Cody, an 8-year-old boy, is at an annual visit. During the visit his weight is recorded as 50lbs.
How much will Cody likely weight in 2 years
a) 55lbs
b) 70lbs
c) 62lbs
d) 72lbs
, c) 62lbs
An 8-year-old child is diagnosed with systemic lupis erythematosus (SLE) and the child's
parent asks if there is a cure. What will be PNP tell the parents?
a) complete remission occurs in some children at the age of puberty
b) periods of remission may occur but there is no permanent cure
c) SLE can be cured with effective medication and treatment
d) the disease is always progressive with no cure and no remissions
a) complete remission occurs in some children at the age of puberty
A most concerning cardiac finding in a newborn or infant assessment is:
a) a blood pressure of 70/40
b) decreased femoral pulses
c) a regular heart rate of 100 while sleeping
d) a soft, grade 3/6 systolic murmur
b) decreased femoral pulses
The PNP reviews a child's complete blood count with the differential white blood cell values
and recognizes a "left shift" because of:
,a) a decreased eosinophil count
b) a decreased lymphocyte count
c) an elevated monocyte count
d) an elevated neutrophil count
d) an elevated neutrophil count
The PNP is managing care for a child diagnosed with iron-deficiency anemia who has an
initial hemoglobin of 8.8g/DL and hematocrit of 32% who has been receiving ferrous sulfate
as 3mg/kg/day of elemental iron for 4 weeks. The child's current lab work reveals elevations
in Hb and HCT and reticulocytes with a Hb of 10.5g/dL and a hematocrit of 36%. What is the
next step in management?
a) discontinue the supplemental iron and encourage an iron-enriched diet
b) continue the current dose of ferrous sulfate and recheck labs in 1-2 months
c) increase the ferrous sulfate dose to 4-6mg/kg/day of elemental iron
d) refer the child to a pediatric hematologist to further evaulate the anemia
b) continue the current dose of ferrous sulfate and recheck labs in 1-2 months
For children 1-4 years of age, the most common cause of head injury is:
a) motor vehicle accidents
b) falls
c) sports-related accident
d) tricycle accidents
, b) falls
Which of the following is true regarding innocent murmurs?
a) the murmur is holosystolic
b) prompt referral to a cardiologist is indicated
c) the precordial thrill is present
d) the murmur is low intensity, grade 1-3
d) the murmur is low intensity, grade 1-3
A child with boggy nasal mucosa has voluminous clear discharge, dark circles under his eyes
and a very itchy erythematous papular red rash behind his knees, on his wrists, and in his
antecubital areas. The diagnosis is:
a) psoriasis
b) atopic dermatitis
c) tinea corporis
d) poison ivy
b) atopic dermatitis
An 8-year-old with a history of frequent vomiting and her mom has frequent migraine
headaches. Recently, the child has more frequent and prolonged episodes accompanies by
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