FNP Pediatric Exam Practice Questions and
100% correct answers
The concept of health promotion consists of efforts to prevent rather than to cure disease or disability
B B B B B B B B B B B B B B B B
. This description best describes:
B B B B
a. tertiary prevention
B B
b. secondary prevention
B B
c. primary prevention
B B
d. morbidity prevention - ANSWER-c
B B B B
Standards for well child care and health promotion are set forth by the:
B B B B B B B B B B B B
a. Task Force on Preventative Services, US Department of Health and Human services
B B B B B B B B B B B B
b. American Academy of Family Physicians
B B B B B
c. American Academy of pediatrics
B B B B
d. Healthy People 2010 and 2020 - ANSWER-c
B B B B B B B
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no complaints. S
B B B B B B B B B B B B B B B B B B
he does well in school, has many friends, and gets along well with her parents and two siblings. She ha
B B B B B B B B B B B B B B B B B B B
s recently become sexually active with her boyfriend of 6mo. The physical exam is normal for her age.
B B B B B B B B B B B B B B B B B B
What screening, lab tests, and/or immunizations should the PNP order?
B B B B B B B B B
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
B B B B B B B B B B B
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated
B B B B B B B B B B B
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
B B B B B B B B B B
d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if indicated.
B B B B B B B B B B B B B B B
- ANSWER-a
B
Which of the following is the best written chief complaint?
B B B B B B B B B
a. 5yo asian female with itchy red rash
B B B B B B B
b. 1 mo with difficulty feeding
B B B B B
c. 15yo african american female complaining of lower abdominal pain for 3 days
B B B B B B B B B B B B
d. 12yo caucasian with itchy eye for 1 week - ANSWER-c
B B B B B B B B B B
The past history should include
B B B B
,a. family history
B B
b. social hx
B B
c. symptom analysis
B B
d. hospitalization - ANSWER-d
B B B
The family history should include:
B B B B
a. the health status of the paternal grandparents
B B B B B B B
b. the living conditions of the family
B B B B B B
c. the work status of the parents
B B B B B B
d. school information - ANSWER-a
B B B B
Which of the following statements would be considered subjective data obtained from the client duri
B B B B B B B B B B B B B B
ng the review of systems for the skin?
B B B B B B B
a. the skin appears dry & excoriated
B B B B B B
b. a lesion is noted on the lateral aspect of the right leg
B B B B B B B B B B B B
c. there is moderate acne on the forehead and back
B B B B B B B B B
d. the patient denies changes in skin texture - ANSWER-d
B B B B B B B B B
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a cardiac pr
B B B B B B B B B B B B B B B B B B
oblem in the infant & require a more thorough history?
B B B B B B B B B B
a. the baby gets the hiccups often.
B B B B B B
b. it takes the baby over 30min to complete a bottle
B B B B B B B B B B
c. the baby's heart seems to beat rapidly sometimes
B B B B B B B B
d. sometimes the baby sounds congested - ANSWER-b
B B B B B B B
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to include:
B B B B B B B B B B B B B B B B B B
a. the date of last breast self-exam.
B B B B B B
b. any limitations related to sports participation.
B B B B B B
c. the last hematocrit and hemoglobin
B B B B B
d. the last lead screen - ANSWER-b
B B B B B B
,The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP explores furth
B B B B B B B B B B B B B B B B B B
er, asking: B
a. how the mother did the toilet training
B B B B B B B
b. if the child is dry at night and fully trained for urine and stool day and night
B B B B B B B B B B B B B B B B B
c. at what age did the mother begin toilet training the other child.
B B B B B B B B B B B B
d. if the child gets up at night to use the bathroom - ANSWER-b
B B B B B B B B B B B B B
Jasmine, a 5-month- B B
old infant is in the clinic for a well child visit and is sleeping in her mother's arms. What should the PNP
B B B B B B B B B B B B B B B B B B B B B
Bdo first? B B
a. Examine the ears, since this is uncomfortable for the infant.
B B B B B B B B B B
b. Quickly give any needed immunizations.
B B B B B
c. Begin with assessment of the head and proceed from head to toe.
B B B B B B B B B B B B
d. auscultate the heart & lungs while the infant is sleeping. - ANSWER-d
B B B B B B B B B B B B
The mother of a newborn brings the baby to the clinic because she is afraid something is wrong with h
B B B B B B B B B B B B B B B B B B B
er baby ("his head is so big"). The PNP responds that:
B B B B B B B B B B
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
B B B B B B B B B B B B B B B B B
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a neurologi
B B B B B B B B B B B B B B B B B B B
st."
d. "your head appears large so it is probably genetic." - ANSWER-a
B B B B B B B B B B B
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked elevation
B B B B B B B B B B B B B B B B B B
of the right scapula and right thoracic hump and spinal curve abnormally are noted. Spinal films indica
B B B B B B B B B B B B B B B B
te 20 degree curve. The PNP should:
B B B B B B
a. refer the patient to an orthopedist
B B B B B B
b. monitor the patient every 3 mo until menarche
B B B B B B B B
c. refer the patient for physical therapy
B B B B B B
d. recommend bedrest and back brace - ANSWER-a
B B B B B B B
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
B B B B B B B B B B B B B B B B B
a. 25
B
b. 50 B
, c. 100
B
d. none - ANSWER-b
B B B
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert the PNP t
B B B B B B B B B B B B B B B B B B B
o the presence of a possible genetic disorder?
B B B B B B B
a. <10% on growth chart, Tanner I, and learning difficulties
B B B B B B B B B
b. Precocious puberty, developmental delays, gifted piano player
B B B B B B B
c. Lactose intolerance, frequent ear infections, speech delays
B B B B B B B
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - ANSWER-a
B B B B B B B B B B
The parents of a child with cystic fibrosis are considering another pregnancy. They want to know what
B B B B B B B B B B B B B B B B B
their chances are of having another child with cystic fibrosis. The PNP explains that cystic fibrosis is an
B B B B B B B B B B B B B B B B B B
autosomal recessive disorder and that each conception of carrier parents has a:
B B B B B B B B B B B
a. 25% chance of being affected
B B B B B
b. 50% chance of being affected
B B B B B
c. 75% chance of being affected
B B B B B
d. 100% chance of being affected - ANSWER-a
B B B B B B B
The parents of a son with hemophilia are considering another pregnancy. The mother has been identif
B B B B B B B B B B B B B B B
ied as a carrier of the hemophilia gene. What chance does each female offspring have of having hemo
B B B B B B B B B B B B B B B B B
philia. B
a. 100%
B
b. 50%
B
c. 25%
B
d. none - ANSWER-d
B B B
A male with Vitamin D-
B B B B
resistant rickets asks what his chances are of passing his disease to his parents. The PNP answers:
B B B B B B B B B B B B B B B B
a. all sons will be affected by only 25% daughters
B B B B B B B B B
b. all daughters are affected by only 25% sons
B B B B B B B B
c. 50% of all offspring will have the disease
B B B B B B B B
d. all daughters will be affected but no sons. - ANSWER-d
B B B B B B B B B B
100% correct answers
The concept of health promotion consists of efforts to prevent rather than to cure disease or disability
B B B B B B B B B B B B B B B B
. This description best describes:
B B B B
a. tertiary prevention
B B
b. secondary prevention
B B
c. primary prevention
B B
d. morbidity prevention - ANSWER-c
B B B B
Standards for well child care and health promotion are set forth by the:
B B B B B B B B B B B B
a. Task Force on Preventative Services, US Department of Health and Human services
B B B B B B B B B B B B
b. American Academy of Family Physicians
B B B B B
c. American Academy of pediatrics
B B B B
d. Healthy People 2010 and 2020 - ANSWER-c
B B B B B B B
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no complaints. S
B B B B B B B B B B B B B B B B B B
he does well in school, has many friends, and gets along well with her parents and two siblings. She ha
B B B B B B B B B B B B B B B B B B B
s recently become sexually active with her boyfriend of 6mo. The physical exam is normal for her age.
B B B B B B B B B B B B B B B B B B
What screening, lab tests, and/or immunizations should the PNP order?
B B B B B B B B B
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
B B B B B B B B B B B
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated
B B B B B B B B B B B
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
B B B B B B B B B B
d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if indicated.
B B B B B B B B B B B B B B B
- ANSWER-a
B
Which of the following is the best written chief complaint?
B B B B B B B B B
a. 5yo asian female with itchy red rash
B B B B B B B
b. 1 mo with difficulty feeding
B B B B B
c. 15yo african american female complaining of lower abdominal pain for 3 days
B B B B B B B B B B B B
d. 12yo caucasian with itchy eye for 1 week - ANSWER-c
B B B B B B B B B B
The past history should include
B B B B
,a. family history
B B
b. social hx
B B
c. symptom analysis
B B
d. hospitalization - ANSWER-d
B B B
The family history should include:
B B B B
a. the health status of the paternal grandparents
B B B B B B B
b. the living conditions of the family
B B B B B B
c. the work status of the parents
B B B B B B
d. school information - ANSWER-a
B B B B
Which of the following statements would be considered subjective data obtained from the client duri
B B B B B B B B B B B B B B
ng the review of systems for the skin?
B B B B B B B
a. the skin appears dry & excoriated
B B B B B B
b. a lesion is noted on the lateral aspect of the right leg
B B B B B B B B B B B B
c. there is moderate acne on the forehead and back
B B B B B B B B B
d. the patient denies changes in skin texture - ANSWER-d
B B B B B B B B B
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a cardiac pr
B B B B B B B B B B B B B B B B B B
oblem in the infant & require a more thorough history?
B B B B B B B B B B
a. the baby gets the hiccups often.
B B B B B B
b. it takes the baby over 30min to complete a bottle
B B B B B B B B B B
c. the baby's heart seems to beat rapidly sometimes
B B B B B B B B
d. sometimes the baby sounds congested - ANSWER-b
B B B B B B B
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to include:
B B B B B B B B B B B B B B B B B B
a. the date of last breast self-exam.
B B B B B B
b. any limitations related to sports participation.
B B B B B B
c. the last hematocrit and hemoglobin
B B B B B
d. the last lead screen - ANSWER-b
B B B B B B
,The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP explores furth
B B B B B B B B B B B B B B B B B B
er, asking: B
a. how the mother did the toilet training
B B B B B B B
b. if the child is dry at night and fully trained for urine and stool day and night
B B B B B B B B B B B B B B B B B
c. at what age did the mother begin toilet training the other child.
B B B B B B B B B B B B
d. if the child gets up at night to use the bathroom - ANSWER-b
B B B B B B B B B B B B B
Jasmine, a 5-month- B B
old infant is in the clinic for a well child visit and is sleeping in her mother's arms. What should the PNP
B B B B B B B B B B B B B B B B B B B B B
Bdo first? B B
a. Examine the ears, since this is uncomfortable for the infant.
B B B B B B B B B B
b. Quickly give any needed immunizations.
B B B B B
c. Begin with assessment of the head and proceed from head to toe.
B B B B B B B B B B B B
d. auscultate the heart & lungs while the infant is sleeping. - ANSWER-d
B B B B B B B B B B B B
The mother of a newborn brings the baby to the clinic because she is afraid something is wrong with h
B B B B B B B B B B B B B B B B B B B
er baby ("his head is so big"). The PNP responds that:
B B B B B B B B B B
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
B B B B B B B B B B B B B B B B B
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a neurologi
B B B B B B B B B B B B B B B B B B B
st."
d. "your head appears large so it is probably genetic." - ANSWER-a
B B B B B B B B B B B
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked elevation
B B B B B B B B B B B B B B B B B B
of the right scapula and right thoracic hump and spinal curve abnormally are noted. Spinal films indica
B B B B B B B B B B B B B B B B
te 20 degree curve. The PNP should:
B B B B B B
a. refer the patient to an orthopedist
B B B B B B
b. monitor the patient every 3 mo until menarche
B B B B B B B B
c. refer the patient for physical therapy
B B B B B B
d. recommend bedrest and back brace - ANSWER-a
B B B B B B B
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
B B B B B B B B B B B B B B B B B
a. 25
B
b. 50 B
, c. 100
B
d. none - ANSWER-b
B B B
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert the PNP t
B B B B B B B B B B B B B B B B B B B
o the presence of a possible genetic disorder?
B B B B B B B
a. <10% on growth chart, Tanner I, and learning difficulties
B B B B B B B B B
b. Precocious puberty, developmental delays, gifted piano player
B B B B B B B
c. Lactose intolerance, frequent ear infections, speech delays
B B B B B B B
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - ANSWER-a
B B B B B B B B B B
The parents of a child with cystic fibrosis are considering another pregnancy. They want to know what
B B B B B B B B B B B B B B B B B
their chances are of having another child with cystic fibrosis. The PNP explains that cystic fibrosis is an
B B B B B B B B B B B B B B B B B B
autosomal recessive disorder and that each conception of carrier parents has a:
B B B B B B B B B B B
a. 25% chance of being affected
B B B B B
b. 50% chance of being affected
B B B B B
c. 75% chance of being affected
B B B B B
d. 100% chance of being affected - ANSWER-a
B B B B B B B
The parents of a son with hemophilia are considering another pregnancy. The mother has been identif
B B B B B B B B B B B B B B B
ied as a carrier of the hemophilia gene. What chance does each female offspring have of having hemo
B B B B B B B B B B B B B B B B B
philia. B
a. 100%
B
b. 50%
B
c. 25%
B
d. none - ANSWER-d
B B B
A male with Vitamin D-
B B B B
resistant rickets asks what his chances are of passing his disease to his parents. The PNP answers:
B B B B B B B B B B B B B B B B
a. all sons will be affected by only 25% daughters
B B B B B B B B B
b. all daughters are affected by only 25% sons
B B B B B B B B
c. 50% of all offspring will have the disease
B B B B B B B B
d. all daughters will be affected but no sons. - ANSWER-d
B B B B B B B B B B
