FNP PEDIATRIC EXAM TEST BANK 2023- c c c c c
2024 REAL EXAM 350+ QUESTIONS AND C
c c c c c c c
ORRECTANSWERS c
The following are risk factors for hypertension in children and teens (choose allth
c c c c c c c c c c c c c
at apply):
c
A. being obese. c
B. drinking whole milk. c c
C. being exposed to second-hand smoke. c c c c
D. watching 2 or more hours of television per day. - ANSWER- A and C
c c c c c c c c c c c c c
Fruit juice intake is acceptable in children 6 months and older per the followingrec
c c c c c c c c c c c c c c
ommendation (choose all that apply): c c c c
A. The juice is mixed in small amounts to flavor water.B.
c c c c c c c c c c c
Only 100% juice is used.
c c c c c
C. Juice replaces no more than one serving of milk.
c c c c c c c c
D. The juice is consumed in the morning with breakfast.
c c c c c c c c
E. No more than 6 oz (177 mL) per day is recommended for children 6 months to 5yea
c c c c c c c c c c c c c c c c c
rs. - ANSWER- ABE
c c c
In evaluating a 9-year-
c c c
old child with a healthy BMI during a well visit, a comprehensive cardiovascular e
c c c c c c c c c c c c c
valuation should be conducted by the followingmethods (choose all that apply):
c c c c c c c c c c c
A. Obtain fasting lipid profile. c c c
B. Screen for type 2 diabetes mellitus by measuring HbA1c.C
c c c c c c c c c
. Assess for family history of thyroid disease.
c c c c c c c
D. Assess diet and physical activity. - ANSWER- A and D
c c c c c c c c c c
At what age is it appropriate to recommend dietary changes to parents ifoverweigh
c c c c c c c c c c c c c
t or obesity is a concern?
c c c c c
A. 12 months old
c c c c
B. 5 years old
c c c
,C. 10 years old
c c c
D. 18 years old - ANSWER- A
c c c c c c
The following are risk factors for type 2 diabetes mellitus in children and teens(choo
c c c c c c c c c c c c c c
se all that apply):
c c c
A. hyperinsulinemia.
B. abnormal weight-to-height ratio. c c
C. onset of nonorganic failure to thrive in the toddler years.
c c c c c c c c c
D. Native American ancestry. - ANSWER- ABD c c c c c
Screening children with a known risk factor for type 2 diabetes mellitus is recomme
c c c c c c c c c c c c c
nded at age 10 or at onset of puberty, and should be repeated how often?A. every oth
c c c c c c c c c c c c c c c c c
er year.c
B. every year. c
C. every six months. c c
D. if child presents with a body mass index in the 85th percentile or higher. -
c c c c c c c c c c c c c c
ANSWER- B
c c
Prediabetes in children is defined as (choose all that apply):
c c c c c c c c c
A. impaired fasting glucose (glucose level ≥100 mg/dL or 6.2 mmol/L) but ≤125m
c c c c c c c c c c c c
g/dL or 7 mmol/L). c c c
B. impaired glucose tolerance (2-hour postprandial ≥140- c c c c c
199 mg/dL or 7.8mmol/L-11 mmol/L).
c c c c c
C. body mass index in the 85th percentile or higher.
c c c c c c c c
D. body mass index in the 60th percentile or higher. - ANSWER- A and B
c c c c c c c c c c c c c
Risk factors for dyslipidemia in children include (choose all that apply):
c c c c c c c c c c
A. blood pressure at the 70th to 80th percentile for age.B.
c c c c c c c c c c c
breastfeeding into the toddler years.
c c c c c
C. family history of lipid abnormalities.
c c c c c
D. family history of type 2 diabetes mellitus. - ANSWER- C and D
c c c c c c c c c c c c
Screening cholesterol levels in children with one or more risk factors begins atwha
c c c c c c c c c c c c c
t age?
c
A. birth
,B. 2 years c c
C. 5 years
c c
D. 10 years - ANSWER- B
c c c c c
An acceptable level of total cholesterol (mg/dL) in children and teens is:A.
c c c c c c c c c c c c c
<170 mg/dL or 9.4 mmol/L. c c c c
B. <130 mg/dL or 7.2 mmol/L. c c c c
C. 110-130 mg/dL or 6.2 mmol/L-7.2 mmol/L. c c c c c
D. 130-199 mg/dL or 7.2 mmol/L-11 mmol/L. - ANSWER- A c c c c c c c c
T/F: low birth weight, and poor infant growth are risk factors for type 2 diabetes -
c c c c c c c c c c c c c c c
ANSWER- True
c c
T/F: Prediabetes in children is defined as impaired fasting glucose (glucose level
c c c c c c c c c c c
≥100 mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose toler
c c c c c c c c c c c c c c
ance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-
c c c c c c c
11 mmol/L) or anA1C of 5.7% to 6.4%. - ANSWER- True
c c c c c c c c c c c
Screening for type 2 diabetes begins at age c c c c c c c
or at onset of puberty and contin c c c c c c
ues every 2 years until adulthood; at that point, the adult guidelines shouldbe follow
c c c c c c c c c c c c c c
ed. - ANSWER- 10c c c
The AAP screening guidelines for total cholesterol levels in children andad
c c c c c c c c c c c
olescents aged 2 to 19 years old are as follows: c c c c c c c c c
Acceptable level is < mg/dL (<9.4 mmol/L), borderline is 170- c c c ccccccc c c c c c
199 mg/dL (9.4 mmol/L-11 mmol/L), and high is >200 mg/dL (≥11.1 mmol/L) -
c c c c c c c c c c c c
ANSWER-170
c c
Children should be screened for family history of cardiovascular disease (CVD) be
c c c c c c c c c c c
ginning at age c c
and should be periodically updated annually or as requiredb c c c c c c c c c
y risk factors during non-urgent health visits. - ANSWER- 3
c c c c c c c c c
For at-risk children, fasting lipid levels should be tested after
c c c c c c c c c
years of age (b c c c
ut no later than 10 years of age) and should be retested in 3-
c c c c c c c c c c c c c
5 years if the valuesfall within the reference range. - ANSWER- 2
c c c c c c c c c c c c
Beginning between ages c c to
years, smoking status of the child should beassessed
c c c c c c c c
and anti-
c c
smoking counseling offered at each visit. Smoking cessation assistance or referral
c c c c c c c c c c c
should be offered when needed. - ANSWER- 9 to 11
c c c c c c c c c
, From 12 to 24 months of age, drinking whole cows' milk is recommended. After24
c c c c c c c c c c c c c c c
months, children should switch to c . - ANSWER- skim or 1% milk c c c c c c c c c
After 12 months, limit milk to a total of
c c c c c c c c to ounces (480-720 mL) c c
a day. - ANSWER- 16 to 24 ounces
c c c c c c c
Body mass index (BMI) should be measured beginning at age
c c c c c c c c c . - ANSWER- 2
c c c
For children between 12 months and 2 years of age for whom overweight or obesity i
c c c c c c c c c c c c c c c
s a concern, the use of
c c fat milk would be appropriate. - ANSWER-
c c c c c c c c c
reduced
c
Beginning at age c c
if BMI is ≥ 85th percentile, intensify dietary and activityc c c c c c c c c c c
hanges to the parent. - ANSWER- 5 c c c c c c
In the well child, check blood pressure annually beginning at age
c c c c c c c c c c
years and c c
chart for age, gender, and history. - ANSWER- 3
c c c c c c c c
Refer to National Institutes of Health guidelines when screening pediatric patients fo
c c c c c c c c c c c
r elevated blood pressure because definitions for elevated systolic and diastolic blood
c c c c c c c c c c c
pressure vary with age, gender, and percentile of
c c . - ANSWER- height c c c c c c c c c
Children should have two doses of the measles, mumps, and rubella (MMR)va
c c c c c c c c c c c c
ccine before their birthday. - ANSWER- 6th
c c c c c
The MMR vaccine is a c c c c , attenuated vaccine. - ANSWER- live
c c c c c
How many doses of the MMR vaccine should a child 6 to 11 months of age receivebefo
c c c c c c c c c c c c c c c c c
re traveling outside of the United States?
c c c c c c
A. none
B. one dose c c
C. two doses c c
D. depends on where the child is traveling - ANSWER- B
c c c c c c c c c c
A 9-year- c
old child with no documentation of vaccinations comes in for an MMR immunizatio
c c c c c c c c c c c c
n update. Her parent states that child has received "some" vaccinations, but no docum
c c c c c c c c c c c c c
entation is available. How many doses of MMR shouldthe child receive and at what fr
c c c c c c c c c c c c c c c
equency?
A. one MMR dose c c
2024 REAL EXAM 350+ QUESTIONS AND C
c c c c c c c
ORRECTANSWERS c
The following are risk factors for hypertension in children and teens (choose allth
c c c c c c c c c c c c c
at apply):
c
A. being obese. c
B. drinking whole milk. c c
C. being exposed to second-hand smoke. c c c c
D. watching 2 or more hours of television per day. - ANSWER- A and C
c c c c c c c c c c c c c
Fruit juice intake is acceptable in children 6 months and older per the followingrec
c c c c c c c c c c c c c c
ommendation (choose all that apply): c c c c
A. The juice is mixed in small amounts to flavor water.B.
c c c c c c c c c c c
Only 100% juice is used.
c c c c c
C. Juice replaces no more than one serving of milk.
c c c c c c c c
D. The juice is consumed in the morning with breakfast.
c c c c c c c c
E. No more than 6 oz (177 mL) per day is recommended for children 6 months to 5yea
c c c c c c c c c c c c c c c c c
rs. - ANSWER- ABE
c c c
In evaluating a 9-year-
c c c
old child with a healthy BMI during a well visit, a comprehensive cardiovascular e
c c c c c c c c c c c c c
valuation should be conducted by the followingmethods (choose all that apply):
c c c c c c c c c c c
A. Obtain fasting lipid profile. c c c
B. Screen for type 2 diabetes mellitus by measuring HbA1c.C
c c c c c c c c c
. Assess for family history of thyroid disease.
c c c c c c c
D. Assess diet and physical activity. - ANSWER- A and D
c c c c c c c c c c
At what age is it appropriate to recommend dietary changes to parents ifoverweigh
c c c c c c c c c c c c c
t or obesity is a concern?
c c c c c
A. 12 months old
c c c c
B. 5 years old
c c c
,C. 10 years old
c c c
D. 18 years old - ANSWER- A
c c c c c c
The following are risk factors for type 2 diabetes mellitus in children and teens(choo
c c c c c c c c c c c c c c
se all that apply):
c c c
A. hyperinsulinemia.
B. abnormal weight-to-height ratio. c c
C. onset of nonorganic failure to thrive in the toddler years.
c c c c c c c c c
D. Native American ancestry. - ANSWER- ABD c c c c c
Screening children with a known risk factor for type 2 diabetes mellitus is recomme
c c c c c c c c c c c c c
nded at age 10 or at onset of puberty, and should be repeated how often?A. every oth
c c c c c c c c c c c c c c c c c
er year.c
B. every year. c
C. every six months. c c
D. if child presents with a body mass index in the 85th percentile or higher. -
c c c c c c c c c c c c c c
ANSWER- B
c c
Prediabetes in children is defined as (choose all that apply):
c c c c c c c c c
A. impaired fasting glucose (glucose level ≥100 mg/dL or 6.2 mmol/L) but ≤125m
c c c c c c c c c c c c
g/dL or 7 mmol/L). c c c
B. impaired glucose tolerance (2-hour postprandial ≥140- c c c c c
199 mg/dL or 7.8mmol/L-11 mmol/L).
c c c c c
C. body mass index in the 85th percentile or higher.
c c c c c c c c
D. body mass index in the 60th percentile or higher. - ANSWER- A and B
c c c c c c c c c c c c c
Risk factors for dyslipidemia in children include (choose all that apply):
c c c c c c c c c c
A. blood pressure at the 70th to 80th percentile for age.B.
c c c c c c c c c c c
breastfeeding into the toddler years.
c c c c c
C. family history of lipid abnormalities.
c c c c c
D. family history of type 2 diabetes mellitus. - ANSWER- C and D
c c c c c c c c c c c c
Screening cholesterol levels in children with one or more risk factors begins atwha
c c c c c c c c c c c c c
t age?
c
A. birth
,B. 2 years c c
C. 5 years
c c
D. 10 years - ANSWER- B
c c c c c
An acceptable level of total cholesterol (mg/dL) in children and teens is:A.
c c c c c c c c c c c c c
<170 mg/dL or 9.4 mmol/L. c c c c
B. <130 mg/dL or 7.2 mmol/L. c c c c
C. 110-130 mg/dL or 6.2 mmol/L-7.2 mmol/L. c c c c c
D. 130-199 mg/dL or 7.2 mmol/L-11 mmol/L. - ANSWER- A c c c c c c c c
T/F: low birth weight, and poor infant growth are risk factors for type 2 diabetes -
c c c c c c c c c c c c c c c
ANSWER- True
c c
T/F: Prediabetes in children is defined as impaired fasting glucose (glucose level
c c c c c c c c c c c
≥100 mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose toler
c c c c c c c c c c c c c c
ance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-
c c c c c c c
11 mmol/L) or anA1C of 5.7% to 6.4%. - ANSWER- True
c c c c c c c c c c c
Screening for type 2 diabetes begins at age c c c c c c c
or at onset of puberty and contin c c c c c c
ues every 2 years until adulthood; at that point, the adult guidelines shouldbe follow
c c c c c c c c c c c c c c
ed. - ANSWER- 10c c c
The AAP screening guidelines for total cholesterol levels in children andad
c c c c c c c c c c c
olescents aged 2 to 19 years old are as follows: c c c c c c c c c
Acceptable level is < mg/dL (<9.4 mmol/L), borderline is 170- c c c ccccccc c c c c c
199 mg/dL (9.4 mmol/L-11 mmol/L), and high is >200 mg/dL (≥11.1 mmol/L) -
c c c c c c c c c c c c
ANSWER-170
c c
Children should be screened for family history of cardiovascular disease (CVD) be
c c c c c c c c c c c
ginning at age c c
and should be periodically updated annually or as requiredb c c c c c c c c c
y risk factors during non-urgent health visits. - ANSWER- 3
c c c c c c c c c
For at-risk children, fasting lipid levels should be tested after
c c c c c c c c c
years of age (b c c c
ut no later than 10 years of age) and should be retested in 3-
c c c c c c c c c c c c c
5 years if the valuesfall within the reference range. - ANSWER- 2
c c c c c c c c c c c c
Beginning between ages c c to
years, smoking status of the child should beassessed
c c c c c c c c
and anti-
c c
smoking counseling offered at each visit. Smoking cessation assistance or referral
c c c c c c c c c c c
should be offered when needed. - ANSWER- 9 to 11
c c c c c c c c c
, From 12 to 24 months of age, drinking whole cows' milk is recommended. After24
c c c c c c c c c c c c c c c
months, children should switch to c . - ANSWER- skim or 1% milk c c c c c c c c c
After 12 months, limit milk to a total of
c c c c c c c c to ounces (480-720 mL) c c
a day. - ANSWER- 16 to 24 ounces
c c c c c c c
Body mass index (BMI) should be measured beginning at age
c c c c c c c c c . - ANSWER- 2
c c c
For children between 12 months and 2 years of age for whom overweight or obesity i
c c c c c c c c c c c c c c c
s a concern, the use of
c c fat milk would be appropriate. - ANSWER-
c c c c c c c c c
reduced
c
Beginning at age c c
if BMI is ≥ 85th percentile, intensify dietary and activityc c c c c c c c c c c
hanges to the parent. - ANSWER- 5 c c c c c c
In the well child, check blood pressure annually beginning at age
c c c c c c c c c c
years and c c
chart for age, gender, and history. - ANSWER- 3
c c c c c c c c
Refer to National Institutes of Health guidelines when screening pediatric patients fo
c c c c c c c c c c c
r elevated blood pressure because definitions for elevated systolic and diastolic blood
c c c c c c c c c c c
pressure vary with age, gender, and percentile of
c c . - ANSWER- height c c c c c c c c c
Children should have two doses of the measles, mumps, and rubella (MMR)va
c c c c c c c c c c c c
ccine before their birthday. - ANSWER- 6th
c c c c c
The MMR vaccine is a c c c c , attenuated vaccine. - ANSWER- live
c c c c c
How many doses of the MMR vaccine should a child 6 to 11 months of age receivebefo
c c c c c c c c c c c c c c c c c
re traveling outside of the United States?
c c c c c c
A. none
B. one dose c c
C. two doses c c
D. depends on where the child is traveling - ANSWER- B
c c c c c c c c c c
A 9-year- c
old child with no documentation of vaccinations comes in for an MMR immunizatio
c c c c c c c c c c c c
n update. Her parent states that child has received "some" vaccinations, but no docum
c c c c c c c c c c c c c
entation is available. How many doses of MMR shouldthe child receive and at what fr
c c c c c c c c c c c c c c c
equency?
A. one MMR dose c c
