NEW PEDIATRIC NURSE PRACTITIONER ACTUAL
EXAM WITH Q&A LATEST UPDATE 2025/2026
NEWEST
Which of the following statements would be considered subjective data obtained from the
client during the review of systems for the skin?
a. the skin appears dry & excoriated
b. a lesion is noted on the lateral aspect of the right leg
c. there is moderate acne on the forehead and back
d. the patient denies changes in skin texture --CORRECT ANSWER--d
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a
cardiac problem in the infant & require a more thorough history?
a. the baby gets the hiccups often.
b. it takes the baby over 30min to complete a bottle
c. the baby's heart seems to beat rapidly sometimes
d. sometimes the baby sounds congested --CORRECT ANSWER--b
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to
include:
a. the date of last breast self-exam.
b. any limitations related to sports participation.
c. the last hematocrit and hemoglobin
d. the last lead screen --CORRECT ANSWER--b
Page 1 of 390
,The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP
explores further, asking:
a. how the mother did the toilet training
b. if the child is dry at night and fully trained for urine and stool day and night
c. at what age did the mother begin toilet training the other child.
d. if the child gets up at night to use the bathroom --CORRECT ANSWER--b
Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her
mother's arms. What should the PNP do first?
a. Examine the ears, since this is uncomfortable for the infant.
b. Quickly give any needed immunizations.
c. Begin with assessment of the head and proceed from head to toe.
d. auscultate the heart & lungs while the infant is sleeping. --CORRECT ANSWER--d
The mother of a newborn brings the baby to the clinic because she is afraid something is
wrong with her baby ("his head is so big"). The PNP responds that:
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen
by a neurologist."
d. "your head appears large so it is probably genetic." --CORRECT ANSWER--a
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked
elevation of the right scapula and right thoracic hump and spinal curve abnormally are noted.
Spinal films indicate 20 degree curve. The PNP should:
a. refer the patient to an orthopedist
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,b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
d. recommend bedrest and back brace --CORRECT ANSWER--a
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
a. 25
b. 50
c. 100
d. none --CORRECT ANSWER--b
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert
the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior --CORRECT
ANSWER--a
The PNP is assessing a neonate in the nursery. The cremasteric reflex is absent, and the right
testicle cannot be palpated in the scrotum. The PNP should:
A) Order a sonogram
B) Consult with the physician
C) Wait for the next well visit to see if the situation has changed
D) Order an MRI --CORRECT ANSWER--b
Page 3 of 390
, A 9-year-old child is brought to the clinic for the evaluation and treatment of a rash. While
examining the child, the PNP detects a speech dysfluency. The most appropriate plan of
treatment should include:
A) Treating the rash and scheduling a well-child visit to address the speech problem
B) Treating the rash and making a referral for speech, language, and hearing evaluation
with a speech pathologist
C) Treating the rash and making no referral because it is too late for speech therapy to be
beneficial
D) Using a clinical screening tool to determine whether a language disorder exists --
CORRECT ANSWER--b
A 13-year-old adolescent complains of having difficulty walking and the arms feeling weak.
The adolescent had a cold 2 weeks ago. On examination, the PNP is not able to elicit deep
tendon reflexes. The PNP knows that the most appropriate course of action is to:
A) Refer the adolescent to an orthopedic surgeon
B) Schedule a follow-up visit in 1 week
C) Refer the adolescent to a neurologist
D) Refer the adolescent to an emergency room --CORRECT ANSWER--d
The concept of health promotion consists of efforts to prevent rather than to cure disease or
disability. This description best describes:
a. tertiary prevention
b. secondary prevention
c. primary prevention
d. morbidity prevention --CORRECT ANSWER--c
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EXAM WITH Q&A LATEST UPDATE 2025/2026
NEWEST
Which of the following statements would be considered subjective data obtained from the
client during the review of systems for the skin?
a. the skin appears dry & excoriated
b. a lesion is noted on the lateral aspect of the right leg
c. there is moderate acne on the forehead and back
d. the patient denies changes in skin texture --CORRECT ANSWER--d
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a
cardiac problem in the infant & require a more thorough history?
a. the baby gets the hiccups often.
b. it takes the baby over 30min to complete a bottle
c. the baby's heart seems to beat rapidly sometimes
d. sometimes the baby sounds congested --CORRECT ANSWER--b
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to
include:
a. the date of last breast self-exam.
b. any limitations related to sports participation.
c. the last hematocrit and hemoglobin
d. the last lead screen --CORRECT ANSWER--b
Page 1 of 390
,The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP
explores further, asking:
a. how the mother did the toilet training
b. if the child is dry at night and fully trained for urine and stool day and night
c. at what age did the mother begin toilet training the other child.
d. if the child gets up at night to use the bathroom --CORRECT ANSWER--b
Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her
mother's arms. What should the PNP do first?
a. Examine the ears, since this is uncomfortable for the infant.
b. Quickly give any needed immunizations.
c. Begin with assessment of the head and proceed from head to toe.
d. auscultate the heart & lungs while the infant is sleeping. --CORRECT ANSWER--d
The mother of a newborn brings the baby to the clinic because she is afraid something is
wrong with her baby ("his head is so big"). The PNP responds that:
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen
by a neurologist."
d. "your head appears large so it is probably genetic." --CORRECT ANSWER--a
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked
elevation of the right scapula and right thoracic hump and spinal curve abnormally are noted.
Spinal films indicate 20 degree curve. The PNP should:
a. refer the patient to an orthopedist
Page 2 of 390
,b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
d. recommend bedrest and back brace --CORRECT ANSWER--a
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
a. 25
b. 50
c. 100
d. none --CORRECT ANSWER--b
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert
the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior --CORRECT
ANSWER--a
The PNP is assessing a neonate in the nursery. The cremasteric reflex is absent, and the right
testicle cannot be palpated in the scrotum. The PNP should:
A) Order a sonogram
B) Consult with the physician
C) Wait for the next well visit to see if the situation has changed
D) Order an MRI --CORRECT ANSWER--b
Page 3 of 390
, A 9-year-old child is brought to the clinic for the evaluation and treatment of a rash. While
examining the child, the PNP detects a speech dysfluency. The most appropriate plan of
treatment should include:
A) Treating the rash and scheduling a well-child visit to address the speech problem
B) Treating the rash and making a referral for speech, language, and hearing evaluation
with a speech pathologist
C) Treating the rash and making no referral because it is too late for speech therapy to be
beneficial
D) Using a clinical screening tool to determine whether a language disorder exists --
CORRECT ANSWER--b
A 13-year-old adolescent complains of having difficulty walking and the arms feeling weak.
The adolescent had a cold 2 weeks ago. On examination, the PNP is not able to elicit deep
tendon reflexes. The PNP knows that the most appropriate course of action is to:
A) Refer the adolescent to an orthopedic surgeon
B) Schedule a follow-up visit in 1 week
C) Refer the adolescent to a neurologist
D) Refer the adolescent to an emergency room --CORRECT ANSWER--d
The concept of health promotion consists of efforts to prevent rather than to cure disease or
disability. This description best describes:
a. tertiary prevention
b. secondary prevention
c. primary prevention
d. morbidity prevention --CORRECT ANSWER--c
Page 4 of 390
