CPNP-PC Certified Pediatric Primary Care Nurse Practitioner Board Exam
Preparation
CPNP-PC CERTIFIED PEDIATRIC PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM PREPARATION FOR 2025/2026
COMPLETE 400 QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW!!
A 7yo male presents to the clinic w/a limp from pain on his right side. You ask how
long he has been limping but the boy's mother is not sure. She tells you that she
noticed him limping a few days ago, but the boy did not c/o pain until very
recently. He is unable to walk long distances. His temperature is 99F, which the
mother explains is d/t a recent cold. Upon physical exam, you see no obvious
signs, but an internal rotation of the hip causes spasm. The x-ray appears normal.
Which of the following conditions do you suspect is the most likely cause?
A. Septic arthritis
B. Legg-Calve-Perthes dz
C. Slipped capital femoral epiphysis
D. Toxic synovitis
D. Toxic synovitis
Your pt, a 2yo boy, presents w/ fever of 102F & a noticeable, non-productive
cough. You suspect bronchiolitis. Upon exam, you hear unusual crackling in the
lungs & note that the liver & spleen are readily palpable. Which of the following
findings would you most likely observe in in the diagnostic testing results?
A. Elevated WBCs w/eosinophilia
B. Lung hyperinflation on the chest x-ray
C. Patchy infiltrates on the x-ray
D. Minimum of 60mEq/L chloride in 100 mg of sweat
B. Lung hyperinflation on the chest x-ray
(The child's presentation is most consistent w/acute bronchiolitis. Hyperinflated
1|Page
, CPNP-PC Certified Pediatric Primary Care Nurse Practitioner Board Exam
Preparation
lungs on the chest x-ray are an expected finding in bronchiolitis. Patchy infiltrates
on the x-ray & a minimum of 60 mEq/L chloride in 100 mg sweat are expected
findings in bacterial cystic fibrosis rather than bronchiolitis. Elevated WBC
w/eosinophilia is an expected finding in asthma.)
You are examining a prepubescent child w/cafe au lait macules. You suspect that
she may have neurofibromatosis-1. Which of the following physical findings would
lead you to suspect this?
A. 4 cafe au lait macules measuring 5 mm, & 2 cutaneous neurofibromas
B. 6 cafe au lait macules measuring 4 mm, & 2 cutaneous neurofibromas
C. 3 cafe au lait macules measuring 6 mm, & 3 cutaneous neurofibromas
D. 6 cafe au lait macules measuring 6 mm, & 2 cutaneous neurofibromas
D. 6 cafe au lait macules measuring 6 mm, & 2 cutaneous neurofibromas
For pts w/inadequate iron intake, most of what composes a pt's blood will be
lower than normal in lab findings. What aspect of blood, however, may actually be
found to increase?
A. Red cell distribution width (RDW)
B. Mean corpuscular volume (MCV)
C. Mean corpuscular hemoglobin concentration (MCHC)
D. Serum iron
A. Red cell distribution width (RDW)
(Red cell distribution width (RDW) is increased as RBC may change in shape & size.
Serum iron, mean corpuscular volume (MCV), mean corpuscular hemoglobin
concentration (MCHC) will all be lower than normal in their lab results d/t lack of
iron in the blood.)
Of the following, which is a necessary guideline for interviewing adolescents in a
clinical setting?
2|Page
, CPNP-PC Certified Pediatric Primary Care Nurse Practitioner Board Exam
Preparation
A. Having the adolescent fill out a questionnaire at the same time.
B. Excluding the parents from the interview with the adolescent
C. Advising the adolescent that his/her parents are privy to what was discussed in
the interview
D. Having the parents & the adolescent in your office for a meeting
B. Excluding the parents from the interview with the adolescent
A NP friend of yours comes to you worried because her office has been receiving a
total reimbursement of the Physician Fee Schedule for her services rendered even
though she assigned her billing rights to the office. she thinks there may be
fraudulent billing & asks for your advice. You tell her that there is nothing to worry
about because:
A. The office most likely billed under the physician's Medicare provider code.
B. Medicare recently changed the rules to allow for total reimbursement of the
Physician Fee Schedule for NPs
C. Assigned billing rights allows for total reimbursement of the Physician Fee
Schedule.
D. Legislators have finally recognized the invaluable services provided by NPs &
added provisions to reimburse NPs 100% of the Physician Fee Schedule
A. The office most likely billed under the physician's Medicare provider code.
(Medicare payments reimburse 85% of the Physician Fee Schedule if the NP
directly bills Medicare w/his/her Medicare provider number; however, 100% of
the Physician Fee Schedule rate may be reimbursed for services rendered,
including those provided by an NP, if the supervising physician provides his/her
Medicare provider number for billing purposes. Assigning billing rights to the
office does not satisfy the necessary conditions for 100% reimbursement.
Currently, legislators & Medicare still allow for only 85% reimbursement of the
Physician Fee Schedule to NPs.)
3|Page
, CPNP-PC Certified Pediatric Primary Care Nurse Practitioner Board Exam
Preparation
A 15yo male presents w/ c/o general malaise & fatigue for the past few wks w/o
resolution. He has also had a fever & sore throat. All of the following exam
findings would support the diagnosis of infectious mononucleosis except:
A. Diffuse cervical lymphadenopathy
B. White exudate on tonsils
C. Maculopapular rash
D. Hepatomegaly
D. Hepatomegaly
(Splenomegaly, not hepatomegaly, is found in infectious mononucleosis. All the
other listed exam findings are indicative of infectious mononucleosis, along w/an
early rise in immunoglobulin M, & a permanent rise in immunoglobulin G.)
A couple brings their 3yo boy to you for evaluation because he has been irritable
& feverish. 3 days prior, they brought him in & were sent home w/instructions to
given the child acetaminophen. However, his temp has remained @ or slightly
above 102F. The parents are also worried about skin rashes found on the child's
trunk & his reddened palms & soles, they point out how red the child's eyes are
"from all the crying". Your exam reveals a whitish coat on the child's tongue &
very chapped lips. You also see that the skin of the palms & soles is starting to
peel. What of the following is the most appropriate treatment plan for this child's
likely condition?
A. Acyclovir; acetaminophen
B. Corticosteroids; ibuprofen
C. Admit to hospital for intravenous gamma globulin & high dose aspirin
D. Oral penicillin; aspirin
C. Admit to hospital for intravenous gamma globulin & high dose aspirin
4|Page
Preparation
CPNP-PC CERTIFIED PEDIATRIC PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM PREPARATION FOR 2025/2026
COMPLETE 400 QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW!!
A 7yo male presents to the clinic w/a limp from pain on his right side. You ask how
long he has been limping but the boy's mother is not sure. She tells you that she
noticed him limping a few days ago, but the boy did not c/o pain until very
recently. He is unable to walk long distances. His temperature is 99F, which the
mother explains is d/t a recent cold. Upon physical exam, you see no obvious
signs, but an internal rotation of the hip causes spasm. The x-ray appears normal.
Which of the following conditions do you suspect is the most likely cause?
A. Septic arthritis
B. Legg-Calve-Perthes dz
C. Slipped capital femoral epiphysis
D. Toxic synovitis
D. Toxic synovitis
Your pt, a 2yo boy, presents w/ fever of 102F & a noticeable, non-productive
cough. You suspect bronchiolitis. Upon exam, you hear unusual crackling in the
lungs & note that the liver & spleen are readily palpable. Which of the following
findings would you most likely observe in in the diagnostic testing results?
A. Elevated WBCs w/eosinophilia
B. Lung hyperinflation on the chest x-ray
C. Patchy infiltrates on the x-ray
D. Minimum of 60mEq/L chloride in 100 mg of sweat
B. Lung hyperinflation on the chest x-ray
(The child's presentation is most consistent w/acute bronchiolitis. Hyperinflated
1|Page
, CPNP-PC Certified Pediatric Primary Care Nurse Practitioner Board Exam
Preparation
lungs on the chest x-ray are an expected finding in bronchiolitis. Patchy infiltrates
on the x-ray & a minimum of 60 mEq/L chloride in 100 mg sweat are expected
findings in bacterial cystic fibrosis rather than bronchiolitis. Elevated WBC
w/eosinophilia is an expected finding in asthma.)
You are examining a prepubescent child w/cafe au lait macules. You suspect that
she may have neurofibromatosis-1. Which of the following physical findings would
lead you to suspect this?
A. 4 cafe au lait macules measuring 5 mm, & 2 cutaneous neurofibromas
B. 6 cafe au lait macules measuring 4 mm, & 2 cutaneous neurofibromas
C. 3 cafe au lait macules measuring 6 mm, & 3 cutaneous neurofibromas
D. 6 cafe au lait macules measuring 6 mm, & 2 cutaneous neurofibromas
D. 6 cafe au lait macules measuring 6 mm, & 2 cutaneous neurofibromas
For pts w/inadequate iron intake, most of what composes a pt's blood will be
lower than normal in lab findings. What aspect of blood, however, may actually be
found to increase?
A. Red cell distribution width (RDW)
B. Mean corpuscular volume (MCV)
C. Mean corpuscular hemoglobin concentration (MCHC)
D. Serum iron
A. Red cell distribution width (RDW)
(Red cell distribution width (RDW) is increased as RBC may change in shape & size.
Serum iron, mean corpuscular volume (MCV), mean corpuscular hemoglobin
concentration (MCHC) will all be lower than normal in their lab results d/t lack of
iron in the blood.)
Of the following, which is a necessary guideline for interviewing adolescents in a
clinical setting?
2|Page
, CPNP-PC Certified Pediatric Primary Care Nurse Practitioner Board Exam
Preparation
A. Having the adolescent fill out a questionnaire at the same time.
B. Excluding the parents from the interview with the adolescent
C. Advising the adolescent that his/her parents are privy to what was discussed in
the interview
D. Having the parents & the adolescent in your office for a meeting
B. Excluding the parents from the interview with the adolescent
A NP friend of yours comes to you worried because her office has been receiving a
total reimbursement of the Physician Fee Schedule for her services rendered even
though she assigned her billing rights to the office. she thinks there may be
fraudulent billing & asks for your advice. You tell her that there is nothing to worry
about because:
A. The office most likely billed under the physician's Medicare provider code.
B. Medicare recently changed the rules to allow for total reimbursement of the
Physician Fee Schedule for NPs
C. Assigned billing rights allows for total reimbursement of the Physician Fee
Schedule.
D. Legislators have finally recognized the invaluable services provided by NPs &
added provisions to reimburse NPs 100% of the Physician Fee Schedule
A. The office most likely billed under the physician's Medicare provider code.
(Medicare payments reimburse 85% of the Physician Fee Schedule if the NP
directly bills Medicare w/his/her Medicare provider number; however, 100% of
the Physician Fee Schedule rate may be reimbursed for services rendered,
including those provided by an NP, if the supervising physician provides his/her
Medicare provider number for billing purposes. Assigning billing rights to the
office does not satisfy the necessary conditions for 100% reimbursement.
Currently, legislators & Medicare still allow for only 85% reimbursement of the
Physician Fee Schedule to NPs.)
3|Page
, CPNP-PC Certified Pediatric Primary Care Nurse Practitioner Board Exam
Preparation
A 15yo male presents w/ c/o general malaise & fatigue for the past few wks w/o
resolution. He has also had a fever & sore throat. All of the following exam
findings would support the diagnosis of infectious mononucleosis except:
A. Diffuse cervical lymphadenopathy
B. White exudate on tonsils
C. Maculopapular rash
D. Hepatomegaly
D. Hepatomegaly
(Splenomegaly, not hepatomegaly, is found in infectious mononucleosis. All the
other listed exam findings are indicative of infectious mononucleosis, along w/an
early rise in immunoglobulin M, & a permanent rise in immunoglobulin G.)
A couple brings their 3yo boy to you for evaluation because he has been irritable
& feverish. 3 days prior, they brought him in & were sent home w/instructions to
given the child acetaminophen. However, his temp has remained @ or slightly
above 102F. The parents are also worried about skin rashes found on the child's
trunk & his reddened palms & soles, they point out how red the child's eyes are
"from all the crying". Your exam reveals a whitish coat on the child's tongue &
very chapped lips. You also see that the skin of the palms & soles is starting to
peel. What of the following is the most appropriate treatment plan for this child's
likely condition?
A. Acyclovir; acetaminophen
B. Corticosteroids; ibuprofen
C. Admit to hospital for intravenous gamma globulin & high dose aspirin
D. Oral penicillin; aspirin
C. Admit to hospital for intravenous gamma globulin & high dose aspirin
4|Page
