CPNP-PC Peds Nurse Exam Prep practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q1Which of the following statements CORRECTLY reflects the handling of minors' mental health information under applicable privacy laws?
✓ Correct answer: D. Under state minor consent laws, a 16-year-old can seek mental health counseling without parental consent if state law allows it, ensuring confidentiality of counseling records.
State minor consent laws may grant minors the autonomy to seek certain medical care, including mental health services, without parental consent, depending on the state. This ensures that counseling records remain confidential if the law provides for such privacy. FERPA, on the other hand, generally requires parental consent for sharing educational records, including health information. HIPAA typically allows parental access to minors' medical records, though exceptions occur under specific circumstances. HMHA, akin to HIPAA, provides protections for digital health data, especially for minors.
Q2A 7-year-old female with severe asthma visits the pediatric clinic for a follow-up. Her father expresses concerns about the potential side effects of the prescribed corticosteroid inhaler and prefers using natural remedies. What is the MOST appropriate first step in management?
✓ Correct answer: C. Listen to the father's concerns and discuss the importance of the inhaler, while exploring his preferences for 'natural' remedies in the context of evidence-based medicine.
Answer: Listen to the father's concerns and discuss the importance of the inhaler, while exploring his preferences for 'natural' remedies in the context of evidence-based medicine. This situation requires applying principles of cultural competence by showing respect for the father's views while providing clear medical advice. Encouraging open communication allows for building trust and potentially reframing his understanding of the situation. Immediate actions that neglect the parent's autonomy, such as contacting CPS or dismissing the father's views, are premature and may not be justified without further attempts at communication.
Q3You are counseling the parents of a 15-year-old female patient who has been diagnosed with a chronic condition and is now prescribed a new medication. In terms of informed consent, which information is essential to share with the patient and her parents?
✓ Correct answer: A. The risks and benefits of not taking the medication
Answer: The risks and benefits of not taking the medication. Informed consent for medication should include explanations of the medication, potential side effects, and the prognosis if the medication is not taken, enabling the patient and family to weigh the options.
Q4In pediatric primary care, what is the MOST reliable method for validating the reliability of a new treatment's effectiveness?
✓ Correct answer: A. Peer-reviewed clinical trials
Peer-reviewed clinical trials are considered the gold standard for validating the effectiveness of a treatment. They involve rigorous methodologies and provide scientific evidence that is evaluated by experts in the field. Other options, such as testimonials or popularity, do not offer the same level of evidence.
Q5In a national conference on nursing roles, various aspects of professional titles were discussed. Which of the following statements about using the title "senior pediatric nurse" is accurate across most states in the USA?
✓ Correct answer: A. It is illegal to use the title without a proper license.
Answer: It is illegal to use the title without a proper license. Nursing titles such as "senior pediatric nurse" are typically regulated by state laws, and using such titles without a relevant license can mislead the public and violate legal requirements. Licensure ensures that individuals have met specific qualifications and standards. Titles are protected under these laws to maintain professional integrity and public trust.
Q6A pediatric patient presents with short stature and is suspected to have a genetic syndrome. Which of the following genetic syndromes typically does NOT require specific dietary modifications? Genetic Syndrome Common Symptoms Dietary Modifications Prader-Willi syndrome Obesity, short stature Low-calorie diet Turner syndrome Short stature, webbed neck Balanced diet with calcium Klinefelter syndrome Tall stature, learning difficulties No specific modifications Noonan syndrome Short stature, heart defects Low-sodium diet
✓ Correct answer: C. Klinefelter syndrome
The correct answer is Klinefelter syndrome. It is characterized by tall stature and learning difficulties, but typically does not require any special dietary modifications. In contrast, Prader-Willi syndrome, Noonan syndrome, and Turner syndrome have dietary recommendations to manage their associated symptoms.
Q7What is the recommended antibiotic for treating Lyme disease in a 6-year-old child presenting with early localized Lyme disease?
✓ Correct answer: B. Amoxicillin
Amoxicillin is the recommended antibiotic for treating early localized Lyme disease in children under 8 years old due to its safety and efficacy. Doxycycline is another option for children older than 8 years, but is avoided in younger children due to potential tooth discoloration. Gentamicin is not used for Lyme disease, ceftriaxone is reserved for more severe, disseminated cases, and azithromycin is less effective than amoxicillin for Lyme disease in early stages.
Q8Which adjustment in fluid management is CORRECT for pediatric patients compared to adult patients? Age Group Percentage of Body Water Infants 75% Adults 60%
✓ Correct answer: B. Pediatric patients require higher fluid maintenance rates due to a higher percentage of body water.
Pediatric patients generally have a higher percentage of body water, about 75% compared to 60% in adults. Higher fluid maintenance rates are needed to support metabolism and hydration in children.
Q9A 14-year-old boy diagnosed with irritable bowel syndrome (IBS) reports difficulty passing stools and seeks treatment for constipation. Which medication would be most appropriate to relieve his symptoms without inducing dependency?
✓ Correct answer: A. Docusate (Colace)
Answer: Docusate (Colace) In cases of IBS with constipation, a stool softener such as docusate is recommended to prevent hard stools and reduce strain during bowel movements, minimizing the risk of dependency associated with stimulant laxatives like senna or bisacodyl. Lactulose can be used for constipation but might cause bloating, which can worsen IBS symptoms.
Q10You suspect your 5-year-old patient has a urinary tract infection caused by multidrug-resistant E. coli. Which of the following antibiotics is MOST appropriate to treat this infection?
✓ Correct answer: B. Ciprofloxacin (Cipro)
Ciprofloxacin is often used to treat urinary tract infections caused by multidrug-resistant bacteria, particularly when they are resistant to other first-line treatments such as ampicillin and nitrofurantoin. While nitrofurantoin is a common choice for uncomplicated UTIs, it might not be effective against resistant strains in severe cases. Ampicillin and amoxicillin have limited effectiveness against resistant E. coli due to widespread resistance.
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