ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ /
NEWEST EXAM / JUST RELEASED!! Peds D119 - WGU
The FNP is evaluating a heart murmur during a pre-
participation examination of a high school athlete. Which
finding would be a concern requiring referral to a cardiologist?
- ANSWER-A murmur that is quieter when squatting and louder
with a Valsalva maneuve
The parent of a 12-year-old child who has sickle cell trait (SCT)
asks the FNP
whether the child may play football. What will the NP tell
this parent? -
ANSWER-Children with SCT should follow heat
acclimatization guidelines.
The parent of a child newly diagnosed with epilepsy asks the
FNP if the child will ever be able to participate in gym or sports.
What will the NP recommend? - ANSWER-Direct supervision of
some activities is necessary
The FNP diagnoses a high school basketball player with
mononucleosis. The adolescent asks when she may resume
play. What will the NP tell her? - ANSWER-At 4 weeks, she must
have an exam to determine fitness for play.
,The parent of a high school basketball player tells the FNP that
the adolescent becomes short of breath only when exercising.
What will the NP recommend? - ANSWER-Evaluation for
underlying cardiac causes of this symptom
A 10-year-old is hit in the head with a baseball during practice
and is diagnosed
with a concussion, even though no loss of consciousness
occurred. The FNP is
evaluating the child 2 weeks after the injury and learns that
the child is still
experiencing some sleepiness every day. The neurological
exam is normal. The
child and the parent are adamant that the child be allowed
to return to play
baseball. What will the nurse practitioner recommend? -
ANSWER-Continuation
of physical and
cognitive rest
A 15-year-old female basketball player who has secondary
amenorrhea is evaluated by the FNP who notes a BMI in the 3rd
percentile. What will the nurse practitioner counsel this
patient? - ANSWER-to work with a dietician to improve healthy
weight gain
The FNP is performing a well-child examination on a 4-year-old
child. The parent reports that the child snores frequently, often
awakens during the night, and seems cranky during the day.
,What will the NP tell this parent? – ANSWER-Sleep disorders at
this age can have long-term impacts on learning
The parent of a school-age child who is overweight tells the
FNP that the child seems to crave high-calorie, high-
carbohydrate foods, even when full. The nurse practitioner
learns that the child is often irritable and sleepy at school
despite sleeping 9 or 10 hours each night. What will the NP
recommend? - ANSWER-Referral to a sleep disorder clinic for a
sleep study
The FNP is performing a well-baby examination on a 2-week-old
infant. The parent is concerned that the infant sleeps too much.
The nurse practitioner asks the parent to keep a sleep log and
will teach the parent that which amount of sleep per day is
optimal for this infant? - ANSWER-15-18 hours
The FNP is counseling a new parent about ways to reduce the
risk of sudden infant death syndrome (SIDS). What will the NP
include when discussing SIDS? - ANSWER-Bed-sharing with
infants greatly increases the risk of SIDS
The FNP is counseling the parents of a toddler about sleep. The
parents report that the toddler has recently begun resisting
sleep and is often more irritable during the day. What will the
nurse practitioner recommend? – ANSWER-Understanding that
sleep resistance is a common developmental problem
, The parent of a 3-year-old child tells the FNP that the child has
never been able to fall asleep without a parent in the room. The
child has a new sibling and the parent is concerned that the
toddler's cries will awaken the infant. What will the NP counsel
the parent? - ANSWER-Leaving the room as the child is falling
asleep and returning at intervals to check on the child
The parent of a 4-year-old who has difficulty initiating and
maintaining sleep has tried several nonpharmacological
methods with variable success and asks about medications.
What will the Family nurse practitioner recommend? -
ANSWER-Melatonin
The parent of a 3-year-old child tells the FNP that after falling
asleep in the living room and being awakened to go to bed one
evening, the child appeared confused and disoriented for a
period of time. What will the NP counsel this parent? -
ANSWER-That this is probably a benign, temporary type of
sleep disorder
During a well-child examination, the FNP learns that a 5-year-
old child has had several episodes of walking out of the
bedroom after falling asleep, looking dazed, with open eyes,
and saying things that don't make sense. What will the nurse
practitioner recommend? - ANSWER-Making sure that stairs
are blocked and doors are locked
The parent of a school-age child tells the FNP that the child is
restless most nights and complains often that bugs are in the