Pediatric Nurse Practitioner Exam III|
Complete Questions and Verified
Answers 2025
Question 1
The concept of health promotion consists of efforts to prevent rather than cure disease or
disability. This description best describes:
A) Tertiary prevention
B) Secondary prevention
C) Primary prevention
D) Morbidity prevention
Correct Answer: C) Primary prevention
Explanation: Primary prevention focuses on preventing disease or disability before it occurs
through measures like vaccinations, health education, and lifestyle changes, aligning with the
concept of health promotion.
Question 2
Standards for well-child care and health promotion are set forth by the:
A) Task Force on Preventive 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
Correct Answer: C) American Academy of Pediatrics
Explanation: The American Academy of Pediatrics (AAP) establishes guidelines for well-
child care and health promotion, including schedules for screenings, immunizations, and
developmental assessments.
,Question 3
A 15-year-old female comes to the clinic for a health maintenance visit. She reports no
complaints, does well in school, has many friends, and gets along with her family. She has
recently become sexually active with her boyfriend of 6 months. 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, and cholesterol screen if
indicated
Correct Answer: A) Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations
as needed
Explanation: For a sexually active adolescent, screenings for vision, hearing, and STDs, along
with a pelvic exam and urinalysis, are appropriate. Immunizations should be updated based on
the AAP schedule, which may include HPV, meningococcal, and Tdap vaccines.
Question 4
Which of the following is the best-written chief complaint?
A) 5yo Asian female with itchy red rash
B) 1mo 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
Correct Answer: C) 15yo African American female complaining of lower abdominal pain for
3 days
Explanation: The best-written chief complaint is specific, includes the patient’s age, gender,
symptom, and duration, and avoids unnecessary demographic details unless relevant. Option C is
concise and clinically relevant.
Question 5
The past history should include:
A) Family history
,B) Social history
C) Symptom analysis
D) Hospitalization
Correct Answer: D) Hospitalization
Explanation: Past medical history includes previous hospitalizations, surgeries, chronic
conditions, and significant medical events, which provide critical context for the patient’s health
status.
Question 6
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
Correct Answer: A) The health status of the paternal grandparents
Explanation: Family history includes the health status of immediate relatives, such as parents
and grandparents, to identify hereditary or genetic risks for disease.
Question 7
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
Correct Answer: D) The patient denies changes in skin texture
Explanation: Subjective data are symptoms reported by the patient, such as sensations or
changes they describe. Objective data (options A, B, C) are observed or measured by the
clinician.
, Question 8
The PNP is completing the review of systems on a 4-month-old. 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 30 minutes to complete a bottle
C) The baby’s heart seems to beat rapidly sometimes
D) Sometimes the baby sounds congested
Correct Answer: B) It takes the baby over 30 minutes to complete a bottle
Explanation: Prolonged feeding time in an infant can indicate a cardiac problem, such as heart
failure, due to fatigue or poor cardiac output, warranting further investigation.
Question 9
The PNP is obtaining a review of systems on a healthy 8-year-old 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
Correct Answer: B) Any limitations related to sports participation
Explanation: For a healthy 8-year-old, assessing limitations in physical activities like sports is
relevant to ensure safe participation and identify any underlying issues. Breast self-exams are not
applicable at this age.
Question 10
The mother of a 3-year-old states that her son was completely toilet trained at 18 months. 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
Complete Questions and Verified
Answers 2025
Question 1
The concept of health promotion consists of efforts to prevent rather than cure disease or
disability. This description best describes:
A) Tertiary prevention
B) Secondary prevention
C) Primary prevention
D) Morbidity prevention
Correct Answer: C) Primary prevention
Explanation: Primary prevention focuses on preventing disease or disability before it occurs
through measures like vaccinations, health education, and lifestyle changes, aligning with the
concept of health promotion.
Question 2
Standards for well-child care and health promotion are set forth by the:
A) Task Force on Preventive 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
Correct Answer: C) American Academy of Pediatrics
Explanation: The American Academy of Pediatrics (AAP) establishes guidelines for well-
child care and health promotion, including schedules for screenings, immunizations, and
developmental assessments.
,Question 3
A 15-year-old female comes to the clinic for a health maintenance visit. She reports no
complaints, does well in school, has many friends, and gets along with her family. She has
recently become sexually active with her boyfriend of 6 months. 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, and cholesterol screen if
indicated
Correct Answer: A) Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations
as needed
Explanation: For a sexually active adolescent, screenings for vision, hearing, and STDs, along
with a pelvic exam and urinalysis, are appropriate. Immunizations should be updated based on
the AAP schedule, which may include HPV, meningococcal, and Tdap vaccines.
Question 4
Which of the following is the best-written chief complaint?
A) 5yo Asian female with itchy red rash
B) 1mo 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
Correct Answer: C) 15yo African American female complaining of lower abdominal pain for
3 days
Explanation: The best-written chief complaint is specific, includes the patient’s age, gender,
symptom, and duration, and avoids unnecessary demographic details unless relevant. Option C is
concise and clinically relevant.
Question 5
The past history should include:
A) Family history
,B) Social history
C) Symptom analysis
D) Hospitalization
Correct Answer: D) Hospitalization
Explanation: Past medical history includes previous hospitalizations, surgeries, chronic
conditions, and significant medical events, which provide critical context for the patient’s health
status.
Question 6
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
Correct Answer: A) The health status of the paternal grandparents
Explanation: Family history includes the health status of immediate relatives, such as parents
and grandparents, to identify hereditary or genetic risks for disease.
Question 7
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
Correct Answer: D) The patient denies changes in skin texture
Explanation: Subjective data are symptoms reported by the patient, such as sensations or
changes they describe. Objective data (options A, B, C) are observed or measured by the
clinician.
, Question 8
The PNP is completing the review of systems on a 4-month-old. 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 30 minutes to complete a bottle
C) The baby’s heart seems to beat rapidly sometimes
D) Sometimes the baby sounds congested
Correct Answer: B) It takes the baby over 30 minutes to complete a bottle
Explanation: Prolonged feeding time in an infant can indicate a cardiac problem, such as heart
failure, due to fatigue or poor cardiac output, warranting further investigation.
Question 9
The PNP is obtaining a review of systems on a healthy 8-year-old 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
Correct Answer: B) Any limitations related to sports participation
Explanation: For a healthy 8-year-old, assessing limitations in physical activities like sports is
relevant to ensure safe participation and identify any underlying issues. Breast self-exams are not
applicable at this age.
Question 10
The mother of a 3-year-old states that her son was completely toilet trained at 18 months. 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
