NU664A FINAL EXAM 2026 FINAL REVIEW
PACK COMPLETE QUESTION SET AND CORE
CONCEPT SUMMARY
◉ The next patient is a 3yo with history of blepharitis, and his
mother asks whether there is anything she can do to prevent this
from occurring again. What would you suggest as the PNP?
-Good handwashing and daily warm compresses to the eyes should
prevent this from reoccurring.
-Good handwashing and daily eye lid and lash scrubs with diluted
baby shampoo should prevent this from reoccurring.
-Good handwashing should prevent this from reoccurring.
-Good handwashing and periodic use of eye antibiotic drops should
prevent this from reoccurring. Answer: -Good handwashing and
daily eye lid and lash scrubs with diluted baby shampoo should
prevent this from reoccurring.
◉ Your next patient is 5yo and complains of feeling like something
might be in his eye. No visual changes have occurred, normal EOM,
and no known injury. You decide to complete fluorescein staining to
the affected eye because you suspect:
-Corneal abrasion
-Keratitis
-Foreign body
,-Hyphema Answer: -Corneal abrasion
◉ A 4mo patient presents today with a 1-week history of nasal
congestion and occasional cough. On the evening prior to this visit,
the infant developed a temperature of 102F, refused to breastfeed,
and had coughing and noisy, labored breathing. On exam, you note
an ill-appearing infant who is lethargic, with tachypnea, wheezing,
and intercostal retractions. The infant does not attend daycare but
has a 3yo sibling, who is in daycare and who recently had a "cold."
Considering the clinical presentation, what is the most likely cause
of the infant's illness?
-Mycoplasma pneumonia
-Pertussis
-Aspiration pneumonia
-RSV bronchiolitis Answer: -RSV bronchiolitis
◉ Your next patient is a 6yo child with her mother for a history of
cough for 10 days and fever to 101.5F in the past 24 hours. The child
has decreased appetite and complaints of abdominal pain. Mother
also reports that the child seems to be breathing faster than normal.
Given this information, what is the most likely diagnosis?
-Croup
-Cystic fibrosis (CF)
-Pneumonia
-Appendicitis Answer: -Pneumonia
,◉ A 12-day old infant is brought to the clinic because the parents are
concerned about his breathing. The parents report that while the
baby is feeding, he often stops breathing for a period of about 10
seconds. Upon review of the subjective data, the parents report that
he eats well, has never appeared pale or cyanotic, and has never
became limp during any of these episodes. What would you discuss
with the parents as the PNP?
-This is not normal behavior. We need to admit your infant to the
hospital for further evaluation.
-Because you child does not have color change, you have no reason
to be concerned.
-I know this can be concerning. This can be a normal variant for
infants.
-I will refer your infant to a pediatric pulmonologist for further
evaluation. Answer: -I know this can be concerning. This can be a
normal variant for infants.
◉ When reviewing techniques to reduce fear in the children in your
clinic, you recall that the age group with imaginary play is:
-Preschoolers
-Toddlers
-Adolescents
-School-aged children Answer: -Preschoolers
, ◉ Your next patient is a 9yo presenting for his well visit and is
accompanied by his mother. When discussing developmental
characteristics for this age, the PNP states:
-At this age, a heightened sense of body image exists and the child
needs independence
-At this age, one may notice increased nervous mannerisms and
restless activity
-At this age, children have mood swings, which is normal
-At this age, children have heroes whom they look up to, and they
develop close friends Answer: -At this age, children have heroes
whom they look up to, and they develop close friends
◉ Your next patient is a 12yo adolescent presenting with her mother
for her well child visit. The mother expresses that her child thought
she wanted to be a nurse but has now changed her career path to a
fighter pilot and asks whether there is something wrong with her
daughter. What would you discuss with the mother as a PNP?
-As a young adolescent, you daughter is exhibiting a normal growth
pattern for her cognitive development
-As a young adolescent, your daughter may be exhibiting some signs
of cognitive concerns that require further investigation
-As a young adolescent, your child should be discussing these
concerns with a therapist
-As a young adolescent, your daughter is still developing and may
need some extra support as she considers her career choice. I
suggest she meet with a counselor to assist her. Answer: -As a young
PACK COMPLETE QUESTION SET AND CORE
CONCEPT SUMMARY
◉ The next patient is a 3yo with history of blepharitis, and his
mother asks whether there is anything she can do to prevent this
from occurring again. What would you suggest as the PNP?
-Good handwashing and daily warm compresses to the eyes should
prevent this from reoccurring.
-Good handwashing and daily eye lid and lash scrubs with diluted
baby shampoo should prevent this from reoccurring.
-Good handwashing should prevent this from reoccurring.
-Good handwashing and periodic use of eye antibiotic drops should
prevent this from reoccurring. Answer: -Good handwashing and
daily eye lid and lash scrubs with diluted baby shampoo should
prevent this from reoccurring.
◉ Your next patient is 5yo and complains of feeling like something
might be in his eye. No visual changes have occurred, normal EOM,
and no known injury. You decide to complete fluorescein staining to
the affected eye because you suspect:
-Corneal abrasion
-Keratitis
-Foreign body
,-Hyphema Answer: -Corneal abrasion
◉ A 4mo patient presents today with a 1-week history of nasal
congestion and occasional cough. On the evening prior to this visit,
the infant developed a temperature of 102F, refused to breastfeed,
and had coughing and noisy, labored breathing. On exam, you note
an ill-appearing infant who is lethargic, with tachypnea, wheezing,
and intercostal retractions. The infant does not attend daycare but
has a 3yo sibling, who is in daycare and who recently had a "cold."
Considering the clinical presentation, what is the most likely cause
of the infant's illness?
-Mycoplasma pneumonia
-Pertussis
-Aspiration pneumonia
-RSV bronchiolitis Answer: -RSV bronchiolitis
◉ Your next patient is a 6yo child with her mother for a history of
cough for 10 days and fever to 101.5F in the past 24 hours. The child
has decreased appetite and complaints of abdominal pain. Mother
also reports that the child seems to be breathing faster than normal.
Given this information, what is the most likely diagnosis?
-Croup
-Cystic fibrosis (CF)
-Pneumonia
-Appendicitis Answer: -Pneumonia
,◉ A 12-day old infant is brought to the clinic because the parents are
concerned about his breathing. The parents report that while the
baby is feeding, he often stops breathing for a period of about 10
seconds. Upon review of the subjective data, the parents report that
he eats well, has never appeared pale or cyanotic, and has never
became limp during any of these episodes. What would you discuss
with the parents as the PNP?
-This is not normal behavior. We need to admit your infant to the
hospital for further evaluation.
-Because you child does not have color change, you have no reason
to be concerned.
-I know this can be concerning. This can be a normal variant for
infants.
-I will refer your infant to a pediatric pulmonologist for further
evaluation. Answer: -I know this can be concerning. This can be a
normal variant for infants.
◉ When reviewing techniques to reduce fear in the children in your
clinic, you recall that the age group with imaginary play is:
-Preschoolers
-Toddlers
-Adolescents
-School-aged children Answer: -Preschoolers
, ◉ Your next patient is a 9yo presenting for his well visit and is
accompanied by his mother. When discussing developmental
characteristics for this age, the PNP states:
-At this age, a heightened sense of body image exists and the child
needs independence
-At this age, one may notice increased nervous mannerisms and
restless activity
-At this age, children have mood swings, which is normal
-At this age, children have heroes whom they look up to, and they
develop close friends Answer: -At this age, children have heroes
whom they look up to, and they develop close friends
◉ Your next patient is a 12yo adolescent presenting with her mother
for her well child visit. The mother expresses that her child thought
she wanted to be a nurse but has now changed her career path to a
fighter pilot and asks whether there is something wrong with her
daughter. What would you discuss with the mother as a PNP?
-As a young adolescent, you daughter is exhibiting a normal growth
pattern for her cognitive development
-As a young adolescent, your daughter may be exhibiting some signs
of cognitive concerns that require further investigation
-As a young adolescent, your child should be discussing these
concerns with a therapist
-As a young adolescent, your daughter is still developing and may
need some extra support as she considers her career choice. I
suggest she meet with a counselor to assist her. Answer: -As a young
