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Peds Final questions and 100% verified answers latest in 2025 (passing score guarantee)

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Nursing Practitioners
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Nursing Practitioners










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Institution
Nursing Practitioners
Course
Nursing Practitioners

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Uploaded on
June 7, 2025
Number of pages
30
Written in
2024/2025
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Peds Final questions and 100% verified
answers latest in 2025 (passing score
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The nurse practitioner is reviewing the bilirubin level on a 72 hour neonate born at 38 weeks with no
neurotoxicity risk factors. The neonate is still inpatient. The bilirubin is 10 mg/dl. The infant has a slight
yellowing to his skin and sclera. The infant is feeding well, is not irritable and has 8-10 wet diapers a day.
The parents are first time parents. The patient has has 5% weight loss since birth. Which of the following
is a true statement?



Recommend the infant be treated with phototherapy every day until bilirubin is back to normal

Stop breastfeeding and begin supplementing with formula, proceed with discharge, follow up within 72
hours.

Promote breastfeeding, hold discharge until weight has stabilized.

Promote continued breastfeeding at least 10 times a day, proceed with discharge, follow up within 72
hours. - Answer Promote continued breastfeeding at least 10 times a day, proceed with discharge,
follow up within 72 hours.



A 3 week old newborn is being evaluated by a Nurse Practitioner for concern of an elevated
temperature. Her temp is 99.5F in office today. The mother of the infant wants to know, besides a fever,
what other signs she should watch out for that might indicate a serious condition?



The infant voids more than 6 times in 24 hrs

The posterior fontanel is closed

The infant is sleeping more and is not easily aroused

Lack of skin tenting - Answer The infant is sleeping more and is not easily aroused



A 5 day old infant is in your clinic today for the first time since discharge after delivery . Her prenatal
history was negative and she was born at 37 weeks gestation via normal spontaneous vaginal delivery.
APGARS were 7 and 9. She lives at home with both parents and is currently being breast fed. Her birth
weight was 5 lbs, 14 oz. Today her vitals are Temp 98.6, Pulse, 132, Resp 30 and weight is 5 lbs 6 oz.
What is her calculated weight loss as of today?



8.1%

,8.5%

5.8%

7.5% - Answer 8.5%



Isabella is a 1-year-old female who comes to the clinic for a one year well-child examination. She was a
term baby with no significant medical issues and normal growth and development thus far. She is on the
standard immunization schedule. Today her weight is 19 lbs. Based on the normal developmental
milestones, which of the following should Isabella be able to perform?



Speak 1-2 words, follow simple directions, stand alone

Scribble, able to drink from cup, bang 2 cubes together

Walk up stairs, Point to one body part, able to express needs by pulling/point/grunting

Speak with 2-3 words, drink from a cup, can step backwards - Answer Speak 1-2 words, follow simple
directions, stand alone



Bang 2 cubes - 9 mo

Drink from a cup - 12 mo

Scribbles - 15 mo

Speaks 2-3 words - 15 mo

Steps backward - 15 mo

Expresses needs by pulling/pointing/grunting - 15 mo

Points to one body part - 18 mo

Walk up stairs - 2 yrs



Which of the following children requires a language referral for further evaluation?



2-year-old with a 200 word vocabulary.

1-year-old with a 5-word vocabulary.

3-year-old who is understandable to parents

2-year-old who cannot put two words together - Answer 2-year-old who cannot put two words together

, 1-year old should be able to say 3-4 words

2 -year should be able to put 2 words together

3-year old should be able to speak in 3-word sentences



You see a 15 year old new patient to establish care in your primary care practice for a well child check.
Per the chart, the patient is listed as male and the name is listed as "John Doe". When you enter the
room, the patient and the parent introduce themselves. The patient states " I am Skyler, my pronouns
are she/hers". The patient states she is transgender. When documenting in the chart, all of the following
would be correct EXCEPT:



15 yo MTF presents to the clinic for a WCC

15 yo transman presents to clinic for a WCC

15 yo AMAB presents to the clinic for a WCC

15 yo patient presents to the clinic for a WCC - Answer 15 yo transman presents to clinic for a WCC



Which of the following effects of testosterone are irreversible?

Skin oiliness

Facial and body hair growth

Increased muscle mass

Vaginal atrophy - Answer Facial and body hair growth



You are performing a WCC on a teenage patient and are using the HEADSS screening tool. What does
HEADSS stand for?



Homelife, Education/employment, Alcohol, Drugs, Sexual activity, Suicide

Healthy Eating, Activity, Drugs, Sugar Sweetened Beverages

Homework, Eating habits, Activities, Drugs, Sex, Suicidality

Homelife, Eating, Alcohol, Drugs, Sex, Suicidality - Answer Homelife, Education/employment, Alcohol,
Drugs, Sexual activity, Suicide
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