Pediatric Nurse Practitioner Certification Exam

The Pediatric Nurse Practitioner Certification exam is a comprehensive and challenging assessment for men and women who want to enter this fast-paced and rewarding field of health care. This exam is appropriate for nurses who have already acquired a great deal of experience working with children and who have greater expertise in this field than an average registered nurse.

The Pediatric Nurse Practitioner Certification exam is divided into four content domains: assessment (43 items); health promotion (15 items); management (77 items); and the professional role (15 items). The assessment domain covers issues related to physical, psychosocial, and family testing. The management section addresses illness, psychosocial and behavioral problems, and chronic care and end-of-life issues.

The questions on the Pediatric Nurse Practitioner Certification are multiple-choice, with four possible answers. Some of the answer choices may be partially correct; it is the test takers job to identify the best answer.

For those who pass the exam, there are numerous benefits. Certified pediatric nurses make more money and have more control over where they work. Nurses who earn this certification report a higher level of job satisfaction and an increase in status within the workplace. Most importantly, however, those who pass the Pediatric Nurse Practitioner Certification exam become qualified to provide excellent service to those who are most deserving.

Pediatric Nurse Practitioner Certification Exam Practice Questions

1. Which is considered the strongest (or highest) level of evidence among the following choices?

a. Systematic review of randomized controlled trials
b. Expert opinion
c. Systematic review of case-controlled studies
d. Case series

2. The pediatric nurse practitioner performs the "cover test" on a 3-year-old patient to screen for strabismus. When the left eye is covered, the right eye moves outward to fix on a near object. The cover test has revealed which of the following conditions?

a. Pseudostrabismus
b. Left eye strabismus
c. Right eye strabismus
d. Normal ocular alignment

3. Which of the following is accurate about transmission of an autosomal recessive trait, such as the defective gene of cystic fibrosis?

a. 25% of children born to two carriers of the gene mutation will be affected by the disease
b. All male offspring born to two carriers of the gene mutation will be affected by the disease, while none of the female offspring will be affected
c. Half of the female offspring born to two carriers of the gene mutation will be carriers of the gene mutation and half of the male offspring will be affected by the disease
d. 50% of all offspring born to two carriers of the gene mutation will be affected by the disease

4. In which of the following age groups would inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis) most likely present?

a. Adolescent (12-18 years)
b. Neonate (0-1 month)
c. Toddler (2-4 years)
d. School-age (5-10 years)

5. Family-centered care is characterized by which of the following?

a. Care team acts as the experts and instructs the patient and family in how to properly carry out the care plan
b. Collaboration between the care team and patient/family regarding decision-making and clinical care
c. Patient/family direct the clinical care team's actions
d. All members of the patient's family must agree on a specific care plan before it is implemented

Answers

1. A: Evaluating published research can be overwhelming. It is important to become familiar with the defining characteristics of different study types, such as randomized controlled trial, cohort study, case-control study, case report, etc. In evaluating the available research relevant to a specific clinical question, it is helpful to differentiate the research based on the strength of the evidence (e.g., more reliable, less vulnerable to bias). The strongest level of evidence is a systematic review or meta-analysis of randomized controlled trials (RCTs). The next strongest level of evidence among the choices offered is a systematic review of case-controlled studies, followed by case series, and finally, expert opinion.

2. C: The cover test is used to detect ocular misalignment (strabismus or so-called "lazy eye"). The cover test is performed by first asking the patient to fixate on an object. One eye is covered with the examiner's hand, and the uncovered eye is observed for any deviation or movement. If the uncovered eye remains still when the alternate eye is covered, the eyes are normally aligned. If strabismus is present, the affected eye will move to fixate on the object when the opposite eye is covered. Pseudostrabismus describes the false impression of ocular misalignment given by excess epicanthal skin folds.

3. A: Autosomal recessive traits require two copies of the gene mutation for a person to be affected by the disease. Autosomal recessive inheritance allows for the carrier state. Autosomal recessive diseases affect male and female offspring equally (unlike X-linked gene mutations). Offspring of parents who are both carriers of the autosomal recessive gene mutation have a 25% chance of being affected by the disease (inheriting the abnormal gene mutation from both parents) and a 50% chance of being a carrier (inheriting the abnormal gene mutation from one parent and a normal allele from the other parent). Twenty-five percent of offspring will be neither affected by the disease nor a carrier (inheriting normal alleles from both parents).

4. A: Inflammatory bowel disease presents most often in the adolescent or early adulthood period, but may be symptomatic in the school-aged child less commonly. Both ulcerative colitis and Crohn's disease may present with gastrointestinal symptoms (e.g., abdominal pain, bloody diarrhea) and/or extraintestinal symptoms (e.g., oral ulcers or arthritis). Patients may also present with weight loss, growth retardation or pubertal delay. Up to 25% of patients have a positive family history for inflammatory bowel disease.

5. B: Family-centered care is organized around the principle that provider and patient/family satisfaction and outcomes are enhanced when care providers and families collaborate to establish shared priorities and accomplish shared goals with regard to patient care. Rather than providers acting as the experts and imparting the plan to the patient and family, family-centered care depends on each group imparting their own knowledge and expertise to the group so that the entire group can work collaboratively to create the best plan of care.

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By Lindsay Downs

Last Updated: 04/12/2014

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