Primary Care PNP Exam Review-Additional Review
Questions With Complete Solutions
"incident to" billing is specific to Correct Answers medicare
0-3 month neonate needs how many calories for growth Correct
Answers 345 cal/d
12-month-old Jeremiah is in for his well child appointment. His
mom is concerned because he is not able to sit up anymore.
Upon assessment, the PNP notes a cherry red macula. Which
genetic disorder does the PNP suspect?
a. Tay-Sachs Disease
b. Duchenne's Muscular Dystrophy
c. DiGeorge Syndrome Correct Answers a pg. 23 Progression
of Tay-Sachs: Decreased muscle tone-> Cherry red macula-
>listlessness->Blindness->Deafness->Seizures->Dementia-
>Vegetative State->Death
12-year-old Mary is concerned because she has not experience
menarche like her friends. Upon exam, the PNP notes the breast
enlargement without a separate nipple contour. Which Tanner
stage does menarche usually occur?
a. Tanner stage 2
b. Tanner stage 5
c. Tanner stage 4 Correct Answers c pg. 59 Menarche occurs
between development stages 3 to 4, but most often at stage 4
17-year-old Henry is in for a sports physical. Upon assessment,
the PNP sees that Henry is tall, Tanner stage 2, and has
,difficulty in school. The PNP orders a karyotype. What results
does he expect?
a. X
b. XYY
c. XXY Correct Answers c pg. 22 Patient has physical
manifestations of Klinefelter's Syndrome
17-year-old Jeremy is getting ready for college in the fall. He is
up-to-date on vaccines except for receives the Meningococcal
vaccine. Jeremy asks if he need anymore shots after he receives
the Menactra vaccine. The PNP states which of the following?
a. "You will need a varicella booster at 18-years-old."
b. "You will need a tetanus shot 10 years after your received
your first one."
c. "You will need a meningococcal vaccine in 4 to 5 years."
Correct Answers b pg. 19 If received after 16 years old,
Meningococcal booster not needed.
1st and 2nd degree burns appear Correct Answers moist with
edema, erythema and a few vesicles
20-month-old Ava is in for fussiness. The PNP diagnoses her
with teething. At what age can the PNP educate Ava's mom that
all of her primary teeth should be erupted?
a. 2 years old
b. 3 years old
c. 12 years old Correct Answers a *stated at live review
2yr old male with retracted and discolored foreskin with
swelling of the glans. what is your diagnosis Correct Answers
paraphimosis
,3 epiglotitis pathogens Correct Answers pneumococci
streptococci
h. flu
3-day-old Jennifer's mom is concerned because she has noticed
blotchy red spots with white "pimples" on her skin. What does
the on-call PNP tell Jennifer's mom?
a. To immediately go to the emergency room because the rash
indicate an emergency.
b. To give Jennifer an oatmeal bath and apply scented lotion.
c. To continue to watch the spots and that the redness should
disappear by 2 weeks old. Correct Answers c pg. 28 These rash
described in erythema toxicum. They should blanch with touch.
4-year-old Al presents for his well child appointment. His mom
reports Al started stuttering about 1 month ago. She denies Al
avoiding speaking. She reports he can understand phrases and
simple analogies. When does the PNP consider referring Al for a
speech evaluation and for management?
a. Now
b. in 3 months
c. in 6 months Correct Answers c pg. 44 Consider referral for
stuttering lasting >6 months, child older than 6, and a child who
avoids speaking.
4yr old speech should havehow many words? Correct Answers
1500
4yr presents with exudative pharyngitis and erythematous non
blanching lesions on the legs. Rapid strep is +. What is the
, MOST likely diagnosis? Correct Answers henoch-schenlon
pupura
5-year-old Heath asks when he will lose a tooth since his best
friend already lost one. When does the PNP expect Heath to lose
primary central incisor?
a. 5 to 6 years old
b. 6 to 8 years old
c. 7 to 10 years old Correct Answers b pg. 7
6-year-old Addison's mom is concerned that Addison is
irrational and not capable of logical thought most times. At what
age does, the PNP knows that Addison will enter the cognitive
stage of concrete thinking?
a. 4 to 5 years old
b. 5 to 7 years old
c. 7 to 11 years old Correct Answers c pg. 7
7-year-old Anne is in today for "stuttering". Anne's mom is
concerned because she herself had to go to speech therapy as a
child. Stuttering does not appear to keep Anne from speaking.
When does the PNP consider referring Anne for a speech
evaluation and for management?
a. Now
b. in 3 months
c. in 6 months Correct Answers a pg. 44 Consider referral for
stuttering lasting >6 months, child older than 6, and a child who
avoids speaking. There is often a familial link to stuttering.
7-year-old Josephine's mom has scheduled a sick appointment
because she is concerned that Josephine has stopped growing.
Questions With Complete Solutions
"incident to" billing is specific to Correct Answers medicare
0-3 month neonate needs how many calories for growth Correct
Answers 345 cal/d
12-month-old Jeremiah is in for his well child appointment. His
mom is concerned because he is not able to sit up anymore.
Upon assessment, the PNP notes a cherry red macula. Which
genetic disorder does the PNP suspect?
a. Tay-Sachs Disease
b. Duchenne's Muscular Dystrophy
c. DiGeorge Syndrome Correct Answers a pg. 23 Progression
of Tay-Sachs: Decreased muscle tone-> Cherry red macula-
>listlessness->Blindness->Deafness->Seizures->Dementia-
>Vegetative State->Death
12-year-old Mary is concerned because she has not experience
menarche like her friends. Upon exam, the PNP notes the breast
enlargement without a separate nipple contour. Which Tanner
stage does menarche usually occur?
a. Tanner stage 2
b. Tanner stage 5
c. Tanner stage 4 Correct Answers c pg. 59 Menarche occurs
between development stages 3 to 4, but most often at stage 4
17-year-old Henry is in for a sports physical. Upon assessment,
the PNP sees that Henry is tall, Tanner stage 2, and has
,difficulty in school. The PNP orders a karyotype. What results
does he expect?
a. X
b. XYY
c. XXY Correct Answers c pg. 22 Patient has physical
manifestations of Klinefelter's Syndrome
17-year-old Jeremy is getting ready for college in the fall. He is
up-to-date on vaccines except for receives the Meningococcal
vaccine. Jeremy asks if he need anymore shots after he receives
the Menactra vaccine. The PNP states which of the following?
a. "You will need a varicella booster at 18-years-old."
b. "You will need a tetanus shot 10 years after your received
your first one."
c. "You will need a meningococcal vaccine in 4 to 5 years."
Correct Answers b pg. 19 If received after 16 years old,
Meningococcal booster not needed.
1st and 2nd degree burns appear Correct Answers moist with
edema, erythema and a few vesicles
20-month-old Ava is in for fussiness. The PNP diagnoses her
with teething. At what age can the PNP educate Ava's mom that
all of her primary teeth should be erupted?
a. 2 years old
b. 3 years old
c. 12 years old Correct Answers a *stated at live review
2yr old male with retracted and discolored foreskin with
swelling of the glans. what is your diagnosis Correct Answers
paraphimosis
,3 epiglotitis pathogens Correct Answers pneumococci
streptococci
h. flu
3-day-old Jennifer's mom is concerned because she has noticed
blotchy red spots with white "pimples" on her skin. What does
the on-call PNP tell Jennifer's mom?
a. To immediately go to the emergency room because the rash
indicate an emergency.
b. To give Jennifer an oatmeal bath and apply scented lotion.
c. To continue to watch the spots and that the redness should
disappear by 2 weeks old. Correct Answers c pg. 28 These rash
described in erythema toxicum. They should blanch with touch.
4-year-old Al presents for his well child appointment. His mom
reports Al started stuttering about 1 month ago. She denies Al
avoiding speaking. She reports he can understand phrases and
simple analogies. When does the PNP consider referring Al for a
speech evaluation and for management?
a. Now
b. in 3 months
c. in 6 months Correct Answers c pg. 44 Consider referral for
stuttering lasting >6 months, child older than 6, and a child who
avoids speaking.
4yr old speech should havehow many words? Correct Answers
1500
4yr presents with exudative pharyngitis and erythematous non
blanching lesions on the legs. Rapid strep is +. What is the
, MOST likely diagnosis? Correct Answers henoch-schenlon
pupura
5-year-old Heath asks when he will lose a tooth since his best
friend already lost one. When does the PNP expect Heath to lose
primary central incisor?
a. 5 to 6 years old
b. 6 to 8 years old
c. 7 to 10 years old Correct Answers b pg. 7
6-year-old Addison's mom is concerned that Addison is
irrational and not capable of logical thought most times. At what
age does, the PNP knows that Addison will enter the cognitive
stage of concrete thinking?
a. 4 to 5 years old
b. 5 to 7 years old
c. 7 to 11 years old Correct Answers c pg. 7
7-year-old Anne is in today for "stuttering". Anne's mom is
concerned because she herself had to go to speech therapy as a
child. Stuttering does not appear to keep Anne from speaking.
When does the PNP consider referring Anne for a speech
evaluation and for management?
a. Now
b. in 3 months
c. in 6 months Correct Answers a pg. 44 Consider referral for
stuttering lasting >6 months, child older than 6, and a child who
avoids speaking. There is often a familial link to stuttering.
7-year-old Josephine's mom has scheduled a sick appointment
because she is concerned that Josephine has stopped growing.
