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FNP PEDIATRIC EXAM PRACTICE |1295 QUESTIONS &
ANSWERS|LATEST UPDATE 2025-2026| A+ PASS
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 c Standards for well child care and health promotion are set forth by the: a. Task Force on Preventative Services, US Department of Health and Human services b. American Academy of Family Physicians c. American Academy of pediatrics d. Healthy People 2010 and 2020 c
A 15 yo female comes to the clinic for a health maintenance visit. The patient reports no complaints. She does well in school, has many friends, and gets along well with her parents and two siblings. She has recently become sexually active with her boyfriend of 6mo. The physical exam is normal for her age. What screening, lab tests, and/or immunizations should the PNP order? a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated. d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if indicated. a Which of the following is the best written chief complaint? a. 5yo asian female with itchy red rash b. 1 mo with difficulty feeding c. 15yo african american female complaining of lower abdominal pain for 3 days d. 12yo caucasian with itchy eye for 1 week c
c. there is moderate acne on the forehead and back d. the patient denies changes in skin texture 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 b We have an expert-written solution to this problem! 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
b 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 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. d
a. 25 b. 50 c. 100 d. none 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 a The parents of a child with cystic fibrosis are considering another pregnancy. They want to know what their chances are of having another child with cystic fibrosis. The PNP explains that cystic fibrosis is an autosomal recessive disorder and that each conception of carrier parents has a: a. 25% chance of being affected
b. 50% chance of being affected c. 75% chance of being affected d. 100% chance of being affected a The parents of a son with hemophilia are considering another pregnancy. The mother has been identified as a carrier of the hemophilia gene. What chance does each female offspring have of having hemophilia. a. 100% b. 50% c. 25% d. none d A male with Vitamin D-resistant rickets asks what his chances are of passing his disease to his parents. The PNP answers: a. all sons will be affected by only 25% daughters b. all daughters are affected by only 25% sons c. 50% of all offspring will have the disease d. all daughters will be affected but no sons.
d We have an expert-written solution to this problem! A 2-week-old neonate is brought to the clinic with excessive lacrimation of both eyes. The eyes are clear, with no areas of redness, but the corneas appear hazy. The PNP explains to the parents the possible diagnosis and treatment as follows: A) Congenital glaucoma requiring an ophthalmology referral B) Corneal foreign body requiring fluorescein staining and removal C) Chalazion requiring treatment with antibiotic eyedrops D) Allergic conjunctivitis requiring treatment with Benadryl eyedrops a On examination of a 3-month-old infant the PNP is unable to elicit a red reflex in the right eye. Previous examinations failed to note the presence or absence of a red reflex. The PNP's response is to: A) Reassure the parents that this is not a problem because the infant has dark eyes B) Note this finding in the infant's chart and check again in a few months C) Refer the infant to an ophthalmologist to rule out retinal trauma
D) Immediately refer the infant to a pediatric ophthalmologist to rule out a congenital cataract or retinoblastoma d A 4-year-old child with chickenpox has vesicles on the skin of the right eyelid. The child complains of eye pain and blurred vision. The PNP should treat the condition by: A) Applying cool compresses to the eye and lesions B) Prescribing eyedrops containing steroids to decrease inflammation and pain C) Prescribing polyspoium ophthalmic ointment for the secondary bacterial infection D) Immediately referring the child to an ophthalmologist d An adolescent is being seen at a community health center because of recurrent respiratory tract infections. The complete blood cell count (CBC) with differential shows a white blood cell count of 20,500 with 35% blast cells. The next step in managing the adolescent's care is to: A) Repeat the CBC with differential in 1 week B) Refer to a specialist in pediatric hematology C) Perform bone marrow aspiration
A) Reassure the parents that these findings are consistent with acute idiopathic thrombocytopenia purpura (ITP), and advise a hematology consultation for confirmation B) Refer the child immediately to the pediatric hematology/oncology department of the nearest tertiary care center C) Report the family to the local protective services department as soon as possible because of the possibility of child abuse D) Order additional laboratory tests, including bleeding studies, an autoimmune panel, and an Epstein-Barr titer; more information is needed before a diagnosis can be made a We have an expert-written solution to this problem! A 4-year-old child is scheduled for a tonsillectomy and adenoidectomy. The preoperative laboratory tests indicate a prolonged active partial thromboplastin time (aPTT). The PNP should suggest that they: A) Continue with the surgery, and monitor the child closely for bleeding complications B) Cancel the surgery, and recheck the aPTT in 1 week C) Cancel the surgery, and refer the child to a hematologist D) Obtain a family history, and determine whether there are other relatives with a bleeding disorder c
A 14-year-old adolescent, who appears to be in acute distress and is anxious, is brought to the clinic with symptoms of high fever, chills, malaise, pharyngitis, vomiting, peripheral cyanosis, tachypnea, tachycardia, low blood pressure, and erythroderma. The PNP recognizes this as toxic shock syndrome and: A) Orders a CBC and blood culture immediately B) Orders a CBC and blood culture, and sends the adolescent to an emergency room for a lumbar puncture C) Sends the adolescent to the emergency room by ambulance immediately without providing any treatment in the clinic D) Collaborates with the clinic physician to determine appropriate antibiotic use in this patient c 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
C) Refer the adolescent to a neurologist D) Refer the adolescent to an emergency room d A 1-year-old child is brought to the clinic with a temperature of 102°F and left flank pain. The urine dipstick test indicates nitrates and leukocyte esterase. The presenting signs and symptoms suggest left pyelonephritis. Based on the data, the most appropriate action for the PNP is to: A) Refer the child to a urologist for diagnosis and treatment B) Consult with a physician C) Provide symptomatic treatment for 24 hours, and repeat the urine dipstick test D) Send urine for culture and sensitivity testing b A neonate is diagnosed with trisomy 21 based on karyotyping. What type of follow-up will the infant need? A) Echocardiography; thyroid function tests at birth, 3 months, and yearly thereafter; a CBC; and an audiology consult B) An ophthalmologic evaluation, neck x-ray films by age 3 years, and referral to early intervention and parent education
C) Karyotyping, echocardiography, audiologic and ophthalmologic evaluation, and referral to early intervention and parent education D) Karyotyping; echocardiography; renal ultrasonography; thyroid function tests at birth, age 3 months, and yearly thereafter; and referral to early intervention and parent education a The parents of a 9-year-old with primary enuresis request information regarding treatment options. When discussing alternative treatments for enuresis, the PNP offers pertinent information to help the child and parents make an appropriate decision about which treatment would be best. The family should be told: A) The alarm is the safest therapy, but the relapse rate is about 10% B) Pharmacologic therapy has the lowest relapse rate C) Motivational therapy should be used after pharmacologic treatment D) Treatment should begin with bladder awareness training d We have an expert-written solution to this problem! A parent asks for suggestions in helping a 6-year-old child who wets the bed. What intervention would the PNP recommend for this child diagnosed with primary nocturnal enuresis?
B) The infant should be evaluated for other anomalies of the upper urinary tract C) The infant should be assessed for undescended testes and inguinal hernia D) Routine circumcision should be performed by 6 weeks of age c We have an expert-written solution to this problem! A 15-year-old adolescent has pallor and fatigue. The CBC results are consistent with iron-deficiency anemia. What would be appropriate information to give this adolescent? A) Antacids increase the absorption of iron B) Dairy foods are good sources of dietary iron C) Juices fortified with vitamin C inhibit the absorption of nonheme iron D) Tannin-containing products, such as tea, inhibit the absorption of nonheme iron d We have an expert-written solution to this problem! When discussing the cause of impetigo with the parents of a child just diagnosed, the PNP tells them it is caused by:
A) Klebsiella species or group A beta-hemolytic streptococci (GABHS) B) Proteus species or anaerobes C) Staphylococcus aureus or GABHS D) Escherichia coli or candidal organisms c We have an expert-written solution to this problem! The PNP examines a 4-year-old child who is home-schooled and immunization-delayed. The child has pain when chewing; a fever; and enlarged, tender salivary nodes. The PNP diagnoses mumps and informs the mother that mumps is contagious for: A) 7 days before the onset of symptoms B) 10 days before the onset of symptoms C) 1 to 2 days before and 5 days after D) As long as 3 days after the onset of symptoms a A 10-year-old child is brought to the clinic after jumping over a rusty fence and receiving a puncture wound to the buttocks. Immunizations are up to date with last tetanus given when child was 4 years old. The PNP cleanses the wound and:
