FNP PEDIATRIC EXAM AND PRACTICE EXAM NEWEST
2026 TEST BANK| FNP PEDIATRIC EXAM REVIEW WITH
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
Question 1
The FNP is assessing a 2-week-old newborn. Which finding
would be most concerning for hypothyroidism?
A) Prolonged jaundice, constipation, and poor feeding
B) Acrocyanosis of the hands and feet
C) Mongolian spots on the sacrum
D) Transient tachypnea of the newborn
Correct Answer: A
Rationale: Hypothyroidism in newborns presents with prolonged
jaundice (beyond 14 days), constipation, poor feeding,
hypotonia, large fontanels, and umbilical hernia. Early detection
is critical to prevent intellectual disability. Newborn screening
includes TSH, but clinical signs should prompt immediate
evaluation. Acrocyanosis and Mongolian spots are normal
findings. Transient tachypnea is a respiratory condition of the
newborn, not related to thyroid function.
1
,Question 2
Which immunization is recommended by the CDC at birth?
A) Hepatitis A
B) Hepatitis B
C) Rotavirus
D) Pneumococcal conjugate (PCV13)
Correct Answer: B
Rationale: The HepB vaccine is recommended within 24 hours of
birth for all medically stable infants weighing at least 2,000
grams. It is given intramuscularly in the vastus lateralis. The first
dose provides protection against perinatal transmission from
HBsAg-positive mothers. Rotavirus and PCV13 are given at 2
months, not at birth.
Question 3
A 6-month-old infant has not yet rolled over from back to front.
Which action should the FNP take?
A) Refer the infant immediately for developmental evaluation
B) Reassure the parents that rolling typically occurs between 4
and 6 months, and reassess at 7 months
2
,C) Diagnose developmental delay
D) Order a brain MRI
Correct Answer: B
Rationale: Gross motor milestones have wide normal ranges.
Rolling over typically occurs between 4 and 6 months. Not rolling
at exactly 6 months is not necessarily concerning. Reassessment at
7 months is appropriate. Delayed rolling beyond 7 months may
warrant evaluation. Developmental delay is not diagnosed
based on a single missed milestone at the expected age limits.
Question 4
The FNP is examining a 5-year-old child with a painful limp. The
child is afebrile. Which condition should be considered first?
A) Septic arthritis
B) Transient synovitis (toxic synovitis) of the hip
C) Osteomyelitis
D) Juvenile idiopathic arthritis
Correct Answer: B
Rationale: Transient synovitis is the most common cause of acute
hip pain and limp in children ages 3 to 8. It is usually postviral,
self-limited, and the child is afebrile or low-grade fever. Range
3
, of motion may be limited but is less severe than septic arthritis.
Septic arthritis and osteomyelitis typically present with fever,
refusal to bear weight, and severely limited motion.
Question 5
The FNP is evaluating a 10-day-old infant who presents with
persistent vomiting after every feeding. The vomitus is nonbilious
and projectile. The infant is hungry immediately after vomiting.
What is the most likely diagnosis?
A) Pyloric stenosis
B) Gastroesophageal reflux
C) Gastroenteritis
D) Malrotation with volvulus
Correct Answer: A
Rationale: Projectile, nonbilious vomiting developing at 3 to 6
weeks of age (but can present as early as 10 days) is classic for
hypertrophic pyloric stenosis. The infant is hungry (eager to feed)
after vomiting. Pyloric stenosis is more common in males and
firstborns. An olive-shaped mass may be palpated in the RUQ.
Ultrasound confirms diagnosis.
4
2026 TEST BANK| FNP PEDIATRIC EXAM REVIEW WITH
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
Question 1
The FNP is assessing a 2-week-old newborn. Which finding
would be most concerning for hypothyroidism?
A) Prolonged jaundice, constipation, and poor feeding
B) Acrocyanosis of the hands and feet
C) Mongolian spots on the sacrum
D) Transient tachypnea of the newborn
Correct Answer: A
Rationale: Hypothyroidism in newborns presents with prolonged
jaundice (beyond 14 days), constipation, poor feeding,
hypotonia, large fontanels, and umbilical hernia. Early detection
is critical to prevent intellectual disability. Newborn screening
includes TSH, but clinical signs should prompt immediate
evaluation. Acrocyanosis and Mongolian spots are normal
findings. Transient tachypnea is a respiratory condition of the
newborn, not related to thyroid function.
1
,Question 2
Which immunization is recommended by the CDC at birth?
A) Hepatitis A
B) Hepatitis B
C) Rotavirus
D) Pneumococcal conjugate (PCV13)
Correct Answer: B
Rationale: The HepB vaccine is recommended within 24 hours of
birth for all medically stable infants weighing at least 2,000
grams. It is given intramuscularly in the vastus lateralis. The first
dose provides protection against perinatal transmission from
HBsAg-positive mothers. Rotavirus and PCV13 are given at 2
months, not at birth.
Question 3
A 6-month-old infant has not yet rolled over from back to front.
Which action should the FNP take?
A) Refer the infant immediately for developmental evaluation
B) Reassure the parents that rolling typically occurs between 4
and 6 months, and reassess at 7 months
2
,C) Diagnose developmental delay
D) Order a brain MRI
Correct Answer: B
Rationale: Gross motor milestones have wide normal ranges.
Rolling over typically occurs between 4 and 6 months. Not rolling
at exactly 6 months is not necessarily concerning. Reassessment at
7 months is appropriate. Delayed rolling beyond 7 months may
warrant evaluation. Developmental delay is not diagnosed
based on a single missed milestone at the expected age limits.
Question 4
The FNP is examining a 5-year-old child with a painful limp. The
child is afebrile. Which condition should be considered first?
A) Septic arthritis
B) Transient synovitis (toxic synovitis) of the hip
C) Osteomyelitis
D) Juvenile idiopathic arthritis
Correct Answer: B
Rationale: Transient synovitis is the most common cause of acute
hip pain and limp in children ages 3 to 8. It is usually postviral,
self-limited, and the child is afebrile or low-grade fever. Range
3
, of motion may be limited but is less severe than septic arthritis.
Septic arthritis and osteomyelitis typically present with fever,
refusal to bear weight, and severely limited motion.
Question 5
The FNP is evaluating a 10-day-old infant who presents with
persistent vomiting after every feeding. The vomitus is nonbilious
and projectile. The infant is hungry immediately after vomiting.
What is the most likely diagnosis?
A) Pyloric stenosis
B) Gastroesophageal reflux
C) Gastroenteritis
D) Malrotation with volvulus
Correct Answer: A
Rationale: Projectile, nonbilious vomiting developing at 3 to 6
weeks of age (but can present as early as 10 days) is classic for
hypertrophic pyloric stenosis. The infant is hungry (eager to feed)
after vomiting. Pyloric stenosis is more common in males and
firstborns. An olive-shaped mass may be palpated in the RUQ.
Ultrasound confirms diagnosis.
4
