500 neonates
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B) The infant should be evaluated for other anomalies of the upper urinary tract
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C) The infant should be assessed for undescended testes and inguinal hernia
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D) Routine circumcision should be performed by 6 weeks of age - ANSWER-
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A 2-month-
B



old infant is brought to clinic with a stuffy, runny nose of 3 days' duration. The infant is afebrile
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and has no cough or respiratory difficulty but is not nursing or sleeping well. The tympanic me
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mbranes are within normal limits. What advice would the PNP give?
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A) Administer amoxicillin suspension 125 mg/5 mL, 1 tsp three times a day for 10 days
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B) Elevate the head of the bed, administer saline nose drops, and use a room humidifier
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