PNCB CPNP TEST PREP Materials
QUESTIONS AND ANSWERS25
What are the implications for prolonged use of DepoProvera? - ANSWERS -Loss of bone density
A 6 month old child is being examined. What is the best position at this stage of development? -
ANSWERS -On the parent's lap
Therapeutic ranges for a child taking Digoxin: - ANSWERS -0.8 to 2 ng/ml
What is the most common cause of acquired heart disease - ANSWERS -
Cystic fibrosis is more commonly seen in which ancenstry? - ANSWERS -Eastern European
Common signs and symptoms of Hodgkin's disease include: - ANSWERS -- Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
Pulmonary hypertension causes: - ANSWERS -- Increased blood pressure in the pulmonary
artery, vein and capillaries
- Causes shortness of breath and dizziness
An 18-month old is brought in and her nail beds are softening. What is this a sign of? -
ANSWERS -Clubbing
,- Clubbing is a sign of a congenital heart defect
For the patient who has recently undergone a kidney transplant, what anticipatory guidance
regarding immunosuppressives should be given? - ANSWERS -- The need for
immunosuppressives is lifelong
- Immunosuppressives are required after surgery to prevent organ rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
What is the importance of hydration in treating sickle cell disease? - ANSWERS -Adequate
hydration promotes hemodilution and circulation of red blood cells
Understanding "no" is expected in the 10-month-old. True or False. - ANSWERS -True
Characteristics of active listening: - ANSWERS -- Maintaining eye contact
- Asking open-ended questions
- Reflecting back what the speaker has said
Signs of pain in an infant: - ANSWERS -- Grimacing
- Crying
- Restlessness
- Thrashing
- Flailing
Classic symptom of scabies: - ANSWERS -Itching that is worse at night
, A patient with primary case of scabies was probably infected how long ago? - ANSWERS -3 to 4
weeks ago
- 3 to 4 weeks is the incubation period for scabies
Management of vulvovaginitis: - ANSWERS -- Discontinue bubble baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
Do PPO plan members need authorizations to visit specialists? - ANSWERS -No
Do HMO plan members need authorizations for services and visits to specialists? - ANSWERS -
Yes
Patients that come in with frequent urination, that is mostly water, will be diagnosed with: -
ANSWERS -Diabetes Insipidus
What assessment findings confirm Osgood-Schlatter Disease? - ANSWERS -- Pain worsens with
quadricep contraction
- There is swelling of the tibial tubercle
Signs of Rotavirus include: - ANSWERS -- Vomiting
- Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
A patient is given Vancomycin IV. What would cause Red Man Syndrome? - ANSWERS -Pushing
the infusion too fast/ Rapid infusion
QUESTIONS AND ANSWERS25
What are the implications for prolonged use of DepoProvera? - ANSWERS -Loss of bone density
A 6 month old child is being examined. What is the best position at this stage of development? -
ANSWERS -On the parent's lap
Therapeutic ranges for a child taking Digoxin: - ANSWERS -0.8 to 2 ng/ml
What is the most common cause of acquired heart disease - ANSWERS -
Cystic fibrosis is more commonly seen in which ancenstry? - ANSWERS -Eastern European
Common signs and symptoms of Hodgkin's disease include: - ANSWERS -- Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
Pulmonary hypertension causes: - ANSWERS -- Increased blood pressure in the pulmonary
artery, vein and capillaries
- Causes shortness of breath and dizziness
An 18-month old is brought in and her nail beds are softening. What is this a sign of? -
ANSWERS -Clubbing
,- Clubbing is a sign of a congenital heart defect
For the patient who has recently undergone a kidney transplant, what anticipatory guidance
regarding immunosuppressives should be given? - ANSWERS -- The need for
immunosuppressives is lifelong
- Immunosuppressives are required after surgery to prevent organ rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
What is the importance of hydration in treating sickle cell disease? - ANSWERS -Adequate
hydration promotes hemodilution and circulation of red blood cells
Understanding "no" is expected in the 10-month-old. True or False. - ANSWERS -True
Characteristics of active listening: - ANSWERS -- Maintaining eye contact
- Asking open-ended questions
- Reflecting back what the speaker has said
Signs of pain in an infant: - ANSWERS -- Grimacing
- Crying
- Restlessness
- Thrashing
- Flailing
Classic symptom of scabies: - ANSWERS -Itching that is worse at night
, A patient with primary case of scabies was probably infected how long ago? - ANSWERS -3 to 4
weeks ago
- 3 to 4 weeks is the incubation period for scabies
Management of vulvovaginitis: - ANSWERS -- Discontinue bubble baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
Do PPO plan members need authorizations to visit specialists? - ANSWERS -No
Do HMO plan members need authorizations for services and visits to specialists? - ANSWERS -
Yes
Patients that come in with frequent urination, that is mostly water, will be diagnosed with: -
ANSWERS -Diabetes Insipidus
What assessment findings confirm Osgood-Schlatter Disease? - ANSWERS -- Pain worsens with
quadricep contraction
- There is swelling of the tibial tubercle
Signs of Rotavirus include: - ANSWERS -- Vomiting
- Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
A patient is given Vancomycin IV. What would cause Red Man Syndrome? - ANSWERS -Pushing
the infusion too fast/ Rapid infusion
