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PNP Pediatric Nurse Practitioner 2024
Practice Exam Review Questions and
Answers 100% Pass
Adolescents who report "strict use of condoms during sexual activity" do not need screening for sexually transmitted diseases (STIs) A. True B. False - Answer>> B. False The nurse measures the head circumference of a 2-month-old and notes it to be 2cm more than the previously documented measurement. What is the providers most appropriate next action: A. Document the measurement B. Refer to neurology C. Tell the care-give about the finding D. Re-measure the head circumference - Answer>> D. Re- measure the head circumference When assessing infants and children, the respiratory rate and heart rate should be counted for: A. 10 seconds B. 15 seconds C. 20 seconds D. 60 seconds - Answer>> D. 60 seconds Physical growth in the first year of life typically occurs: A. From Head to Toe B. From Toe to head C. From the limbs towards the torso D. First the legs, then the arms - Answer>> A. From Head to Toe
A respiratory rate of ___________________per minute is considered within normal limits for a healthy 12-month-old infant. A. 10-16 breaths B. 20-40 breaths C. 45-60 breaths D. 61-74 breaths - Answer>> B. 20-40 breaths You need to assess the head circumference of a 4-month-old infant. What is the correct placement for the measuring tape? A. From the occiput to just below the infant's hairline B. From the posterior fontanel to the anterior fontanel C. From just above the infant's eyebrows to the occiput D. From just above the eyebrows to the posterior fontanelle - Answer>> C. From just above the infant's eyebrows to the occiput What is the best way to measure the height of a 4-year-old child? A. Ask the parent/caregiver for the child's most recent height. B. Ask child to stand straight with feet together and face the wall or measuring device. C. Ask the child to lie down on the examining table and measure from the top of the head to the bottom feet. D. Ask the child to stand straight with heels back and head against the wall or measuring device. - Answer>> D. Ask the child to stand straight with heels back and head against the wall or measuring device. An example of an appropriate developmental screening tool would be: A. Weshler Pre-school Intellectual Test B. Vanderbilt ADHD Screen C. Ages and Stages Screening D. Broselow Scoring Tape - Answer>> C. Ages and Stages Screening
BMI measurements are helpful for early detection of obesity in children older than _________. A. 6 months B. 12 months C. 15 months D. 24 months - Answer>> D. 24 months The best view of an infant's ear canal requires the examiner to pull the auricle gently: A. Upward and outward B. Upward and forward C. Downward and outward D. Downward and forward - Answer>> C. Downward and outward While examining a 6-month old infant, the provider notes that the baby is cooing, babbling and squeals during the exam. The provider explains to the caregiver that __________ language skill will probably be next to emerge in the child. A. Forming words like "bottle" B. Making syllables like "da" C. Saying "no" D. Making syllables like "ma" - Answer>> B. Making syllables like "da" Characteristics of vesicles are: A. Raised, fluid-filled lesions less than 1 cm in diameter B. Flat, elevated, superficial papules C. Plugged openings of sebaceous glands D. Superficial area of erythemia and cutaneous edema - Answer>> A. Raised, fluid-filled lesions less than 1 cm in diameter
Differential diagnoses of language delay includes all of the following except: A. Hearing loss B. Chronic ear infections C. Psychosocial deprivation D. Poor visual acuity - Answer>> D. Poor visual acuity An adolescent presents with a rash that he noticed along his hairline. What information would be MOST important to include in the history? A. Foods consumed in the last 24 hours B. Use of illicit drugs C. Use of hair gels or hair-coloring products D. History of allergies - Answer>> C. Use of hair gels or hair- coloring products On an 18-month-old, where would you expect to find the point of maximal impulse (PMI)? A. Second intercostal space at the mid-clavicular line B. Second intercostal space at the right sternal border C. Fourth intercostal space at the mid-clavicular line D. Fourth intercostal space the right sternal border - Answer>> C. Fourth intercostal space at the mid-clavicular line Which of the following describes an innocent murmur commonly found in a 2-year-old? A. Grade II/VI holosystolic continuous murmur at the lower left sternal border B. Grade III/VI combined murmur at the left second intercostal space C. Grade I/VI diastolic murmur at the apex D. Grade II/VI midsystolic murmur at the lower left sternal border
- Answer>> D. Grade II/VI midsystolic murmur at the lower left sternal border
D. Parental consanguinity - Answer>> A. Attainment of developmental milestones A febrile 10-year-old with abdominal pain and fever is being evaluated. Which of the following assessment findings suggests appendicitis? A. Firm sausage-like mass in the upper left quadrant B. Positive Murphys' sign C. Rebound tenderness D. Peristaltic waves - Answer>> C. Rebound tenderness A father asks the provider why the child must be measured at every visit since the child is eating well at home. What is the BEST response to the father's question? A. "Growth and development are the best indicators of health in children." B. "It's important for us to be sure your child is not obese." C. "Because the screening tool recommends it." D. "It's important to show the school that your child is healthy." - Answer>> A. "Growth and development are the best indicators of health in children." A mother brings her 2-week-old male to the clinic because the grandmother is concerned about the baby's flat feet. The provider explains: A. "When he begins walking, we will place molded orthotics in his shoes." B. "Walking will be delayed because he lacks arches in both of his feet." C. "Its normal for a baby to have a fatty pad at the arch so the foot looks flat." D. "He should wear shoes at all times to make the arches develop." - Answer>> C. "Its normal for a baby to have a fatty pad at the arch so the foot looks flat."
The parents of a 3-week-old are very worried about the baby's stiff neck and "lump" on his neck." The provider explains to the family that the baby likely has congenital torticollis and will require: A. Bracing of the neck B. Frequent repositioning of the infant's head C. Pain control with acetaminophen D. Preoperative testing for surgery within the week - Answer>> B. Frequent repositioning of the infant's head In a newborn assessment, what special tests are especially important in screening for musculoskeletal problems? A. Barlow and Ortolani's maneuvers, symmetry of gluteal and thigh folds B. McMurray test for subluxation, Ober test for ilial-tibial band tightness, and Patrick test for flexion contractures C. Lachman test for ligamentous instability and Apely's distraction test D. Upright test for toe walking, tight heel cords, clasped thumbs - Answer>> A. Barlow and Ortolani's maneuvers, symmetry of gluteal and thigh folds Examination of a young child's genitals should take place: A. Only when the parents, caregivers, or police request it B. Whenever the child indicates someone has touched him or her C. Routinely as part of each physical exam D. Only when the genitalia are bleeding or painful - Answer>> C. Routinely as part of each physical exam A 6-week-old infant is brought to the clinic for a well child visit. Which of the following conditions, if observed, would cause the provider concern? A. The infant lifts the head off the table when prone. B. The respiratory rate is irregular, 40-56 breaths each minutes
C. The formula companies are responsible for distribution of the growth charts. D. Regional departments of health have a limited supply of growth charts for their community health centers. - Answer>> A. They can be downloaded at www.cdc.gov/nchsv. Which of the following newborn infants are at risk for hearing loss? A. A 36-week gestation infant with a birth weight of 5 pounds and 6 ounces B. A term newborn with Apgars of 2 and 5 C. A term infant born to a mother who took ampicillin for an ear infection 24 weeks into her pregnancy D. A newborn with atrial septal defect - Answer>> B. A term newborn with Apgars of 2 and 5 Which of the following exam findings would be considered an emergency: A. Respiratory rate of 44 in an infant B. 4-year old in tripod position who is drooling C. Toddler with a fever of 103F D. 2-year with who is resistent to move the left arm below the elbow - Answer>> B. 4-year old in tripod position who is drooling Which of the following is expected developmental milestone for a 2-year-old. Select all that apply. A. Throws a ball overhead B. Jumps in place C. Pedals a tricycle D. Speaks in two-word sentences - Answer>> A. Throws a ball overhead B. Jumps in place D. Speaks in two-word sentences
A hydrocele is best described as fluid that: A. Spontaneously resolves by preschool age B. Is milky and will not illuminate C. Overlies the testes and can not be reduced D. Is palpable and reduced by massage - Answer>> C. Overlies the testes and can not be reduced The Guidelines for Adolescent Preventive Services (GAPS) recommend yearly screenings for all adolescents to include: A. Psychosocial screening, blood pressure, and body mass index B. Blood pressure, hemoglobin, complete physical examination C. Complete physical examination, psychosocial screening, drug testing D. Psychosocial screening, cholesterol screening, liver enzymes
- Answer>> A. Psychosocial screening, blood pressure, and body mass index When examining infants and young children, it's best to start with the inner ear exam to assess for infection. A. True B. False - Answer>> B. False A 16-year-old adolescent comes to the clinic for a yearly examination. The provider should inform the adolescent that: A. Asymmetrical breast development is common in puberty. B. Breast masses that are painless do not require further evaluation. C. Self breast exam should be performed when menses begins. D. Self breast exam is taught to all adolescents at the first sign of puberty. - Answer>> A. Asymmetrical breast development is common in puberty. Children and teen athletes who have concussions must have medical clearance to return to play.
A. True B. False - Answer>> A. True Grunting is an early sign of respiratory distress in infants and children caused by narrowing/obstruction of the upper airway. A. True B. False - Answer>> B. False Which of the following statements by a 16-year-old should not be kept confidential? A. "i have been sexually active with my boyfriend" B. "I sometimes smoke marijuana" C. "Sometimes I feel like ending my life" D. "I occasionally text when I am driving" - Answer>> C. "Sometimes I feel like ending my life" Breast buds are the first sign of puberty in girls but may be observed in both genders during puberty. A. True B. False - Answer>> A. True An adolescent who has yet to explore sexual relationships, is more focused on same-sex friendships, and has a very short attention span is likely to be in which age group? A. 17 - 19 years B. 10 - 14 years C. 14 - 16 years D. 10 - 20 years - Answer>> B. 10 - 14 years The American Academy of Pediatrics recommends _______ hours of screen time per day for children and adolescents. A. 2
B. 4
C. 5
D. unrestricted screen time - Answer>> A. 2 Vaccinations recommended for healthy adolescents aged 11- include: A. HPV, Tdap, Varicella, Influenza annually B. HPV, Tdap, Meningococcal, Influenza annually C. Zoster, Pneumococcal, Influenza annually D. HPV, Zoster, Pneumococcal, Influenza - Answer>> B. HPV, Tdap, Meningococcal, Influenza annually When interviewing a 16 year old female who comes to clinic for an annual health supervision visit, it is most important to do which of the following: A. screen for high-risk behaviors B. address chronic health problems first C. provide unlimited confidentiality D. expect behavior based on chronologic age - Answer>> A. screen for high-risk behaviors A 19 year old female college student presents with a chief complaint of sleep disruption, intermittent headaches, and fatigue for the last 2 months. Which of the following is the least appropriate for the provider to perform during this clinical visit? A. Referral to neurological specialist B. Detailed personal and social history C. Depression screening D. Complete physical exam - Answer>> A. Referral to neurological specialist A 16 year old male presents with acute onset of extreme scrotal pain after a soccer game. The left testicle is exquisitely tender, the scrotum is discolored, and there is no cremasteric reflex on the left side. You suspect:
C. Any known allergies or exposures? D. Have you tried any new soaps or lotions? - Answer>> B. Where do you go to work or attend school? When a patient comes in every 3 months for follow-up of asthma, the nurse practitioner should A. Ask the OLDCARTS questions B. Ask how asthma is affecting the patient's life C. Only auscultate the lungs D. Perform a complete physical exam - Answer>> B. Ask how asthma is affecting the patient's life A 17 year old patient with a history of mild intermittent asthma comes to the clinic with complaints of fever and wheezing. The Nurse Practitioner should perform which of the following? A. Asks how asthma has affected the patient's life B. Asks about the history of this illness using OLDCARTS C. Assess upper extremity musculoskeletal D. Performs a complete physical exam - Answer>> B. Asks about the history of this illness using OLDCARTS What is most likely to lead the nurse practitioner to accurate differential diagnoses? A. Laboratory tests B. Expert consultation C. Focused physical exam D. Radiology results - Answer>> C. Focused physical exam At the end of a patient visit, what should always be included in the Plan? A. Medical record number B. Lab work C. Health promotion/disease prevention activities D. Patient financial agreement - Answer>> C. Health promotion/disease prevention activities
A 2 week old female has a rash on her face, multiple pearly white papules, about 1 mm in diameter on the nose and cheeks. There is no redness or drainage. The infant is afebrile. What is the most appropriate course of action? A. Refer to the dermatologist B. Order a topical antimicrobial medication such as Bactroban C. Reassure the mother that this condition is benign and no treatment is necessary D. Order oral systemic antibiotics, such as Keflex - Answer>> C. Reassure the mother that this condition is benign and no treatment is necessary A 4 month old presents with a 2-week history of an intertriginous diaper rash that is beefy red with satellite lesions. What is your diagnosis? A. Contact diaper dermatitis B. Eczemoid diaper dermatitis C. Candida diaper dermatitis D. Ammonia diaper dermatitis - Answer>> C. Candida diaper dermatitis The PNP is evaluating a 2-day old infant in the clinic. Which of the following newborn screening tests are critical to assess (Select all that apply): A. Critical Congenital Heart Defect screening (CCHD) B. Hearing Screen C. Color blindness Screen D. GBS Screen of the mother - Answer>> A. Critical Congenital Heart Defect screening (CCHD) B. Hearing Screen D. GBS Screen of the mother Medications indicated for the treatment of Tinea vesicolor (tines versicolor) is:
The mother of a 1-week-old infant is concerned about breastfeeding. The PNP notes that the infant has gained weight appropriately, is alert and active on exam. Which of the following management approaches would be appropriate for this concern? (select all that apply) A. Observe the mom and infant during a feeding B. Refer to a lactation consultant C. Discuss supplementation with iron-fortified formula D. A & B only E. All of the above options are appropriate - Answer>> D. A & B only A 17 year old has a rash on her trunk that is a scaly, macular- papular with some pruritus; there are no lesions on the mucous membranes, palms, or soles. There is one larger oval lesion. It is salmon-colored with an erythematous border and appeared first. There have been no other signs of illness. The most likely diagnosis is: A. Keratosis pilaris B. Pityriasis rosea C. Seborrheic dermatitis D. Tinea corporis - Answer>> B. Pityriasis rosea The most common bacterial pathogen causing impetigo is A. Staphylococcus aureus B. Mycobacterium tuberculosis C. Yersinia pestis D. Rochalimaea henselae E. Epstein-Barr virus - Answer>> A. Staphylococcus aureus Common warts are known as A. verruca vulgaris B. condylomata acuminata C. verruca plana
D. molluscum contagiosum E. lichen planus - Answer>> A. verruca vulgaris Four week old Todd is being seen for a well child visit. You notice small (2-4 mm) discrete erythematous papules in the flexural area of his neck. The most likely diagnosis is A. neonatal acne B. scabies C. miliaria rubra D. erythema toxicum neonatorum E. seborrheic dermatitis - Answer>> C. miliaria rubra The Nurse Practitioner is examining a 8-week old infant. The mother asks for recommendations to remove the thick yellowish scaling on the infants scalp. The practitioners anticipatory guidance includes: A. Use a drop of dandruff shampoo daily for the next 2 weeks to remove the scales B. Gentle scrub the scalp with a soft toothbrush to loosen the scales then shampoo normally C. There is no need to treat this condition, it will go away on it's own D. Use baby shampoo and vigorously scrub the scalp for the next few days - Answer>> B. Gentle scrub the scalp with a soft toothbrush to loosen the scales then shampoo normally The treatment of choice for tinea capitis is: A. topical antifungal cream B. oral antibiotics C. oral acyclovir D. oral antifungal E. antiprotozoal topical solution - Answer>> D. oral antifungal The parents of a 2 1/2 week old are very worried about the baby's stiff neck and "lump" on his neck." Your initial treatment includes:
