PNPSS case studies
PNPSS · Put your knowledge to work in context.
The Certified Pediatric Nurse Practitioner – Primary Care (CPNP-PC) credential, sometimes searched as PNP-PC or PNPSS, is a specialty certification for licensed advanced practice registered nurses who deliver primary care to infants, children, and adolescents in ambulatory settings. It signals that a nurse practitioner has met a nationally recognized standard of knowledge beyond state licensure, and it is commonly expected by employers, credentialing bodies, and payers. The PNPSS case studies are 5 cases and about 3,972 words.
1An 18-Month-Old in Kinship Foster Care With No Immunization Record, Microcytic Anemia, and a Language Delay
An 18-month-old girl was placed with her maternal aunt six weeks ago after a neglect finding, and the aunt brings her for a catch-up visit. The child has moved three times in the past year and no immunization record can be located despite calls to two prior clinics.
845 words, about 4 min2Recurrent Acute Otitis Media in a Toddler Who Vomits Oral Medication
An 18-month-old boy is brought in on a Friday afternoon with two days of fever to 39.4°C at home and pulling at his right ear. He attends a large child care center and has had clear rhinorrhea for a week.
804 words, about 4 min3A 12-Year-Old With Type 1 Diabetes, Two DKA Admissions, and Insulin Rationing
A 12-year-old boy with type 1 diabetes diagnosed at age 8 comes for quarterly follow-up. HbA1c is 9.4%, up from 7.9% a year ago, and he has had two diabetic ketoacidosis admissions in the past six months, both after running out of insulin.
784 words, about 4 min4A 16-Year-Old's Confidential Chlamydia Result and a Mother in the Waiting Room
A 16-year-old girl comes to your clinic with her mother, who is in the waiting room. At the start of the visit she says she has a new partner and asks for STI testing, and asks that her mother not be told anything.
735 words, about 4 min5Reducing Antibiotic and Bronchodilator Use in Infant Bronchiolitis: A Small-Numbers Quality Problem
You are the lead NP in a four-provider pediatric clinic that sees about 90 bronchiolitis visits each season. At a staff meeting a colleague presents an audit: of 62 infants aged 2-11 months seen for bronchiolitis last winter, 41% received antibiotics, 37% had a chest radiograph, and 29% were treated with albuterol; 8% were referred to the emergency department and 2 were admitted.
804 words, about 4 min