PEDIATRIC NP EXAM 1 { CH 10, 12, 13, 22} QUESTIONS AND WELL DETAILED ANSWERS|LATEST 2025/2026|GRADED A+

QUESTIONS AND WELL DETAILED


1. The primary care pediatric nurse practitioner provides anticipatory guidance for a 6monthol
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d infant who is breastfed who takes 400 IU of vitamin D daily. The parent reports that the infan
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t has begun taking cereals, fruits, and vegetables in addition to nursing. What will the nurse pr
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actitioner recommend to promote healthy nutrition?
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A. Begin supplementing with iron.
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B. Continue to nurse as long as desired.
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C. Discontinue the vitamin D supplement.
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D. Stop breastfeeding at 1 year of age. - ANSWER-
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B. Continue to nurse as long as desired.
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2. The parent of a toddler tells the primary care pediatric nurse practitioner that the family ha
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s adopted a plantbased diet and the child is receiving rice and almond milk instead of cow's mi
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lk. The nurse practitioner will counsel the parents about
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A. calcium deficiency.
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B. excess caloric intake.
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C. excess fat intake.
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D. protein deficiency. - ANSWER-
B B B B D. protein deficiency.
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3. The parent of a 12monthold infant asks the primary care pediatric nurse practitioner why 2
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% cow's milk is recommended instead of whole milk. What will the nurse practitioner tell this
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parent?



A. Whole milk is usually not fortified with vitamin D.
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B. 2% milk is higher in essential proteins and minerals.
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C. Young children don't need the extra calories found in whole milk.
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,D. Younger children need a limited amount of fats. - ANSWER-
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D. Younger children need a limited amount of fats.
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4. The primary care pediatric nurse practitioner sees a 3yearold child whose parents report is
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a picky eater in spite of their continued efforts to provide nutritious meals. The parents ask wh
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ether a multivitamin is necessary. How will the nurse practitioner respond?
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A. Ask the parents to provide a 3day food diary.
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B. Prescribe a daily multivitamin with iron.
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C. Reinforce the need to meet DRIs each day.
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D. Tell them that supplements are unnecessary - ANSWER-
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A. Ask the parents to provide a 3day food diary.
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5. The primary care pediatric nurse practitioner is examining a toddler who is below the 3rd pe
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rcentile for weight even though the parents claim that the child eats "constantly." What will th
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e nurse practitioner do initially?
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A. Evaluate the child's feeding and elimination behaviors and ask the family to describe mealti
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me routines. B B




B. Recommend giving a multivitamin and offering high calorie foods, such as ice cream.
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C. Refer the child to a feeding evaluation clinic for a swallow study and evaluation of possible
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GERD.

D. Suggest that the parents supplement the child's food intake with a high calorie formula. -
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ANSWER-
B



A. Evaluate the child's feeding and elimination behaviors and ask the family to describe
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mealtime routines. B




6. The mother of a 6yearold child tells the primary care pediatric nurse practitioner that the ch
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ild only wants to eat French fries and hamburgers and refuses most vegetables. What will the
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nurse practitioner recommend?
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A. Giving the child a multivitamin since this is a phase
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, B. Having the child eat vegetables before getting the hamburger
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C. Providing a variety of healthy foods at each meal
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D. Putting extra lettuce and tomatoes on hamburgers - ANSWER-
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C. Providing a variety of healthy foods at each meal
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7. The parents of a toddler tell the primary care pediatric nurse practitioner that they get frust
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rated trying to get the child to eat any vegetables other than squash and carrots. What will the
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Bnurse practitioner recommend?
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A. Continue to offer a variety of foods without forcing the child to eat them.
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B. Offer snacks to make up for calories the child misses by not eating the vegetables.
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C. Prepare dishes the child likes to ensure that a vegetable is eaten at each meal.
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D. Require the child to take 1 to 2 bites of each food at each meal. - ANSWER-
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A. Continue to offer a variety of foods without forcing the child to eat them.
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8. The primary care pediatric nurse practitioner is providing anticipatory guidance to the moth
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er of a breastfed 6monthold infant who asks about "babyled weaning." What will the nurse pr
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actitioner tell her about this practice?
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A. "Foods given for this purpose do not meet all the child's nutritional needs."
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B. "Giving infants control of the feeding process will help prevent obesity."
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C. "Infants are given soft, mashable table foods when able to selffeed."
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D. "Infants must be able to grasp and feed themselves from a spoon to do this." - ANSWER-
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C. "Infants are given soft, mashable table foods when able to selffeed.
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9. The primary care pediatric nurse practitioner is performing a well child examination on a 15
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yearold girl who consumes a vegan diet. Based on this assessment, which nutrients may this a
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dolescent need to supplement? B B B




A. Calcium, vitamin C, and vitamin A
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B. Iron, folic acid, and B12
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