1|Page
FNP PEDIATRIC EXAM WITH 100% VERIFIED
ANSWERS AND RATIONALES
Tammy has mild persistent asthma. Appropriate daily medications for this 4yo
preschooler should include:
a. an inhaled low dose corticosteroid
b. short acting beta2 agonists
c. an oral systemic corticosteroid
d. a cough suppressant-correct-answer-a
Sally, a 9yo, with moderate persistent asthma, is still having mild symptoms. She
uses a short acting inhaled beta 2 agonist 3x/day and cromolyn sodium. You alter
this treatment to include which of the following?
a. broad spectrum antibiotic
b. addition of systemic corticosteroid x5 days
c. replace cromolyn with inhaled corticosteroid, and decrease the beta agonist to
prn when symptoms subside
d. addition of an inhaled anticholinergic-correct-answer-c
,2|Page
During a visit to your clinic, Mitch, 2yo, presents large muscular calves &
demonstrates difficulty rising from sitting position. Which lab test should you
order below?
a. serum calcium
b. serum magnesium
c. serum phosphorus
d. serum creatine kinase-correct-answer-d
Which of the following tests is not an appropriate test for development dysplasia
of the hip in an 18mo infant?
a. allis sign
b. skinfold symmetry
c. galeazzi sign
d. ortolani maneuver-correct-answer-d
Tina, 12yo, presents with a lateral curvature of her spine. Which of the following
tests would diagnose scoliosis?
a. positive gower sign
b. negative gower sign
c. positive adam's sign
d. negative adam's sign-correct-answer-c
,3|Page
Johnny, a 16yo high school student is in for a sports physical. He is in good health,
but is concerned about a "bad" headache he had several weeks ago. He is afraid
he might have a brain tumor. You tell him the most common type of headache
with onset in adolescents is:
a. sinus headache
b. vascular headache
c. tension headache
d. migraine headache-correct-answer-c
A CBC is ordered for a 10yo female. Results indicate decr MCHC & decr MCV.
Differential diagnosis should include:
a. sickle cell anemia
b. vitamin B12 deficiency anemia
c. Pernicious anemia
d. iron deficiency anemia-correct-answer-d
lab results reveal a hypochromic, microcytic anemia in a 3yo child. Your
differential diagnosis must include:
a. lead poisoning
b. pernicious anemia
c. hemophilia
d. folic acid deficiency-correct-answer-a
, 4|Page
11yo Mark is diagnosed with constitutional growth delay. Appropriate
management includes:
a. starting him on low dose testosterone therapy now
b. counseling regarding delayed onset of puberty
c. thyroxine replacement
d. nutritional counseling-correct-answer-b
Which of the following observations demonstrates the function of the oculomotor
nerve?
a. the child frowns during the examination
b. the child offers appropriate verbal responses to the nurse practitioner during
the examination
c. the child visually tracks the parent's movements around the room during the
examination
d. the child sticks out the tongue during the examination-correct-answer-c
A 6yo child is being evaluated after sustaining seizures. Which of these tests would
be most relevant in this screening?
a. determination of the levels of anticonvulsant drugs
b. electroencephalography
c. Denver II screening test
FNP PEDIATRIC EXAM WITH 100% VERIFIED
ANSWERS AND RATIONALES
Tammy has mild persistent asthma. Appropriate daily medications for this 4yo
preschooler should include:
a. an inhaled low dose corticosteroid
b. short acting beta2 agonists
c. an oral systemic corticosteroid
d. a cough suppressant-correct-answer-a
Sally, a 9yo, with moderate persistent asthma, is still having mild symptoms. She
uses a short acting inhaled beta 2 agonist 3x/day and cromolyn sodium. You alter
this treatment to include which of the following?
a. broad spectrum antibiotic
b. addition of systemic corticosteroid x5 days
c. replace cromolyn with inhaled corticosteroid, and decrease the beta agonist to
prn when symptoms subside
d. addition of an inhaled anticholinergic-correct-answer-c
,2|Page
During a visit to your clinic, Mitch, 2yo, presents large muscular calves &
demonstrates difficulty rising from sitting position. Which lab test should you
order below?
a. serum calcium
b. serum magnesium
c. serum phosphorus
d. serum creatine kinase-correct-answer-d
Which of the following tests is not an appropriate test for development dysplasia
of the hip in an 18mo infant?
a. allis sign
b. skinfold symmetry
c. galeazzi sign
d. ortolani maneuver-correct-answer-d
Tina, 12yo, presents with a lateral curvature of her spine. Which of the following
tests would diagnose scoliosis?
a. positive gower sign
b. negative gower sign
c. positive adam's sign
d. negative adam's sign-correct-answer-c
,3|Page
Johnny, a 16yo high school student is in for a sports physical. He is in good health,
but is concerned about a "bad" headache he had several weeks ago. He is afraid
he might have a brain tumor. You tell him the most common type of headache
with onset in adolescents is:
a. sinus headache
b. vascular headache
c. tension headache
d. migraine headache-correct-answer-c
A CBC is ordered for a 10yo female. Results indicate decr MCHC & decr MCV.
Differential diagnosis should include:
a. sickle cell anemia
b. vitamin B12 deficiency anemia
c. Pernicious anemia
d. iron deficiency anemia-correct-answer-d
lab results reveal a hypochromic, microcytic anemia in a 3yo child. Your
differential diagnosis must include:
a. lead poisoning
b. pernicious anemia
c. hemophilia
d. folic acid deficiency-correct-answer-a
, 4|Page
11yo Mark is diagnosed with constitutional growth delay. Appropriate
management includes:
a. starting him on low dose testosterone therapy now
b. counseling regarding delayed onset of puberty
c. thyroxine replacement
d. nutritional counseling-correct-answer-b
Which of the following observations demonstrates the function of the oculomotor
nerve?
a. the child frowns during the examination
b. the child offers appropriate verbal responses to the nurse practitioner during
the examination
c. the child visually tracks the parent's movements around the room during the
examination
d. the child sticks out the tongue during the examination-correct-answer-c
A 6yo child is being evaluated after sustaining seizures. Which of these tests would
be most relevant in this screening?
a. determination of the levels of anticonvulsant drugs
b. electroencephalography
c. Denver II screening test
