NAPNAP Review Questions exam with correct answers 2024
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Course
NAPNAP Rev
Institution
NAPNAP Rev
A 2 year old child has had cold symptoms x1 week and in the last 24 hours has developed ear pain, poor sleep, and poor appetite. The nurse practitioner suspects a secondary bacterial infection. What is the most likely causative organism?
A. Human parvovirus
B. Staphylococcal aureus
C. Strepto...
A 2 year old child has had cold symptoms x1 week and in the last 24 hours has
developed ear pain, poor sleep, and poor appetite. The nurse practitioner suspects a
secondary bacterial infection. What is the most likely causative organism?
A. Human parvovirus
B. Staphylococcal aureus
C. Streptococcus pneumoniae
D. Coxsackie virus correct answers C. Streptococcus pneumoniae
You are seeing a 4 week old infant whose mother states that the child's right eye is wet
all of the time and sometimes there is some thick mucus on the lashes. There has been
no fever and the baby is feeding well. Eye exam reveals a normal red reflex bilaterally
with no evidence of purulent drainage, conjunctival erythema or cloudiness over the
cornea. You suspect:
A. Adenovirus conjunctivitis
B. Nasolacrimal duct stenosis
C. Chlamydial conjunctivitis
D. Congenital cataract correct answers B. Nasolacrimal duct stenosis (blocked tear
duct) - resolves by 6-9 months
A 9 month old infant who was born at 32 weeks reaches for a block with only the left
hand. The right arm remains still at the side of her body. The PNP would:
A. Record these findings as normal for a premature infant
B. Refer the child for further evaluation
C. Refer the child for a muscle biopsy
D. Record that the child will likely be left handed correct answers B. Refer the child for
further evaluation
No handedness under the age of 5
Neuro versus brachial plexus injury
During a 2 month old well visit you note that the red reflex in one eye seems paler than
in the other. What is the most appropriate step to follow?
A. Assess and document a normal for all light reflex in that eye
B. Perform the cover/uncover test
C. Re-evaluate the red reflex in two weeks
D. Refer the infant to a pediatric ophthalmologist immediately correct answers D. Refer
the infant to pediatric ophthalmologist immediately
, Congenital cataract vs. retinoblastoma
Primary dentition erupts between:
A. 6 and 11 years
B. 6 months and 30 months
C. 1 and 5 years
D. 12 months and 24 months correct answers B. 6 months and 30 months
Red flag at 30 months
The parent of a 4-year-old points to a picture and says "that's your sister". The child
responds by saying "no that's my baby!" This is an example of which type of thinking in
preschool age children?
A. Animism (animal non-person)
B. Artificialism (controlling force)
C. Egocentrism (related to you)
D. Realism (an object, one meaning) correct answers D. Realism
Still not convinced it's not C
The primary care PNP performs a developmental assent on a 32 month old child. The
child's parents reports that about 70% of the child's speech is intelligible. The PNP
observes that the child has difficulty pronouncing "t", "d", "k", and "g" sounds. Which
action is correct?
A. Evaluate the child's cognitive abilities
B. Obtain a hearing evaluation
C. Reassure the parents that this is normal
D. Refer the child to a speech therapist correct answers C. Reassure the parents that
this is normal
Should be able to totally understand by age 4 or 5
The PNP is offering anticipatory guidance to the parents of a 12 month old child. The
parents are bilingual in Spanish and English and have many Spanish speaking relatives
nearby. The are resisting exposing the child to Spanish out of concern that the child will
not learn English well. What will the PNP tell the parents?
A. Child who learn 2 languages simultaneously often confuse them in conversation
B. Children with multi-language proficiency do not understand others cannot do this
C. Learning to languages at an early age prevents children from developing a dominant
language
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