FNP PEDIATRICS EXAM, PRACTICE EXAM AND
STUDY GUIDE LATEST 2024 ACTUAL EXAM TEST
BANK 1200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||
BRAND NEW!!
An 8-year-old child brought to the office by the parent has a cough, nasal congestion lasting 3 days, and
an oral temperature of 99°F. After the PNP has reviewed the history and completed a physical
assessment, a viral upper respiratory tract infection is diagnosed. The child has a history of varicella. A
review of the immunization record reveals the following:
Age 2 months DTP, OPV, and Hib
Age 5 months DTP, OPV, and Hib
Age 7 months DTP, OPV, and Hib
Age 18 months DTP, Hib, and MMR
Age 5 years DTP and OPV
What is the suggested course of action regarding the child's immunization status?
A) Start the Hep B series today, and have the child return in 1 month for the next Hep B
B) Start the Hep B series and give MMR; have the child return in 1 month for the next Hep B
C) Give no immunizations today because the child has a febrile illness
D) Give no immunizations because none are due until age 11 years - answer-b
A 4-year-old child has had a productive cough with yellow-green sputum but no fever for 7 days. In
developing a plan of treatment, the PNP understands the following:
A) The production and color of the sputum may indicate a bacterial infection
B) Prolonged cough illnesses are often allergic or viral in nature
C) A cough that continues up to 14 days after onset is probably a bacterial infection
D) Infection and reactive airway disease are common causes of productive cough in children - answer-
d
For which of the following individuals is there no indication for obtaining a chromosomal analysis?
A) A child with phenylketonuria (PKU)
,B) A child with multiple congenital anomalies and mental retardation
C) A couple with a history of multiple miscarriages
D) A man with large testes and mental retardation - answer-a
In what Tanner stage for girls would the PNP expect to see enlargement of the breasts and areolae, as
well as curly, coarse pubic hair?
A) Tanner 4
B) Tanner 2
C) Tanner 3
D) Tanner 5 - answer-c
It is early fall, and an 18-month-old child with a history of asthma is brought to the office because of an
acute exacerbation. The PNP reviews the child's immunization record with the mother. The child's
breathing improves after a nebulizer treatment. While giving the history, the mother states that the child
gets a rash after eating eggs. The immunization record reads as follows:
Birth Hep B
Age 2 months DTaP, IPV, Hib, Prevnar, and Hep B
Age 6 months DTaP, IPV, Hib, and Prevnar
Age 10 months DTaP, Hib, Prevnar, and Hep B
The following immunizations should be given today:
A) DTaP, IPV, Hib, MMR, Var, and flu vaccine
B) DTaP, IPV, Hib, Prevnar, MMR, and Var
C) None, because the child is acutely ill
D) DTaP, IPV, Hib, and Var - answer-b
A 15-year-old adolescent is brought to the office for a routine examination. The adolescent is healthy and
has no history of allergies or reaction to previous immunizations. There is no reliable history of varicella.
The PNP reviews the adolescent's immunization record and finds the following:
Age 3 months DTP and OPV
Age 5 months DTP and OPV
,Age 9 months DTP and OPV
Age 18 months DTP, Hib, and MMR
Age 5 years DTP, OPV, and MMR
The PNP should administer the following immunizations today:
A) Td, Hep B, and Var (the adolescent should be asked to return in 1 month for another Hep B)
B) Td and Hep B (the adolescent should be asked to return in 1 month for another Hep B)
C) Hep B, IPV, and Var (the adolescent should be asked to return in 1 month for another Hep B)
D) Var and MMR (the adolescent should be asked to return in 1 month for another Var) - answer-a
An example of a genetic disorder occurring because of genomic imprinting is:
A) Marfan's syndrome
B) Prader-Willi syndrome
C) Trisomy 18
D) Down's syndrome - answer-b
A 13-year-old adolescent is brought to the office because of a partial-thickness burn on the leg caused by
a campfire. The immunization record reads as follows:
Age 3 mo-DTP, OPV, & Hib
Age 7 mo-DTP, OPV, & Hib
Age 10 mo-DTP, OPV, & Hib
Age 20 mo- DTP, Hib, & MMR
Age 5 years-DTP and OPV
The following immunizations should be administered today:
A) Td, IPV, and Var (if there is no history of disease)
B) None (because a tetanus-containing vaccine was administered within the last 10 years)
C) Td, Hep B, and MMR
D) Td, MMR, Hep B, and Var (if there is no history of disease) - answer-d
, A single, 15-year-old mother who attends high school brings a 3-month-old infant to the clinic. The infant
seems to be healthy and thriving, but the mother is vague when reporting the infant's feeding and
sleeping habits. To get more accurate information about the specifics of the infant's routine and care, the
PNP should:
A) Make a referral to a home nursing agency
B) Ask about the day care arrangements
C) Ask the mother if she has a learning disability
D) Make a referral to a social service agency - answer-b
A 14-month-old child is brought to the office for a well-child visit. The child is healthy today and has no
history of allergies or reactions to previous immunizations. The family lives with a grandmother who is
currently undergoing chemotherapy for cancer. The PNP reviews the child's immunization record and
finds the following:
Birth-Hep B
Age 2mo-DTaP, IPV, Hib, & Hep B
Age 4mo-DTaP, IPV, and Hib
Age 6mo-DTaP and Hib
Age 9mo-Hep B
The PNP should give the child the following immunizations today:
A) DTaP, IPV, Hib, and Var
B) DTaP, IPV, Hib, MMR, and Var C) DTaP, IPV, Hib, and MMR
D) DTaP, IPV, and Hib - answer-b
Diagnostic studies considered part of normal screening for the child with developmental delays of
unknown etiology include chromosomal studies or karyotyping, deoxyribonucleic acid (DNA) studies to
detect fragile X syndrome, and:
A) Measurement of urine and plasma amino acid levels
B) Microscopic urinalysis
C) Cystometrography
D) Measurement of serum antinuclear antibody levels - answer-a
STUDY GUIDE LATEST 2024 ACTUAL EXAM TEST
BANK 1200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||
BRAND NEW!!
An 8-year-old child brought to the office by the parent has a cough, nasal congestion lasting 3 days, and
an oral temperature of 99°F. After the PNP has reviewed the history and completed a physical
assessment, a viral upper respiratory tract infection is diagnosed. The child has a history of varicella. A
review of the immunization record reveals the following:
Age 2 months DTP, OPV, and Hib
Age 5 months DTP, OPV, and Hib
Age 7 months DTP, OPV, and Hib
Age 18 months DTP, Hib, and MMR
Age 5 years DTP and OPV
What is the suggested course of action regarding the child's immunization status?
A) Start the Hep B series today, and have the child return in 1 month for the next Hep B
B) Start the Hep B series and give MMR; have the child return in 1 month for the next Hep B
C) Give no immunizations today because the child has a febrile illness
D) Give no immunizations because none are due until age 11 years - answer-b
A 4-year-old child has had a productive cough with yellow-green sputum but no fever for 7 days. In
developing a plan of treatment, the PNP understands the following:
A) The production and color of the sputum may indicate a bacterial infection
B) Prolonged cough illnesses are often allergic or viral in nature
C) A cough that continues up to 14 days after onset is probably a bacterial infection
D) Infection and reactive airway disease are common causes of productive cough in children - answer-
d
For which of the following individuals is there no indication for obtaining a chromosomal analysis?
A) A child with phenylketonuria (PKU)
,B) A child with multiple congenital anomalies and mental retardation
C) A couple with a history of multiple miscarriages
D) A man with large testes and mental retardation - answer-a
In what Tanner stage for girls would the PNP expect to see enlargement of the breasts and areolae, as
well as curly, coarse pubic hair?
A) Tanner 4
B) Tanner 2
C) Tanner 3
D) Tanner 5 - answer-c
It is early fall, and an 18-month-old child with a history of asthma is brought to the office because of an
acute exacerbation. The PNP reviews the child's immunization record with the mother. The child's
breathing improves after a nebulizer treatment. While giving the history, the mother states that the child
gets a rash after eating eggs. The immunization record reads as follows:
Birth Hep B
Age 2 months DTaP, IPV, Hib, Prevnar, and Hep B
Age 6 months DTaP, IPV, Hib, and Prevnar
Age 10 months DTaP, Hib, Prevnar, and Hep B
The following immunizations should be given today:
A) DTaP, IPV, Hib, MMR, Var, and flu vaccine
B) DTaP, IPV, Hib, Prevnar, MMR, and Var
C) None, because the child is acutely ill
D) DTaP, IPV, Hib, and Var - answer-b
A 15-year-old adolescent is brought to the office for a routine examination. The adolescent is healthy and
has no history of allergies or reaction to previous immunizations. There is no reliable history of varicella.
The PNP reviews the adolescent's immunization record and finds the following:
Age 3 months DTP and OPV
Age 5 months DTP and OPV
,Age 9 months DTP and OPV
Age 18 months DTP, Hib, and MMR
Age 5 years DTP, OPV, and MMR
The PNP should administer the following immunizations today:
A) Td, Hep B, and Var (the adolescent should be asked to return in 1 month for another Hep B)
B) Td and Hep B (the adolescent should be asked to return in 1 month for another Hep B)
C) Hep B, IPV, and Var (the adolescent should be asked to return in 1 month for another Hep B)
D) Var and MMR (the adolescent should be asked to return in 1 month for another Var) - answer-a
An example of a genetic disorder occurring because of genomic imprinting is:
A) Marfan's syndrome
B) Prader-Willi syndrome
C) Trisomy 18
D) Down's syndrome - answer-b
A 13-year-old adolescent is brought to the office because of a partial-thickness burn on the leg caused by
a campfire. The immunization record reads as follows:
Age 3 mo-DTP, OPV, & Hib
Age 7 mo-DTP, OPV, & Hib
Age 10 mo-DTP, OPV, & Hib
Age 20 mo- DTP, Hib, & MMR
Age 5 years-DTP and OPV
The following immunizations should be administered today:
A) Td, IPV, and Var (if there is no history of disease)
B) None (because a tetanus-containing vaccine was administered within the last 10 years)
C) Td, Hep B, and MMR
D) Td, MMR, Hep B, and Var (if there is no history of disease) - answer-d
, A single, 15-year-old mother who attends high school brings a 3-month-old infant to the clinic. The infant
seems to be healthy and thriving, but the mother is vague when reporting the infant's feeding and
sleeping habits. To get more accurate information about the specifics of the infant's routine and care, the
PNP should:
A) Make a referral to a home nursing agency
B) Ask about the day care arrangements
C) Ask the mother if she has a learning disability
D) Make a referral to a social service agency - answer-b
A 14-month-old child is brought to the office for a well-child visit. The child is healthy today and has no
history of allergies or reactions to previous immunizations. The family lives with a grandmother who is
currently undergoing chemotherapy for cancer. The PNP reviews the child's immunization record and
finds the following:
Birth-Hep B
Age 2mo-DTaP, IPV, Hib, & Hep B
Age 4mo-DTaP, IPV, and Hib
Age 6mo-DTaP and Hib
Age 9mo-Hep B
The PNP should give the child the following immunizations today:
A) DTaP, IPV, Hib, and Var
B) DTaP, IPV, Hib, MMR, and Var C) DTaP, IPV, Hib, and MMR
D) DTaP, IPV, and Hib - answer-b
Diagnostic studies considered part of normal screening for the child with developmental delays of
unknown etiology include chromosomal studies or karyotyping, deoxyribonucleic acid (DNA) studies to
detect fragile X syndrome, and:
A) Measurement of urine and plasma amino acid levels
B) Microscopic urinalysis
C) Cystometrography
D) Measurement of serum antinuclear antibody levels - answer-a
