PEDIATRIC NURSE PRACTITIONER
UPDATE EXAM 2025 PRACTICE
COMPLETE MULTIPLE CHOICE
QUESTION BANK WITH VERIFIED
ANSWERS,DETAILED
EXPLANATIONS AND 100%
GUARANTEE PASS (ORIGINAL
COPY!!!!!!)
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 - THE CORRECT ANSWER-c
The past history should include
a. family history
b. social hx
c. symptom analysis
d. hospitalization - THE CORRECT 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 - THE CORRECT 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 - THE CORRECT ANSWER-
d
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 - THE CORRECT 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 - THE CORRECT 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.
d. if the child gets up at night to use the bathroom - THE CORRECT
ANSWER-b
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. - THE
CORRECT ANSWER-d
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." - THE
CORRECT ANSWER-a
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 - THE CORRECT ANSWER-a
What is the % of risk an autosomal dominant gene is being
passed on to each offspring?
a. 25
b. 50
c. 100
d. none - THE CORRECT ANSWER-b
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 - THE CORRECT ANSWER-a
UPDATE EXAM 2025 PRACTICE
COMPLETE MULTIPLE CHOICE
QUESTION BANK WITH VERIFIED
ANSWERS,DETAILED
EXPLANATIONS AND 100%
GUARANTEE PASS (ORIGINAL
COPY!!!!!!)
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 - THE CORRECT ANSWER-c
The past history should include
a. family history
b. social hx
c. symptom analysis
d. hospitalization - THE CORRECT 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 - THE CORRECT 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 - THE CORRECT ANSWER-
d
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 - THE CORRECT 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 - THE CORRECT 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.
d. if the child gets up at night to use the bathroom - THE CORRECT
ANSWER-b
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. - THE
CORRECT ANSWER-d
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." - THE
CORRECT ANSWER-a
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 - THE CORRECT ANSWER-a
What is the % of risk an autosomal dominant gene is being
passed on to each offspring?
a. 25
b. 50
c. 100
d. none - THE CORRECT ANSWER-b
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 - THE CORRECT ANSWER-a
