FNP Pediatric Exam Test Bank complete Questions &
Answers
The |concept |of |health |promotion |consists |of |efforts |to |prevent |rather |than |to |cure |disease
|or |disability. |This |description |best |describes:
a. tertiary |prevention
b. secondary |prevention
c. primary |prevention
d. morbidity |prevention |- |c
Standards |for |well |child |care |and |health |promotion |are |set |forth |by |the:
a. Task |Force |on |Preventative |Services, |US |Department |of |Health |and |Human |services
b. American |Academy |of |Family |Physicians
c. American |Academy |of |pediatrics
d. Healthy |People |2010 |and |2020 |- |c
A |15 |yo |female |comes |to |the |clinic |for |a |health |maintenance |visit. |The |patient |reports |no
|complaints. |She |does |well |in |school, |has |many |friends, |and |gets |along |well |with |her |parents
|and |two |siblings. |She |has |recently |become |sexually |active |with |her |boyfriend |of |6mo. |The
|physical |exam |is |normal |for |her |age. |What |screening, |lab |tests, |and/or |immunizations
|should |the |PNP |order?
a. Vision, |hearing, |urinalysis, |STD |screen, |pelvic |exam, |and |immunizations |as |needed
b. STD |screen, |pneumococcal |vaccine, |pelvic |exam, |and |cholesterol |screening |as |indicated
c. vision, |hearing, |STD |screen, |pelvic |exam, |and |hemoglobin |if |indicated.
d. Measles |vaccine, |vision, |hearing, |STD |screen, |pelvic |exam |exam, |and |cholesterol |screen |if
|indicated. |- |a
Which |of |the |following |is |the |best |written |chief |complaint?
a. 5yo |asian |female |with |itchy |red |rash
b. |1 |mo |with |difficulty |feeding
c. |15yo |african |american |female |complaining |of |lower |abdominal |pain |for |3 |days
d. |12yo |caucasian |with |itchy |eye |for |1 |week |- |c
The |past |history |should |include
a. family |history
b. social |hx
c. symptom |analysis
d. hospitalization |- |d
The |family |history |should |include:
a. the |health |status |of |the |paternal |grandparents
b. the |living |conditions |of |the |family
c. the |work |status |of |the |parents
,d. school |information |- |a
,Which |of |the |following |statements |would |be |considered |subjective |data |obtained |from |the
|client |during |the |review |of |systems |for |the |skin?
a. the |skin |appears |dry |& |excoriated
b. a |lesion |is |noted |on |the |lateral |aspect |of |the |right |leg
c. there |is |moderate |acne |on |the |forehead |and |back
d. the |patient |denies |changes |in |skin |texture |- |d
The |PNP |is |completing |the |ROS |on |a |4mo. |What |response |from |the |mother |might |indicate |a
|cardiac |problem |in |the |infant |& |require |a |more |thorough |history?
a. the |baby |gets |the |hiccups |often.
b. it |takes |the |baby |over |30min |to |complete |a |bottle
c. the |baby's |heart |seems |to |beat |rapidly |sometimes
d. sometimes |the |baby |sounds |congested |- |b
The |PNP |is |obtaining |a |review |of |systems |on |a |healthy |8yo |girl. |It |would |be |important |to
|include:
a. the |date |of |last |breast |self-exam.
b. any |limitations |related |to |sports |participation.
c. the |last |hematocrit |and |hemoglobin
d. the |last |lead |screen |- |b
The |mother |of |a |3yo |states |that |her |son |was |completely |toilet |trained |at |18mo. |The |PNP
|explores |further, |asking:
a. how |the |mother |did |the |toilet |training
b. if |the |child |is |dry |at |night |and |fully |trained |for |urine |and |stool |day |and |night
c. at |what |age |did |the |mother |begin |toilet |training |the |other |child.
d. if |the |child |gets |up |at |night |to |use |the |bathroom |- |b
Jasmine, |a |5-month-old |infant |is |in |the |clinic |for |a |well |child |visit |and |is |sleeping |in |her
|mother's |arms. |What |should |the |PNP |do |first?
a. Examine |the |ears, |since |this |is |uncomfortable |for |the |infant.
b. Quickly |give |any |needed |immunizations.
c. Begin |with |assessment |of |the |head |and |proceed |from |head |to |toe.
d. auscultate |the |heart |& |lungs |while |the |infant |is |sleeping. |- |d
The |mother |of |a |newborn |brings |the |baby |to |the |clinic |because |she |is |afraid |something |is
|wrong |with |her |baby |("his |head |is |so |big"). |The |PNP |responds |that:
a. "this |is |normal. |The |head |of |a |newborn |is |proportionately |large |to |the |rest |of |the |body"
b. "Yes, |this |does |appear |abnormal. |I |will |make |an |appointment |for |the |baby |to |be |seen |by |a
|neurologist."
d. |"your |head |appears |large |so |it |is |probably |genetic." |- |a
A |healthy |12yo |female |is |at |the |clinic |for |a |well |checkup. |On |physical |examination, |a |marked
|elevation |of |the |right |scapula |and |right |thoracic |hump |and |spinal |curve |abnormally |are
|noted. |Spinal |films |indicate |20 |degree |curve. |The |PNP |should:
a. refer |the |patient |to |an |orthopedist
, b. monitor |the |patient |every |3 |mo |until |menarche
c. refer |the |patient |for |physical |therapy
d. recommend |bedrest |and |back |brace |- |a
What |is |the |% |of |risk |an |autosomal |dominant |gene |is |being |passed |on |to |each |offspring?
a. 25
b. 50
c. 100
d. none |- |b
A |13yo |female |is |at |the |clinic |for |a |routine |check |up. |What |presenting |symptoms |might |alert
|the |PNP |to |the |presence |of |a |possible |genetic |disorder?
a. <10% |on |growth |chart, |Tanner |I, |and |learning |difficulties
b. Precocious |puberty, |developmental |delays, |gifted |piano |player
c. Lactose |intolerance, |frequent |ear |infections, |speech |delays
d. Peanut |allergy, |right-sided |weakness, |and |exhibits |bullying |behavior |- |a
The |parents |of |a |child |with |cystic |fibrosis |are |considering |another |pregnancy. |They |want |to
|know |what |their |chances |are |of |having |another |child |with |cystic |fibrosis. |The |PNP |explains
|that |cystic |fibrosis |is |an |autosomal |recessive |disorder |and |that |each |conception |of |carrier
|parents |has |a:
a. 25% |chance |of |being |affected
b. 50% |chance |of |being |affected
c. 75% |chance |of |being |affected
d. 100% |chance |of |being |affected |- |a
The |parents |of |a |son |with |hemophilia |are |considering |another |pregnancy. |The |mother |has
|been |identified |as |a |carrier |of |the |hemophilia |gene. |What |chance |does |each |female |offspring
|have |of |having |hemophilia.
a. 100%
b. 50%
c. 25%
d. none |- |d
A |male |with |Vitamin |D-resistant |rickets |asks |what |his |chances |are |of |passing |his |disease |to
|his |parents. |The |PNP |answers:
a. all |sons |will |be |affected |by |only |25% |daughters
b. all |daughters |are |affected |by |only |25% |sons
c. 50% |of |all |offspring |will |have |the |disease
d. all |daughters |will |be |affected |but |no |sons. |- |d
The |PNP |is |following |a |15-year-old |male |adolescent |with |consistent |blood |pressure
|readings |of |132 |to |138/84 |to |86 |mm |Hg, |which |is |classified |as |significant |hypertension.
|After |performing |a |workup, |the |PNP |determines |that |the |adolescent |has |primary
|hypertension. |The |most |judicious |recommendation |for |therapy |is:
A) Diet |and |exercise |counseling |and |referral |to |a |specialist
Answers
The |concept |of |health |promotion |consists |of |efforts |to |prevent |rather |than |to |cure |disease
|or |disability. |This |description |best |describes:
a. tertiary |prevention
b. secondary |prevention
c. primary |prevention
d. morbidity |prevention |- |c
Standards |for |well |child |care |and |health |promotion |are |set |forth |by |the:
a. Task |Force |on |Preventative |Services, |US |Department |of |Health |and |Human |services
b. American |Academy |of |Family |Physicians
c. American |Academy |of |pediatrics
d. Healthy |People |2010 |and |2020 |- |c
A |15 |yo |female |comes |to |the |clinic |for |a |health |maintenance |visit. |The |patient |reports |no
|complaints. |She |does |well |in |school, |has |many |friends, |and |gets |along |well |with |her |parents
|and |two |siblings. |She |has |recently |become |sexually |active |with |her |boyfriend |of |6mo. |The
|physical |exam |is |normal |for |her |age. |What |screening, |lab |tests, |and/or |immunizations
|should |the |PNP |order?
a. Vision, |hearing, |urinalysis, |STD |screen, |pelvic |exam, |and |immunizations |as |needed
b. STD |screen, |pneumococcal |vaccine, |pelvic |exam, |and |cholesterol |screening |as |indicated
c. vision, |hearing, |STD |screen, |pelvic |exam, |and |hemoglobin |if |indicated.
d. Measles |vaccine, |vision, |hearing, |STD |screen, |pelvic |exam |exam, |and |cholesterol |screen |if
|indicated. |- |a
Which |of |the |following |is |the |best |written |chief |complaint?
a. 5yo |asian |female |with |itchy |red |rash
b. |1 |mo |with |difficulty |feeding
c. |15yo |african |american |female |complaining |of |lower |abdominal |pain |for |3 |days
d. |12yo |caucasian |with |itchy |eye |for |1 |week |- |c
The |past |history |should |include
a. family |history
b. social |hx
c. symptom |analysis
d. hospitalization |- |d
The |family |history |should |include:
a. the |health |status |of |the |paternal |grandparents
b. the |living |conditions |of |the |family
c. the |work |status |of |the |parents
,d. school |information |- |a
,Which |of |the |following |statements |would |be |considered |subjective |data |obtained |from |the
|client |during |the |review |of |systems |for |the |skin?
a. the |skin |appears |dry |& |excoriated
b. a |lesion |is |noted |on |the |lateral |aspect |of |the |right |leg
c. there |is |moderate |acne |on |the |forehead |and |back
d. the |patient |denies |changes |in |skin |texture |- |d
The |PNP |is |completing |the |ROS |on |a |4mo. |What |response |from |the |mother |might |indicate |a
|cardiac |problem |in |the |infant |& |require |a |more |thorough |history?
a. the |baby |gets |the |hiccups |often.
b. it |takes |the |baby |over |30min |to |complete |a |bottle
c. the |baby's |heart |seems |to |beat |rapidly |sometimes
d. sometimes |the |baby |sounds |congested |- |b
The |PNP |is |obtaining |a |review |of |systems |on |a |healthy |8yo |girl. |It |would |be |important |to
|include:
a. the |date |of |last |breast |self-exam.
b. any |limitations |related |to |sports |participation.
c. the |last |hematocrit |and |hemoglobin
d. the |last |lead |screen |- |b
The |mother |of |a |3yo |states |that |her |son |was |completely |toilet |trained |at |18mo. |The |PNP
|explores |further, |asking:
a. how |the |mother |did |the |toilet |training
b. if |the |child |is |dry |at |night |and |fully |trained |for |urine |and |stool |day |and |night
c. at |what |age |did |the |mother |begin |toilet |training |the |other |child.
d. if |the |child |gets |up |at |night |to |use |the |bathroom |- |b
Jasmine, |a |5-month-old |infant |is |in |the |clinic |for |a |well |child |visit |and |is |sleeping |in |her
|mother's |arms. |What |should |the |PNP |do |first?
a. Examine |the |ears, |since |this |is |uncomfortable |for |the |infant.
b. Quickly |give |any |needed |immunizations.
c. Begin |with |assessment |of |the |head |and |proceed |from |head |to |toe.
d. auscultate |the |heart |& |lungs |while |the |infant |is |sleeping. |- |d
The |mother |of |a |newborn |brings |the |baby |to |the |clinic |because |she |is |afraid |something |is
|wrong |with |her |baby |("his |head |is |so |big"). |The |PNP |responds |that:
a. "this |is |normal. |The |head |of |a |newborn |is |proportionately |large |to |the |rest |of |the |body"
b. "Yes, |this |does |appear |abnormal. |I |will |make |an |appointment |for |the |baby |to |be |seen |by |a
|neurologist."
d. |"your |head |appears |large |so |it |is |probably |genetic." |- |a
A |healthy |12yo |female |is |at |the |clinic |for |a |well |checkup. |On |physical |examination, |a |marked
|elevation |of |the |right |scapula |and |right |thoracic |hump |and |spinal |curve |abnormally |are
|noted. |Spinal |films |indicate |20 |degree |curve. |The |PNP |should:
a. refer |the |patient |to |an |orthopedist
, b. monitor |the |patient |every |3 |mo |until |menarche
c. refer |the |patient |for |physical |therapy
d. recommend |bedrest |and |back |brace |- |a
What |is |the |% |of |risk |an |autosomal |dominant |gene |is |being |passed |on |to |each |offspring?
a. 25
b. 50
c. 100
d. none |- |b
A |13yo |female |is |at |the |clinic |for |a |routine |check |up. |What |presenting |symptoms |might |alert
|the |PNP |to |the |presence |of |a |possible |genetic |disorder?
a. <10% |on |growth |chart, |Tanner |I, |and |learning |difficulties
b. Precocious |puberty, |developmental |delays, |gifted |piano |player
c. Lactose |intolerance, |frequent |ear |infections, |speech |delays
d. Peanut |allergy, |right-sided |weakness, |and |exhibits |bullying |behavior |- |a
The |parents |of |a |child |with |cystic |fibrosis |are |considering |another |pregnancy. |They |want |to
|know |what |their |chances |are |of |having |another |child |with |cystic |fibrosis. |The |PNP |explains
|that |cystic |fibrosis |is |an |autosomal |recessive |disorder |and |that |each |conception |of |carrier
|parents |has |a:
a. 25% |chance |of |being |affected
b. 50% |chance |of |being |affected
c. 75% |chance |of |being |affected
d. 100% |chance |of |being |affected |- |a
The |parents |of |a |son |with |hemophilia |are |considering |another |pregnancy. |The |mother |has
|been |identified |as |a |carrier |of |the |hemophilia |gene. |What |chance |does |each |female |offspring
|have |of |having |hemophilia.
a. 100%
b. 50%
c. 25%
d. none |- |d
A |male |with |Vitamin |D-resistant |rickets |asks |what |his |chances |are |of |passing |his |disease |to
|his |parents. |The |PNP |answers:
a. all |sons |will |be |affected |by |only |25% |daughters
b. all |daughters |are |affected |by |only |25% |sons
c. 50% |of |all |offspring |will |have |the |disease
d. all |daughters |will |be |affected |but |no |sons. |- |d
The |PNP |is |following |a |15-year-old |male |adolescent |with |consistent |blood |pressure
|readings |of |132 |to |138/84 |to |86 |mm |Hg, |which |is |classified |as |significant |hypertension.
|After |performing |a |workup, |the |PNP |determines |that |the |adolescent |has |primary
|hypertension. |The |most |judicious |recommendation |for |therapy |is:
A) Diet |and |exercise |counseling |and |referral |to |a |specialist
