FNP Pediatric Exam complete guide latest fall 2022/2023 A+

What suggestions would the PNP offer a father calling because his 3-month-old infant is passing hard stools? A) "Add honey to a 4-oz bottle of water." B) "Time will take care of the problem." C) "Offer the infant a little extra water with added pasteurized apple or prune juice." D) "Hold the infant upright so that gravity can help the stool pass." c An 18-month-old child is brought to the office for irritability, nightmares, and generally being tired for the past few nights. The child has had an upper respiratory tract infection for which the grandmother has administered an over-the-counter medication for rhinorrhea. The child is afebrile and alert, with obvious clear rhinorrhea. The PNP: A) Orders sinus radiologic studies B) Prescribes amoxicillin C) Suggests that the mother administer acetaminophen D) Discusses side effects of decongestants and antihistamines d The PNP preceptor is discussing with the PNP student the use of an aminoglycoside in the treatment of an infant in a special care nursery. The use of an aminoglycoside may result in the following complication: A) Permanent liver damage B) Ototoxicity and nephrotoxicity C) Bone marrow depression (if not properly monitored) D) Encephalopathy b The mother of a 3.5-year-old child is counseled about the need to maintain a therapeutic level of an antibiotic prescribed to treat otitis media. The PNP informs the mother that the term therapeutic level refers to the: A) Concentration of a drug that is required to elicit the desired clinical response without causing toxic effects B) Lowest concentration of the drug reached between doses C) Amount of drug taken into the body, which is equal to the amount excreted D) Time required for 50% of a dose to be excreted a A mother calls the office because her 2.5-year-old has a fever of 101°F (38.2°C). The child is playing and taking plenty of fluids. The PNP advises the mother: A) To dress the child warmly to prevent chilling B) An appointment is needed to determine the cause of the fever C) A fever can actually be a good thing as long as the child is comfortable D) To treat the fever with acetaminophen or ibuprofen if it is greater than 100.1°F c An infant with congenital hypothyroidism is to start treatment with Levothyroxine. When describing the administration of the medication to the parents, it is important to reinforce: A) Evening dosing is preferable to morning dosing B) Cow's milk formula interferes with absorption C) Dosage must be monitored and increased significantly as the child grows D) A crushed tablet should be administered to the infant each morning c An 8-year-old child is evaluated for "growing pains." The pains are intermittent and last up to 2 hours. The child awakens at night, and the pain is not specific to joints. The physical examination is normal. The PNP decides to order: A) A monospot test B) A test to determine ESR C) A throat culture D) An x-ray film of the left hand b A 5-year-old child has a 3-day history of sore throat, fever (101ºF to 103ºF), headache, and one episode of vomiting. The child's symptoms started with a runny nose and slight cough yesterday. The physical examination is normal except for +2 to +3 tonsils, palatal petechiae, erythema, and a clear runny nose. The PNP's best course of action is to: A) Perform a throat culture before prescribing an antibiotic B) Discuss symptom control for seasonal allergies C) Prescribe antibiotics for strep throat because the child has classic symptoms of the infection D) Reassure the parent that only symptomatic treatment is necessary and that the virus needs to run its course a