FNP 652 Exam Questions With Complete Solutions
A 12-year-old child whose BMI is greater than the 95th
percentile has a blood pressure at the 98th percentile for age,
sex, and height. After lifestyle changes that include diet and
exercise, the child's BMI drops to the 90th percentile, but the
blood pressure remains the same. What is the primary care nurse
practitioner's next step in treating this child?
A. Referral to a nephrologist or cardiologist
B. Prescribing an ACE inhibitor medication Correct Answer
A. Referral to a nephrologist or cardiologist
A 12-year-old child whose weight and BMI are in the 75th
percentile has a diastolic blood pressure that is between the 95th
and 99th percentiles for age, sex, and height on three separate
occasions. Initial tests for this child will include
A. Erythrocyte sedimentation rate
B. Complete blood count
C. Renal function and plasma renin tests
D. Urinalysis and electrolytes Correct Answer C. Renal
function and plasma renin tests
A 13-year-old child has had abdominal pain for 2 days, which
began in the periumbilical area and then localized to the right
lower quadrant. The child vomited once today and then
experienced relief from pain followed by an increased fever.
What is the likely diagnosis?
A. Pelvic inflammatory disease (PID)
B. Appendicitis with perforation
C. Gastroenteritis
,D. Urinary tract infection Correct Answer B. Appendicitis
with perforation
A 13-year-old Native American female has a BMI at the 90th
percentile for age. The primary care pediatric nurse practitioner
notes the presence of a hyperpigmented velvet-like rash in skin
folds. The child denies polydipsia, polyphagia, and polyuria.
The nurse practitioner will
A. diagnose type 2 diabetes if the child has a random glucose of
180 mg/dL
B. refer the child to a pediatric endocrinologist
C. order a fasting blood sample for a metabolic screen for type 2
diabetes
D. counsel the child to lose weight to prevent type 2 diabetes
Correct Answer C. order a fasting blood sample for a metabolic
screen for type 2 diabetes
A 16-year-old adolescent female whose BMI is at the 90th
percentile reports irregular periods. The primary care pediatric
nurse practitioner notes widespread acne on her face and back
and an abnormal distribution of facial hair. The nurse
practitioner will evaluate her further based on a suspicion of
which diagnosis?
A. Nonalcoholic steatohepatitis
B. Hypothyroidism
C. Polycystic ovary syndrome
D. Dyslipidemia Correct Answer C. Polycystic ovary
syndrome
A 2-month-old infant cries up to 4 hours each day and,
according to the parents, is inconsolable during crying episodes
,with fists and legs noted to be tense and stiff. The infant is
breastfeeding frequently but is often fussy during feedings. The
physical exam is normal, and the infant is gaining weight
normally. What will the primary care pediatric nurse practitioner
recommend?
A. Stopping breastfeeding and beginning a hydrolyzed formula
B. A complete work-up, including laboratory and radiologic
tests
C. Eliminating certain foods from the mother's diet Correct
Answer C. Eliminating certain foods from the mother's diet
A 2-year-old child is brought to the clinic after developing a
hoarse, bark-like cough during the night with "trouble catching
his breath" according to the parent. The history reveals a 2 day
history of low-grade fever and upper respiratory symptoms. On
exam, the child has a respiratory rate of 40 breaths per minute,
occasional stridor when crying, and a temperature of 101.3°F.
What is the next step in treatment for this child?
A. Administer intramuscular dexamethasone
B. Admit the child for inpatient hospitalization.
C. Give the child a racemic epinephrine treatment in the office.
D. Prescribe oral dexamethasone for 2 days. Correct Answer
D. Prescribe oral dexamethasone for 2 days.
A 3-month-old male infant has edema and painless swelling of
the scrotum. On physical examination, the provider is able to
transilluminate the scrotum. What will the provider recommend?
A. Immediate referral to a genitourinary surgeon for repair
B. Observation and reassurance that spontaneous resolution may
occur
C. A short course of empiric antibiotic therapy
, D. A Doppler ultrasound to evaluate the scrotal structures
Correct Answer B. Observation and reassurance that
spontaneous resolution may occur
A 5-month old infant who has a 3-day history of cough and
rhinorrhea has developed symptoms of respiratory distress with
audible expiratory wheezes and increased coughing. The infant's
immunizations are up-to-date. The physical exam reveals a
respiratory rate of 50 breaths per minute, coarse expiratory
wheezing, and prolonged expiration. An oxygen saturation is
96% on room air. What is the recommended treatment for this
infant?
A. Administer a trial of bronchodilators
B. Obtain a viral culture of nasal washings
C. Recommend increased fluids and close follow-up
D. Order an oral corticosteroid medication Correct Answer C.
Recommend increased fluids and close follow-up
A 50-year-old man reports having erectile dysfunction. What is
an important response by the provider when developing a plan
of care for this patient?
A. Referring the patient for psychotherapy and counseling
B. Prescribing an oral phosphodiesterase type 5 inhibitor
C. Evaluating the patient for cardiovascular disease
D. Considering testosterone hormone replacement therapy
Correct Answer C. Evaluating the patient for cardiovascular
disease
A 6-year-old female has had a recent growth spurt and an exam
reveals breast and pubic hair development. Her bone age is
A 12-year-old child whose BMI is greater than the 95th
percentile has a blood pressure at the 98th percentile for age,
sex, and height. After lifestyle changes that include diet and
exercise, the child's BMI drops to the 90th percentile, but the
blood pressure remains the same. What is the primary care nurse
practitioner's next step in treating this child?
A. Referral to a nephrologist or cardiologist
B. Prescribing an ACE inhibitor medication Correct Answer
A. Referral to a nephrologist or cardiologist
A 12-year-old child whose weight and BMI are in the 75th
percentile has a diastolic blood pressure that is between the 95th
and 99th percentiles for age, sex, and height on three separate
occasions. Initial tests for this child will include
A. Erythrocyte sedimentation rate
B. Complete blood count
C. Renal function and plasma renin tests
D. Urinalysis and electrolytes Correct Answer C. Renal
function and plasma renin tests
A 13-year-old child has had abdominal pain for 2 days, which
began in the periumbilical area and then localized to the right
lower quadrant. The child vomited once today and then
experienced relief from pain followed by an increased fever.
What is the likely diagnosis?
A. Pelvic inflammatory disease (PID)
B. Appendicitis with perforation
C. Gastroenteritis
,D. Urinary tract infection Correct Answer B. Appendicitis
with perforation
A 13-year-old Native American female has a BMI at the 90th
percentile for age. The primary care pediatric nurse practitioner
notes the presence of a hyperpigmented velvet-like rash in skin
folds. The child denies polydipsia, polyphagia, and polyuria.
The nurse practitioner will
A. diagnose type 2 diabetes if the child has a random glucose of
180 mg/dL
B. refer the child to a pediatric endocrinologist
C. order a fasting blood sample for a metabolic screen for type 2
diabetes
D. counsel the child to lose weight to prevent type 2 diabetes
Correct Answer C. order a fasting blood sample for a metabolic
screen for type 2 diabetes
A 16-year-old adolescent female whose BMI is at the 90th
percentile reports irregular periods. The primary care pediatric
nurse practitioner notes widespread acne on her face and back
and an abnormal distribution of facial hair. The nurse
practitioner will evaluate her further based on a suspicion of
which diagnosis?
A. Nonalcoholic steatohepatitis
B. Hypothyroidism
C. Polycystic ovary syndrome
D. Dyslipidemia Correct Answer C. Polycystic ovary
syndrome
A 2-month-old infant cries up to 4 hours each day and,
according to the parents, is inconsolable during crying episodes
,with fists and legs noted to be tense and stiff. The infant is
breastfeeding frequently but is often fussy during feedings. The
physical exam is normal, and the infant is gaining weight
normally. What will the primary care pediatric nurse practitioner
recommend?
A. Stopping breastfeeding and beginning a hydrolyzed formula
B. A complete work-up, including laboratory and radiologic
tests
C. Eliminating certain foods from the mother's diet Correct
Answer C. Eliminating certain foods from the mother's diet
A 2-year-old child is brought to the clinic after developing a
hoarse, bark-like cough during the night with "trouble catching
his breath" according to the parent. The history reveals a 2 day
history of low-grade fever and upper respiratory symptoms. On
exam, the child has a respiratory rate of 40 breaths per minute,
occasional stridor when crying, and a temperature of 101.3°F.
What is the next step in treatment for this child?
A. Administer intramuscular dexamethasone
B. Admit the child for inpatient hospitalization.
C. Give the child a racemic epinephrine treatment in the office.
D. Prescribe oral dexamethasone for 2 days. Correct Answer
D. Prescribe oral dexamethasone for 2 days.
A 3-month-old male infant has edema and painless swelling of
the scrotum. On physical examination, the provider is able to
transilluminate the scrotum. What will the provider recommend?
A. Immediate referral to a genitourinary surgeon for repair
B. Observation and reassurance that spontaneous resolution may
occur
C. A short course of empiric antibiotic therapy
, D. A Doppler ultrasound to evaluate the scrotal structures
Correct Answer B. Observation and reassurance that
spontaneous resolution may occur
A 5-month old infant who has a 3-day history of cough and
rhinorrhea has developed symptoms of respiratory distress with
audible expiratory wheezes and increased coughing. The infant's
immunizations are up-to-date. The physical exam reveals a
respiratory rate of 50 breaths per minute, coarse expiratory
wheezing, and prolonged expiration. An oxygen saturation is
96% on room air. What is the recommended treatment for this
infant?
A. Administer a trial of bronchodilators
B. Obtain a viral culture of nasal washings
C. Recommend increased fluids and close follow-up
D. Order an oral corticosteroid medication Correct Answer C.
Recommend increased fluids and close follow-up
A 50-year-old man reports having erectile dysfunction. What is
an important response by the provider when developing a plan
of care for this patient?
A. Referring the patient for psychotherapy and counseling
B. Prescribing an oral phosphodiesterase type 5 inhibitor
C. Evaluating the patient for cardiovascular disease
D. Considering testosterone hormone replacement therapy
Correct Answer C. Evaluating the patient for cardiovascular
disease
A 6-year-old female has had a recent growth spurt and an exam
reveals breast and pubic hair development. Her bone age is
