Kentucky Pediatric Nurse Practitioner
Exam With Actual Questions & Verified
Answers, Plus Explained
Rationales/Expert Verified For
Guaranteed 100% Pass 2026/Latest
Update/Instant Download Pdf
1. A 2-year-old presents with fever, drooling, and difficulty
swallowing. Which condition should be suspected first?
A. Croup
B. Epiglottitis
C. Bronchiolitis
D. Asthma
Answer: B
Rationale: Epiglottitis presents with drooling, dysphagia, and
high fever and is a medical emergency requiring airway
management.
2. A newborn has a heart rate of 80 bpm immediately after birth.
What is the appropriate initial intervention?
A. Start chest compressions
B. Provide positive pressure ventilation
C. Administer epinephrine
D. Observe only
Answer: B
Rationale: A heart rate <100 bpm in a newborn indicates the
need for positive pressure ventilation.
,3. Which vaccine is contraindicated in an immunocompromised
child?
A. Hepatitis B
B. MMR
C. IPV
D. Tdap
Answer: B
Rationale: MMR is a live vaccine and is contraindicated in
immunocompromised patients.
4. A 5-year-old with asthma presents with wheezing and retractions.
What is the first-line treatment?
A. Oral steroids
B. Inhaled albuterol
C. Antibiotics
D. Antihistamines
Answer: B
Rationale: Short-acting beta-agonists like albuterol are first-line
for acute asthma exacerbations.
5. Which developmental milestone is expected at 6 months?
A. Walking independently
B. Sitting without support
C. Speaking sentences
D. Drawing shapes
Answer: B
Rationale: Most infants can sit without support around 6
months.
6. A child presents with a barking cough and inspiratory stridor.
What is the most likely diagnosis?
A. Bronchiolitis
, B. Epiglottitis
C. Croup
D. Pneumonia
Answer: C
Rationale: Croup presents with a characteristic barking cough
and stridor.
7. Which finding is most concerning in a child with dehydration?
A. Slight thirst
B. Dry lips
C. Sunken fontanelle
D. Mild tachycardia
Answer: C
Rationale: A sunken fontanelle indicates severe dehydration.
8. What is the recommended age for the first dose of MMR vaccine?
A. Birth
B. 6 months
C. 12 months
D. 5 years
Answer: C
Rationale: The first MMR dose is recommended at 12–15
months.
9. A child has a positive rapid strep test. What is the treatment of
choice?
A. Azithromycin
B. Amoxicillin
C. Ciprofloxacin
D. Doxycycline
Answer: B
Exam With Actual Questions & Verified
Answers, Plus Explained
Rationales/Expert Verified For
Guaranteed 100% Pass 2026/Latest
Update/Instant Download Pdf
1. A 2-year-old presents with fever, drooling, and difficulty
swallowing. Which condition should be suspected first?
A. Croup
B. Epiglottitis
C. Bronchiolitis
D. Asthma
Answer: B
Rationale: Epiglottitis presents with drooling, dysphagia, and
high fever and is a medical emergency requiring airway
management.
2. A newborn has a heart rate of 80 bpm immediately after birth.
What is the appropriate initial intervention?
A. Start chest compressions
B. Provide positive pressure ventilation
C. Administer epinephrine
D. Observe only
Answer: B
Rationale: A heart rate <100 bpm in a newborn indicates the
need for positive pressure ventilation.
,3. Which vaccine is contraindicated in an immunocompromised
child?
A. Hepatitis B
B. MMR
C. IPV
D. Tdap
Answer: B
Rationale: MMR is a live vaccine and is contraindicated in
immunocompromised patients.
4. A 5-year-old with asthma presents with wheezing and retractions.
What is the first-line treatment?
A. Oral steroids
B. Inhaled albuterol
C. Antibiotics
D. Antihistamines
Answer: B
Rationale: Short-acting beta-agonists like albuterol are first-line
for acute asthma exacerbations.
5. Which developmental milestone is expected at 6 months?
A. Walking independently
B. Sitting without support
C. Speaking sentences
D. Drawing shapes
Answer: B
Rationale: Most infants can sit without support around 6
months.
6. A child presents with a barking cough and inspiratory stridor.
What is the most likely diagnosis?
A. Bronchiolitis
, B. Epiglottitis
C. Croup
D. Pneumonia
Answer: C
Rationale: Croup presents with a characteristic barking cough
and stridor.
7. Which finding is most concerning in a child with dehydration?
A. Slight thirst
B. Dry lips
C. Sunken fontanelle
D. Mild tachycardia
Answer: C
Rationale: A sunken fontanelle indicates severe dehydration.
8. What is the recommended age for the first dose of MMR vaccine?
A. Birth
B. 6 months
C. 12 months
D. 5 years
Answer: C
Rationale: The first MMR dose is recommended at 12–15
months.
9. A child has a positive rapid strep test. What is the treatment of
choice?
A. Azithromycin
B. Amoxicillin
C. Ciprofloxacin
D. Doxycycline
Answer: B
