CORRECT AND 100% CORRECT AND WELL
DETAILED ANSWERS|LATEST 2025/2026|GRADED
In the United States, the most common cause of myocarditis in children is: -
ANSWER Viruses
The characteristic that is most concerning in the school-aged child with a cardiac
murmur. - ANSWER Progressive exercise intolerance
A parent of a child with a history of a benign cardiac murmur states she read that
children with heart disease need to have an antibiotic before dental procedures. How
would you answer the mother as the PNP? - ANSWER Certain children do need
an antibiotic to prevent something called bacterial endocarditis, but these are children
who have had a surgical repair done.
Your next patient is a 12-year-old male here for his well-child exam. When reviewing
his height, weight, and BMI, it is noted that his BMI is in the 90th percentile. The
mother states that her child is "big-boned" and is not concerned of any
cardiovascular disease risk. What would you discuss with the mother? -
ANSWER Although a risk of cardiovascular disease exists, with a healthy diet and
regular exercise, your son likely will be able to reduce his BMI and reduce his risk.
Your next patient is a 5-year-old child with a history of moderate persistent asthma.
He has been wheezing and coughing for the past two days, and his mother brings
him in today for evaluation. He has been using albuterol every four hours. His
respiratory rate is 13 breaths per minute; his lungs are clear to auscultation; and no
retractions are noted. What may be your assessment and intervention based on this
information? - ANSWER Your child is breathing slower than normal for his age.
We need to send him to the ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine. He has a
history of mild persistent asthma. What would you discuss for medications when
1
, reviewing his asthma action plan? - ANSWER Your child should continue his low-
dose inhaled corticosteroid daily and add albuterol as needed for an exacerbation.
Which of the following is a common cause of acquired coronary artery disease in
children? - ANSWER Kawasaki disease
Your next patient is a 14-year-old female who presents to your office with a
complaint of syncope at school. She had just stood up from her chair at the end of
the day, felt dizzy and nauseous, and then woke up on the floor. She did not hit her
head and woke up within 30 seconds. What is your impression, and what would you
do next? - ANSWER At this age, children may have these episodes called
neurally mediated syncope. We will schedule an EKG.
A child is brought to the clinic immediately after being stung by a wasp while playing
in the yard. The PE reveals localized redness and edema at the site along with
abdominal tenderness, watery eyes and generalized hives. What is the initial
treatment? - ANSWER Administer IM epinephrine
A child is brought to the clinic with a generalized annular rash characterized by raised
wheals with pale centers. On PE, the child's lungs are clear and there is no
peripheral edema. A history reveals ingestion of strawberries earlier in the day. What
is the initial treatment? - ANSWER Diphenhydramine .05-1 mg/kg/dose every 4-6
hours
A child who has been diagnosed with asthma for several years has been using a
short-acting Beta-agonist (SABA) to control symptoms. The PNP learns that the child
has recently begun using the SABA 2-3 times each week to prevent wheezing and
shortness of breath. The child currently has clear breath sounds and an FEV1 of 75%
of personal best. What will the NP do? - ANSWER Add an inhaled corticosteroid.
A child has fever and arthralgia. The PNP learns that the child had a sore throat 3
weeks prior and auscultates a murmur in the clinic.
§What test will the PNP order? - ANSWER ASO titer
2
DETAILED ANSWERS|LATEST 2025/2026|GRADED
In the United States, the most common cause of myocarditis in children is: -
ANSWER Viruses
The characteristic that is most concerning in the school-aged child with a cardiac
murmur. - ANSWER Progressive exercise intolerance
A parent of a child with a history of a benign cardiac murmur states she read that
children with heart disease need to have an antibiotic before dental procedures. How
would you answer the mother as the PNP? - ANSWER Certain children do need
an antibiotic to prevent something called bacterial endocarditis, but these are children
who have had a surgical repair done.
Your next patient is a 12-year-old male here for his well-child exam. When reviewing
his height, weight, and BMI, it is noted that his BMI is in the 90th percentile. The
mother states that her child is "big-boned" and is not concerned of any
cardiovascular disease risk. What would you discuss with the mother? -
ANSWER Although a risk of cardiovascular disease exists, with a healthy diet and
regular exercise, your son likely will be able to reduce his BMI and reduce his risk.
Your next patient is a 5-year-old child with a history of moderate persistent asthma.
He has been wheezing and coughing for the past two days, and his mother brings
him in today for evaluation. He has been using albuterol every four hours. His
respiratory rate is 13 breaths per minute; his lungs are clear to auscultation; and no
retractions are noted. What may be your assessment and intervention based on this
information? - ANSWER Your child is breathing slower than normal for his age.
We need to send him to the ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine. He has a
history of mild persistent asthma. What would you discuss for medications when
1
, reviewing his asthma action plan? - ANSWER Your child should continue his low-
dose inhaled corticosteroid daily and add albuterol as needed for an exacerbation.
Which of the following is a common cause of acquired coronary artery disease in
children? - ANSWER Kawasaki disease
Your next patient is a 14-year-old female who presents to your office with a
complaint of syncope at school. She had just stood up from her chair at the end of
the day, felt dizzy and nauseous, and then woke up on the floor. She did not hit her
head and woke up within 30 seconds. What is your impression, and what would you
do next? - ANSWER At this age, children may have these episodes called
neurally mediated syncope. We will schedule an EKG.
A child is brought to the clinic immediately after being stung by a wasp while playing
in the yard. The PE reveals localized redness and edema at the site along with
abdominal tenderness, watery eyes and generalized hives. What is the initial
treatment? - ANSWER Administer IM epinephrine
A child is brought to the clinic with a generalized annular rash characterized by raised
wheals with pale centers. On PE, the child's lungs are clear and there is no
peripheral edema. A history reveals ingestion of strawberries earlier in the day. What
is the initial treatment? - ANSWER Diphenhydramine .05-1 mg/kg/dose every 4-6
hours
A child who has been diagnosed with asthma for several years has been using a
short-acting Beta-agonist (SABA) to control symptoms. The PNP learns that the child
has recently begun using the SABA 2-3 times each week to prevent wheezing and
shortness of breath. The child currently has clear breath sounds and an FEV1 of 75%
of personal best. What will the NP do? - ANSWER Add an inhaled corticosteroid.
A child has fever and arthralgia. The PNP learns that the child had a sore throat 3
weeks prior and auscultates a murmur in the clinic.
§What test will the PNP order? - ANSWER ASO titer
2
