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