FNP PEDIATRIC EXAM TEST REAL EXAM 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS

FNP PEDIATRIC EXAM TEST REAL EXAM 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS The following are risk factors for hypertension in children and teens (choose all that apply): A. being obese. B. drinking whole milk. C. being exposed to second-hand smoke. D. watching 2 or more hours of television per day. - ANSWER- A and C C. Juice replaces no more than one serving of milk. ANSWER- B D. if child presents with a body mass index in the 85th percentile or higher. - C. every six months. B. abnormal weight-to-height ratio. Fruit juice intake is acceptable in children 6 months and older per the following recommendation (choose all that apply): A. The juice is mixed in small amounts to flavor water. B. Only 100% juice is used. D. Assess diet and physical activity. - ANSWER- A and D C. Assess for family history of thyroid disease. B. Screen for type 2 diabetes mellitus by measuring HbA1c. A. Obtain fasting lipid profile. The following are risk factors for type 2 diabetes mellitus in children and teens (choose all that apply): A. hyperinsulinemia. D. The juice is consumed in the morning with breakfast. E. No more than 6 oz (177 mL) per day is recommended for children 6 months to 5 years. - ANSWER- ABE In evaluating a 9-year-old child with a healthy BMI during a well visit, a comprehensive cardiovascular evaluation should be conducted by the followingmethods (choose all that apply): At what age is it appropriate to recommend dietary changes to parents if Overweight or obesity is a concern? A. 12 months old B. 5 years old C. 10 years old D. 18 years old - ANSWER- A C. onset of nonorganic failure to thrive in the toddler years.D. Native American ancestry. - ANSWER- ABD Screening children with a known risk factor for type 2 diabetes mellitus is recommended at age 10 or at onset of puberty, and should be repeated how often?A. every other year. every year. Prediabetes in children is defined as (choose all that apply): A. impaired fasting glucose (glucose level ≥100 mg/dL or 6.2 mmol/L) but ≤125 mg/dL or 7 mmol/L) B. impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11 mmol/L). be followed. - ANSWER- 10 continues every 2 years until adulthood; at that point, the adult guidelines should Screening for type 2 diabetes begins at age or at onset of puberty and body mass index in the 85th percentile or higher. body mass index in the 60th percentile or higher. - ANSWER- A and B Risk factors for dyslipidemia in children include (choose all that apply): blood pressure at the 70th to 80th percentile for age. breastfeeding into the toddler years. family history of lipid abnormalities. D. family history of type 2 diabetes mellitus. - ANSWER- C and D Screening cholesterol levels in children with one or more risk factors begins at what age? A. birth B. 2 years C. 5 years D. 10 years - ANSWER- B An acceptable level of total cholesterol (mg/dL) in children and teens is: A. 170 mg/dL or 9.4 mmol/L B. 130 mg/dL or 7.2 mmol/L. C. 110-130 mg/dL or 6.2 mmol/L-7.2 mmol/L. D. 130-199 mg/dL or 7.2 mmol/L-11 mmol/L. - ANSWER- A T/F: low birth weight, and poor infant growth are risk factors for type 2 diabetes - ANSWER- True T/F: Prediabetes in children is defined as impaired fasting glucose (glucose level ≥100 mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11 mmol/L) or anA1C of 5.7% to 6.4%. - ANSWER- True The AAP screening guidelines for total cholesterol levels in children and adolescents aged 2 to 19 years old are as follows: Acceptable level is mg/dL (9.4 mmol/L), borderline is 170-199 mg/dL (9.4 mmol/L-11 mmol/L), and high is 200 mg/dL (≥11.1 mmol/L) - ANSWER170 Children should be screened for family history of cardiovascular disease (CVD) beginning at age and should be periodically updated annually or as requiredby risk factors during non-urgent health visits. - ANSWER- 3 A. one MMR dose B. one dose A. none How many doses of the MMR vaccine should a child 6 to 11 months of age receive before traveling outside of the United States? For at-risk children, fasting lipid levels should be tested after years of age (but no later than 10 years of age) and should be retested in 3-5 years if the valuesfall within the reference range. - ANSWER- 2 Beginning between ages to years, smoking status of the child should be assessed and anti-smoking counseling offered at each visit. Smoking cessation assistance or referral should be offered when needed. - ANSWER- 9 to 11 From 12 to 24 months of age, drinking whole cows' milk is recommended. After 24 months, children should switch to . - ANSWER- skim or 1% milk After 12 months, limit milk to a total of to ounces (480-720 mL) a day. - ANSWER- 16 to 24 ounces Body mass index (BMI) should be measured beginning at age . - ANSWER- 2 For children between 12 months and 2 years of age for whom overweight or obesity is a concern, the use of fat milk would be appropriate. - ANSWER-reduced Beginning at age if BMI is ≥ 85th percentile, intensify dietary and activity changes to the parent. - ANSWER- 5 In the well child, check blood pressure annually beginning at age years and chart for age, gender, and history. - ANSWER- 3 Refer to National Institutes of Health guidelines when screening pediatric patients for elevated blood pressure because definitions for elevated systolic and diastolic blood pressure vary with age, gender, and percentile of . - ANSWER- height Children should have two doses of the measles, mumps, and rubella (MMR) vaccine before their birthday. - ANSWER- 6th The MMR vaccine is a , attenuated vaccine. - ANSWER- live C. two doses D. depends on where the child is traveling - ANSWER- B A 9-year-old child with no documentation of vaccinations comes in for an MMR immunization update. Her parent states that child has received "some" vaccinations, but no documentation is available. How many doses of MMR shouldthe child receive and at what frequency? B. two MMR doses together at the same time B. mumps A. measles Which of the following viruses is a potent teratogen? C. two MMR doses 1 month apart D. no MMR immunization is needed - ANSWER- C C. rubella D. influenza - ANSWER- C The recommended schedule for early childhood immunization is two doses of 4 and 6 Two immunizations month apart are recommended for older children who were not immunized earlier in life or with unknown vaccination history. - ANSWER- 1 As with other immunizations, is giving additional doses of MMR to individuals with an unclear immunization history safe or unsafe? - ANSWER- Safe!