PEDIATRIC NURSE PRACTITIONER EXAM1
QUESTIONS AND VERIFIED ANSWERS|LATEST
2025/2026|GRADED A+|VERIFIED
The concept of health promotion consists of efforts to prevent rather than to cure disease or d
B B B B B B B B B B B B B B B B
isability. 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-
B B B B c
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-
B B B B B B B c
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no comp
B B B B B B B B B B B B B B B B B
laints. She does well in school, has many friends, and gets along well with her parents and two
B B B B B B B B B B B B B B B B B B
siblings. She has recently become sexually active with her boyfriend of 6mo. The physical exa
B B B B B B B B B B B B B B
m is normal for her age. What screening, lab tests, and/or immunizations should the PNP orde
B B B B B B B B B B B B B B B
r?
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 in
B B B B B B B B B B B B B B
dicated. - ANSWER- B B a
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
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,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-
B B B B B B B B B B c
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-
B B B d
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-
B B B B a
Which of the following statements would be considered subjective data obtained from the cli
B B B B B B B B B B B B B
ent during the review of systems for the skin?
B 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-
B B B B B B B B B d
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a ca
B B B B B B B B B B B B B B B B B
rdiac problem in the infant & require a more thorough history?
B 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
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,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 includ
B B B B B B B B B B B B B B B B B B
e:
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 explor
B B B B B B B B B B B B B B B B B
es further, asking:
B 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
B B B B B B B B B B B B B B B B B B B B
the PNP do first?
B B 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-
B B B B B B B B B B B B d
The mother of a newborn brings the baby to the clinic because she is afraid something is wron
B B B B B B B B B B B B B B B B B
g with her baby ("his head is so big"). The PNP responds that:
B B 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 ne
B B B B B B B B B B B B B B B B B B B
urologist."
3
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, d. "your head appears large so it is probably genetic." - ANSWER-
B B B B B B B B B B B a
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked el
B B B B B B B B B B B B B B B B B
evation of the right scapula and right thoracic hump and spinal curve abnormally are noted. S
B B B B B B B B B B B B B B B
pinal films indicate 20 degree curve. The PNP should:
B B 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-
B B B B B B B a
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. 25B
b. 50B
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 th
B B B B B B B B B B B B B B B B B
e PNP to the presence of a possible genetic disorder?
B B 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-
B B B B B B B B B B a
The parents of a child with cystic fibrosis are considering another pregnancy. They want to kno
B B B B B B B B B B B B B B B
w what their chances are of having another child with cystic fibrosis. The PNP explains that cys
B B B B B B B B B B B B B B B B
tic fibrosis is an autosomal recessive disorder and that each conception of carrier parents has
B B B B B B B B B B B B B B B
a:
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
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QUESTIONS AND VERIFIED ANSWERS|LATEST
2025/2026|GRADED A+|VERIFIED
The concept of health promotion consists of efforts to prevent rather than to cure disease or d
B B B B B B B B B B B B B B B B
isability. 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-
B B B B c
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-
B B B B B B B c
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no comp
B B B B B B B B B B B B B B B B B
laints. She does well in school, has many friends, and gets along well with her parents and two
B B B B B B B B B B B B B B B B B B
siblings. She has recently become sexually active with her boyfriend of 6mo. The physical exa
B B B B B B B B B B B B B B
m is normal for her age. What screening, lab tests, and/or immunizations should the PNP orde
B B B B B B B B B B B B B B B
r?
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 in
B B B B B B B B B B B B B B
dicated. - ANSWER- B B a
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
1
Wicky
,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-
B B B B B B B B B B c
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-
B B B d
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-
B B B B a
Which of the following statements would be considered subjective data obtained from the cli
B B B B B B B B B B B B B
ent during the review of systems for the skin?
B 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-
B B B B B B B B B d
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a ca
B B B B B B B B B B B B B B B B B
rdiac problem in the infant & require a more thorough history?
B 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
2
Wicky
,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 includ
B B B B B B B B B B B B B B B B B B
e:
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 explor
B B B B B B B B B B B B B B B B B
es further, asking:
B 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
B B B B B B B B B B B B B B B B B B B B
the PNP do first?
B B 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-
B B B B B B B B B B B B d
The mother of a newborn brings the baby to the clinic because she is afraid something is wron
B B B B B B B B B B B B B B B B B
g with her baby ("his head is so big"). The PNP responds that:
B B 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 ne
B B B B B B B B B B B B B B B B B B B
urologist."
3
Wicky
, d. "your head appears large so it is probably genetic." - ANSWER-
B B B B B B B B B B B a
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked el
B B B B B B B B B B B B B B B B B
evation of the right scapula and right thoracic hump and spinal curve abnormally are noted. S
B B B B B B B B B B B B B B B
pinal films indicate 20 degree curve. The PNP should:
B B 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-
B B B B B B B a
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. 25B
b. 50B
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 th
B B B B B B B B B B B B B B B B B
e PNP to the presence of a possible genetic disorder?
B B 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-
B B B B B B B B B B a
The parents of a child with cystic fibrosis are considering another pregnancy. They want to kno
B B B B B B B B B B B B B B B
w what their chances are of having another child with cystic fibrosis. The PNP explains that cys
B B B B B B B B B B B B B B B B
tic fibrosis is an autosomal recessive disorder and that each conception of carrier parents has
B B B B B B B B B B B B B B B
a:
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
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