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PEDIATRIC NP EXAM PRACTICE QUESTIONS EXAM 3 (ANSWERED) CORRECTLY!!
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PEDIATRIC NP EXAM PRACTICE QUESTIONS EXAM 3 (ANSWERED) CORRECTLY!!
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PEDIATRIC NP EXAMPRACTICE QUESTIONS
EXAM 3 (ANSWERED)
CORRECTLY!!
PEDIATRIC NP
Evatee 9/3/24 PEDIATRIC NP
,PEDIATRIC NP EXAM PRACTICE QUESTIONS
EXAM 3 (ANSWERED) CORRECTLY!!
The mother of a newborn brings the baby to the clinic because she is afraid
something is wrong with her baby ("his head is so big"). The PNP responds
that:
a. "this is normal. The head of a newborn is proportionately large to the rest of
the body"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to
be seen by a neurologist."
d. "your head appears large so it is probably genetic." Answer - a
A healthy 12yo female is at the clinic for a well checkup. On physical
examination, a marked elevation of the right scapula and right thoracic hump
and spinal curve abnormally are noted. Spinal films indicate 20 degree curve.
The PNP should:
a. refer the patient to an orthopedist
b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
d. recommend bedrest and back brace Answer - a
What is the % of risk an autosomal dominant gene is being passed on to each
offspring?
a. 25
b. 50
c. 100
d. none Answer - b
,A 13yo female is at the clinic for a routine check up. What presenting
symptoms might alert the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior Answer
-a
The parents of a son with hemophilia are considering another pregnancy. The
mother has been identified as a carrier of the hemophilia gene. What chance
does each female offspring have of having hemophilia.
a. 100%
b. 50%
c. 25%
d. none 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
A 5-year-old child has sudden onset of nonblanching purpuric lesions scattered
over the body and petechiae scattered over the neck and shoulders. The
mother reports that the child has been healthy, except for a cold a few weeks
ago. The child is not taking any medications. Physical examination reveals a
healthy, afebrile child with no other significant findings. The laboratory data
show a hemoglobin level of 12.5 g/dL, white blood cell count of 6500/mm3,
and platelet count of 20,000/mm3. Based on this information, what should the
PNP do next?
A) Reassure the parents that these findings are consistent with acute idiopathic
thrombocytopenia purpura (ITP), and advise a hematology consultation for
confirmation
B) Refer the child immediately to the pediatric hematology/oncology
department of the nearest tertiary care center
C) Report the family to the local protective services department as soon as
possible because of the Answer - a
A 4-year-old child is scheduled for a tonsillectomy and adenoidectomy. The
preoperative laboratory tests indicate a prolonged active partial
thromboplastin time (aPTT). The PNP should suggest that they:
A) Continue with the surgery, and monitor the child closely for bleeding
complications
B) Cancel the surgery, and recheck the aPTT in 1 week
C) Cancel the surgery, and refer the child to a hematologist
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