PNCB PEDIATRIC NURSE PRACTITIONER - PRIMARY
CARE CPNP-PC FINAL EXAM PRACTICE 2024 /ACTUAL
200 EXAM QUESTIONS WITH CORRECT VERIFIED
ANSWERS/ALREADY GRADED A+/NEWEST 2024-2025
Cystic fibrosis is more commonly seen in which ancenstry?
- RIGHT ANS:->>Eastern European
Common signs and symptoms of Hodgkin's disease include:
- RIGHT ANS:->>- Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
Pulmonary hypertension causes:
- RIGHT ANS:->>- Increased blood pressure in the pulmonary artery, vein and
capillaries
- Causes shortness of breath and dizziness
An 18-month old is brought in and her nail beds are softening. What is this a sign
of? –
RIGHT ANS:->>Clubbing
- Clubbing is a sign of a congenital heart defect
For the hospital client who has recently undergone a kidney transplant, what
anticipatory guidance regarding immunosuppressives should be given?
- RIGHT ANS:->>- The need for immunosuppressives is lifelong
- Immunosuppressives are required after surgery to prevent organ rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
What is the importance of hydration in treating sickle cell disease?
- RIGHT ANS:->>Adequate hydration promotes hemodilution and
circulation of red blood cells
,Understanding "no" is expected in the 10-month-old. True or False.
- RIGHT ANS:->>True
Characteristics of active listening: -
RIGHT ANS:->>- Maintaining eye contact
- Asking open-ended questions
- Reflecting back what the speaker has said
Signs of pain in an infant: -
RIGHT ANS:->>- Grimacing
- Crying
- Restlessness
- Thrashing
- Flailing
Classic symptom of scabies:
- RIGHT ANS:->>Itching that is worse at night
A hospital client with primary case of scabies was probably infected how long ago?
- RIGHT ANS:->>3 to 4 weeks ago
- 3 to 4 weeks is the incubation period for scabies
-
Management of vulvovaginitis:
- RIGHT ANS:->>- Discontinue bubble baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
-
Do PPO plan members need authorizations to visit specialists?
- RIGHT ANS:->>No
Do HMO plan members need authorizations for services and visits to specialists?
- RIGHT ANS:->>Yes
, Hospital clients that come in with frequent urination, that is mostly water, will be
diagnosed with:
- RIGHT ANS:->>Diabetes Insipidus
What assessment findings confirm Osgood-Schlatter Disease?
- RIGHT ANS:->>- Pain worsens with quadricep contraction
- There is swelling of the tibial tubercle
-
Signs of Rotavirus include: - RIGHT ANS:->>- Vomiting
- Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
-
A hospital client is given Vancomycin IV. What would cause Red Man
Syndrome? - RIGHT ANS:->>Pushing the infusion too fast/ Rapid infusion
One of the indications of muscular dystrophy is the child's difficulty in rising to a
standing position. The child has to "walk" up his legs using his hands. What is
this called? - RIGHT ANS:->>Gower's sign
Management of a brown recluse spider bite: -
RIGHT ANS:->>- Ice pack and elevation of extremity to decrease edema
- Immobilize the area
- Give tetanus toxoid
- Antihistamines to reduce swelling and itching
- PO Augmentin x 14 days
Pharmacologic management of brown recluse spider bites include:
- RIGHT ANS:->>Amoxicillin-clavulanate (AUGMENTIN) PO x 14 days
Birth length usually doubles by: - RIGHT ANS:->>4 years of age
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