Primary Care PNP Exam Review-Additional
Review Questions With Correct Answers
The PNP knows that assessing weight, length, and head circumference are
part of which domain of growth and development?
a) Physical domain
b) Cognitive domain
c) Psychosocial domain - ANSWER a pg. 5
The PNP is assessing a 6 month old patient. He knows that Tiffany will
grow in an orderly manner. How will Tiffany grow?
a) Proximal to Distal
b) Cephalo to Caudal
c) Both A & B - ANSWER c pg. 5
Jackie is in for her 4-month check up. She eats 4 oz of formula every 3
hours. The PNP knows that the calorie count for a child this age is
a) 70 to 100 kcal/kg/day
b) 100 kcal/kg/day
c) 120 kcal/kg/day - ANSWER c pg.5
The PNP knows that a child who is 6 months old or less has nutritional
requirements of 120 kcal/kg/day. What would are a child who is 7 months
old to 12 months old nutritional requirements?
a) 70 to 100 kcal/kg/day
b) 100 kcal/kg/day
c) 110 kcal/kg/day - ANSWER b pg. 5
The PNP is seeing Jackson who is 17 years old. He is worried that he is
continuing to gain weight even though he practices a healthy lifestyle.
Jackson is currently 85kg and 182cm. What does the PNP educate
Jackson as the maximum amount of kcal/day he should eat?
a) 2,210 kcal/day
,b) 5,950 kcal/day
c) 3,825 kcal/day - ANSWER c pg. 5 As an adolescent, he should a
maximum of 45 kcal/kg/day.
The PNP is planning a nutritional class for parents of school age children.
She wants to ensure that the parents know if their child is meeting their
nutritional requirements. How many kcal/kg/day should a child this age take
in?
a) 120 kcal/kg/day
b) 70 kcal/kg/day
c) 45 kcal/kg/day - ANSWER b pg. 5 Children 2 to 10 years old require 70
to 100 kcal/kg/day.
The PNP is educating an expectant mother about feeding choices for her
baby. The mother asks about why breastfeeding is considered the best
option vs. formula feeding. Which of the following does the PNP state?
a) With formula feeding, the baby is more likely to gastrointestinal problems
such as GERD.
b) With formula feeding, the baby receive maternal antibodies that help
prevent infection and decrease allergies
c) Formula is a duplicate breast milk, and the baby will receive the same
benefits. - ANSWER a pg. 5-6
Megan is here for her 2-week check up. Her mom asks the PNP how long
she should consider breastfeeding before switching to formula. Which of
the following does the PNP say to educate the mother?
a. "After 2-months breast feeding does not provide nutritional value."
b. "The baby should be ok to switch to formula whenever you want."
c. "It is suggested that your baby be exclusively breastfed for 6 months." -
ANSWER c pg. 6
When educated a prenatal class about the benefits of breastfeeding, the
PNP states which of the following?
a. Breastfeeding during painful procedures provides analgesia.
b. The longer a child is breastfed, the more a chance a child will be
overweight.
c. Children who are breastfed experience more food allergies. - ANSWER a
pg. 6
,The PNP is seeing a 2 month old patient. How much weight should the
baby be gaining to confirm adequate nutritional intake?
a. 15 to 20g/day
b. 30g/day
c. 40g/day - ANSWER b pg. 6 Infants <3 months old should gain 30g/day
(1oz/day).
Allie is here for her 4-month well child appointment. Her mom is concerned
that she is not gaining enough weight because she is smaller than her
cousin who is the same age. How much weight should Allie be gaining?
a. 15 to 20g/day
b. 30g/day
c. 40g/day - ANSWER a pg. 6 After 3 months of age, infants should gain 15
to 20g/day for the next 3 months.
Oliver is here for his 2-month well child appointment and scheduled
immunizations. His mother is a vegetarian and strictly breastfeeds Oliver.
What nutritional education should the PNP provide?
a. Vitamin A supplements should be started at 400 IU per day
b. Vitamin B6 supplements should be given
c. Vitamin B12 supplements should be given. - ANSWER c pg. 6 Infants of
strictly breastfed mothers should be given Vitamin B12 to prevent
neurological abnormalities.
The PNP is seeing Riley for his 4-month well child appointment. What
supplement should all breastfed infants receive at 2-months of age?
a. Vitamin A
b. Vitamin B
c. Vitamin D - ANSWER c pg. 6 At age 2 months old infants should be
started on Vitamin D 400 IU/day.
Savannah is here for her 6-month check up. She is exclusively breastfed
and has not started baby foods yet. What nutritional education should the
PNP provide?
a. Because she is breastfed, Savannah does not need to start baby foods
until she is 12 months old.
b. Savannah can start iron-fortified foods such as baby oatmeal.
c. Savannah can stop her Vitamin D supplement when she starts table
foods. - ANSWER b pg. 6 Exclusively breastfed babies should receive
, 1mg/kg/day of iron after 6 months old. Ideally iron comes from iron-fortified
foods.
Savannah is in for her 9-month well child appointment. She weighs 6.8kg
and is 68cm long. Her mom is concerned that she is pale because she is
not getting enough iron. How much iron is recommended for a child of
Savannah?
a. 6.8mg/day
b. 10.2mg/day
c. 13.6mg/day - ANSWER a pg. 6 Exclusively breastfed babies should
receive 1mg/kg/day of iron after 6 months old.
Sadie is in for her 9-month check up. The PNP knows that Sadie lives in a
rural area. What should the PNP do in order to assess how much fluoride is
available in the local water?
a. Call the Environmental Protection Agency
b. Call the Board of Health
c. Call the local water company - ANSWER b *Stated at live review
James is in for his 4-month check up. His mom asks if she needs to provide
iron supplementation even though James is exclusively breastfed. What
does the PNP educate?
a. James will not need iron supplements unless he is anemic.
b. James should already be on iron supplements 1mg/kg/day.
c. James should start iron-fortified foods at 6 months old. - ANSWER c pg.
6
The PNP is assessing the need for fluoride supplements in her rural town.
She knows that supplementation is not required for the first 6 months of life.
When is the local water supply considered deficient.
a. <.8 parts per million/ppm
b. <.6 parts per million/ppm
c. <.3 parts per million/ppm - ANSWER c pg. 6
The PNP is seeing Olivia for her 1 week weight check. Olivia lost the
expected 10% of weight after birth. When should Olivia be back to her birth
weight?
a. 5 to 7 days
b. 8 to 10 days
c. 7 to 14 days - ANSWER c pg. 6
Review Questions With Correct Answers
The PNP knows that assessing weight, length, and head circumference are
part of which domain of growth and development?
a) Physical domain
b) Cognitive domain
c) Psychosocial domain - ANSWER a pg. 5
The PNP is assessing a 6 month old patient. He knows that Tiffany will
grow in an orderly manner. How will Tiffany grow?
a) Proximal to Distal
b) Cephalo to Caudal
c) Both A & B - ANSWER c pg. 5
Jackie is in for her 4-month check up. She eats 4 oz of formula every 3
hours. The PNP knows that the calorie count for a child this age is
a) 70 to 100 kcal/kg/day
b) 100 kcal/kg/day
c) 120 kcal/kg/day - ANSWER c pg.5
The PNP knows that a child who is 6 months old or less has nutritional
requirements of 120 kcal/kg/day. What would are a child who is 7 months
old to 12 months old nutritional requirements?
a) 70 to 100 kcal/kg/day
b) 100 kcal/kg/day
c) 110 kcal/kg/day - ANSWER b pg. 5
The PNP is seeing Jackson who is 17 years old. He is worried that he is
continuing to gain weight even though he practices a healthy lifestyle.
Jackson is currently 85kg and 182cm. What does the PNP educate
Jackson as the maximum amount of kcal/day he should eat?
a) 2,210 kcal/day
,b) 5,950 kcal/day
c) 3,825 kcal/day - ANSWER c pg. 5 As an adolescent, he should a
maximum of 45 kcal/kg/day.
The PNP is planning a nutritional class for parents of school age children.
She wants to ensure that the parents know if their child is meeting their
nutritional requirements. How many kcal/kg/day should a child this age take
in?
a) 120 kcal/kg/day
b) 70 kcal/kg/day
c) 45 kcal/kg/day - ANSWER b pg. 5 Children 2 to 10 years old require 70
to 100 kcal/kg/day.
The PNP is educating an expectant mother about feeding choices for her
baby. The mother asks about why breastfeeding is considered the best
option vs. formula feeding. Which of the following does the PNP state?
a) With formula feeding, the baby is more likely to gastrointestinal problems
such as GERD.
b) With formula feeding, the baby receive maternal antibodies that help
prevent infection and decrease allergies
c) Formula is a duplicate breast milk, and the baby will receive the same
benefits. - ANSWER a pg. 5-6
Megan is here for her 2-week check up. Her mom asks the PNP how long
she should consider breastfeeding before switching to formula. Which of
the following does the PNP say to educate the mother?
a. "After 2-months breast feeding does not provide nutritional value."
b. "The baby should be ok to switch to formula whenever you want."
c. "It is suggested that your baby be exclusively breastfed for 6 months." -
ANSWER c pg. 6
When educated a prenatal class about the benefits of breastfeeding, the
PNP states which of the following?
a. Breastfeeding during painful procedures provides analgesia.
b. The longer a child is breastfed, the more a chance a child will be
overweight.
c. Children who are breastfed experience more food allergies. - ANSWER a
pg. 6
,The PNP is seeing a 2 month old patient. How much weight should the
baby be gaining to confirm adequate nutritional intake?
a. 15 to 20g/day
b. 30g/day
c. 40g/day - ANSWER b pg. 6 Infants <3 months old should gain 30g/day
(1oz/day).
Allie is here for her 4-month well child appointment. Her mom is concerned
that she is not gaining enough weight because she is smaller than her
cousin who is the same age. How much weight should Allie be gaining?
a. 15 to 20g/day
b. 30g/day
c. 40g/day - ANSWER a pg. 6 After 3 months of age, infants should gain 15
to 20g/day for the next 3 months.
Oliver is here for his 2-month well child appointment and scheduled
immunizations. His mother is a vegetarian and strictly breastfeeds Oliver.
What nutritional education should the PNP provide?
a. Vitamin A supplements should be started at 400 IU per day
b. Vitamin B6 supplements should be given
c. Vitamin B12 supplements should be given. - ANSWER c pg. 6 Infants of
strictly breastfed mothers should be given Vitamin B12 to prevent
neurological abnormalities.
The PNP is seeing Riley for his 4-month well child appointment. What
supplement should all breastfed infants receive at 2-months of age?
a. Vitamin A
b. Vitamin B
c. Vitamin D - ANSWER c pg. 6 At age 2 months old infants should be
started on Vitamin D 400 IU/day.
Savannah is here for her 6-month check up. She is exclusively breastfed
and has not started baby foods yet. What nutritional education should the
PNP provide?
a. Because she is breastfed, Savannah does not need to start baby foods
until she is 12 months old.
b. Savannah can start iron-fortified foods such as baby oatmeal.
c. Savannah can stop her Vitamin D supplement when she starts table
foods. - ANSWER b pg. 6 Exclusively breastfed babies should receive
, 1mg/kg/day of iron after 6 months old. Ideally iron comes from iron-fortified
foods.
Savannah is in for her 9-month well child appointment. She weighs 6.8kg
and is 68cm long. Her mom is concerned that she is pale because she is
not getting enough iron. How much iron is recommended for a child of
Savannah?
a. 6.8mg/day
b. 10.2mg/day
c. 13.6mg/day - ANSWER a pg. 6 Exclusively breastfed babies should
receive 1mg/kg/day of iron after 6 months old.
Sadie is in for her 9-month check up. The PNP knows that Sadie lives in a
rural area. What should the PNP do in order to assess how much fluoride is
available in the local water?
a. Call the Environmental Protection Agency
b. Call the Board of Health
c. Call the local water company - ANSWER b *Stated at live review
James is in for his 4-month check up. His mom asks if she needs to provide
iron supplementation even though James is exclusively breastfed. What
does the PNP educate?
a. James will not need iron supplements unless he is anemic.
b. James should already be on iron supplements 1mg/kg/day.
c. James should start iron-fortified foods at 6 months old. - ANSWER c pg.
6
The PNP is assessing the need for fluoride supplements in her rural town.
She knows that supplementation is not required for the first 6 months of life.
When is the local water supply considered deficient.
a. <.8 parts per million/ppm
b. <.6 parts per million/ppm
c. <.3 parts per million/ppm - ANSWER c pg. 6
The PNP is seeing Olivia for her 1 week weight check. Olivia lost the
expected 10% of weight after birth. When should Olivia be back to her birth
weight?
a. 5 to 7 days
b. 8 to 10 days
c. 7 to 14 days - ANSWER c pg. 6
