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Pediatric Nurse Practitioner Exam Prep
2025/2026 – PNP Questions, Answers, And
Practice Test Bank
At a physical examination for Head Start, a mother reports being concerned about
her 4-year-old child's speech. She worries that the child's speech is unclear and
M
that the child is not saying enough words. The PNP explains to the mother that
the child should:
ED
A) Have a vocabulary of approximately 1500 words
B) Have speech that is 100% intelligible to strangers
C) Speak in sentences of three to four words
ST
D) Not have problems with dysfluency (stuttering) -correct-answer-a
U
A 2-year-old child is screened for lead poisoning. The blood level is 16 mg/dL. The
D
PNP discusses nutritional needs, including a diet high in:
A) Protein and calcium
Y
B) Vitamin C and iron
C) Fat and Zinc
D) Calcium and iron -correct-answer-d
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In counseling a parent regarding possible lead poisoning in the child, the PNP
states that the most common source of lead is:
A) Drinking water
B) Soil
C) Lead-based paint
D) Batteries -correct-answer-c
M
The 19-year-old mother of an infant in the PNP's care has just found out that she
ED
is expecting her second child. The mother's first prenatal visit is scheduled soon.
The mother smokes two packs of cigarettes a day. What action should the PNP
take?
A) Inform the mother about the risks to herself and to her children from
ST
secondhand smoke
B) Sign the mother up for smoking cessation classes
C) Let the obstetrician/gynecologist assess and manage this issue
U
D) Write the mother a prescription for nicotine replacement therapy -correct-
D
answer-a
Y
A 17-year-old adolescent is anticipating marriage after completing high school.
The adolescent does not have sickle cell disease and is not a carrier of the trait,
but the intended spouse has sickle cell trait. The adolescent asks if it is possible
that any of their future children will have sickle cell disease. The adolescent is told
that there is a 50% chance that:
A) Their children will have sickle cell disease
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B) Their children will have sickle cell trait
C) Only their sons will have sickle cell disease
D) Only their sons will have sickle cell trait -correct-answer-b
A 12-year-old child is brought to the office for a yearly physical. The child states
that he has recently noticed an enlargement of his testes and scrotum. When
counseling the boy as to what to expect next in pubertal development the PNP
M
tells him:
A) The penis will grow in length
ED
B) The penis will grow in width
C) Facial hair will appear
ST
D) Changes in voice will occur -correct-answer-a
U
An 11-year-old child is concerned about breast size. About 6 months ago when her
breast development began, she noticed that her breasts were different sizes. The
D
PNP responds:
A) "This is abnormal and you need to see a specialist."
Y
B) "Menarche will appear soon."
C) "A mammogram is needed."
D) "The breasts will become closer to the same size within a few years." -correct-
answer-d
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The PNP has prescribed salmeterol (Serevent) by inhalation for an asthmatic. The
family should be warned about which of the following side effects that occur with
this medication?
A) Tachycardia and headache
B) Weight gain and acne
C) Nausea and vomiting
D) Dysrhythmia and dry mouth -correct-answer-a
M
ED
The most appropriate advice the PNP can give the mother of a 10-month-old who
weighs 21 lb concerning the use of car seats is:
A) "A child weighing more than 20 pounds may face forward in the car seat."
ST
B) "A booster seat should be used when your child has outgrown a convertible car
seat but is still too small to fit properly in a vehicle safety belt."
C) "Keep using a rear-facing car seat until age 1 year."
U
D) "It is safe to keep your child in a car seat in the front seat of the car as long as
there is not a passenger-side airbag." -correct-answer-c
D
Y
The mother of a 2-year-old child calls the office with concerns about temper
tantrums. She asks if screaming, falling on the floor, and kicking are normal
behaviors. The PNP explains
A) "The child is expressing a need for independence."
B) "The child is trying to get attention."
C) "The child is probably spoiled and needs a spanking."
MEDSTUDY.COM
Pediatric Nurse Practitioner Exam Prep
2025/2026 – PNP Questions, Answers, And
Practice Test Bank
At a physical examination for Head Start, a mother reports being concerned about
her 4-year-old child's speech. She worries that the child's speech is unclear and
M
that the child is not saying enough words. The PNP explains to the mother that
the child should:
ED
A) Have a vocabulary of approximately 1500 words
B) Have speech that is 100% intelligible to strangers
C) Speak in sentences of three to four words
ST
D) Not have problems with dysfluency (stuttering) -correct-answer-a
U
A 2-year-old child is screened for lead poisoning. The blood level is 16 mg/dL. The
D
PNP discusses nutritional needs, including a diet high in:
A) Protein and calcium
Y
B) Vitamin C and iron
C) Fat and Zinc
D) Calcium and iron -correct-answer-d
MEDSTUDY.COM
,2|Page
In counseling a parent regarding possible lead poisoning in the child, the PNP
states that the most common source of lead is:
A) Drinking water
B) Soil
C) Lead-based paint
D) Batteries -correct-answer-c
M
The 19-year-old mother of an infant in the PNP's care has just found out that she
ED
is expecting her second child. The mother's first prenatal visit is scheduled soon.
The mother smokes two packs of cigarettes a day. What action should the PNP
take?
A) Inform the mother about the risks to herself and to her children from
ST
secondhand smoke
B) Sign the mother up for smoking cessation classes
C) Let the obstetrician/gynecologist assess and manage this issue
U
D) Write the mother a prescription for nicotine replacement therapy -correct-
D
answer-a
Y
A 17-year-old adolescent is anticipating marriage after completing high school.
The adolescent does not have sickle cell disease and is not a carrier of the trait,
but the intended spouse has sickle cell trait. The adolescent asks if it is possible
that any of their future children will have sickle cell disease. The adolescent is told
that there is a 50% chance that:
A) Their children will have sickle cell disease
MEDSTUDY.COM
,3|Page
B) Their children will have sickle cell trait
C) Only their sons will have sickle cell disease
D) Only their sons will have sickle cell trait -correct-answer-b
A 12-year-old child is brought to the office for a yearly physical. The child states
that he has recently noticed an enlargement of his testes and scrotum. When
counseling the boy as to what to expect next in pubertal development the PNP
M
tells him:
A) The penis will grow in length
ED
B) The penis will grow in width
C) Facial hair will appear
ST
D) Changes in voice will occur -correct-answer-a
U
An 11-year-old child is concerned about breast size. About 6 months ago when her
breast development began, she noticed that her breasts were different sizes. The
D
PNP responds:
A) "This is abnormal and you need to see a specialist."
Y
B) "Menarche will appear soon."
C) "A mammogram is needed."
D) "The breasts will become closer to the same size within a few years." -correct-
answer-d
MEDSTUDY.COM
, 4|Page
The PNP has prescribed salmeterol (Serevent) by inhalation for an asthmatic. The
family should be warned about which of the following side effects that occur with
this medication?
A) Tachycardia and headache
B) Weight gain and acne
C) Nausea and vomiting
D) Dysrhythmia and dry mouth -correct-answer-a
M
ED
The most appropriate advice the PNP can give the mother of a 10-month-old who
weighs 21 lb concerning the use of car seats is:
A) "A child weighing more than 20 pounds may face forward in the car seat."
ST
B) "A booster seat should be used when your child has outgrown a convertible car
seat but is still too small to fit properly in a vehicle safety belt."
C) "Keep using a rear-facing car seat until age 1 year."
U
D) "It is safe to keep your child in a car seat in the front seat of the car as long as
there is not a passenger-side airbag." -correct-answer-c
D
Y
The mother of a 2-year-old child calls the office with concerns about temper
tantrums. She asks if screaming, falling on the floor, and kicking are normal
behaviors. The PNP explains
A) "The child is expressing a need for independence."
B) "The child is trying to get attention."
C) "The child is probably spoiled and needs a spanking."
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