FNP PEDIATRICS EXAM<\/p>\n\n\n\n
While examining a 3-year-old child for a well-child visit, labial
adhesions are noted. The PNP discusses with the mother:
A) Concern of sexual abuse
B) Proper hygiene
C) Causes of UTI
D) Surgical treatment of the adhesions – ANSWER- b
A 10-month-old infant is brought to the clinic for a rash. The rash is
circumscribed, dry, pruritic, slightly flaky, and located on the cheeks and
flexor surface of the arms. What treatment should the PNP prescribe?
A) Bathe the infant frequently, and apply Vaseline to the rash
B) Bathe the infant once a week with Dial soap and apply Gold Bond
cream to the lesions
C) Bathe the infant daily with mild soap, such as Dove, and apply
Eucerin cream daily
D) Bathe the infant daily or every other day with Dove soap and apply a
high potency corticosteroid cream, paying particular attention to the
cheeks – ANSWER- c<\/p>\n\n\n\n
In providing anticipatory guidance to the parents of a 5-year-old child
with diabetes, the PNP should teach them to recognize the symptoms of
sweating, hunger, drowsiness, and confusion. These are all symptoms of:
A) Diabetic ketoacidosis
B) The dawn phenomenon
C) Hypoglycemia
D) The Somogyi phenomenon – ANSWER- c
An 18-month-old child is brought to the office for irritability,
nightmares, and generally being tired for the past few nights. The child
has had an upper respiratory tract infection for which the grandmother
has administered an over-the-counter medication for rhinorrhea. The
child is afebrile and alert, with obvious clear rhinorrhea. The PNP:
A) Orders sinus radiologic studies
B) Prescribes amoxicillin
C) Discusses side effects of decongestants and antihistamines
D) Suggests that the grandmother administer acetaminophen –
ANSWER- c
A 16-year-old presents with pallor and fatigue for the past several
weeks. The complete blood count (CBC) results are consistent with iron
deficiency anemia. What should the PNP tell this teen?
A) Antacids increase the absorption of iron
B) Dairy foods are good sources of dietary iron
C) Juices fortified with vitamin C inhibit the absorption of nonheme iron<\/p>\n\n\n\n
D) Tannin-containing products, such as tea, inhibit the absorption of
nonheme iron – ANSWER- d
A PNP has been asked by the emergency room physician to evaluate a
child for costochondritis. The PNP would expect to find:
A) Tenderness of the midsternal area
B) Atelectasis on chest x-ray film
C) Dullness on percussion
D) Muffled heart sounds – ANSWER- a
The murmur heard when a child has rheumatic heart disease is the result
of:
A) Myocarditis
B) Pericarditis
C) Valvulitis
D) Coronary artery involvement – ANSWER- c
A 16-year-old adolescent has evidence of weight loss. The PNP notes on
the chart documentation of frequent loose stools for 2 weeks. The
differential diagnosis includes hyperthyroidism. What additional clinical
finding would suggest this diagnosis?
A) Dry mouth
B) Hypotension
C) Coarse hair
D) Heat intolerance – ANSWER- d<\/p>\n\n\n\n
The PNP evaluates an infant born to a mother known to have
autoimmune thyroid disease. Congenital hypothyroidism in infants is
associated with which of the following?
A) Excessive sleepiness
B) Failure to thrive
C) Tachycardia
D) Diarrhea – ANSWER- a
Which of the following findings suggests a need for further evaluation
for glomerular disease?
A) Blood pressure of 135\/85
B) +1 protein and red blood cell (RBC) casts in the urine
C) Bright red urine
D) A urine culture of 100,000 bacteria\/mL – ANSWER- b
An 8-year-old child is brought to the urgent care clinic. No chart is
available for the history. The child’s symptoms include tea-colored urine
and periorbital edema, and the blood pressure is 142\/90. There is no
dysuria or frequency. Poststreptococcal acute glomerulonephritis
(PSAGN) is suspected. Which of the following statements is correct?
A) PSAGN typically begins 28 days after a streptococcal infection
B) Appropriate antibiotic treatment prevents nephritogenic group A
beta-hemolytic streptococcal (GABHS) infection
C) The urine test reveals no RBC casts or proteinuria<\/p>\n\n\n\n