NCHEC Exam Prep – Questions 1–165 with Rationales – 7th Edition CHES Study Guide Practice
1. In children younger than age 6 years, accidental overdose
of iron-containing products is:
A. easily treated.
B. a source of significant gastrointestinal (GI) upset.
C. worrisome but rarely causes significant harm.
D. a leading cause of fatal poisoning in the age-group. D
2. When counseling a patient about the neurological alterations
often associated with vitamin B12 deficiency, the
NP advises that:
A. these usually resolve within days with appropriate
therapy.
B. if present for longer than 6 months, these changes
are occasionally permanent.
C. the use of parenteral vitamin B12 therapy is needed
to ensure symptom resolution.
D. cognitive changes associated with vitamin B12 deficiency
are seldom reversible even with appropriate
therapy B
3. When the cause of a macrocytic anemia is uncertain,
the most commonly recommended additional testing
includes which of the following?
A. haptoglobin and reticulocyte count.
B. Schilling test and gastric biopsy.
,C. methylmalonic acid and homocysteine.
D. transferrin and prealbumin. C
Anemia: True or False?
4. Anemia in children is potentially associated
with poorer school performance.
35. During pregnancy, folic acid requirements
increase twofold to fourfold.
36.The red blood cell content is approximately
90% hemoglobin.
37. Approximately 90% of the body's erythropoietin
is produced by the kidney.
38.The body's normative response to anemia is
reticulocytopenia. 34. True
True
False
8. Which of the following are risk factors for hypertension
in children and teens? (Choose all that apply.)
A. obesity
B. drinking whole milk
C. being exposed to secondhand smoke
D. 2 or more hours per day of screen time A, C
9. Fruit juice intake is acceptable in children 6 months
,and older per which of the following recommendations?
(Choose all that apply.)
A. The juice is mixed in small amounts to flavor water.
B. Only 100% juice is used.
C. Juice replaces no more than one serving of milk.
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. A, B, E
50. In evaluating a 9-year-old child with a healthy BMI
during a well visit, a comprehensive cardiovascular
evaluation should be conducted by the following
methods. (Choose all that apply.)
A. Obtain fasting lipid profile.
B. Screen for type 2 diabetes mellitus by measuring HbA1c.
C. Assess for family history of thyroid disease.
D. Assess diet and physical activity. A, D
11. 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 A
12. Which of the following is not a risk factor for type 2
, diabetes mellitus in children and teens?
A. hyperinsulinemia.
B. abnormal weight-to-height ratio.
C. onset of nonorganic failure to thrive in the toddler years.
D. Native American ancestry. C
13. 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
B. every year
C. every 6 months
D. every 3 years A
14. Increased risk for diabetes (prediabetes) in children is
defined as which of the following? (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)
C. HbA1c ≥7.5% but ≤8.5%
D. random plasma glucose ≥250 mg/dL (13.9 mmol/L) A, B
15. Risk factors for dyslipidemia in children include which
of the following? (Choose all that apply.)
A. blood pressure at the 70th to 80th percentile for age
1. In children younger than age 6 years, accidental overdose
of iron-containing products is:
A. easily treated.
B. a source of significant gastrointestinal (GI) upset.
C. worrisome but rarely causes significant harm.
D. a leading cause of fatal poisoning in the age-group. D
2. When counseling a patient about the neurological alterations
often associated with vitamin B12 deficiency, the
NP advises that:
A. these usually resolve within days with appropriate
therapy.
B. if present for longer than 6 months, these changes
are occasionally permanent.
C. the use of parenteral vitamin B12 therapy is needed
to ensure symptom resolution.
D. cognitive changes associated with vitamin B12 deficiency
are seldom reversible even with appropriate
therapy B
3. When the cause of a macrocytic anemia is uncertain,
the most commonly recommended additional testing
includes which of the following?
A. haptoglobin and reticulocyte count.
B. Schilling test and gastric biopsy.
,C. methylmalonic acid and homocysteine.
D. transferrin and prealbumin. C
Anemia: True or False?
4. Anemia in children is potentially associated
with poorer school performance.
35. During pregnancy, folic acid requirements
increase twofold to fourfold.
36.The red blood cell content is approximately
90% hemoglobin.
37. Approximately 90% of the body's erythropoietin
is produced by the kidney.
38.The body's normative response to anemia is
reticulocytopenia. 34. True
True
False
8. Which of the following are risk factors for hypertension
in children and teens? (Choose all that apply.)
A. obesity
B. drinking whole milk
C. being exposed to secondhand smoke
D. 2 or more hours per day of screen time A, C
9. Fruit juice intake is acceptable in children 6 months
,and older per which of the following recommendations?
(Choose all that apply.)
A. The juice is mixed in small amounts to flavor water.
B. Only 100% juice is used.
C. Juice replaces no more than one serving of milk.
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. A, B, E
50. In evaluating a 9-year-old child with a healthy BMI
during a well visit, a comprehensive cardiovascular
evaluation should be conducted by the following
methods. (Choose all that apply.)
A. Obtain fasting lipid profile.
B. Screen for type 2 diabetes mellitus by measuring HbA1c.
C. Assess for family history of thyroid disease.
D. Assess diet and physical activity. A, D
11. 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 A
12. Which of the following is not a risk factor for type 2
, diabetes mellitus in children and teens?
A. hyperinsulinemia.
B. abnormal weight-to-height ratio.
C. onset of nonorganic failure to thrive in the toddler years.
D. Native American ancestry. C
13. 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
B. every year
C. every 6 months
D. every 3 years A
14. Increased risk for diabetes (prediabetes) in children is
defined as which of the following? (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)
C. HbA1c ≥7.5% but ≤8.5%
D. random plasma glucose ≥250 mg/dL (13.9 mmol/L) A, B
15. Risk factors for dyslipidemia in children include which
of the following? (Choose all that apply.)
A. blood pressure at the 70th to 80th percentile for age
