PEDIATRIC NURSE PRACTITIONER EXAM
PRACTICE QUESTIONS AND ANSWERS
COMPREHENSIVE AND DETAILED. GRADE
A+ GURANTEED PASS
A 2-week-old neonate is brought to the clinic with excessive lacrimation
of both eyes. The eyes are clear, with no areas of redness, but the
corneas appear hazy. The PNP explains to the parents the possible
diagnosis and treatment as follows:
A) Congenital glaucoma requiring an ophthalmology referral
B) Corneal foreign body requiring fluorescein staining and removal
,C) Chalazion requiring treatment with antibiotic eyedrops
D) Allergic conjunctivitis requiring treatment with Benadryl eyedrops -
ANSWER - a
On examination of a 3-month-old infant the PNP is unable to elicit a red
reflex in the right eye. Previous examinations failed to note the
presence or absence of a red reflex. The PNP's response is to:
A) Reassure the parents that this is not a problem because the infant
has dark eyes
B) Note this finding in the infant's chart and check again in a few
months
C) Refer the infant to an ophthalmologist to rule out retinal trauma
D) Immediately refer the infant to a pediatric ophthalmologist to rule
out a congenital cataract or retinoblastoma - ANSWER - d
A 4-year-old child with chickenpox has vesicles on the skin of the right
eyelid. The child complains of eye pain and blurred vision. The PNP
should treat the condition by:
A) Applying cool compresses to the eye and lesions
B) Prescribing eyedrops containing steroids to decrease inflammation
and pain
C) Prescribing polyspoium ophthalmic ointment for the secondary
bacterial infection
,D) Immediately referring the child to an ophthalmologist - ANSWER - d
An adolescent is being seen at a community health center because of
recurrent respiratory tract infections. The complete blood cell count
(CBC) with differential shows a white blood cell count of 20,500 with
35% blast cells. The next step in managing the adolescent's care is to:
A) Repeat the CBC with differential in 1 week
B) Refer to a specialist in pediatric hematology
C) Perform bone marrow aspiration
D) Hospitalize the adolescent immediately - ANSWER - b
A 9-month-old infant was diagnosed with sickle cell disease shortly after
birth. The mother telephones the PNP to report that the infant has a
fever of 103.2°F. The best response to the mother is:
A) "Take the infant to the emergency room immediately."
B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever
continues."
C) "Give extra fluids and acetaminophen, and call back tomorrow if the
fever continues."
D) "Give extra fluids and acetaminophen, and bring the infant to the
clinic tomorrow morning." - ANSWER - a
The concept of health promotion consists of efforts to prevent rather
than to cure disease or disability. This description best describes:
, a. tertiary prevention
b. secondary prevention
c. primary prevention
d. morbidity prevention - ANSWER - c
Standards for well child care and health promotion are set forth by the:
a. Task Force on Preventative Services, US Department of Health and
Human services
b. American Academy of Family Physicians
c. American Academy of pediatrics
d. Healthy People 2010 and 2020 - ANSWER - c
A 15 yo female comes to the clinic for a health maintenance visit. The
patient reports no complaints. She does well in school, has many
friends, and gets along well with her parents and two siblings. She has
recently become sexually active with her boyfriend of 6mo. The physical
exam is normal for her age. What screening, lab tests, and/or
immunizations should the PNP order?
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and
immunizations as needed
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol
screening as indicated
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
PRACTICE QUESTIONS AND ANSWERS
COMPREHENSIVE AND DETAILED. GRADE
A+ GURANTEED PASS
A 2-week-old neonate is brought to the clinic with excessive lacrimation
of both eyes. The eyes are clear, with no areas of redness, but the
corneas appear hazy. The PNP explains to the parents the possible
diagnosis and treatment as follows:
A) Congenital glaucoma requiring an ophthalmology referral
B) Corneal foreign body requiring fluorescein staining and removal
,C) Chalazion requiring treatment with antibiotic eyedrops
D) Allergic conjunctivitis requiring treatment with Benadryl eyedrops -
ANSWER - a
On examination of a 3-month-old infant the PNP is unable to elicit a red
reflex in the right eye. Previous examinations failed to note the
presence or absence of a red reflex. The PNP's response is to:
A) Reassure the parents that this is not a problem because the infant
has dark eyes
B) Note this finding in the infant's chart and check again in a few
months
C) Refer the infant to an ophthalmologist to rule out retinal trauma
D) Immediately refer the infant to a pediatric ophthalmologist to rule
out a congenital cataract or retinoblastoma - ANSWER - d
A 4-year-old child with chickenpox has vesicles on the skin of the right
eyelid. The child complains of eye pain and blurred vision. The PNP
should treat the condition by:
A) Applying cool compresses to the eye and lesions
B) Prescribing eyedrops containing steroids to decrease inflammation
and pain
C) Prescribing polyspoium ophthalmic ointment for the secondary
bacterial infection
,D) Immediately referring the child to an ophthalmologist - ANSWER - d
An adolescent is being seen at a community health center because of
recurrent respiratory tract infections. The complete blood cell count
(CBC) with differential shows a white blood cell count of 20,500 with
35% blast cells. The next step in managing the adolescent's care is to:
A) Repeat the CBC with differential in 1 week
B) Refer to a specialist in pediatric hematology
C) Perform bone marrow aspiration
D) Hospitalize the adolescent immediately - ANSWER - b
A 9-month-old infant was diagnosed with sickle cell disease shortly after
birth. The mother telephones the PNP to report that the infant has a
fever of 103.2°F. The best response to the mother is:
A) "Take the infant to the emergency room immediately."
B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever
continues."
C) "Give extra fluids and acetaminophen, and call back tomorrow if the
fever continues."
D) "Give extra fluids and acetaminophen, and bring the infant to the
clinic tomorrow morning." - ANSWER - a
The concept of health promotion consists of efforts to prevent rather
than to cure disease or disability. This description best describes:
, a. tertiary prevention
b. secondary prevention
c. primary prevention
d. morbidity prevention - ANSWER - c
Standards for well child care and health promotion are set forth by the:
a. Task Force on Preventative Services, US Department of Health and
Human services
b. American Academy of Family Physicians
c. American Academy of pediatrics
d. Healthy People 2010 and 2020 - ANSWER - c
A 15 yo female comes to the clinic for a health maintenance visit. The
patient reports no complaints. She does well in school, has many
friends, and gets along well with her parents and two siblings. She has
recently become sexually active with her boyfriend of 6mo. The physical
exam is normal for her age. What screening, lab tests, and/or
immunizations should the PNP order?
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and
immunizations as needed
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol
screening as indicated
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
