PEDSCE PNP-PC EXAM PRACTICE QUESTIONS
100% CORRECT!
The most likely cause of bilateral purulent conjunctivitis in a 1-day old infant is
a. Gonorrheal opthalmia
b. Chlamydia infection
c. Symphilitic opthalmia
d. Adenovirus infection - ANSWER a. Gonorrheal ophthalmia
Rationale: Gonorrehea usually appears in the first 3-5 days of life. Chlamydia is
between days 5-14. The other 2 are less common in neonates. Most common causes of
conjunctivitis in newborn includes, Chlamydia, Gonorrhea, HSV, and chemical induced
conjunctivitis. (Burns)
Which of the following circumstances is most suggestive of excessive stress in a family
with a chronically ill child?
a. The father takes a second job to meet financial responsibilities
b. The mother provides the majority of the care for the child
c. The parents stop participation in a support group
d. A sibling exhibits decline in school performance - ANSWER c. The parents stop
participation in a support group
Rationale: Chronic illness takes a significant stress on the family. It can result in
changes in roles as well as the sibling feeling unloved or left out in some way. Can also
result in depression/anxiety of parents and other family members. Positive social
networks are a positive influence on parents and the PNP should be concerned if the
family is withdrawing from supportive social networks. This could indicate depression or
extreme stress on the family unit. (Burns)
An otherwise healthy 2-year old boy is brought to the emergency room with a four-week
history of wheezing and persistent cough. Prior to the start of these symptoms, the
parent recalls a coughing event which resolved spontaneously. Of the following the
most likely diagnosis is:
, a. Viral pneumonia
b. Acute laryngotracheobronchitis
c. Bronchiolitis
d. Foreign body aspiration - ANSWER d. Foreign body aspiration
Rationale: An initial choking, gagging, or coughing episode following by spontaneous
resolution is often present in history finding of a child with foreign body aspiration. The
episode is typically followed by respiratory symptoms such as stridor, wheezing, and
prolonged cough in the absence of illness. Acute layngotracheobronchitis, bronchitis,
and viral pneumonia are also associated with coughing and wheezing but also involve
other symptoms such as fever, rhinorrhea, fatigue and usually resolve within 10-14
days. (Nelson Textbook of Pediatrics 20th edition, Chapter 327)
The sexual development of a 14-year old girl is notably delayed. She is very short,
slightly obese, and complains of constipation and fatigue. Her skin is sallow and coarse
in texture, and her hair is brittle. Which of the following tests should be obtained?
a. Serum leutinizing hormone and chromosome analysis
b. Serum thyroxine and thryroid-stimulating hormone
c. Chromosome analysis and serum thyroxine
d. Serum leutinizing hormone and thyroid stimulating hormone - ANSWER b. Serum
thyroxine and thryroid-stimulating hormone
Rationale: Classic symptoms of growth failure, goiter, delayed or arrested puberty,
delayed dentition, weight gain, fatigue, dry skin, hyperlipidemia, decline in school
performance, menorrhagia, and fatigue. It would be most appropriate to test for
hypothyroidism first in this patient. If these are normal then you may want to consider
the other tests for reasons for her growth delay etc. (Burns)
A five-year-old child's physical examination is normal and the child has no known
allergies to foods or medications. To date, the child has not been immunized and has
had varicelladisease. The pediatric primary care nurse practitioner now administers a
poliovirus vaccine, a diphtheria, tetanus, and acellular pertussis vaccine; a measles,
mumps, and rubella virus vaccine, and a:
a. Haemophilus influenza Type b vaccine
b. Hepatitis B vaccine
c. Meningococcal vaccined.
d. Varicella vaccine (Varivax) - ANSWER b. Hepatitis B vaccine
Rationale: Since the child has not been previously immunized, Hepatitis B should be
given. The Haemophilus influenza Type B vaccine should not be given to children over
100% CORRECT!
The most likely cause of bilateral purulent conjunctivitis in a 1-day old infant is
a. Gonorrheal opthalmia
b. Chlamydia infection
c. Symphilitic opthalmia
d. Adenovirus infection - ANSWER a. Gonorrheal ophthalmia
Rationale: Gonorrehea usually appears in the first 3-5 days of life. Chlamydia is
between days 5-14. The other 2 are less common in neonates. Most common causes of
conjunctivitis in newborn includes, Chlamydia, Gonorrhea, HSV, and chemical induced
conjunctivitis. (Burns)
Which of the following circumstances is most suggestive of excessive stress in a family
with a chronically ill child?
a. The father takes a second job to meet financial responsibilities
b. The mother provides the majority of the care for the child
c. The parents stop participation in a support group
d. A sibling exhibits decline in school performance - ANSWER c. The parents stop
participation in a support group
Rationale: Chronic illness takes a significant stress on the family. It can result in
changes in roles as well as the sibling feeling unloved or left out in some way. Can also
result in depression/anxiety of parents and other family members. Positive social
networks are a positive influence on parents and the PNP should be concerned if the
family is withdrawing from supportive social networks. This could indicate depression or
extreme stress on the family unit. (Burns)
An otherwise healthy 2-year old boy is brought to the emergency room with a four-week
history of wheezing and persistent cough. Prior to the start of these symptoms, the
parent recalls a coughing event which resolved spontaneously. Of the following the
most likely diagnosis is:
, a. Viral pneumonia
b. Acute laryngotracheobronchitis
c. Bronchiolitis
d. Foreign body aspiration - ANSWER d. Foreign body aspiration
Rationale: An initial choking, gagging, or coughing episode following by spontaneous
resolution is often present in history finding of a child with foreign body aspiration. The
episode is typically followed by respiratory symptoms such as stridor, wheezing, and
prolonged cough in the absence of illness. Acute layngotracheobronchitis, bronchitis,
and viral pneumonia are also associated with coughing and wheezing but also involve
other symptoms such as fever, rhinorrhea, fatigue and usually resolve within 10-14
days. (Nelson Textbook of Pediatrics 20th edition, Chapter 327)
The sexual development of a 14-year old girl is notably delayed. She is very short,
slightly obese, and complains of constipation and fatigue. Her skin is sallow and coarse
in texture, and her hair is brittle. Which of the following tests should be obtained?
a. Serum leutinizing hormone and chromosome analysis
b. Serum thyroxine and thryroid-stimulating hormone
c. Chromosome analysis and serum thyroxine
d. Serum leutinizing hormone and thyroid stimulating hormone - ANSWER b. Serum
thyroxine and thryroid-stimulating hormone
Rationale: Classic symptoms of growth failure, goiter, delayed or arrested puberty,
delayed dentition, weight gain, fatigue, dry skin, hyperlipidemia, decline in school
performance, menorrhagia, and fatigue. It would be most appropriate to test for
hypothyroidism first in this patient. If these are normal then you may want to consider
the other tests for reasons for her growth delay etc. (Burns)
A five-year-old child's physical examination is normal and the child has no known
allergies to foods or medications. To date, the child has not been immunized and has
had varicelladisease. The pediatric primary care nurse practitioner now administers a
poliovirus vaccine, a diphtheria, tetanus, and acellular pertussis vaccine; a measles,
mumps, and rubella virus vaccine, and a:
a. Haemophilus influenza Type b vaccine
b. Hepatitis B vaccine
c. Meningococcal vaccined.
d. Varicella vaccine (Varivax) - ANSWER b. Hepatitis B vaccine
Rationale: Since the child has not been previously immunized, Hepatitis B should be
given. The Haemophilus influenza Type B vaccine should not be given to children over
