2026/2027: PEDIATRIC NURSE PRACTITIONER
PEDIATRIC NURSE
– CPNPPCAC
PRACTITIONER
PEDIATRIC
CERTIFICATION
– CPNPPCAC
NURSE
EXAMS.pdf
PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
PEDIATRIC NURSE PRACTITIONER – CPNP-
PC/AC CERTIFICATION EXAMS QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2025|2026 Q&A |
INSTANTDOWNLOAD PDF
1.
A 4-year-old presents with a barking cough and inspiratory stridor. The most likely diagnosis is:
A. Epiglottitis
B. Croup
C. Foreign body aspiration
D. Bronchiolitis
Correct answer: B — Croup is characterized by a barking cough, stridor, and is common in young
children. Epiglottitis presents with drooling and toxicity.
2.
In anticipatory guidance for a 12-month-old, the PNP should emphasize:
A. Potty training
B. Rear-facing car seat until at least age 2
C. Swimming lessons
D. Brushing teeth twice daily
Correct answer: B — Safety guidance emphasizes rear-facing car seats until age 2 or until height/weight
limits are met.
3.
A 7-year-old with asthma presents with an FEV1 of 55% predicted. This severity is:
A. Intermittent
B. Mild persistent
C. Moderate persistent
D. Severe persistent
Correct answer: C — FEV1 60–80% is moderate persistent; <60% would be severe persistent.
Page 1 of 26 PEDIATRIC NURSE PRACTITIONER
PEDIATRIC
– CPNPPCAC
NURSE PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
,2026/2027: PEDIATRIC NURSE PRACTITIONER
PEDIATRIC NURSE
– CPNPPCAC
PRACTITIONER
PEDIATRIC
CERTIFICATION
– CPNPPCAC
NURSE
EXAMS.pdf
PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
4.
A 15-year-old girl presents with secondary amenorrhea for 8 months and a BMI of 15. The most likely
cause is:
A. PCOS
B. Anorexia nervosa
C. Thyroid disorder
D. Ovarian tumor
Correct answer: B — Low BMI with amenorrhea strongly suggests hypothalamic suppression from
anorexia.
5.
A child presents with fever, drooling, and tripod positioning. The priority action is:
A. Throat culture
B. IV fluids
C. Airway management
D. Nebulized epinephrine
Correct answer: C — Suspected epiglottitis is a medical emergency, airway protection is priority before
other interventions.
6.
First-line antibiotic for acute otitis media in a 2-year-old is:
A. Azithromycin
B. Amoxicillin
C. Ceftriaxone
D. Levofloxacin
Correct answer: B — Amoxicillin remains the first-line antibiotic for uncomplicated acute otitis media.
7.
The best screening tool for adolescent depression is:
A. CAGE questionnaire
B. PHQ-9 (modified for adolescents)
C. CRAFFT
D. Vanderbilt
Correct answer: B — PHQ-9 is validated for adolescent depression screening; CRAFFT is for substance
use.
Page 2 of 26 PEDIATRIC NURSE PRACTITIONER
PEDIATRIC
– CPNPPCAC
NURSE PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
, 2026/2027: PEDIATRIC NURSE PRACTITIONER
PEDIATRIC NURSE
– CPNPPCAC
PRACTITIONER
PEDIATRIC
CERTIFICATION
– CPNPPCAC
NURSE
EXAMS.pdf
PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
8.
The most common cyanotic congenital heart disease in children is:
A. Tricuspid atresia
B. Tetralogy of Fallot
C. Transposition of great arteries
D. Truncus arteriosus
Correct answer: B — Tetralogy of Fallot is the most common cyanotic congenital heart disease beyond
infancy.
9.
A 3-year-old has iron-deficiency anemia. The best dietary advice is:
A. Increase milk to 32 oz/day
B. Increase iron-rich foods like meats and beans
C. Avoid vitamin C
D. Decrease dietary fiber
Correct answer: B — Iron-rich foods improve anemia; excess milk worsens anemia by displacing iron
sources.
10.
Which vaccine is contraindicated in an immunocompromised child?
A. DTaP
B. MMR
C. Hepatitis B
D. IPV
Correct answer: B — MMR is a live vaccine and contraindicated in severe immunodeficiency.
11.
The hallmark of Kawasaki disease is:
A. Petechiae
B. Mucocutaneous inflammation with prolonged fever
C. Conjunctival discharge
D. Stridor
Correct answer: B — Kawasaki presents with ≥5 days fever plus mucocutaneous signs (strawberry
tongue, rash, lymphadenopathy).
Page 3 of 26 PEDIATRIC NURSE PRACTITIONER
PEDIATRIC
– CPNPPCAC
NURSE PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
PEDIATRIC NURSE
– CPNPPCAC
PRACTITIONER
PEDIATRIC
CERTIFICATION
– CPNPPCAC
NURSE
EXAMS.pdf
PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
PEDIATRIC NURSE PRACTITIONER – CPNP-
PC/AC CERTIFICATION EXAMS QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2025|2026 Q&A |
INSTANTDOWNLOAD PDF
1.
A 4-year-old presents with a barking cough and inspiratory stridor. The most likely diagnosis is:
A. Epiglottitis
B. Croup
C. Foreign body aspiration
D. Bronchiolitis
Correct answer: B — Croup is characterized by a barking cough, stridor, and is common in young
children. Epiglottitis presents with drooling and toxicity.
2.
In anticipatory guidance for a 12-month-old, the PNP should emphasize:
A. Potty training
B. Rear-facing car seat until at least age 2
C. Swimming lessons
D. Brushing teeth twice daily
Correct answer: B — Safety guidance emphasizes rear-facing car seats until age 2 or until height/weight
limits are met.
3.
A 7-year-old with asthma presents with an FEV1 of 55% predicted. This severity is:
A. Intermittent
B. Mild persistent
C. Moderate persistent
D. Severe persistent
Correct answer: C — FEV1 60–80% is moderate persistent; <60% would be severe persistent.
Page 1 of 26 PEDIATRIC NURSE PRACTITIONER
PEDIATRIC
– CPNPPCAC
NURSE PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
,2026/2027: PEDIATRIC NURSE PRACTITIONER
PEDIATRIC NURSE
– CPNPPCAC
PRACTITIONER
PEDIATRIC
CERTIFICATION
– CPNPPCAC
NURSE
EXAMS.pdf
PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
4.
A 15-year-old girl presents with secondary amenorrhea for 8 months and a BMI of 15. The most likely
cause is:
A. PCOS
B. Anorexia nervosa
C. Thyroid disorder
D. Ovarian tumor
Correct answer: B — Low BMI with amenorrhea strongly suggests hypothalamic suppression from
anorexia.
5.
A child presents with fever, drooling, and tripod positioning. The priority action is:
A. Throat culture
B. IV fluids
C. Airway management
D. Nebulized epinephrine
Correct answer: C — Suspected epiglottitis is a medical emergency, airway protection is priority before
other interventions.
6.
First-line antibiotic for acute otitis media in a 2-year-old is:
A. Azithromycin
B. Amoxicillin
C. Ceftriaxone
D. Levofloxacin
Correct answer: B — Amoxicillin remains the first-line antibiotic for uncomplicated acute otitis media.
7.
The best screening tool for adolescent depression is:
A. CAGE questionnaire
B. PHQ-9 (modified for adolescents)
C. CRAFFT
D. Vanderbilt
Correct answer: B — PHQ-9 is validated for adolescent depression screening; CRAFFT is for substance
use.
Page 2 of 26 PEDIATRIC NURSE PRACTITIONER
PEDIATRIC
– CPNPPCAC
NURSE PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
, 2026/2027: PEDIATRIC NURSE PRACTITIONER
PEDIATRIC NURSE
– CPNPPCAC
PRACTITIONER
PEDIATRIC
CERTIFICATION
– CPNPPCAC
NURSE
EXAMS.pdf
PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
8.
The most common cyanotic congenital heart disease in children is:
A. Tricuspid atresia
B. Tetralogy of Fallot
C. Transposition of great arteries
D. Truncus arteriosus
Correct answer: B — Tetralogy of Fallot is the most common cyanotic congenital heart disease beyond
infancy.
9.
A 3-year-old has iron-deficiency anemia. The best dietary advice is:
A. Increase milk to 32 oz/day
B. Increase iron-rich foods like meats and beans
C. Avoid vitamin C
D. Decrease dietary fiber
Correct answer: B — Iron-rich foods improve anemia; excess milk worsens anemia by displacing iron
sources.
10.
Which vaccine is contraindicated in an immunocompromised child?
A. DTaP
B. MMR
C. Hepatitis B
D. IPV
Correct answer: B — MMR is a live vaccine and contraindicated in severe immunodeficiency.
11.
The hallmark of Kawasaki disease is:
A. Petechiae
B. Mucocutaneous inflammation with prolonged fever
C. Conjunctival discharge
D. Stridor
Correct answer: B — Kawasaki presents with ≥5 days fever plus mucocutaneous signs (strawberry
tongue, rash, lymphadenopathy).
Page 3 of 26 PEDIATRIC NURSE PRACTITIONER
PEDIATRIC
– CPNPPCAC
NURSE PRACTITIONER
CERTIFICATION
–EXAMS
CPNPPCAC CERTIFICATION EXAMS.pdf
