Pediatric Nurse Practitioner Exam Questions, Exams of Nursing

Download Pediatric Nurse Practitioner Exam Questions and more Exams Nursing in PDF only on Docsity! 1 Question 1 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes Question 2 0 out of 1 points Which of the following would not suggest an eating disorder with a purging component? Selected Answer: d. Finger calluses Question 3 1 out of 1 points Which of the following screenings should adolescents have done annually? Selected Answer: d. Psychosocial screening, blood pressure, body mass index Question 4 0 out of 1 points A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none sense. Which of the following statements about him is correct? Selected b. Answer: His vaccinations at birth and 2 months are repeated because too much time has elapsed for them to be effective. Question 5 1 out of 1 points You see a young child who has tripled her birth weight and looks for hidden objects. When given blocks, she places one in each hand. She has a fine pincer grasp. On the floor, she walks around holding objects and is trying to take independent steps. This child is most likely how old? Selected Answer: d. 12 months Question 6 1 out of 1 points You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child’s development will not be normal because she mixes up the two languages. You respond: 2 Selected Answer: b. "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age." Question 7 0 out of 1 points A breastfed infant is expected to have a lower incidence of which of the following? Selected Answer: d. Asthma Question 8 1 out of 1 points An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis? Selected Answer: a. Viral pharyngitis Question 9 0 out of 1 points Acute otitis media can be diagnosed when there is Selected Answer: a. Fluid in the middle ear accompanied by fever and otalgia. Question 10 1 out of 1 points A 4-month-old presents with both eyes turning inward. What is this called? Selected Answer: b. Esotropia Question 11 1 out of 1 points Which of the following represents normal sequencing of development in a toddler? Selected Answer: c. Feeds self, can undress self with help, washes hands, imitates housework. Question 12 1 out of 1 points Which of the following foreign body in the nose requires immediate removal? 5 Sally, age 4, presents to the office with her mother for a well-child visit. To assess for age- appropriate fine motor skills, what activity would you ask her to perform? Selected Answer: d. String beads. Question 25 1 out of 1 points Which of the following eye findings would be considered an ophthalmic emergency? Selected Answer: c. Unilateral vesicular lesions on the upper eyelid in a 3-week old. Question 26 1 out of 1 points Which of the following signs may indicate a baby is not receiving sufficient breastmilk? Selected Answer: a. Sleepiness, jaundice, and vomiting Question 27 0 out of 1 points Which of the following statements is true regarding lying and stealing by the school-age child? Selected Answer: b. They are highly correlated with later criminal behavior. Question 28 1 out of 1 points Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots. What do you suspect? Selected Answer: a. Down syndrome Question 29 0 out of 1 points Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist Selected Answer: d. Wake him every 30 minutes to assess mental status. Question 30 1 out of 1 points A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile, height about the 10th percentile, and head circumference at the 50th percentile. The planned pregnancy 6 resulted in a normal, spontaneous, vaginal delivery; mother and child were discharged after a 48- hour hospitalization. Feeding is via breast and bottle; the quantity seems sufficient. The child has had no illness. The examination is unremarkable except for the child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances. Which of the following is the most appropriate therapy for this child? Selected Answer: c. Oral supplementation with bicarbonate Question 31 1 out of 1 points Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is present. The TM is normal. Mark should be instructed to do which of the following? Selected Answer: d. Keep ear dry until symptoms improve. Question 32 1 out of 1 points Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following? Selected Answer: e. Sleep in the supine position is recommended Question 33 1 out of 1 points A 9-year-old who weighs 70 pounds asks why she can't sit in the front passenger seat of the family car. Your best response is Selected b. Answer: The safest place for children under 12 years old and 100 pounds is in the backseat of the car. Question 34 1 out of 1 points Which of the following statements about bullying is true? Selected Answer: d. It occurs most commonly during unstructured times (lunch, recess, etc.). Question 35 1 out of 1 points 7 The parent of a 2-year-old tells you her daughter recently started having breath-holding spells. She tells you the older sibling “did the same thing” and asks you for help. You advise her that after a breath-holding event: Selected Answer: b. Act as if nothing abnormal happened. Question 36 1 out of 1 points Which adolescent would be at greatest risk for developing anorexia nervosa? Selected Answer: a. 14-year-old female gymnast Question 37 1 out of 1 points An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, techycardia, and facial flushing. She says she can "see" sound and "hear" colors. The agent likely to be responsible is which of the following? Selected Answer: d. Lysergic acid diethylamide (LSD) Question 38 1 out of 1 points You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? Selected Answer: a. Formal operational Question 39 1 out of 1 points The nurse practitioner role was initially established to Selected Answer: c. Improve access to care and partially solve physician shortage. Question 40 0 out of 1 points You would be concerned about the language development of a child who: Selected Answer: a. Pronounces words that are not understandable at 2 years of age Question 41 0 out of 1 points 10 Which of the following children has abnormal language development? Selected Answer: a. Repeats simple phrases at 32 months Question 54 1 out of 1 points Which of the following strategies would not be appropriate to include as part of your treatment plan of an 8-year-old boy who is obese? Selected Answer: a. Referral to nutritionist for weight reduction plan. Question 55 1 out of 1 points Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the two-week recheck, his TM was still erythematous and you cannot see the landmarks. He has persistent nasal congestion, he is not sleeping at night, and he has a 101°F fever. What is the next best step for Luke? Selected Answer: d. A 1-day course of Augmentin Question 56 0 out of 1 points The appropriate lab tests in assessment of cervical adenitis include all of the following except: Selected Answer: a. PPD Question 57 1 out of 1 points What method can be safely used to remove cerumen in a 15-month-old child's ear? Selected Answer: c. Irrigation using warm water from a soft bulb syringe Question 58 1 out of 1 points The most common substance used in middle school is Selected Answer: d. Alcohol Question 59 1 out of 1 points Role-play with equipment during the course of the physical exam would be the most beneficial with which age group? 11 Selected Answer: c. Preschoolers Question 60 1 out of 1 points An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider? Selected Answer: d. Ocular mobility Question 61 1 out of 1 points A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents report that she is doing poorly in school and is disruptive in the classroom. They ask you what they can do. Your best response is: Selected Answer: d. "Use a consistent approach with behavioral cues both at home and at school." Question 62 1 out of 1 points Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development? Selected c. Answer: Begin anticipatory guidance related to sexuality and normal pubertal development in the early school-age visits. Question 63 0 out of 1 points Initial screening tests for an 11-year-old with a family history of hyperlipidemia and weight at the 97th percentile include: Selected Answer: c. fasting glucose, postprandial glucose, fasting lipid profile Question 64 1 out of 1 points You see a 6-month-old for a well-child visit and the mother tells you the child’s grandmother recommends that she give the infant whole milk and eggs when he starts solids. What should you tell the mother? Selected Answer: c. The baby should remain on infant formula and stage 2 and 3 baby foods for now. Question 65 12 0 out of 1 points Early reflexive responses that are not related to survival include all but: Selected Answer: d. Babinski Question 66 1 out of 1 points The father of a 3-year-old is concerned because the child stutters. What should your approach be? Selected Answer: b. Explain that this can be normal until 4 years of age. Question 67 0 out of 1 points A common feature of 2-year-old behavior is: Selected Answer: d. a and b Question 68 1 out of 1 points A child's head circumference is routinely measured on each well visit until what age? Selected Answer: c. 2 years Question 69 1 out of 1 points A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian syndrome? Selected Answer: a. free testosterone Question 70 1 out of 1 points Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th percentile for height, weight and head circumference. He was born at 30 weeks’ gestation and weighed 1000g. He was a planned pregnancy, and his mother’s prenatal course was uneventful until an automobile accident initiated the labor. He was ventilated for 3 days in the intensive care unit but otherwise did well without ongoing problems. He was discharged at 8 weeks of life. Which of the following is the most likely explanation for his small size? Selected Answer: d. Normal ex-preemie infant growth Question 71 15 esophoria Question 83 1 out of 1 points You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected Answer: a. Counts to 4 and draws a person with three parts. Question 84 1 out of 1 points The diagnostic criteria for autism spectrum disorder include all of the following except Selected Answer: b. Tolerance of flexibility with routines Question 85 1 out of 1 points A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: Selected Answer: a. Assessing the family supports available to the child. Question 86 0 out of 1 points A 19-month-old says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? Selected Answer: c. Tell parent, "Boys typically have delayed speech compared with girls at this age." Question 87 1 out of 1 points Which of the following substances is associated with pupillary constriction? Selected Answer: d. Heroin Question 88 1 out of 1 points Blood pressure should be measured at well-child visits starting at age: Selected Answer: b. 3 years 16 Question 89 0 out of 1 points Which of the following statements about "routine" screening tests is true? Selected Answer: a. Lead testing is obtained on all 12- and 14-month-old children. Question 90 1 out of 1 points You see a 3-year-old for a well-child visit. His mother informs you that potty training has been very easy because he “has an amazing internal clock. He falls asleep, gets hungry, and has bowel movements at the same time every day.” This describes which aspect of temperament? Selected Answer: a. Rhythmicity Question 91 1 out of 1 points Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? Selected Answer: d. Flushing the ear with water. Question 92 1 out of 1 points A Mantoux test in a child with no risk factors is considered positive with a reaction of: Selected Answer: b. at least 15 mm induration Question 93 1 out of 1 points Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. Test Results Fasting blood glucose 112 mg/dL 2 hour postprandial glucose 138 mg/dL Selected Answer: a. Impaired fasting glucose, postprandial glucose within normal limits Question 94 1 out of 1 points A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as: 17 Selected Answer: c. Bruxism Question 95 1 out of 1 points Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing signs of Selected Answer: a. ADHD Question 96 0 out of 1 points A 6-month-old infant has been growing poorly. His parents have changed his formula three times without success. His examination is remarkable for a pale, emaciated child with little subcutaneous fat and anterior fontanelle fullness. His laboratory test results are notable for a hemolytic anemia and prolonged bleeding times. Which of the following is the most appropriate next step? Selected Answer: e. Measure serum factor IX levels Question 97 1 out of 1 points The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical findings are not usually associated with the diagnosis of school phobia? Selected Answer: b. Chronic medical illness Question 98 1 out of 1 points Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? Selected Answer: d. Sitting up and leaning forward Question 99 1 out of 1 points Which of the following statements regarding adolescent substance use is true? Selected Answer: a. Tobacco is the most commonly abused substance during adolescence. Question 100 0 out of 1 points