Examl 3:l NSG548/l NSGl 548l (NEWl 2025/l
2026l Update)l FNPl Rolel withl Childrenl
andl Familiesl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
Thel murmurl heardl whenl al childl hasl rheumaticl heartl diseasel isl thel resultl of:
A)l Myocarditis
B)l Pericarditis
C)l Valvulitis
D)l Coronaryl arteryl involvement
Answer:
C)l Valvulitis
QUESTION
Al completel bloodl countl (CBC)l isl obtainedl forl al 6-year-oldl childl withl al rashl and
systemicl symptomsl ofl feverl andl generall malaise.l Thel resultsl arel alll withinl normal
limitsl exceptl thel eosinophill count,l whichl isl elevated.l Thisl findingl supportsl the
diagnosisl of:
A)l Allergicl reaction
B)l Bacteriall infection
C)l Virall exanthem
D)l Rheumaticl fever
Answer:
A)l Allergicl reaction
QUESTION
,al commonl causel ofl congestivel heartl failurel inl thel firstl yearl ofl lifel is:
a.l pulmonaryl stenosis
b.l ventricularl septall defect
c.l rheumaticl fever
d.l completel heartl block
Answer:
b.l ventricularl septall defect
QUESTION
Al vibratoryl systolicl murmurl isl heardl betweenl thel lowerl leftl sternall &l thel apexl inl a
healthyl 4yol atl herl preschooll physical.l Thel cardiol examl isl otherwisel normal.l A
likelyl diagnosisl is:
a.l venousl hum
b.l still'sl murmur
c.l transpositionl ofl thel greatl arteries
d.l rheumaticl heartl disease
Answer:
b.l still'sl murmur
QUESTION
Whichl ofl thel followingl isl al commonl causel ofl acquiredl coronaryl arteryl disease
duringl childhood?
a.l Rheumaticl fever
b.l hypertension
c.l Systemicl lupusl erythematous
d.l Kawasakil disease
Answer:
d.l Kawasakil disease
QUESTION
, Al 4-year-oldl isl broughtl tol thel officel forl al preschooll physicall examination.l The
childl wasl hospitalizedl forl Kawasaki'sl syndromel andl treatedl withl intravenous
immunel globulinl (IVIG)l 9l monthsl ago.l Accordingl tol thel immunizationl records,
thel childl requiresl DTaP,l polio,l andl MMRl immunizationsl atl thisl time.l What
immunizationsl shouldl thel PNPl administerl today?
A)l DTaP,l IPV,l andl MMR
B)l Onlyl MMR
C)l Nonel (immunizationsl shouldl bel givenl atl thel schooll physicall examinationl next
year)
D)l DTaPl andl IPVl (thel parentl shouldl bel instructedl tol schedulel anl appointmentl inl 2
monthsl forl thel MMR)
Answer:
A)l DTaP,l IPV,l andl MMR
QUESTION
Whichl ofl thel followingl drugsl isl importantl inl symptoml managementl andl the
preventionl ofl complicationsl inl Kawasaki'sl disease?
a.l aspirin
b.l corticosteroids
c.l acetaminophen
d.l penicillin
Answer:
a.l aspirin
QUESTION
Al 4-year-oldl isl seenl inl thel officel forl al preschooll physical.l Thel pastl historyl is
significantl forl hospitalizationl forl Kawasaki'sl diseasel andl treatmentl with
intravenousl immunel globulinl (IG)l 2l monthsl ago.l Thel immunizationl record
indicatesl thatl thel childl needsl al DTaP,l polio,l andl MMRl atl thisl time.l What
immunizationsl shouldl thel PNPl administerl today?
A)l DTaP,l OPV,l andl MMRl atl thisl visit,l andl instructl thel parentl tol schedulel al return
visitl inl 8l weeks
B)l MMRl onlyl atl thisl visit
C)l None,l givel immunizationsl atl thel schooll physicall nextl year
2026l Update)l FNPl Rolel withl Childrenl
andl Familiesl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
Thel murmurl heardl whenl al childl hasl rheumaticl heartl diseasel isl thel resultl of:
A)l Myocarditis
B)l Pericarditis
C)l Valvulitis
D)l Coronaryl arteryl involvement
Answer:
C)l Valvulitis
QUESTION
Al completel bloodl countl (CBC)l isl obtainedl forl al 6-year-oldl childl withl al rashl and
systemicl symptomsl ofl feverl andl generall malaise.l Thel resultsl arel alll withinl normal
limitsl exceptl thel eosinophill count,l whichl isl elevated.l Thisl findingl supportsl the
diagnosisl of:
A)l Allergicl reaction
B)l Bacteriall infection
C)l Virall exanthem
D)l Rheumaticl fever
Answer:
A)l Allergicl reaction
QUESTION
,al commonl causel ofl congestivel heartl failurel inl thel firstl yearl ofl lifel is:
a.l pulmonaryl stenosis
b.l ventricularl septall defect
c.l rheumaticl fever
d.l completel heartl block
Answer:
b.l ventricularl septall defect
QUESTION
Al vibratoryl systolicl murmurl isl heardl betweenl thel lowerl leftl sternall &l thel apexl inl a
healthyl 4yol atl herl preschooll physical.l Thel cardiol examl isl otherwisel normal.l A
likelyl diagnosisl is:
a.l venousl hum
b.l still'sl murmur
c.l transpositionl ofl thel greatl arteries
d.l rheumaticl heartl disease
Answer:
b.l still'sl murmur
QUESTION
Whichl ofl thel followingl isl al commonl causel ofl acquiredl coronaryl arteryl disease
duringl childhood?
a.l Rheumaticl fever
b.l hypertension
c.l Systemicl lupusl erythematous
d.l Kawasakil disease
Answer:
d.l Kawasakil disease
QUESTION
, Al 4-year-oldl isl broughtl tol thel officel forl al preschooll physicall examination.l The
childl wasl hospitalizedl forl Kawasaki'sl syndromel andl treatedl withl intravenous
immunel globulinl (IVIG)l 9l monthsl ago.l Accordingl tol thel immunizationl records,
thel childl requiresl DTaP,l polio,l andl MMRl immunizationsl atl thisl time.l What
immunizationsl shouldl thel PNPl administerl today?
A)l DTaP,l IPV,l andl MMR
B)l Onlyl MMR
C)l Nonel (immunizationsl shouldl bel givenl atl thel schooll physicall examinationl next
year)
D)l DTaPl andl IPVl (thel parentl shouldl bel instructedl tol schedulel anl appointmentl inl 2
monthsl forl thel MMR)
Answer:
A)l DTaP,l IPV,l andl MMR
QUESTION
Whichl ofl thel followingl drugsl isl importantl inl symptoml managementl andl the
preventionl ofl complicationsl inl Kawasaki'sl disease?
a.l aspirin
b.l corticosteroids
c.l acetaminophen
d.l penicillin
Answer:
a.l aspirin
QUESTION
Al 4-year-oldl isl seenl inl thel officel forl al preschooll physical.l Thel pastl historyl is
significantl forl hospitalizationl forl Kawasaki'sl diseasel andl treatmentl with
intravenousl immunel globulinl (IG)l 2l monthsl ago.l Thel immunizationl record
indicatesl thatl thel childl needsl al DTaP,l polio,l andl MMRl atl thisl time.l What
immunizationsl shouldl thel PNPl administerl today?
A)l DTaP,l OPV,l andl MMRl atl thisl visit,l andl instructl thel parentl tol schedulel al return
visitl inl 8l weeks
B)l MMRl onlyl atl thisl visit
C)l None,l givel immunizationsl atl thel schooll physicall nextl year
