PEDSCE PNP-PC PRACTICE EXAM 2026 |
ACTUAL REAL EXAM CURRENTLY TESTING
AND FREQUENTLY TESTED EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
RATIONALES| GUARANTEED PASS | LATEST
UPDATE
The pediatric primary care nurse practitioner treats a two-year-old patient who
has acute otitis media (AOM). The parents report a concern for speech delay.
Review of the medical record reveals two additional AOM diagnoses in the past
six months. The patient's plan of care includes:
a. A followup visit with the pediatrician to monitor for ongoing ear infections
b. A hearing evaluation in the primary care office for speech concerns
c. A referral to the local school district for speech evaluation
d. An ear, nose, and throat consultation for recurrent otitis media - CORRECT
ANSWER ✔✔- d. An ear, nose, and throat consultation for recurrent otitis media
Rationale: The AAP guidelines states you can offer PE tubes if the child has 3 or
more episodes of AOM in a six month period. This child has concern for speech
delay as well which is another indication that he/she might be having hearing
issues secondary to recurrent AOM or Otitis with Effusion (AAP guidelines)
Which intervention is part of the recommended treatment for erythema
multiforme minor?
Pg. 1
,a. Oral antihistamine as a supportive measure
b. Oral steroid to resolve skin lesions
c. Topical antibiotic to prevent infection
d. Topical antifungal to treat skin lesions - CORRECT ANSWER ✔✔- a. Oral
antihistamine as a supportive measure
Rationale: Erythema multiforme is a self limiting condition. In most cases,
symptomatic treatment is sufficient. Oral antihistamines for 3 or 4 days may
reduce the stinging and burning of the skin. Because the skin lesions are not
related to a bacterial or fungal infection on the dermis, topical antibiotics and
antifungals are not beneficial. Oral steorids are reserved for severe EM with
functional impairments. (Zitelli and Davis' Atlas of Pediatric Physical Diagnosis)
Statements that define the core knowledge of a pediatric primary care nurse
practitioner's care are contained within the professional:
a. Accreditation standards
b. Certification requirements
c. Licensure application
d. Scope of practice - CORRECT ANSWER ✔✔- d. Scope of practice
Rationale: The scope of practice defines the knowledge, procedures, actions, and
processes that a health care practitioner is permitted to undertake in keeping
with the terms of their certification and licensure (PNCB, AANP and State Board of
Nursing website)
Evidence-based practice in clinical management is grounded in:
Pg. 2
, a. Clinical practice guidelines
b. Cohort studies
c. Expert opinions
d. Systematic reviews - CORRECT ANSWER ✔✔- d. Systematic reviews
Rationale: Systematic reviews are the highest level of evidence to support
evidence base management. Clinical practice guidelines are often based on
systematic reviews and provide grading of recommendations. Expert opinions and
cohort studies do not provide a high enough level of evidence. (Research levels of
evidence; Stewart & Denisco, Chapter 7)
A pediatric primary care nurse practitioner examines a three-year-old patient who
underwent a myringotomy four months ago. Sixty-five percent of the child's
speech remainsunintelligible. The nurse practitioner's response is to:
a. Consider the patient's history, by assessing the performance against standards,
and recommend no action for eight months
b. Interpret the patient's speech performance against expected standards and
recommend a referral to an audiologist
c. Listen to the mother's report that the child's speech is progressing normally and
recommend no further intervention for twelve months
d. Recommend that the child visit a pediatric speech therapist because children
should be speaking by three years of age - CORRECT ANSWER ✔✔- b. Interpret
the patient's speech performance against expected standards and recommend a
referral to an audiologist
Rationale: The PNP should consider the speech development against expected
standards and recommend further evaluation of hearing. The 3 year old should
Pg. 3
ACTUAL REAL EXAM CURRENTLY TESTING
AND FREQUENTLY TESTED EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
RATIONALES| GUARANTEED PASS | LATEST
UPDATE
The pediatric primary care nurse practitioner treats a two-year-old patient who
has acute otitis media (AOM). The parents report a concern for speech delay.
Review of the medical record reveals two additional AOM diagnoses in the past
six months. The patient's plan of care includes:
a. A followup visit with the pediatrician to monitor for ongoing ear infections
b. A hearing evaluation in the primary care office for speech concerns
c. A referral to the local school district for speech evaluation
d. An ear, nose, and throat consultation for recurrent otitis media - CORRECT
ANSWER ✔✔- d. An ear, nose, and throat consultation for recurrent otitis media
Rationale: The AAP guidelines states you can offer PE tubes if the child has 3 or
more episodes of AOM in a six month period. This child has concern for speech
delay as well which is another indication that he/she might be having hearing
issues secondary to recurrent AOM or Otitis with Effusion (AAP guidelines)
Which intervention is part of the recommended treatment for erythema
multiforme minor?
Pg. 1
,a. Oral antihistamine as a supportive measure
b. Oral steroid to resolve skin lesions
c. Topical antibiotic to prevent infection
d. Topical antifungal to treat skin lesions - CORRECT ANSWER ✔✔- a. Oral
antihistamine as a supportive measure
Rationale: Erythema multiforme is a self limiting condition. In most cases,
symptomatic treatment is sufficient. Oral antihistamines for 3 or 4 days may
reduce the stinging and burning of the skin. Because the skin lesions are not
related to a bacterial or fungal infection on the dermis, topical antibiotics and
antifungals are not beneficial. Oral steorids are reserved for severe EM with
functional impairments. (Zitelli and Davis' Atlas of Pediatric Physical Diagnosis)
Statements that define the core knowledge of a pediatric primary care nurse
practitioner's care are contained within the professional:
a. Accreditation standards
b. Certification requirements
c. Licensure application
d. Scope of practice - CORRECT ANSWER ✔✔- d. Scope of practice
Rationale: The scope of practice defines the knowledge, procedures, actions, and
processes that a health care practitioner is permitted to undertake in keeping
with the terms of their certification and licensure (PNCB, AANP and State Board of
Nursing website)
Evidence-based practice in clinical management is grounded in:
Pg. 2
, a. Clinical practice guidelines
b. Cohort studies
c. Expert opinions
d. Systematic reviews - CORRECT ANSWER ✔✔- d. Systematic reviews
Rationale: Systematic reviews are the highest level of evidence to support
evidence base management. Clinical practice guidelines are often based on
systematic reviews and provide grading of recommendations. Expert opinions and
cohort studies do not provide a high enough level of evidence. (Research levels of
evidence; Stewart & Denisco, Chapter 7)
A pediatric primary care nurse practitioner examines a three-year-old patient who
underwent a myringotomy four months ago. Sixty-five percent of the child's
speech remainsunintelligible. The nurse practitioner's response is to:
a. Consider the patient's history, by assessing the performance against standards,
and recommend no action for eight months
b. Interpret the patient's speech performance against expected standards and
recommend a referral to an audiologist
c. Listen to the mother's report that the child's speech is progressing normally and
recommend no further intervention for twelve months
d. Recommend that the child visit a pediatric speech therapist because children
should be speaking by three years of age - CORRECT ANSWER ✔✔- b. Interpret
the patient's speech performance against expected standards and recommend a
referral to an audiologist
Rationale: The PNP should consider the speech development against expected
standards and recommend further evaluation of hearing. The 3 year old should
Pg. 3
