Final pediatrics2024 FNP
Study online at https://quizlet.com/_dhnily
1. 1. A 3-year-old child has just completed a 7-day course a. Obtain a renal and blad-
of amoxicillin for a second febrile urinary tract infec- der ultrasound.
tion and currently has a negative urine culture. What
is the next course of action?
Or
A 1.5 year old child has just completed a 7-day course
of amoxicillin for a first febrile urinary tract infection
and currently has a negative urine culture. What is the
next course of action?
2. 1. A 10-year-old child has had abdominal pain for a. Appendicitis with perfo-
2 days, which began in the periumbilical area and ration
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?
3. 1. A 10-year-old is hit in the head with a baseball dur- b. Continuation of physical
ing practice and is diagnosed with concussion, even and cognitive rest
though no loss of consciousness occurred. The prima-
ry care pediatric nurse practitioner 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 recom-
mend?
4. 1. A 12-year-old child has a recent history of increased c. Pancreatic autoantibod-
thirst and frequent urination. The child's weight has ies
been in the 95th percentile for several years. A dipstick
UA is positive for glucose, and random plasma glucose
, Final pediatrics2024 FNP
Study online at https://quizlet.com/_dhnily
is 350 mg/dL. Which test will the primary care pedi-
atric nurse practitioner order to determine the type of
diabetes in this child?
5. 1. A 12-year-old child whose weight and body mass c. renal function
index (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. Which test will be prescribed for this child
initially?
6. 1. The primary care pediatric nurse practitioner eval- d. Transport the child to
uates a child who awoke with a sore throat and high the hospital via emer-
fever after a nap. The child appears anxious and is sit- gency medical services.
ting on the parent's lap with the neck hyperextended.
The physical exam reveals stridor, drooling, nasal flar-
ing, and retractions. What will the nurse practitioner
do next?
7. 1. A 16-year-old adolescent female whose body mass d. Polycystic ovary syn-
index (BMI) is at the 90th percentile reports irregular drome
periods. The primary care pediatric nurse practitioner
notes widespread acne on her face and back and an
abnormal distribution of facial hair. The nurse practi-
tioner will evaluate her further based on a suspicion
of which diagnosis?
8. 1. The primary care pediatric nurse practitioner pro- b. Fortifying breast milk
vides primary care for a 4-month-old infant who has to increase the number of
a ventricular septal defect (VSD). The infant has been calories per ounce
breastfeeding well but in the past month has dropped
from the 20th percentile to the 5th for weight. What
will the nurse practitioner recommend?
, Final pediatrics2024 FNP
Study online at https://quizlet.com/_dhnily
9. A 3-month-old infant who was previously healthy now d. Ventricular septal defect
has a persistent cough, bilateral lung crackles, and (VSD)
poor appetite. The primary care pediatric nurse practi-
tioner auscultates a grade III/VI, low-pitched, holosys-
tolic murmur over the left lower sternal border and
palpates the liver at one centimeter below the ribs.
What diagnosis is likely?
10. 1. The pediatric nurse practitioner provides primary d. Surgery for possible
care for a 5-year-old child diagnosed with cerebral fundoplication and gas-
palsy who exhibits athetosis and poor weight gain in trostomy
spite of receiving high-calorie formula to supplement
intake. The child has had several episodes of pneumo-
nia in the past year. Which specialty consultation is a
priority for this child?
11. The primary care pediatric nurse practitioner is exam- b. Limited financial re-
ining a young child who has cerebral palsy. Which part sources
of the family history raises concerns about potential
child maltreatment?
12. Because of their inability to ambulate, children with a. Calcium and vitamin D
cerebral palsy should be evaluated for which nutri-
ents?
13. A child with cerebral palsy receives all nutrition via b. Daily chlorhexidine glu-
gastrostomy tube. What will the primary care pedi- conate rinses
atric nurse practitioner recommend to promote den-
tal health in this child?
14. 1. A 2-year-old child who has sickle cell anemia (SCA)
comes to the clinic with a cough and a fever of 101.5°C.
, Final pediatrics2024 FNP
Study online at https://quizlet.com/_dhnily
The child currently takes penicillin V prophylaxis 125 a. Admit the child to the
mg orally twice daily. What will the primary care pedi- hospital to evaluate for
atric nurse practitioner do? sepsis.
15. 1. When performing a neurologic exam to assess for b. extending the leg at
meningeal signs in an infant, the primary care pedi- the knee with the infant
atric nurse practitioner will attempt to elicit the Kernig supine.
sign by implementing what action?
16. When performing a neurologic exam to assess for c. flexing the infant's neck
meningeal signs in an infant, the primary care pe- to touch chin to chest.
diatric nurse practitioner will attempt to elicit the
Brudzinki sign by implementing what action?
17. 1. 5 year old child is diagnoses with Atypical Pneumo- b. Azithromycin
nia and will be treated as an outpatient. Which antibi-
otic will the primary care pediatric nurse practitioner
prescribe?
18. 1. The primary care pediatric nurse practitioner (PNP) a. Atrial septal defect
is examining a 2-week-old infant and auscultates a (ASD)
wide splitting of S during expiration. What condition
may this finding represent?
19. 1. A 3-year-old child has had one episode of acute c. Amoxicillin-clavulanate
otitis media (AOM) 3 weeks prior with a normal tym- twice daily
panogram just after treatment with amoxicillin. In the
clinic today, the child has a type B tympanogram, a
temperature of 102.5°F, and a bulging tympanic mem-
brane. What will the primary care pediatric nurse prac-
titioner order?
20.
Study online at https://quizlet.com/_dhnily
1. 1. A 3-year-old child has just completed a 7-day course a. Obtain a renal and blad-
of amoxicillin for a second febrile urinary tract infec- der ultrasound.
tion and currently has a negative urine culture. What
is the next course of action?
Or
A 1.5 year old child has just completed a 7-day course
of amoxicillin for a first febrile urinary tract infection
and currently has a negative urine culture. What is the
next course of action?
2. 1. A 10-year-old child has had abdominal pain for a. Appendicitis with perfo-
2 days, which began in the periumbilical area and ration
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?
3. 1. A 10-year-old is hit in the head with a baseball dur- b. Continuation of physical
ing practice and is diagnosed with concussion, even and cognitive rest
though no loss of consciousness occurred. The prima-
ry care pediatric nurse practitioner 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 recom-
mend?
4. 1. A 12-year-old child has a recent history of increased c. Pancreatic autoantibod-
thirst and frequent urination. The child's weight has ies
been in the 95th percentile for several years. A dipstick
UA is positive for glucose, and random plasma glucose
, Final pediatrics2024 FNP
Study online at https://quizlet.com/_dhnily
is 350 mg/dL. Which test will the primary care pedi-
atric nurse practitioner order to determine the type of
diabetes in this child?
5. 1. A 12-year-old child whose weight and body mass c. renal function
index (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. Which test will be prescribed for this child
initially?
6. 1. The primary care pediatric nurse practitioner eval- d. Transport the child to
uates a child who awoke with a sore throat and high the hospital via emer-
fever after a nap. The child appears anxious and is sit- gency medical services.
ting on the parent's lap with the neck hyperextended.
The physical exam reveals stridor, drooling, nasal flar-
ing, and retractions. What will the nurse practitioner
do next?
7. 1. A 16-year-old adolescent female whose body mass d. Polycystic ovary syn-
index (BMI) is at the 90th percentile reports irregular drome
periods. The primary care pediatric nurse practitioner
notes widespread acne on her face and back and an
abnormal distribution of facial hair. The nurse practi-
tioner will evaluate her further based on a suspicion
of which diagnosis?
8. 1. The primary care pediatric nurse practitioner pro- b. Fortifying breast milk
vides primary care for a 4-month-old infant who has to increase the number of
a ventricular septal defect (VSD). The infant has been calories per ounce
breastfeeding well but in the past month has dropped
from the 20th percentile to the 5th for weight. What
will the nurse practitioner recommend?
, Final pediatrics2024 FNP
Study online at https://quizlet.com/_dhnily
9. A 3-month-old infant who was previously healthy now d. Ventricular septal defect
has a persistent cough, bilateral lung crackles, and (VSD)
poor appetite. The primary care pediatric nurse practi-
tioner auscultates a grade III/VI, low-pitched, holosys-
tolic murmur over the left lower sternal border and
palpates the liver at one centimeter below the ribs.
What diagnosis is likely?
10. 1. The pediatric nurse practitioner provides primary d. Surgery for possible
care for a 5-year-old child diagnosed with cerebral fundoplication and gas-
palsy who exhibits athetosis and poor weight gain in trostomy
spite of receiving high-calorie formula to supplement
intake. The child has had several episodes of pneumo-
nia in the past year. Which specialty consultation is a
priority for this child?
11. The primary care pediatric nurse practitioner is exam- b. Limited financial re-
ining a young child who has cerebral palsy. Which part sources
of the family history raises concerns about potential
child maltreatment?
12. Because of their inability to ambulate, children with a. Calcium and vitamin D
cerebral palsy should be evaluated for which nutri-
ents?
13. A child with cerebral palsy receives all nutrition via b. Daily chlorhexidine glu-
gastrostomy tube. What will the primary care pedi- conate rinses
atric nurse practitioner recommend to promote den-
tal health in this child?
14. 1. A 2-year-old child who has sickle cell anemia (SCA)
comes to the clinic with a cough and a fever of 101.5°C.
, Final pediatrics2024 FNP
Study online at https://quizlet.com/_dhnily
The child currently takes penicillin V prophylaxis 125 a. Admit the child to the
mg orally twice daily. What will the primary care pedi- hospital to evaluate for
atric nurse practitioner do? sepsis.
15. 1. When performing a neurologic exam to assess for b. extending the leg at
meningeal signs in an infant, the primary care pedi- the knee with the infant
atric nurse practitioner will attempt to elicit the Kernig supine.
sign by implementing what action?
16. When performing a neurologic exam to assess for c. flexing the infant's neck
meningeal signs in an infant, the primary care pe- to touch chin to chest.
diatric nurse practitioner will attempt to elicit the
Brudzinki sign by implementing what action?
17. 1. 5 year old child is diagnoses with Atypical Pneumo- b. Azithromycin
nia and will be treated as an outpatient. Which antibi-
otic will the primary care pediatric nurse practitioner
prescribe?
18. 1. The primary care pediatric nurse practitioner (PNP) a. Atrial septal defect
is examining a 2-week-old infant and auscultates a (ASD)
wide splitting of S during expiration. What condition
may this finding represent?
19. 1. A 3-year-old child has had one episode of acute c. Amoxicillin-clavulanate
otitis media (AOM) 3 weeks prior with a normal tym- twice daily
panogram just after treatment with amoxicillin. In the
clinic today, the child has a type B tympanogram, a
temperature of 102.5°F, and a bulging tympanic mem-
brane. What will the primary care pediatric nurse prac-
titioner order?
20.
