MN 580 PEDIATRICS EXAM TEST BANK
2024-2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALES ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
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At 3 weeks of age, the average-weight, formula-fed infant should be expected to take:
2-3 oz every 3-4 hours
Diagnostic criteria for generalized anxiety disorder include all of the following except:
Difficulty concentrating
Regarding physiologic jaundice in the newborn, which of the following is the correct statement?
If untreated, it can lead to acute bilirubin encephalopathy
Serious allergic reactions caused by the use of trimethoprim-sulfamethoxazole include all of the
following EXCEPT:
Anaphylaxis
Which of the following represents the most accurate patient information when using permethrin for
treating scabies?
Itch often persists for a few weeks after successful treatment
What percentage of patients with infectious mononucleosis has splenomegaly during the acute phase of
the illness?
At least 50%
Skin lesions infected by community-acquired MRSA often occur spontaneously on intact skin. T/F
False
When counseling the family of an otherwise healthy 2 year old child who just had a febrile seizure, you
consider which of the following regarding whether the child is at risk for future febrile seizures?
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,The occurrence of one febrile seizure is predictive of having another
Intermittent diazepam can be used prophylactically during febrile illness to reduce re-occurrence
A 6 year old boy presents with a 1 day history of a fiery red, maculopapular facial rash concentrated on
the cheeks. He has had a mild headache and myalgia for the past week. The most likely diagnosis is:
Fifth's disease
The most common reason for precocious puberty in girls is:
Early onset of normal puberty
When billing Medicaid, NPs get the authority to bill their services from:
State and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline. He returns
in 3 weeks, complaining that his skin is no better. Your next action is to:
Counsel him that 6-8 weeks of treatment is often needed before significant improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least:
24 hours
Hemoglobin A1c best provides information on glucose control over the past:
21-47 days
18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours.
Physical examination reveals rebound tenderness and laboratory analysis shows the presence of
bandemia and a total WBC of 28,000. To support the diagnosis of acute appendicitis with suspected
appendiceal rupture, you consider obtaining the following:
CT scan
2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is
more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at the right lung
base. Skin turgur and normal, and she is wearing a wet diaper. She is alert, resisting the examination as
age appropriate, and engages in eye contact. Temperature is 38.3. Her diagnostic evaluation should
include:
Chest x-ray
Aortic stenosis in a 15 yom is:
A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of bronchiolitis?
Nasal washing antigen test
A Still murmur:
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,Has a humming or vibratory quality
A physiological murmur has which of the following characteristics?
Becomes softer when the patient moves from supine to standing
Cyclic vomiting may:
Not be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18, dehydrated and
drinks breast milk, jaundice. Interventions?
Interventions: all of the above (phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How much fluid
would you give?
13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose inhaler. What
information is important to give?
Make recommendations for disease mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend:
Offering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point specific
location. What type of pain is this?
Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them?
MMR may be linked to febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the NP recommend?
Ibuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What should the NP
do?
Recommend next dose of MMR at 4-5 years
5 year old with a history of pertussis. What immunizations do they need prior to starting kindergarten?
DTaP
Trelarche stage in females?
All of the above (pubic hair, breast tissue, 1st period)
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, How often should thyroid studies be performed?
Yearly
Down Syndrome 18x greater in what population than that of the general population?
Leukemia
Down syndrome spinal cord changes?
All of the above
Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white lesion on one
tympanic membrane
Cholestatoma
2 week old presents with wide spitting, S2 expiration
Atrial septal defect
New grade II vibratory, midsystolic murmur, louder when patient is supine
Stills murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What should the NP do?
Refer to cardiology
What should the NP prescribe for a 12 month old who had a heart defect at 8 months?
Amoxicillin
A healthy 3 month old presents to the office with a cough, bilateral crackles, decreased appetite, grade
III/VI low-pitched, holosystolic murmur
Ventrical septal defect
5 year old female with a history of transposition of the great arteries has mild shortness of breath and
dizziness. What should the NP do?
Refer to cardiology ASAP
What education should be included when prescribing metformin to a 15 year old?
Importance of checking BS 3-4x/day
A 13-year-old Native American female has a BMI at the 90th percentile for age. The primary care
pediatric nurse practitioner notes the presence of a hyperpigmented velvet-like rash in skin folds. The
child denies polydipsia, polyphagia, and polyuria.
Counsel the child to lose weight to prevent type 2 diabetes. Diagnose type 2 diabetes if the child has a
random glucose of 180 mg/dL.
Order a fasting blood sample for a metabolic screen for type 2 diabetes.
Refer the child to a pediatric endocrinologist.
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