FNP Pediatric Exam Practice Questions
with complete solutions.
"boggy" znasal zmucous zmembranes zwith zserous zdrainage zupon zexamination zusually
zsuggests:
a. zsinusitis
b. zpolyps
c. zURI
d. zallergic zrhinitis z- z zcorrect zanswer. z z zd
"incident zto" zbilling zis zspecific zto:
a. zMedicare
b. zMedicaid
c. zMedicare z& zMedicaid
d. zPrivate zinsurance zcompanies z- z zcorrect zanswer. z z za
1. zA z10mo zold zchild zhas zbeen zdiagnosed zwith zgastroenteritis. zHe zattends za zchild zcare
zfacility. zWhat zis zthe zmost zlikely zcause zof zhis zillness?
a. zClostridium zdifficile
b. zRotavirus
c. zSalmonella
d. zCryptosporidium z- z zcorrect zanswer. z z zb
1. zA ztypical zfebrile zseizure zis zmost zlikely zto zbe zthe zproblem zof zwhich zof zthe zfollowing
zchildren?
a. zA z1yo zwith zotitis zmedia z& za zfever zof z104F
b. zA z3mo zold zwith zunequal zpupils z& zbulging zfontanels
dr.j
,c. zAn z11yo zwith zfever zof z101F zwho zis zon zvalproic zacid zfor zseizure zdisorder
d. zA z5yo zwith zbacterial zmeningitis z- z zcorrect zanswer. z z za
1. zBaseline zmanagement zof zall zneonates zwith zABO zincompatibility zincludes:
a. zPhototherapy
b. zSerial zmonitoring zof zbilirubin z& zhemoglobin zlevels
c. zExchange ztransfusion
d. zSimple ztransfusion zof zpacked zRBCs z- z zcorrect zanswer. z z zb
1. zSecondary zhypothyroidism zresults zfrom:
a. zExcess zrelease zof zthyroid zhormone zbeyond zthe znewborn zperiod
b. zIntrauterine zexposure zto zthyrotoxic zdrugs
c. zDisease zor zdisorder zof zthe zthyroid zgland zitself
d. zDisease zor zdisorder zof zthe zhypothalamus zor zpituitary zgland zcompromising zthyroid
zfunction z- z zcorrect zanswer. z z zd
1. zSepticemia zin zthe znewborn zperiod zis zlikely zcaused zby zwhich zorganism?
a. zListeria zmonocytogenes
b. zHaemophilus zinfluenza
c. zNeisseria zmeningitides
d. zStreptococcus zpneuomniae z- z zcorrect zanswer. z z za
1. zUrinary ztract zinfections z(UTI) zare zthe zmost zcommon zpediatric zurinary ztract zproblems
zseen zin zprimary zcare. zWhich zof zthe zfollowing zstatements zis znot ztrue zregarding zUTIs?
a. zSymptoms zare zoften znonspecific, zespecially zin zinfancy
b. zUrine zculture zis zrequired zfor zdefinitive zdiagnosis
c. zTrimethoprim-sulfamethoxazole zis za zdrug zof zchoice zfor zmost zchildren
d. zRadiologic zstudies zare zrarely zindicated zwith zfirst zinfection z- z zcorrect zanswer. z z zd
1. zWhich zof zthe zfollowing zdisorders zis zusually zassociated zwith zadduction zof zthe zforefoot?
a. zInternal zfemoral ztorsion
b. zTalipes zequinovarus zcongenital
c. zGenu zvalgum
d. zInternal ztibial ztorsion z- z zcorrect zanswer. z z zb
1. zwhich zof zthe zfollowing zis za zcharacteristic zphysical zsign zof zfragile zX zsyndrome zin
zadolescent zmales?
a. zSmall zposteriorly zrotated zears
b. zMacroorchidism
c. zHypertonia
d. zDouble zhair zwhirl z- z zcorrect zanswer. z z zb
1. zWhich zof zthe zfollowing zis ztrue zfor zidiopathic zscoliosis, zwhich zoccurs zprimarily zin
zadolescents?
a. zMild zcurves zoccur zequally zbetween zthe zsexes
b. zGenerally zthere zis zno zfamily zhistory
dr.j
,c. zBack zpain zis zusually zassociated zwith zcurves zof z35 zdegrees zor zgreater
d. zBracing zis zindicated zfor zthoracic zcurves zof z10-25 zdegrees z- z zcorrect zanswer. z z za
10. zAn z11yo zgirl zis zbrought zin zby zher zmother zcomplaining zof zsevere zheadaches
zassociated zwith znausea z& zvomiting. zWhich zof zthe zfollowing zs/s zwould zlead zyou zto
zconsider za zbrain ztumor zas zpart zof zyour zdifferential zdiagnosis?
a. zThrobbing zpain zaccompanied zby zsevere zlight zsensitivity z
b. zBilateral zthrobbing zpain
c. zPreceded zby za zvisual zaura
d. zMore zsevere zin zthe zmorning zfollowed zby zvomiting z- z zcorrect zanswer. z z zd
10. zFor za znewborn, zthe zcorrect zmanagement zof zhip zdislocation zshould zinclude:
a. zUse zof zflexion-abduction zdevice zsuch zas zPavlik zharness zto zstabilize zhip
b. zFollow zand zobserve zclosely zfor z3-4 zweeks zthen zrefer zto zortho
c. zSurgical zreduction
d. zTraction zfor z6 zweeks z- z zcorrect zanswer. z z za
10. zMeatal zstenosis, znarrowing zof zthe zdistal zurethra, zis zseen zin zthe zfollowing:
a. zOrchiopexy
b. zCircumcision
c. zEpididymitis
d. zHypospadias zrepair z- z zcorrect zanswer. z z zb
10. zSally zis zvomiting zand zdiarrhea zhas zstopped. zIf zshe zneeds zoral zreplacement ztherapy
z(ORT) ztoday, zwhat zwould zbe zthe zappropriate zamount zto zrecommend?
a. z325-350 zcc zover z4hrs
b. z600-700cc zover z4hrs
c. z600-700cc zover z12hrs
d. z325-350cc zover z8hrs z- z zcorrect zanswer. z z zb
10. zThe zexpected zhemoglobin zrange zfor zsickle zcell zanemia zis:
a. z6.5-9.5g/dl
b. z13.5-16.5g/dl
c. z8.5-12.5g/dl
d. z9.5-13.5g/dl z- z zcorrect zanswer. z z za
10. zWhich zof zthe zfollowing zis zappropriate zadvice zfor zthe zmother zof za znewborn?
a. zThe zchild zshould zsleep zon zher zback
b. zThe zchild zshould zsleep zon zher zback zor zside
c. zThe zchild zshould zbe zallowed zto zsleep zin za zcarseat zat znight
d. zThe zchild zcan zsleep zon zher zcomforter z- z zcorrect zanswer. z z za
10. zWhich zone zof zthe zfollowing zis znot zcharacteristic zof zconstitutional zgrowth zdelay?
a. zThere zis zgenerally zno zhx zof za zsimilar zgrowth zpattern zin zother zfamily zmembers
b. zThe zchild zusually zremains zconstitutionally zsmall zas zan zadult
c. zFinal zadult zstature ztends zto zbe znormal
dr.j
, d. zWeight z& zheight zat zbirth zare zgenerally zin zthe zlower zpercentiles z- z zcorrect zanswer. z z zc
10. zYou zare zexamining za zchild zwho zhas zfever, zcoryza, zcough, zconjunctivitis, zmalaise, z&
zanorexia. zDuring zthe zoral zexamination, zyou zobserve zred zeruptions zwith zwhite zcenters
zon zthe zbuccal zmucosa. zWhat zare zthese zeruptions zcalled?
a. zPastia's zspots
b. zRubelola zspots
c. zKoplik's zspots
d. zStrawberry zspots z- z zcorrect zanswer. z z zc
11. zA z5yo zfemale zpresents zfor za zschool zphysical zwith za zcomplaint zof zhyperactivity, za
zmild zdevelopmental zdelay, zaversion zof zgaze, zhand zmannerism, zlong zthing zface zwith
zslightly zdysmorphic zear. zWhat zis zthe zlikely zdiagnosis?
a. zFragile zX
b. zTurner's zSyndrome
c. zFetal zalcohol zsyndrome
d. zWilliams zsyndrome z- z zcorrect zanswer. z z za
11. zA znewborn zor zinfant zwith zbirth zlength z<50% zand zmicrophallus zshould zbe zsuspected
zof zhaving:
a. zGrowth zhormone zdeficiency
b. zCongenital zhypothyroidism z
c. zPrimordial zshort zstature
d. zDown zsyndrome z- z zcorrect zanswer. z z za
11. zDuchenne zmuscular zdystrophy zis zcharacterized zby zwhich zof zthe zfollowing zs/s?
a. zA zbirth, zaffected zinfants zare znotably zhypotonic, z"floppy" zbabies
b. zEarliest zsymptom zis zoften zrefusal zto zbear zweight
c. zAbnormalities zof zgait zand zposture zbecome zevident zduring zpreschool zyears
d. zUnable zto zkeep zup zwith zpeers zwhen zrunning zby zschool zage z- z zcorrect zanswer. z z zc
11. zDuring za ztrack zmeet, za z14yo zmale zpole zvaulter zfalls zto zthe zground zscreaming zin
zpain. zHe zcomplains zof zintense, zsearing zpain zin zhis zright zscrotum. zHe zvomits ztwice zwhile
zwaiting zfor zthe zambulance. zHe zmost zlikely zhas:
a. zOrchitis
b. zHydrocele
c. zAcute zepididymitis
d. zTesticular ztorsion z- z zcorrect zanswer. z z zd
11. zPinworms zcan zcause zwhich zof zthe zfollowing?
a. zConstipation
b. zAnal zitching
c. zAbdominal zpain
d. zDiarrhea z- z zcorrect zanswer. z z zb
11. zprophylactic zpenicillin zshould zbe zinitiated zin zchildren zwith zsickle zcell zanemia zby:
dr.j
with complete solutions.
"boggy" znasal zmucous zmembranes zwith zserous zdrainage zupon zexamination zusually
zsuggests:
a. zsinusitis
b. zpolyps
c. zURI
d. zallergic zrhinitis z- z zcorrect zanswer. z z zd
"incident zto" zbilling zis zspecific zto:
a. zMedicare
b. zMedicaid
c. zMedicare z& zMedicaid
d. zPrivate zinsurance zcompanies z- z zcorrect zanswer. z z za
1. zA z10mo zold zchild zhas zbeen zdiagnosed zwith zgastroenteritis. zHe zattends za zchild zcare
zfacility. zWhat zis zthe zmost zlikely zcause zof zhis zillness?
a. zClostridium zdifficile
b. zRotavirus
c. zSalmonella
d. zCryptosporidium z- z zcorrect zanswer. z z zb
1. zA ztypical zfebrile zseizure zis zmost zlikely zto zbe zthe zproblem zof zwhich zof zthe zfollowing
zchildren?
a. zA z1yo zwith zotitis zmedia z& za zfever zof z104F
b. zA z3mo zold zwith zunequal zpupils z& zbulging zfontanels
dr.j
,c. zAn z11yo zwith zfever zof z101F zwho zis zon zvalproic zacid zfor zseizure zdisorder
d. zA z5yo zwith zbacterial zmeningitis z- z zcorrect zanswer. z z za
1. zBaseline zmanagement zof zall zneonates zwith zABO zincompatibility zincludes:
a. zPhototherapy
b. zSerial zmonitoring zof zbilirubin z& zhemoglobin zlevels
c. zExchange ztransfusion
d. zSimple ztransfusion zof zpacked zRBCs z- z zcorrect zanswer. z z zb
1. zSecondary zhypothyroidism zresults zfrom:
a. zExcess zrelease zof zthyroid zhormone zbeyond zthe znewborn zperiod
b. zIntrauterine zexposure zto zthyrotoxic zdrugs
c. zDisease zor zdisorder zof zthe zthyroid zgland zitself
d. zDisease zor zdisorder zof zthe zhypothalamus zor zpituitary zgland zcompromising zthyroid
zfunction z- z zcorrect zanswer. z z zd
1. zSepticemia zin zthe znewborn zperiod zis zlikely zcaused zby zwhich zorganism?
a. zListeria zmonocytogenes
b. zHaemophilus zinfluenza
c. zNeisseria zmeningitides
d. zStreptococcus zpneuomniae z- z zcorrect zanswer. z z za
1. zUrinary ztract zinfections z(UTI) zare zthe zmost zcommon zpediatric zurinary ztract zproblems
zseen zin zprimary zcare. zWhich zof zthe zfollowing zstatements zis znot ztrue zregarding zUTIs?
a. zSymptoms zare zoften znonspecific, zespecially zin zinfancy
b. zUrine zculture zis zrequired zfor zdefinitive zdiagnosis
c. zTrimethoprim-sulfamethoxazole zis za zdrug zof zchoice zfor zmost zchildren
d. zRadiologic zstudies zare zrarely zindicated zwith zfirst zinfection z- z zcorrect zanswer. z z zd
1. zWhich zof zthe zfollowing zdisorders zis zusually zassociated zwith zadduction zof zthe zforefoot?
a. zInternal zfemoral ztorsion
b. zTalipes zequinovarus zcongenital
c. zGenu zvalgum
d. zInternal ztibial ztorsion z- z zcorrect zanswer. z z zb
1. zwhich zof zthe zfollowing zis za zcharacteristic zphysical zsign zof zfragile zX zsyndrome zin
zadolescent zmales?
a. zSmall zposteriorly zrotated zears
b. zMacroorchidism
c. zHypertonia
d. zDouble zhair zwhirl z- z zcorrect zanswer. z z zb
1. zWhich zof zthe zfollowing zis ztrue zfor zidiopathic zscoliosis, zwhich zoccurs zprimarily zin
zadolescents?
a. zMild zcurves zoccur zequally zbetween zthe zsexes
b. zGenerally zthere zis zno zfamily zhistory
dr.j
,c. zBack zpain zis zusually zassociated zwith zcurves zof z35 zdegrees zor zgreater
d. zBracing zis zindicated zfor zthoracic zcurves zof z10-25 zdegrees z- z zcorrect zanswer. z z za
10. zAn z11yo zgirl zis zbrought zin zby zher zmother zcomplaining zof zsevere zheadaches
zassociated zwith znausea z& zvomiting. zWhich zof zthe zfollowing zs/s zwould zlead zyou zto
zconsider za zbrain ztumor zas zpart zof zyour zdifferential zdiagnosis?
a. zThrobbing zpain zaccompanied zby zsevere zlight zsensitivity z
b. zBilateral zthrobbing zpain
c. zPreceded zby za zvisual zaura
d. zMore zsevere zin zthe zmorning zfollowed zby zvomiting z- z zcorrect zanswer. z z zd
10. zFor za znewborn, zthe zcorrect zmanagement zof zhip zdislocation zshould zinclude:
a. zUse zof zflexion-abduction zdevice zsuch zas zPavlik zharness zto zstabilize zhip
b. zFollow zand zobserve zclosely zfor z3-4 zweeks zthen zrefer zto zortho
c. zSurgical zreduction
d. zTraction zfor z6 zweeks z- z zcorrect zanswer. z z za
10. zMeatal zstenosis, znarrowing zof zthe zdistal zurethra, zis zseen zin zthe zfollowing:
a. zOrchiopexy
b. zCircumcision
c. zEpididymitis
d. zHypospadias zrepair z- z zcorrect zanswer. z z zb
10. zSally zis zvomiting zand zdiarrhea zhas zstopped. zIf zshe zneeds zoral zreplacement ztherapy
z(ORT) ztoday, zwhat zwould zbe zthe zappropriate zamount zto zrecommend?
a. z325-350 zcc zover z4hrs
b. z600-700cc zover z4hrs
c. z600-700cc zover z12hrs
d. z325-350cc zover z8hrs z- z zcorrect zanswer. z z zb
10. zThe zexpected zhemoglobin zrange zfor zsickle zcell zanemia zis:
a. z6.5-9.5g/dl
b. z13.5-16.5g/dl
c. z8.5-12.5g/dl
d. z9.5-13.5g/dl z- z zcorrect zanswer. z z za
10. zWhich zof zthe zfollowing zis zappropriate zadvice zfor zthe zmother zof za znewborn?
a. zThe zchild zshould zsleep zon zher zback
b. zThe zchild zshould zsleep zon zher zback zor zside
c. zThe zchild zshould zbe zallowed zto zsleep zin za zcarseat zat znight
d. zThe zchild zcan zsleep zon zher zcomforter z- z zcorrect zanswer. z z za
10. zWhich zone zof zthe zfollowing zis znot zcharacteristic zof zconstitutional zgrowth zdelay?
a. zThere zis zgenerally zno zhx zof za zsimilar zgrowth zpattern zin zother zfamily zmembers
b. zThe zchild zusually zremains zconstitutionally zsmall zas zan zadult
c. zFinal zadult zstature ztends zto zbe znormal
dr.j
, d. zWeight z& zheight zat zbirth zare zgenerally zin zthe zlower zpercentiles z- z zcorrect zanswer. z z zc
10. zYou zare zexamining za zchild zwho zhas zfever, zcoryza, zcough, zconjunctivitis, zmalaise, z&
zanorexia. zDuring zthe zoral zexamination, zyou zobserve zred zeruptions zwith zwhite zcenters
zon zthe zbuccal zmucosa. zWhat zare zthese zeruptions zcalled?
a. zPastia's zspots
b. zRubelola zspots
c. zKoplik's zspots
d. zStrawberry zspots z- z zcorrect zanswer. z z zc
11. zA z5yo zfemale zpresents zfor za zschool zphysical zwith za zcomplaint zof zhyperactivity, za
zmild zdevelopmental zdelay, zaversion zof zgaze, zhand zmannerism, zlong zthing zface zwith
zslightly zdysmorphic zear. zWhat zis zthe zlikely zdiagnosis?
a. zFragile zX
b. zTurner's zSyndrome
c. zFetal zalcohol zsyndrome
d. zWilliams zsyndrome z- z zcorrect zanswer. z z za
11. zA znewborn zor zinfant zwith zbirth zlength z<50% zand zmicrophallus zshould zbe zsuspected
zof zhaving:
a. zGrowth zhormone zdeficiency
b. zCongenital zhypothyroidism z
c. zPrimordial zshort zstature
d. zDown zsyndrome z- z zcorrect zanswer. z z za
11. zDuchenne zmuscular zdystrophy zis zcharacterized zby zwhich zof zthe zfollowing zs/s?
a. zA zbirth, zaffected zinfants zare znotably zhypotonic, z"floppy" zbabies
b. zEarliest zsymptom zis zoften zrefusal zto zbear zweight
c. zAbnormalities zof zgait zand zposture zbecome zevident zduring zpreschool zyears
d. zUnable zto zkeep zup zwith zpeers zwhen zrunning zby zschool zage z- z zcorrect zanswer. z z zc
11. zDuring za ztrack zmeet, za z14yo zmale zpole zvaulter zfalls zto zthe zground zscreaming zin
zpain. zHe zcomplains zof zintense, zsearing zpain zin zhis zright zscrotum. zHe zvomits ztwice zwhile
zwaiting zfor zthe zambulance. zHe zmost zlikely zhas:
a. zOrchitis
b. zHydrocele
c. zAcute zepididymitis
d. zTesticular ztorsion z- z zcorrect zanswer. z z zd
11. zPinworms zcan zcause zwhich zof zthe zfollowing?
a. zConstipation
b. zAnal zitching
c. zAbdominal zpain
d. zDiarrhea z- z zcorrect zanswer. z z zb
11. zprophylactic zpenicillin zshould zbe zinitiated zin zchildren zwith zsickle zcell zanemia zby:
dr.j
