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N631 Final Exam Study Guide Questions and Answers 2023
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N631 Final Exam Study Guide Questions and Answers 2023
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N631 Final Exam Study Guide Questions and Answers2023
"At this age, your baby does not understand the meaning of sounds." -
✔✔ANSW✔✔..The mother of a 6monthold infant is distressed because the infant can
say "dada" but not "mama" and asks the primary care pediatric nurse practitioner why
this is when she is the one who spends more time with the infant. How will the nurse
practitioner respond?
1 year - ✔✔ANSW✔✔..Infants triple their weight by this age
10 days - ✔✔ANSW✔✔..When a domestic dog is suspected of rabies, it can either be
killed and tested or quarantined. What is the minimum number of days a dog suspected
of rabies must be quarantined?
10mm - ✔✔ANSW✔✔..A 40-year-old migrant worker returns to the clinic 2 days after a
Mantoux test. What minimum size induration would be considered a positive test for this
patient?
11 months - ✔✔ANSW✔✔..Children say their first non-babble words at this age
12 months - ✔✔ANSW✔✔..age in which children can be given fresh whole milk
16 weeks - ✔✔ANSW✔✔..The uterus is halfway between the symphysis pubis and
umbilicus at
16 weeks gestation - ✔✔ANSW✔✔..The uterine fundus reaches the umbilicus at
approximately
2-4 years - ✔✔ANSW✔✔..Handedness emerges at what age
4 months - ✔✔ANSW✔✔..Age at which children should be smiling spontaneously,
especially at people and will copy facial expressions like smiling and frowning.
5 months - ✔✔ANSW✔✔..Children begin to respond to their name at this age
5 months - ✔✔ANSW✔✔..Infants double their weight by this age
,6 functional causes related to inadequate gonadotropin-releasing hormone (GnRH) -
✔✔ANSW✔✔..1. Inadequate nutrition, including eating disorders.
2. Chronic diseases including chronic heart disease, asthma, inflammatory bowel
disease, RA, renal failure, diabetes, SLE, cystic fibrosis, infection and HIV.
3. Severe environmental stress.
4. Intensive athletic training
5. Hypothyroidism and excess cortisol states
6.. Drugs such as opiates and stimulants.
6 years old - ✔✔ANSW✔✔..At what age do the first permanent teeth start to erupt?
9-18 months of life - ✔✔ANSW✔✔..when does the anterior fontanel usually close
A "boot shaped" heart - ✔✔ANSW✔✔..Jordan a 15 month old girl is playing quietly in
your waiting room. The skin around her mouth is faintly blue, but she appears
comfortable. She arises from her squatting position to run after her brother, and she
suddenly becomes dyspneic and cyanotic. She returns to a squatting position and soon
is breathing comfortably with only slight perioral cyanosis. Which of the following would
you expect to see on her chest radiograph?
A "boot shaped" heart
An "egg on a string"
Lung hyperinflation
Pulmonary congestion
A child who was born in Japan - ✔✔ANSW✔✔..The following children are considered at
high risk for tuberculosis except:
A. A child who has been recently diagnosed with leukemia
B. An infant whose family is homeless
C. A child who was born in Japan
D. A Hispanic child with asthma who is using a steroid inhaler
A. Administer the MMR vaccine to help prevent disease. - ✔✔ANSW✔✔..A 3 year old
child whose immunizations are uptodate has been exposed to measles because of a
localized outbreak among unvaccinated children. The parent reports that contact with
infected children occurred within the last 2 days at a birthday party. What is the best
course of action?
A. Administer the MMR vaccine to help prevent disease.
B. Give antiviral medications at the first sign of symptoms.
C. Give the child a dose of immune globulin to mitigate the response.
D. Reassure the parent that most exposed children will not get measles.
A. Administering ibuprofen or acetaminophen as needed - ✔✔ANSW✔✔..A 2 month old
infant will receive initial immunizations, and the parent asks about giving medications to
increase the infant's comfort and minimize fever. What will the pediatric nurse
practitioner recommend?
,A. Administering ibuprofen or acetaminophen as needed
B. Avoiding antipyretics if possible to attain better immunity
C. Giving ibuprofen and acetaminophen only after the vaccines
D. Pretreating the infant with both ibuprofen and acetaminophen
a. Aortic stenosis - ✔✔ANSW✔✔..An 80 year-year-old man presents with a chief
complaint of dizziness with exertion. Physical exam reveals a grade 3/6 crescendo -
decrescendo systolic murmur with radiation to the neck. These findings are most
consistent with:
a. Aortic stenosis
b. Mitral regurgitation
c. Aortic regurgitation
d. Mitral stenosis
A. Ask about recent tick bites - ✔✔ANSW✔✔..A child is brought to the clinic with a
fever, headache, malaise, and a red, annular macule surrounded by an area of clearing
and a larger, erythematous annular ring. The child complains of itching at the site. What
will the primary care pediatric nurse practitioner do to determine the diagnosis?
A. Ask about recent tick bites
B. Obtain a skin culture
C. Order blood cultures
D. Perform serologic testing
A. Assessment of maternal rubella titers - ✔✔ANSW✔✔..An unimmunized schoolage
child whose mother is in her first trimester of pregnancy is diagnosed with rubella after a
local outbreak. What will the primary care pediatric do?
A. Assessment of maternal rubella titers
B. Intravenous immunoglobulin for the child
C. MMR vaccine for the mother and child
D. Possible termination of the pregnancy
a. atomoxetine (Strattera) - ✔✔ANSW✔✔..Which of the folowing drugs that are used to
treat ADHD is not classified as an amphetamine / stimulant?
a. atomoxetine (Strattera)
b. dexmethylphenidate (Focalin XR)
c. Mixed salts of amphetamine (Ritalin)
d. Methulphenidate (Ritalin)
a. C-reactiv protein 11.5 mg/l - ✔✔ANSW✔✔..Which lab value is most concerning in an
infant with fever and suspected bacterial infection?
a. C-reactiv protein 11.5 mg/l
b. Lymphocyte count of 8.7
c. Serum procalcitonin (Pro-CT)
d. White blood cell count (WBC)
, a. Cardiology clearance for sports participation - ✔✔ANSW✔✔..The provider is
performing a well child exam on a school-aged child who had complete repair of a
Tetralogy of Fallot defect in infancy. What is important in this child's health maintenance
regime?
a. Cardiology clearance for sports participation
b. Restriction of physical activity to avoid pulmonary complications
c. Sub-acute bacterial endocarditis prophylaxis precautions
d. Teaching about management of hypercyanotic episodes
A. Consult a pediatric infectious disease specialist. - ✔✔ANSW✔✔..A 10 month-old
infant who is new to the clinic has chronic hepatitis B infection. What will the primary
care pediatric nurse practitioner do to manage this infant's disease?
A. Consult a pediatric infectious disease specialist.
B. Prescribe interferonalfa.
C. Provide supportive care.
D. Consider use of lamivudine.
A. Consult with a pediatric HIV specialist. - ✔✔ANSW✔✔..The primary care pediatric
nurse practitioner is reviewing medical records for a newborn that is new to the clinic.
The toddler's mother was found to be HIV positive during her pregnancy with this child
and received antiretroviral therapy during pregnancy. The child was born by cesarean
section, begun on antiretroviral prophylaxis, and did not breastfeed. What is the correct
management for this child?
A Consult with a pediatric HIV specialist.
B. Discontinue cART after 4 weeks of age.
C. Obtain a CD4+ cell count and HIV RNA levels.
D. Reinforce the need to give cART for life.
A. DTaP - ✔✔ANSW✔✔..A 5-year-old child who has a history of pertussis infection as
an infant is in the clinic for immunizations prior to kindergarten. Which vaccine will be
given?
A. DTaP
B. DTP
C. Td
D. Tdap
a. Fragile X syndrome - ✔✔ANSW✔✔..An adolescent male presents for a Well Child
Exam. The patient's face is long and narrow with a prominent forehead and chin, and he
has large ears. The mother reports that her son has intellectual disabilities and autistic
disorder. Which of the following conditions is being described?
a. Fragile X syndrome
b. Marfan's syndrome
c. Turner's syndrome
d. Down syndrome
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