Pediatric Nurse Practitioner Exam
Practice Questions and Answers
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
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,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
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,The past history should include
a. family history
b. social hx
c. symptom analysis
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
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, 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.
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Practice Questions and Answers
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
©C0PYRIGHT 2025, ALL RIGHTS RESERVED 1
,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
©C0PYRIGHT 2025, ALL RIGHTS RESERVED 2
,The past history should include
a. family history
b. social hx
c. symptom analysis
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
©C0PYRIGHT 2025, ALL RIGHTS RESERVED 3
, 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.
©C0PYRIGHT 2025, ALL RIGHTS RESERVED 4
