10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CPNP-PC exam has 175 questions and runs 3 hours.
These 10 free CPNP-PC questions are organized by exam domain, so you can see how each part of the Certified Pediatric Nurse Practitioner - Primary Care blueprint is tested. Reveal the answer and explanation under each question.
A 12-month-old presents for a health supervision visit. He has a temperature of 38.2°C (100.8°F), clear rhinorrhea, and is alert, playful, and feeding well. His mother mentions that his older sister developed a fever for two days after her MMR vaccine. Which action is MOST appropriate?
Correct answer: C - Administer all age-appropriate vaccines today
A 4-month-old with severe eczema requiring daily topical corticosteroids is seen for a health supervision visit. His mother asks when she should introduce peanut-containing foods. Which recommendation is MOST appropriate?
Correct answer: A - Introduce peanut-containing foods now, after allergy evaluation
An 11-year-old is due for her first dose of HPV vaccine. Her mother says she has read some concerning things online and is not sure about it. Which approach is MOST likely to result in vaccine acceptance?
Correct answer: A - Announce that she is due for HPV vaccine today, then address concerns
A 2-year-old has reached the maximum height allowed for the rear-facing position of her convertible car safety seat. She weighs 13 kg. Which recommendation is MOST appropriate?
Correct answer: D - Move to a forward-facing seat with a five-point harness
A 4-month-old is exclusively breastfed, is growing along the 50th percentile, and takes no medications or supplements other than a daily vitamin D preparation. Which supplementation plan is MOST appropriate going forward?
Correct answer: B - Vitamin D 400 IU daily plus elemental iron 1 mg/kg daily
At a 2-month health supervision visit, the infant's mother scores 14 on the Edinburgh Postnatal Depression Scale. She reports low mood and poor sleep but denies any thoughts of harming herself or the infant. The infant is thriving. Which action is MOST appropriate?
Correct answer: C - Refer her for evaluation and treatment and assess the infant's caregiving environment
An 18-month-old is screened with the M-CHAT-R at a health supervision visit and scores 5. His parents report no specific concerns about his development. Which action is MOST appropriate?
Correct answer: B - Administer the M-CHAT-R/F follow-up interview
An infant born at 32 weeks' gestation is seen at 6 months chronologic age. Which approach to plotting her weight, length, and head circumference is MOST appropriate?
Correct answer: D - Plot at a corrected age of 4 months on the WHO growth charts
A 5-year-old has a grade 2/6 vibratory systolic murmur heard best at the lower left sternal border that softens when he stands. He is asymptomatic, growing normally, with normal femoral pulses and a normally split S2. Which action is MOST appropriate?
Correct answer: C - Reassure the family and reassess at the next visit
A 3-year-old returns 4 weeks after completing treatment for acute otitis media. He is afebrile and asymptomatic. Otoscopy shows a retracted, amber tympanic membrane with a visible air-fluid level and reduced mobility, without bulging or erythema. Which action is MOST appropriate?
Correct answer: D - Observe, with hearing evaluation if the effusion persists at 3 months
The CPNP-PC exam also covers these domains. Drill them in the full free practice test:
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