PNP EXAM QUESTIONS AND ANSWERS FOR
FINAL
When reviewing immunization protocols at your clinic, you are aware that the varicella vaccine can be
administered to susceptible children beginning at what age
a. 4 mos
b. 6 mos
c. 12 mos
d. 15 mos
c
A 2 wk old infant is in the clinic for a scheduled weight check. The best indication that a 2 wk old infant
is receiving adequate breastmilk is that the baby:
a. passes a least 4 stools a day
b. feeds every 3 hrs
c. voids 4 times a day
d. has regained birth wt
d
A mother of an 8 month old infant asks you for advice about continued introduction of solids. Which of
the following food groups do you recommend be introduce to the baby last?
a. egg yolk
b. egg white
c. fruits
d. vegetables
b
The mother of a 15 mos old child informs you that she feeds the baby skim milk. You advise the mother
to change to whole milk primarily because skim milk:
a. is not as easily digested as whole milk
b. contains an insufficient amount of calcium
c. contains too little protein
d. provides an inadequate amount of essential fatty
acids d
An adolescent is being evaluated for childhood depression. Which behavior or sign is least likely to be
evident?
a. evidence of hallucinations and delusions
b. a history of recurrent "accidents"
,c. a sense of guilt
d. the presence of eating disorders
a
A 12 yo boy is brought into the clinic for an urgent visit after having ingested 10 diazepam tablets.
Following the initial emergent care and stabilization of the child, the most important aspect of
your management is:
a. referring the case to social services
b. assessing the family support available to the child
c. obtaining a psychiatric consultation
d. reviewing the history for signs of depression
c
You are seeing a 15 mos old boy with leukemia for a check up. If indicated, this child may receive all of
the following vaccines except:
a. inactivated polio vaccine (IPV)
b. H. influenzae type B (Hib)
c. DTap
d. Varicella (VAR)
d
While conducting the Denver II developmental screening test, the mother of an 18 mos old child
reports to you that the toddler doesn't imitate activities. You decide to assess the child's development
further by giving him tasks from which sector?
a. personal-social
b. fine motor-adaptive
c. language
d. gross motor
a
You have ordered routine blood screening for a 2yo girl who because of dietary habits, is at risk for iron
deficiency anemia. Which of the following findings is not associated with iron deficiency anemia?
a. hypochromic RBC
b. microcytic RBC
c. low reticulocyte count
d. low free erythrocyte protoporphyrin (FEP)
level d
During a prenatal visit, you review the mother's record for routine prenatal screening results. While
education the mother, you explain that the screening of maternal serum for alpha-fetoprotein (MSAFP)
between the 15th - 21st weeks of pregnancy is done primarily to screen for:
a. phenylketonuria
b. galactosemia
c. cystic fibrosis
d. neural tube defects
d
,A tenderness is detected over the tibial tuberosity of a 10 year old boy during a routine exam at a school
based clinic. The PNP knows this may be a sign of:
a. osgood-schlatter dz
b. blount's dz
c. plantar fasciitis
d. effusion in the joint space
a
The parents of a 1 wk old infant are concerned about the unusual shape of their child's head. In the
physical exam of the infant, which of the following signs would not support a diagnosis of
craniosynostosis?
a. palpation of a ridge along a given suture line
b. unusual skull configuration
c. a palpable lesion at the occipital region
d. abnormal head cirumference
c
In the emergency room, you encounter a toddler whose injuries are not consistent with the history that is
given. Which of the following would be the best step a provider could take in order to foster
communication with abusive parents?
a. realize that abusive parents have essentially different goals for their children than other caregivers do
b. understand that parental hostility and resistance are potent symptoms of fear and inadequacy
c. consider referring the parents to substance abuse program
d. be cautious when sharing the results of medical
findings b
You are preparing a drug prevention program for middle school students. Your educational approach is
based on the knowledge that the most common substance abuse in adolescence is:
a. marijuana
b. cocaine
c. heroin
d. alcohol
d
During a check up of a 15 mos old girl, you note that the child has dropped significantly in percentile for
weight over the past few months. In evaluating a child with failure to thrive, the most important part of
you assessment involves:
a. the history
b. the physical exam
c. laboratory studies
d. observation of family interactions
a
A 7yo child in your caseload has recently been placed on methylphenidate for behavioral concerns
associated with ADHD. Which of the following side effects are not associated with this drugs?
a. decreased appetite
, b. weight loss
c. irritability
d. decreased heart rate
d
The parents of an 8yo child are concerned that their son does not want to attend school. Which of the
following historical findings aren't usually associated with the diagnosis of school phobia?
a. sporadic school absence
b. chronic medical illness
c. vague physical symptoms
d. depression and anxiety
b
A 17yo girl is referred to your clinic by the school nurse to be assessed for an eating disorder. Which of
the following dynamics is not characteristic of anorexia nervosa?
a. excessive eating followed by purging
b. a pervasive sense of helplessness and ineffectiveness
c. wt loss that gives the patient a sense of mastery and control
d. low body temp, pulse, and bp
a
Following an episode of meningitis, it is most important to assess the child for:
a: hearing loss
b. changes in taste
c. cervical lymphadenopathy
d. tinnitus
a
An 8 yo boy has been brought to the clinic with a chief c/o ear pain. When you grasp the pinna of he ear,
he says "that hurts real bad." These findings are consistent with a diagnosis of:
a. serous otitis media
b. mastoiditis
c. otitis externa
d. cholesteatoma
c
Steven, at 10 years of age, as been diagnosed with otitis externa twice this year. Health teaching for
Steven and his mother should include:
a. emphasis on consistent use of low-dose prophylactic antibiotics
b. sleeping with affected ear in the dependent position
c. info on the use of decongestants to open the eustachian tube
d. info on the use of acetic acid after ear canal contact with
water d
Following tympanostomy tube insertion, it is important that the tubes remain patent. Which of the
following methods may by used to determine patency?
FINAL
When reviewing immunization protocols at your clinic, you are aware that the varicella vaccine can be
administered to susceptible children beginning at what age
a. 4 mos
b. 6 mos
c. 12 mos
d. 15 mos
c
A 2 wk old infant is in the clinic for a scheduled weight check. The best indication that a 2 wk old infant
is receiving adequate breastmilk is that the baby:
a. passes a least 4 stools a day
b. feeds every 3 hrs
c. voids 4 times a day
d. has regained birth wt
d
A mother of an 8 month old infant asks you for advice about continued introduction of solids. Which of
the following food groups do you recommend be introduce to the baby last?
a. egg yolk
b. egg white
c. fruits
d. vegetables
b
The mother of a 15 mos old child informs you that she feeds the baby skim milk. You advise the mother
to change to whole milk primarily because skim milk:
a. is not as easily digested as whole milk
b. contains an insufficient amount of calcium
c. contains too little protein
d. provides an inadequate amount of essential fatty
acids d
An adolescent is being evaluated for childhood depression. Which behavior or sign is least likely to be
evident?
a. evidence of hallucinations and delusions
b. a history of recurrent "accidents"
,c. a sense of guilt
d. the presence of eating disorders
a
A 12 yo boy is brought into the clinic for an urgent visit after having ingested 10 diazepam tablets.
Following the initial emergent care and stabilization of the child, the most important aspect of
your management is:
a. referring the case to social services
b. assessing the family support available to the child
c. obtaining a psychiatric consultation
d. reviewing the history for signs of depression
c
You are seeing a 15 mos old boy with leukemia for a check up. If indicated, this child may receive all of
the following vaccines except:
a. inactivated polio vaccine (IPV)
b. H. influenzae type B (Hib)
c. DTap
d. Varicella (VAR)
d
While conducting the Denver II developmental screening test, the mother of an 18 mos old child
reports to you that the toddler doesn't imitate activities. You decide to assess the child's development
further by giving him tasks from which sector?
a. personal-social
b. fine motor-adaptive
c. language
d. gross motor
a
You have ordered routine blood screening for a 2yo girl who because of dietary habits, is at risk for iron
deficiency anemia. Which of the following findings is not associated with iron deficiency anemia?
a. hypochromic RBC
b. microcytic RBC
c. low reticulocyte count
d. low free erythrocyte protoporphyrin (FEP)
level d
During a prenatal visit, you review the mother's record for routine prenatal screening results. While
education the mother, you explain that the screening of maternal serum for alpha-fetoprotein (MSAFP)
between the 15th - 21st weeks of pregnancy is done primarily to screen for:
a. phenylketonuria
b. galactosemia
c. cystic fibrosis
d. neural tube defects
d
,A tenderness is detected over the tibial tuberosity of a 10 year old boy during a routine exam at a school
based clinic. The PNP knows this may be a sign of:
a. osgood-schlatter dz
b. blount's dz
c. plantar fasciitis
d. effusion in the joint space
a
The parents of a 1 wk old infant are concerned about the unusual shape of their child's head. In the
physical exam of the infant, which of the following signs would not support a diagnosis of
craniosynostosis?
a. palpation of a ridge along a given suture line
b. unusual skull configuration
c. a palpable lesion at the occipital region
d. abnormal head cirumference
c
In the emergency room, you encounter a toddler whose injuries are not consistent with the history that is
given. Which of the following would be the best step a provider could take in order to foster
communication with abusive parents?
a. realize that abusive parents have essentially different goals for their children than other caregivers do
b. understand that parental hostility and resistance are potent symptoms of fear and inadequacy
c. consider referring the parents to substance abuse program
d. be cautious when sharing the results of medical
findings b
You are preparing a drug prevention program for middle school students. Your educational approach is
based on the knowledge that the most common substance abuse in adolescence is:
a. marijuana
b. cocaine
c. heroin
d. alcohol
d
During a check up of a 15 mos old girl, you note that the child has dropped significantly in percentile for
weight over the past few months. In evaluating a child with failure to thrive, the most important part of
you assessment involves:
a. the history
b. the physical exam
c. laboratory studies
d. observation of family interactions
a
A 7yo child in your caseload has recently been placed on methylphenidate for behavioral concerns
associated with ADHD. Which of the following side effects are not associated with this drugs?
a. decreased appetite
, b. weight loss
c. irritability
d. decreased heart rate
d
The parents of an 8yo child are concerned that their son does not want to attend school. Which of the
following historical findings aren't usually associated with the diagnosis of school phobia?
a. sporadic school absence
b. chronic medical illness
c. vague physical symptoms
d. depression and anxiety
b
A 17yo girl is referred to your clinic by the school nurse to be assessed for an eating disorder. Which of
the following dynamics is not characteristic of anorexia nervosa?
a. excessive eating followed by purging
b. a pervasive sense of helplessness and ineffectiveness
c. wt loss that gives the patient a sense of mastery and control
d. low body temp, pulse, and bp
a
Following an episode of meningitis, it is most important to assess the child for:
a: hearing loss
b. changes in taste
c. cervical lymphadenopathy
d. tinnitus
a
An 8 yo boy has been brought to the clinic with a chief c/o ear pain. When you grasp the pinna of he ear,
he says "that hurts real bad." These findings are consistent with a diagnosis of:
a. serous otitis media
b. mastoiditis
c. otitis externa
d. cholesteatoma
c
Steven, at 10 years of age, as been diagnosed with otitis externa twice this year. Health teaching for
Steven and his mother should include:
a. emphasis on consistent use of low-dose prophylactic antibiotics
b. sleeping with affected ear in the dependent position
c. info on the use of decongestants to open the eustachian tube
d. info on the use of acetic acid after ear canal contact with
water d
Following tympanostomy tube insertion, it is important that the tubes remain patent. Which of the
following methods may by used to determine patency?
