FNP PED EXAM 2025/2026 QUESTIONS
AND DETAILED CORRECT ANSWERS
WITH RATIONALES | A+ GRADE
A 4-week-old infant presents to the office in mid-January
with a one-week history of nasal congestion and
occasional cough. On the evening prior to this visit, she
developed a temperature of 102 °F, refused to breast
feed, had paroxysmal coughing, and noisy, labored
breathing. Patient is an ill-appearing infant who is lethargic
with tachypnea and intercostal retractions. She has a 4-
year-old sibling who is in day care and who recently had a
"cold." Considering the clinical presentation, what is the
most likely cause of this infant's illness? Correct Answer
RSV bronchiolitis
The child has many risk factors associated with RSV,
including a sibling in day care, along with the time of year.
The child's clinical presentation is consistent with RSV
bronchiolitis.
A 9-year-old child's symptoms occur four times a week
during the day and three times during the night, with an
FEV1 of 80%. What would be the severity classification
per the National Asthma Education and Prevention
Program? Correct Answer Moderate persistent
The child's symptoms are consistent with the diagnosis of
moderate persistent asthma per the GINA (Global Initiative
for Asthma) guidelines.
,An 8-year-old male has mild persistent asthma.
Appropriate daily medication should include which of the
following? Correct Answer An inhaled low-dose
corticosteroid
A child with mild persistent asthma should be using the
stepwise approach to management. Per GINA guidelines,
the child with mild persistent asthma should be using an
inhaled low-dose corticosteroid to control symptoms.
A 3-month-old female is brought to the office for a routine
examination and numerous bruises in varying stages are
noted on the infant's back and legs. The mother gets very
upset when asked about the bruises and starts to cry. She
refuses to talk any more about the bruises or how this may
have happened. A necessary next step for this scenario is
which of the following? Correct Answer Explain to the
mother that bruises such as these are uncommon in a 4-
month-old, and further assessment, including a skeletal
body scan, is required.
Any child with unexplained bruises (especially in children
who are not yet mobile) is required to have a full skeletal
body scan.
According to the developmental theory of Erikson, if the
needs of the infant are met in a consistent manner, the
infant will develop which of the following? Correct Answer
TRUST
According to the developmental theorist, Erikson, it is
essential for an infant's needs to be met so they may
develop trust in the world around them (Trust vs. Mistrust
stage).
,The ability of an infant to turn his head to the side when
lying prone occurs during the _______ month of life.
Correct Answer 1st
A neonate's normal gross motor skill development should
include the ability to turn his/her head during the first
month of life when placed in a prone position.
According to the vaccination schedule recommendations,
the IPV (polio) vaccine, the DTaP (diptheria—tetanus-
acellular pertussis), Haemophilis influenzae type B (HIB),
Rotavirus (RSV1) pneumoccal vaccine (Prevnar-13), and
second hepatitis B vaccine are given at _______ month(s)
of age. Correct Answer 2
This is in accordance with the recommended vaccination
schedule for children, as defined by the CDC.
An infant would be expected to begin babbling and
laughing by what age? Correct Answer 13-6 months of
age
Normal social development includes the ability for the
infant to laugh and babble between the ages of 3 and 6
months. Infants that are not performing this behavior
should be evaluated for further developmental delays.
Most infants will begin to crawl around at ___________.
Correct Answer 7=9 months
This is the most common age for development of this
gross motor skill.
, 21. The first solid food item that should be introduced into
an infant's diet is ____________. Correct Answer cereal
Rice cereal is the least likely food to cause an allergic
reaction in an infant and is generally considered to be the
first recommended solid food.
22. The initial MMR (measles, mumps, rubella) vaccine is
recommended at _____________. Correct Answer 12-15
months of age
Per CDC guidelines for childhood vaccinations.
23. An infant develops increased coordination between his
index finger and thumb and is now able to pick up small
objects. This is known as what? Correct Answer Pincer
reflex
Infants typically develop the pincer reflex at approximately
12 months of age. Anticipatory guidance includes teaching
the parents that the child is at higher risk for
choking/poisoning and putting foreign objects in their
nares, mouth, or ears.
24. The fine motor developmental ability that would be
demonstrated first in the infant would be the ability to
____________. Correct Answer Grasping with the hands \
precedes the ability to perform more higher-level fine
motor tasks such as throwing an object or intentionally
releasing an object.
25. An infant's birth weight is 7 pounds. 5 ounces. What
would the nurse practitioner expect the infant to weigh at 6
months of age? Correct Answer 15 pounds
AND DETAILED CORRECT ANSWERS
WITH RATIONALES | A+ GRADE
A 4-week-old infant presents to the office in mid-January
with a one-week history of nasal congestion and
occasional cough. On the evening prior to this visit, she
developed a temperature of 102 °F, refused to breast
feed, had paroxysmal coughing, and noisy, labored
breathing. Patient is an ill-appearing infant who is lethargic
with tachypnea and intercostal retractions. She has a 4-
year-old sibling who is in day care and who recently had a
"cold." Considering the clinical presentation, what is the
most likely cause of this infant's illness? Correct Answer
RSV bronchiolitis
The child has many risk factors associated with RSV,
including a sibling in day care, along with the time of year.
The child's clinical presentation is consistent with RSV
bronchiolitis.
A 9-year-old child's symptoms occur four times a week
during the day and three times during the night, with an
FEV1 of 80%. What would be the severity classification
per the National Asthma Education and Prevention
Program? Correct Answer Moderate persistent
The child's symptoms are consistent with the diagnosis of
moderate persistent asthma per the GINA (Global Initiative
for Asthma) guidelines.
,An 8-year-old male has mild persistent asthma.
Appropriate daily medication should include which of the
following? Correct Answer An inhaled low-dose
corticosteroid
A child with mild persistent asthma should be using the
stepwise approach to management. Per GINA guidelines,
the child with mild persistent asthma should be using an
inhaled low-dose corticosteroid to control symptoms.
A 3-month-old female is brought to the office for a routine
examination and numerous bruises in varying stages are
noted on the infant's back and legs. The mother gets very
upset when asked about the bruises and starts to cry. She
refuses to talk any more about the bruises or how this may
have happened. A necessary next step for this scenario is
which of the following? Correct Answer Explain to the
mother that bruises such as these are uncommon in a 4-
month-old, and further assessment, including a skeletal
body scan, is required.
Any child with unexplained bruises (especially in children
who are not yet mobile) is required to have a full skeletal
body scan.
According to the developmental theory of Erikson, if the
needs of the infant are met in a consistent manner, the
infant will develop which of the following? Correct Answer
TRUST
According to the developmental theorist, Erikson, it is
essential for an infant's needs to be met so they may
develop trust in the world around them (Trust vs. Mistrust
stage).
,The ability of an infant to turn his head to the side when
lying prone occurs during the _______ month of life.
Correct Answer 1st
A neonate's normal gross motor skill development should
include the ability to turn his/her head during the first
month of life when placed in a prone position.
According to the vaccination schedule recommendations,
the IPV (polio) vaccine, the DTaP (diptheria—tetanus-
acellular pertussis), Haemophilis influenzae type B (HIB),
Rotavirus (RSV1) pneumoccal vaccine (Prevnar-13), and
second hepatitis B vaccine are given at _______ month(s)
of age. Correct Answer 2
This is in accordance with the recommended vaccination
schedule for children, as defined by the CDC.
An infant would be expected to begin babbling and
laughing by what age? Correct Answer 13-6 months of
age
Normal social development includes the ability for the
infant to laugh and babble between the ages of 3 and 6
months. Infants that are not performing this behavior
should be evaluated for further developmental delays.
Most infants will begin to crawl around at ___________.
Correct Answer 7=9 months
This is the most common age for development of this
gross motor skill.
, 21. The first solid food item that should be introduced into
an infant's diet is ____________. Correct Answer cereal
Rice cereal is the least likely food to cause an allergic
reaction in an infant and is generally considered to be the
first recommended solid food.
22. The initial MMR (measles, mumps, rubella) vaccine is
recommended at _____________. Correct Answer 12-15
months of age
Per CDC guidelines for childhood vaccinations.
23. An infant develops increased coordination between his
index finger and thumb and is now able to pick up small
objects. This is known as what? Correct Answer Pincer
reflex
Infants typically develop the pincer reflex at approximately
12 months of age. Anticipatory guidance includes teaching
the parents that the child is at higher risk for
choking/poisoning and putting foreign objects in their
nares, mouth, or ears.
24. The fine motor developmental ability that would be
demonstrated first in the infant would be the ability to
____________. Correct Answer Grasping with the hands \
precedes the ability to perform more higher-level fine
motor tasks such as throwing an object or intentionally
releasing an object.
25. An infant's birth weight is 7 pounds. 5 ounces. What
would the nurse practitioner expect the infant to weigh at 6
months of age? Correct Answer 15 pounds
