NU664A FINAL EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ 2025 - 2026
Coarctation of the Aorta - ANSWERS-This is not always apparent in newborns
until the ductus closes and decreases blood flow to the lower body. You may
see a difference in upper and lower extremity blood pressures
Juvenile Idiopathic Arthritis(JIA) - ANSWERS-This is the most common
rheumatologic disease of childhood. It has an onset of symptoms at or
younger than 16 years of age and typically causes chronic inflammation of at
least one synovial joint for 6 weeks or more.
First line treatment for comedonal acne - ANSWERS-benzoyl peroxide 5% or
tretinoin 0.025% or Adapalene 0.1% gel
treatment for tinea capitis - ANSWERS-griseofulvin for 6 to 8 weeks
First line treatment for allergic rhinitis - ANSWERS-Oral H1 antihistamines
and/or intranasal steroids
,Treatment for 3 year old with intermittent asthma - ANSWERS-SABA prn
Your next patient is a 6-year-old male here for his annual influenza vaccine.
He has a history of mild persistent asthma. What would you discuss for
medications when reviewing his asthma action plan? - ANSWERS-Your child
should continue his low-dose inhaled corticosteroid daily and add albuterol
as needed for an exacerbation.
Which of the following is a common cause of acquired coronary artery
disease in children? - ANSWERS-Kawasaki disease
Your next patient is a 14-year-old female who presents to your office with a
complaint of syncope at school. She had just stood up from her chair at the
end of the day, felt dizzy and nauseous, and then woke up on the floor. She
did not hit her head and woke up within 30 seconds. What is your
impression, and what would you do next? - ANSWERS-At this age, children
may have these episodes called neurally mediated syncope. We will schedule
an EKG.
A child is brought to the clinic immediately after being stung by a wasp while
playing in the yard. The PE reveals localized redness and edema at the site
along with abdominal tenderness, watery eyes and generalized hives. What is
the initial treatment? - ANSWERS-Administer IM epinephrine
A child is brought to the clinic with a generalized annular rash characterized
by raised wheals with pale centers. On PE, the child's lungs are clear and
there is no peripheral edema. A history reveals ingestion of strawberries
earlier in the day. What is the initial treatment? - ANSWERS-
Diphenhydramine .05-1 mg/kg/dose every 4-6 hours
,A child who has been diagnosed with asthma for several years has been using
a short-acting Beta-agonist (SABA) to control symptoms. The PNP learns that
the child has recently begun using the SABA 2-3 times each week to prevent
wheezing and shortness of breath. The child currently has clear breath
sounds and an FEV1 of 75% of personal best. What will the NP do? -
ANSWERS-Add an inhaled corticosteroid.
A child has fever and arthralgia. The PNP learns that the child had a sore
throat 3 weeks prior and auscultates a murmur in the clinic.
§What test will the PNP order? - ANSWERS-ASO titer
A child has an area of inflammation on the neck that began after wearing a
hand knitted woolen sweater. On examination, the skin appears chafed with
mild erythematous patches. The lesions are not pruritic. - ANSWERS-Topical
corticosteroids applied 2-3 times QD.
RBCs disorders - ANSWERS-Anemia, Sickle-cell anemia, Hemolytic disease of
the newborn
WBCs disorders - ANSWERS-Neutropenia, Cancer
Platelets/Coagulation function disorders - ANSWERS-ITP-Hemophilia A,B and
von Willebrand's
A 9 month old infant is brought to the clinic today by her parents for her well
check. A finger stick lead is completed with a result of 6 micrograms/deciliter
(mcg/dl). The parents ask if this is fine. What will the PNP do? - ANSWERS-We
will need to repeat this lab through venipuncture at a local laboratory.
, In the United States, the most common cause of myocarditis in children is: -
ANSWERS-Viruses
The characteristic that is most concerning in the school-aged child with a
cardiac murmur. - ANSWERS-Progressive exercise intolerance
A parent of a child with a history of a benign cardiac murmur states she read
that children with heart disease need to have an antibiotic before dental
procedures. How would you answer the mother as the PNP? - ANSWERS-
Certain children do need an antibiotic to prevent something called bacterial
endocarditis, but these are children who have had a surgical repair done.
Your next patient is a 12-year-old male here for his well-child exam. When
reviewing his height, weight, and BMI, it is noted that his BMI is in the 90th
percentile. The mother states that her child is "big-boned" and is not
concerned of any cardiovascular disease risk. What would you discuss with
the mother? - ANSWERS-Although a risk of cardiovascular disease exists, with
a healthy diet and regular exercise, your son likely will be able to reduce his
BMI and reduce his risk.
Your next patient is a 5-year-old child with a history of moderate persistent
asthma. He has been wheezing and coughing for the past two days, and his
mother brings him in today for evaluation. He has been using albuterol every
four hours. His respiratory rate is 13 breaths per minute; his lungs are clear to
auscultation; and no retractions are noted. What may be your assessment
and intervention based on this information? - ANSWERS-Your child is
breathing slower than normal for his age. We need to send him to the ER for
further intervention.
A complete blood count on a 12-month old infant reveals microcytic
hypochromic anemia with a Hgb of 9.5 g/dL. The infant has mild pallor with
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ 2025 - 2026
Coarctation of the Aorta - ANSWERS-This is not always apparent in newborns
until the ductus closes and decreases blood flow to the lower body. You may
see a difference in upper and lower extremity blood pressures
Juvenile Idiopathic Arthritis(JIA) - ANSWERS-This is the most common
rheumatologic disease of childhood. It has an onset of symptoms at or
younger than 16 years of age and typically causes chronic inflammation of at
least one synovial joint for 6 weeks or more.
First line treatment for comedonal acne - ANSWERS-benzoyl peroxide 5% or
tretinoin 0.025% or Adapalene 0.1% gel
treatment for tinea capitis - ANSWERS-griseofulvin for 6 to 8 weeks
First line treatment for allergic rhinitis - ANSWERS-Oral H1 antihistamines
and/or intranasal steroids
,Treatment for 3 year old with intermittent asthma - ANSWERS-SABA prn
Your next patient is a 6-year-old male here for his annual influenza vaccine.
He has a history of mild persistent asthma. What would you discuss for
medications when reviewing his asthma action plan? - ANSWERS-Your child
should continue his low-dose inhaled corticosteroid daily and add albuterol
as needed for an exacerbation.
Which of the following is a common cause of acquired coronary artery
disease in children? - ANSWERS-Kawasaki disease
Your next patient is a 14-year-old female who presents to your office with a
complaint of syncope at school. She had just stood up from her chair at the
end of the day, felt dizzy and nauseous, and then woke up on the floor. She
did not hit her head and woke up within 30 seconds. What is your
impression, and what would you do next? - ANSWERS-At this age, children
may have these episodes called neurally mediated syncope. We will schedule
an EKG.
A child is brought to the clinic immediately after being stung by a wasp while
playing in the yard. The PE reveals localized redness and edema at the site
along with abdominal tenderness, watery eyes and generalized hives. What is
the initial treatment? - ANSWERS-Administer IM epinephrine
A child is brought to the clinic with a generalized annular rash characterized
by raised wheals with pale centers. On PE, the child's lungs are clear and
there is no peripheral edema. A history reveals ingestion of strawberries
earlier in the day. What is the initial treatment? - ANSWERS-
Diphenhydramine .05-1 mg/kg/dose every 4-6 hours
,A child who has been diagnosed with asthma for several years has been using
a short-acting Beta-agonist (SABA) to control symptoms. The PNP learns that
the child has recently begun using the SABA 2-3 times each week to prevent
wheezing and shortness of breath. The child currently has clear breath
sounds and an FEV1 of 75% of personal best. What will the NP do? -
ANSWERS-Add an inhaled corticosteroid.
A child has fever and arthralgia. The PNP learns that the child had a sore
throat 3 weeks prior and auscultates a murmur in the clinic.
§What test will the PNP order? - ANSWERS-ASO titer
A child has an area of inflammation on the neck that began after wearing a
hand knitted woolen sweater. On examination, the skin appears chafed with
mild erythematous patches. The lesions are not pruritic. - ANSWERS-Topical
corticosteroids applied 2-3 times QD.
RBCs disorders - ANSWERS-Anemia, Sickle-cell anemia, Hemolytic disease of
the newborn
WBCs disorders - ANSWERS-Neutropenia, Cancer
Platelets/Coagulation function disorders - ANSWERS-ITP-Hemophilia A,B and
von Willebrand's
A 9 month old infant is brought to the clinic today by her parents for her well
check. A finger stick lead is completed with a result of 6 micrograms/deciliter
(mcg/dl). The parents ask if this is fine. What will the PNP do? - ANSWERS-We
will need to repeat this lab through venipuncture at a local laboratory.
, In the United States, the most common cause of myocarditis in children is: -
ANSWERS-Viruses
The characteristic that is most concerning in the school-aged child with a
cardiac murmur. - ANSWERS-Progressive exercise intolerance
A parent of a child with a history of a benign cardiac murmur states she read
that children with heart disease need to have an antibiotic before dental
procedures. How would you answer the mother as the PNP? - ANSWERS-
Certain children do need an antibiotic to prevent something called bacterial
endocarditis, but these are children who have had a surgical repair done.
Your next patient is a 12-year-old male here for his well-child exam. When
reviewing his height, weight, and BMI, it is noted that his BMI is in the 90th
percentile. The mother states that her child is "big-boned" and is not
concerned of any cardiovascular disease risk. What would you discuss with
the mother? - ANSWERS-Although a risk of cardiovascular disease exists, with
a healthy diet and regular exercise, your son likely will be able to reduce his
BMI and reduce his risk.
Your next patient is a 5-year-old child with a history of moderate persistent
asthma. He has been wheezing and coughing for the past two days, and his
mother brings him in today for evaluation. He has been using albuterol every
four hours. His respiratory rate is 13 breaths per minute; his lungs are clear to
auscultation; and no retractions are noted. What may be your assessment
and intervention based on this information? - ANSWERS-Your child is
breathing slower than normal for his age. We need to send him to the ER for
further intervention.
A complete blood count on a 12-month old infant reveals microcytic
hypochromic anemia with a Hgb of 9.5 g/dL. The infant has mild pallor with
