100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
PNCB PEDIATRIC NURSE PRACTITIONER PEDS FINAL EXAM REVIEW 2024/ CE PNP-PC FINAL EXAM /ACTUAL EXAM QUESTIONS AND ANSWERS WITH RATIONALS$17.99
Add to cart
PNCB PEDIATRIC NURSE PRACTITIONER PEDS FINAL
EXAM REVIEW 2024/ CE PNP-PC FINAL EXAM 2024-
2025 /ACTUAL EXAM QUESTIONS AND ANSWERS
WITH RATIONALS
The most likely cause of bilateral purulent conjunctivitis in a 1-day
old infant is
a. Gonorrheal opthalmia
b. Chlamydia infection
c. Symphilitic opthalmia
d. Adenovirus infection
RIGHT ANS:->>a. Gonorrheal ophthalmia
Rationale: Gonorrehea usually appears in the first 3-5 days oflife.
Chlamydia is between days 5-14. The other 2 are less common in
neonates. Most common causes of conjunctivitis innewborn includes,
Chlamydia, Gonorrhea, HSV, and chemicalinduced conjunctivitis.
(Burns)
Which of the following circumstances is most suggestive ofexcessive stress in a
family with a chronically ill child?
a. The father takes a second job to meet financial responsibilities
,b. The mother provides the majority of the care for the child
c. The parents stop participation in a support group
d. A sibling exhibits decline in school performance
- Answer>>
c. The parents stop participation in a support group
Rationale: Chronic illness takes a significant stress on the family.It can result
in changes in roles as well as the sibling feeling unloved or left out in some
way. Can also result in depression/anxiety of parents and other family
members. Positivesocial networks are a positive influence on parents and the
PNP should be concerned if the family is withdrawing from supportive social
networks. This could indicate depression or extreme stress on the family unit.
(Burns)
An otherwise healthy 2-year old boy is brought to the emergency room with a four-
week history of wheezing and persistent cough. Prior to the start of these symptoms,
the parent recalls a coughingevent which resolved spontaneously. Of the following
the most likely diagnosis is:
a. Viral pneumonia
b. Acute laryngotracheobronchitis
c. Bronchiolitis
,d. Foreign body aspiration
RIGHT ANS:->>d. Foreign bodyaspiration
Rationale: An initial choking, gagging, or coughing episode following by
spontaneous resolution is often present in history finding of a child with
foreign body aspiration. The episode is typically followed by respiratory
symptoms such as stridor, wheezing, and prolonged cough in the absence of
illness. Acute layngotracheobronchitis, bronchitis, and viral pneumonia are
alsoassociated with coughing and wheezing but also involve other symptoms
such as fever, rhinorrhea, fatigue and usually resolve within 10-14 days.
(Nelson Textbook of Pediatrics 20th edition, Chapter 327)
The sexual development of a 14-year old girl is notably delayed. She is very short,
slightly obese, and complains of constipation and fatigue. Her skin is sallow and
coarse in texture, and her hairis brittle. Which of the following tests should be
obtained?
a. Serum leutinizing hormone and chromosome analysis
b. Serum thyroxine and thryroid-stimulating hormone
c. Chromosome analysis and serum thyroxine
d. Serum leutinizing hormone and thyroid stimulating hormone
RIGHT ANS:->>b. Serum thyroxine and thryroid-stimulating hormone
, Rationale: Classic symptoms of growth failure, goiter, delayed orarrested
puberty, delayed dentition, weight gain, fatigue, dry skin, hyperlipidemia,
decline in school performance, menorrhagia, and fatigue. It would be most
appropriate to test for hypothyroidism first in this client. If these are normal
then you may want to consider the other tests for reasons for her growth
delay etc. (Burns)
Which of the following children requires a language referral forfurther evaluation?
a. 1-year-old with a 5-word vocabulary
b. 2-year-old who cannot put two words together
c. 2-year-old with a 30-word vocabulary
d. 3-year-old who is understandable to parents
RIGHT ANS:->>b.2-year-old who cannot put two words together
Rationale: A 1 year old can have ~5 words with normal development, a 2 year
old should have 20+ words, and by the age of 3 the child should be fully
understandable by parents and 90% intelligible by strangers. A 2 year old
should be able to put 2word sentences together so if this milestone is not
present then the client needs further evaluation to assess for language delays.
(Burns, Bright Futures)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PurityKauri. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
