Pediatric Nurse Practitioner exam Questions and 100% correct answers | latest 2025/2026

Pediatric Nurse Practitioner exam Questions and
100% correct answers | latest 2025/2026
A 15-year
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old female presents to her regular doctor with concerns over acne. Upon inspection, she has more tha
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n 10 cyst-
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like, erythematous lesions, approximately 40 open and closed comedones, and no scarring. Up to this
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point, she has been using a sensitive skin face wash 2-3 times daily and applying a non-
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comedogenic makeup once daily. What would be the best next step? B B B B B B B B B B




A. Reassurance and discontinue makeup use due to risk of exacerbation
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B. Start a topical benzoyl peroxide
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C. Prescribe oral minocycline
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D. Start a topical retinoid + benzoyl peroxide + oral antibiotic - ANSWER-
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D. Start a topical retinoid + benzoyl peroxide + oral antibiotic
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Medication for treatment of acne should be effective but limited in order to avoid unnecessary advers
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e effects. Treatment is directed at modification of one or more of four primary factors that promote th
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e development of acne. These factors include follicular hyperproliferation and abnormal desquamatio
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n; increased sebum production; Proionbacterium acnes proliferation; and inammation. Therapies incl
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ude topical retinoids, azelaic acid, salicylic acid, hormonal therapy, benzoyl peroxide, topical and oral a
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ntibiotics, and oral isotretinoin. The patient described in this case has moderate acne. Treatment of m
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oderate papulopustular and mixed acne includes topical retinoid plus oral antibiotic plus topical benzo
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yl peroxide. With respect to interaction between benzyl peroxide and tretinoin, tretinoin and BP shoul
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d not be applied simultaneously to the skin due to the oxidizing effect of BP on tretinoin. If both agent
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s are prescribed, benzoyl peroxide should be applied in the morning and tretinoin in the evening. Ada
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palene, the microsphere formulation of tretinoin, is stable in presence of BP.
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A 17-year-
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old male presents to the emergency department after cutting his leg on a metal fence outside of his n
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eighbor's house while mowing the lawn. On examination, he has a 4cm gash that is 2cm deep with dirt
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and gravel inside the wound and will require debridement and suturing. You ask when his last tetanus
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vaccine was he states that he has always received his vaccines on schedule and got his booster when
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he was 11 years old. Which of the following is correct?
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A. He is up-to-date on his tetanus vaccine and only needs wound care
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B. In addition to wound care he should receive a Td or Tdap vaccine today
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C. In addition to wound care he should receive a Td or Tdap vaccine today and Human Tetanus Immun
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e Globulin (TIG) should be given, with part of the dose infiltrated around the wound and the remainin
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g given intramuscularly
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D. In addition to wound care, he should receive Human Tetanus Immune Globulin (TIG) with part -
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ANSWER-B. In addition to wound care he should receive a Td or Tdap vaccine today
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