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New!!! FNP Pediatric Exam Test Bank; complete A+ Questions &
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Answers
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The concept of health promotion consists of efforts to prevent rather than to cure disease ordisability. This
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description best describes:
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a. tertiary prevention
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b. secondary prevention
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c. primary prevention
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d. morbidity prevention ✅- c
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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
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c. American Academy of pediatrics
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d. Healthy People 2010 and 2020 ✅- c
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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 andtwo siblings. She has recently
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become sexually active with her boyfriend of 6mo. The physical exam is normal for her age. What screening,
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lab tests, and/or immunizations should the PNP order?
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a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
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b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated
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c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
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d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if
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indicated. ✅- a
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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
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c. 15yo african american female complaining of lower abdominal pain for 3 days
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d. 12yo caucasian with itchy eye for 1 week ✅- c
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The past history should include
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a. family history
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b. social hx
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c. symptom analysis
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d. hospitalization ✅- d
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The family history should include:
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a. the health status of the paternal grandparents
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b. the living conditions of the family
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c. the work status of the parents
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d. school information ✅- a
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Which of the following statements would be considered subjective data obtained from theclient during the
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review of systems for the skin?
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a. the skin appears dry & excoriated
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b. a lesion is noted on the lateral aspect of the right leg
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c. there is moderate acne on the forehead and back
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d. the patient denies changes in skin texture ✅- d
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The PNP is completing the ROS on a 4mo. What response from the mother might indicate acardiac problem
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in the infant & require a more thorough history?
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a. the baby gets the hiccups often.
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b. it takes the baby over 30min to complete a bottle
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c. the baby's heart seems to beat rapidly sometimes
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d. sometimes the baby sounds congested ✅- b
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The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to include:
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a. the date of last breast self-exam.
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b. any limitations related to sports participation.
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c. the last hematocrit and hemoglobin
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d. the last lead screen ✅- b
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The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNPexplores further,
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asking:
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a. how the mother did the toilet training
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b. if the child is dry at night and fully trained for urine and stool day and night
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c. at what age did the mother begin toilet training the other child.
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d. if the child gets up at night to use the bathroom ✅- b
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Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her mother'sarms. What
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should the PNP do first?
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a. Examine the ears, since this is uncomfortable for the infant.
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b. Quickly give any needed immunizations.
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c. Begin with assessment of the head and proceed from head to toe.
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d. auscultate the heart & lungs while the infant is sleeping. ✅- d
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The mother of a newborn brings the baby to the clinic because she is afraid something is wrongwith her baby
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("his head is so big"). The PNP responds that:
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a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
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Sp
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a
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neurologist."
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d. "your head appears large so it is probably genetic." ✅- a
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Sp
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked elevation of the
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right scapula and right thoracic hump and spinal curve abnormally are noted.Spinal films indicate 20 degree
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curve. The PNP should:
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Sp
a. refer the patient to an orthopedist
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b. monitor the patient every 3 mo until menarche
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c. refer the patient for physical therapy
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d. recommend bedrest and back brace ✅- a
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Sp
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What is the % of risk an autosomal dominant gene is being passed on to each offspring?
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a. 25
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b. 50
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c. 100
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d. none ✅- b
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sh
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A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert thePNP to the
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presence of a possible genetic disorder?
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a. <10% on growth chart, Tanner I, and learning difficulties
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sh
b. Precocious puberty, developmental delays, gifted piano player
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c. Lactose intolerance, frequent ear infections, speech delays
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d. Peanut allergy, right-sided weakness, and exhibits bullying behavior ✅- a
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sh
Sp
The parents of a child with cystic fibrosis are considering another pregnancy. They want to know what
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their chances are of having another child with cystic fibrosis. The PNP explains thatcystic fibrosis is an
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autosomal recessive disorder and that each conception of carrier parents has a:
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a. 25% chance of being affected
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b. 50% chance of being affected
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c. 75% chance of being affected
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d. 100% chance of being affected ✅- a
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The parents of a son with hemophilia are considering another pregnancy. The mother has been identified
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as a carrier of the hemophilia gene. What chance does each female offspring have of having hemophilia.
a. 100% ne
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b. 50%
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c. 25%
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d. none ✅- d
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A male with Vitamin D-resistant rickets asks what his chances are of passing his disease to his parents.
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The PNP answers:
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a. all sons will be affected by only 25% daughters
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b. all daughters are affected by only 25% sons
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c. 50% of all offspring will have the disease
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d. all daughters will be affected but no sons. ✅- d
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tz
The PNP is following a 15-year-old male adolescent with consistent blood pressure readings of 132 to
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138/84 to 86 mm Hg, which is classified as significant hypertension. After performing a workup, the PNP
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determines that the adolescent has primary hypertension. The most judicious recommendation for therapy
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is:
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A) Diet and exercise counseling and referral to a specialist
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B) A diuretic, low-salt diet, exercise, and counseling by a dietician
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C) Perform an extensive family history to determine other risk factors
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D) A vasodilator, restricted activity, and a low-fat diet ✅- a
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Sp
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The PNP is examining a neonate with a heart murmur. The S2 sound is loudest at the apex. The
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respiratory rate is 65 breaths per minute, and the heart rate is 180 beats per minute. Which of the following
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would be an appropriate action by the PNP?
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A) Reevaluate the neonate in 24 hours
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B) Increase the number of oral feedings
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C) Order cardiac catheterization
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D) Refer the neonate to a cardiologist ✅- d
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A 2-week-old neonate is brought to the clinic with excessive lacrimation of both eyes. The eyes are clear,
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sh
with no areas of redness, but the corneas appear hazy. The PNP explains to the parents the possible
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diagnosis and treatment as follows:
A) Congenital glaucoma requiring an ophthalmology referral
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tz
sh
Sp
ne
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Sp
la
Sp
tz
sh
ne
New!!! FNP Pediatric Exam Test Bank; complete A+ Questions &
la
tz
Answers
sh
Sp
ne
la
tz
sh
Sp
ne
la
The concept of health promotion consists of efforts to prevent rather than to cure disease ordisability. This
tz
description best describes:
sh
Sp
a. tertiary prevention
ne
b. secondary prevention
la
c. primary prevention
tz
sh
d. morbidity prevention ✅- c
Sp
ne
Standards for well child care and health promotion are set forth by the:
la
tz
a. Task Force on Preventative Services, US Department of Health and Human services
sh
Sp
b. American Academy of Family Physicians
ne
c. American Academy of pediatrics
la
d. Healthy People 2010 and 2020 ✅- c
tz
sh
Sp
ne
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 andtwo siblings. She has recently
la
tz
become sexually active with her boyfriend of 6mo. The physical exam is normal for her age. What screening,
sh
Sp
lab tests, and/or immunizations should the PNP order?
ne
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as needed
la
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as indicated
tz
sh
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
Sp
d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and cholesterol screen if
ne
indicated. ✅- a
la
tz
sh
Sp
Which of the following is the best written chief complaint?
ne
a. 5yo asian female with itchy red rash
la
b. 1 mo with difficulty feeding
tz
sh
c. 15yo african american female complaining of lower abdominal pain for 3 days
Sp
d. 12yo caucasian with itchy eye for 1 week ✅- c
ne
la
tz
The past history should include
sh
Sp
a. family history
ne
b. social hx
la
c. symptom analysis
sh
d. hospitalization ✅- d
Sp
la
Sp
, ne
tz
sh
ne
The family history should include:
la
tz
a. the health status of the paternal grandparents
sh
Sp
b. the living conditions of the family
ne
c. the work status of the parents
la
d. school information ✅- a
tz
sh
Sp
ne
Which of the following statements would be considered subjective data obtained from theclient during the
la
review of systems for the skin?
tz
a. the skin appears dry & excoriated
sh
Sp
b. a lesion is noted on the lateral aspect of the right leg
ne
c. there is moderate acne on the forehead and back
la
d. the patient denies changes in skin texture ✅- d
tz
sh
Sp
ne
The PNP is completing the ROS on a 4mo. What response from the mother might indicate acardiac problem
la
in the infant & require a more thorough history?
tz
a. the baby gets the hiccups often.
sh
Sp
b. it takes the baby over 30min to complete a bottle
ne
c. the baby's heart seems to beat rapidly sometimes
la
d. sometimes the baby sounds congested ✅- b
tz
sh
Sp
ne
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to include:
la
a. the date of last breast self-exam.
tz
b. any limitations related to sports participation.
sh
Sp
c. the last hematocrit and hemoglobin
ne
d. the last lead screen ✅- b
la
tz
sh
The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNPexplores further,
Sp
ne
asking:
la
a. how the mother did the toilet training
tz
b. if the child is dry at night and fully trained for urine and stool day and night
sh
Sp
c. at what age did the mother begin toilet training the other child.
ne
d. if the child gets up at night to use the bathroom ✅- b
la
tz
sh
Jasmine, a 5-month-old infant is in the clinic for a well child visit and is sleeping in her mother'sarms. What
Sp
ne
should the PNP do first?
la
a. Examine the ears, since this is uncomfortable for the infant.
tz
b. Quickly give any needed immunizations.
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
c. Begin with assessment of the head and proceed from head to toe.
la
d. auscultate the heart & lungs while the infant is sleeping. ✅- d
tz
sh
Sp
The mother of a newborn brings the baby to the clinic because she is afraid something is wrongwith her baby
ne
("his head is so big"). The PNP responds that:
la
a. "this is normal. The head of a newborn is proportionately large to the rest of the body"
tz
sh
Sp
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be seen by a
ne
neurologist."
la
d. "your head appears large so it is probably genetic." ✅- a
tz
sh
Sp
A healthy 12yo female is at the clinic for a well checkup. On physical examination, a marked elevation of the
ne
right scapula and right thoracic hump and spinal curve abnormally are noted.Spinal films indicate 20 degree
la
curve. The PNP should:
tz
sh
Sp
a. refer the patient to an orthopedist
ne
b. monitor the patient every 3 mo until menarche
la
c. refer the patient for physical therapy
tz
d. recommend bedrest and back brace ✅- a
sh
Sp
ne
What is the % of risk an autosomal dominant gene is being passed on to each offspring?
la
a. 25
tz
sh
Sp
b. 50
ne
c. 100
la
d. none ✅- b
tz
sh
Sp
A 13yo female is at the clinic for a routine check up. What presenting symptoms might alert thePNP to the
ne
presence of a possible genetic disorder?
la
a. <10% on growth chart, Tanner I, and learning difficulties
tz
sh
b. Precocious puberty, developmental delays, gifted piano player
Sp
ne
c. Lactose intolerance, frequent ear infections, speech delays
la
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior ✅- a
tz
sh
Sp
The parents of a child with cystic fibrosis are considering another pregnancy. They want to know what
ne
their chances are of having another child with cystic fibrosis. The PNP explains thatcystic fibrosis is an
la
autosomal recessive disorder and that each conception of carrier parents has a:
tz
sh
a. 25% chance of being affected
Sp
ne
b. 50% chance of being affected
la
c. 75% chance of being affected
tz
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
d. 100% chance of being affected ✅- a
la
tz
The parents of a son with hemophilia are considering another pregnancy. The mother has been identified
sh
Sp
as a carrier of the hemophilia gene. What chance does each female offspring have of having hemophilia.
a. 100% ne
la
b. 50%
tz
sh
c. 25%
Sp
ne
d. none ✅- d
la
tz
A male with Vitamin D-resistant rickets asks what his chances are of passing his disease to his parents.
sh
Sp
The PNP answers:
ne
a. all sons will be affected by only 25% daughters
la
b. all daughters are affected by only 25% sons
tz
sh
c. 50% of all offspring will have the disease
Sp
ne
d. all daughters will be affected but no sons. ✅- d
la
tz
The PNP is following a 15-year-old male adolescent with consistent blood pressure readings of 132 to
sh
Sp
138/84 to 86 mm Hg, which is classified as significant hypertension. After performing a workup, the PNP
ne
determines that the adolescent has primary hypertension. The most judicious recommendation for therapy
la
is:
tz
sh
A) Diet and exercise counseling and referral to a specialist
Sp
ne
B) A diuretic, low-salt diet, exercise, and counseling by a dietician
la
C) Perform an extensive family history to determine other risk factors
tz
D) A vasodilator, restricted activity, and a low-fat diet ✅- a
sh
Sp
ne
The PNP is examining a neonate with a heart murmur. The S2 sound is loudest at the apex. The
la
respiratory rate is 65 breaths per minute, and the heart rate is 180 beats per minute. Which of the following
tz
sh
would be an appropriate action by the PNP?
Sp
ne
A) Reevaluate the neonate in 24 hours
la
B) Increase the number of oral feedings
tz
C) Order cardiac catheterization
sh
Sp
D) Refer the neonate to a cardiologist ✅- d
ne
la
A 2-week-old neonate is brought to the clinic with excessive lacrimation of both eyes. The eyes are clear,
tz
sh
with no areas of redness, but the corneas appear hazy. The PNP explains to the parents the possible
Sp
ne
diagnosis and treatment as follows:
A) Congenital glaucoma requiring an ophthalmology referral
la
tz
sh
Sp
ne
la
sh
Sp
la
Sp
