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Which of the following health supervision visit activities is NOT essential to do at each well
child visit from birth to school age?
A. Immunization review
B. Vision and hearing screening, either through gross assessment and parent repor or with
the use of a vision chart and audiometer
C. Laboratory tests
D. Height and weight measurements, with use of growth chart to track growth over time
, C. Laboratory tests
an adolescent has 2+ proteinuria in random dipstick analysis, a subsequent first morning
voided specimen is negative, what will the PNP do to manage this condition?
A. monitor for proteinuria at each annual well child exam
B. order 24 hour timed urine collection of creatinine and protein
C. reassure the parents this is benign condition with no follow up needed
D. refer the child to peds nephrologist further eval
A. monitor for proteinuria at each annual well child exam
adolescents can have orthostatic proteinuria
screen an AM first void specimen if negative, follow up annually
A 2 year old child has had cold symptoms x1 week and in the last 24 hours has developed ear
pain, poor sleep, and poor appetite. The nurse practitioner suspects a secondary bacterial
infection. What is the most likely causative organism?
A. Human parvovirus
B. Staphylococcal aureus
C. Streptococcus pneumoniae
D. Coxsackie virus
, C. Streptococcus pneumoniae
A toddler who was born prematurely refuses most solid foods and has poor weight gain. A
barium swallow study reveals a normal esophagus. What will the PNP consider next to
manage this child's nutritional needs?
A. Consultation with a dietician
B. Fiberoptic endoscopy eval
C. MRI
D. Video fluoroscopy swallow study
Fluoroscopy swallow study
the mother of a 12 month old uncircumcised male infant reports that the child seems to have
pain associated with voiding. A PE reveals a tight pinpoint opening at the foreskin which is
thickened and inflamed. What will the PNP do?
A. attempt to retract the foreskin to visualize the penis
B. order corticosteroid cream 3x/day for 4 weeks
C. refer the child to peds urology
D. teach the mother to gently stretch the foreskin with cleaning
C. refer the child to peds urology
Which of the following health supervision visit activities is NOT essential to do at each well
child visit from birth to school age?
A. Immunization review
B. Vision and hearing screening, either through gross assessment and parent repor or with
the use of a vision chart and audiometer
C. Laboratory tests
D. Height and weight measurements, with use of growth chart to track growth over time
, C. Laboratory tests
an adolescent has 2+ proteinuria in random dipstick analysis, a subsequent first morning
voided specimen is negative, what will the PNP do to manage this condition?
A. monitor for proteinuria at each annual well child exam
B. order 24 hour timed urine collection of creatinine and protein
C. reassure the parents this is benign condition with no follow up needed
D. refer the child to peds nephrologist further eval
A. monitor for proteinuria at each annual well child exam
adolescents can have orthostatic proteinuria
screen an AM first void specimen if negative, follow up annually
A 2 year old child has had cold symptoms x1 week and in the last 24 hours has developed ear
pain, poor sleep, and poor appetite. The nurse practitioner suspects a secondary bacterial
infection. What is the most likely causative organism?
A. Human parvovirus
B. Staphylococcal aureus
C. Streptococcus pneumoniae
D. Coxsackie virus
, C. Streptococcus pneumoniae
A toddler who was born prematurely refuses most solid foods and has poor weight gain. A
barium swallow study reveals a normal esophagus. What will the PNP consider next to
manage this child's nutritional needs?
A. Consultation with a dietician
B. Fiberoptic endoscopy eval
C. MRI
D. Video fluoroscopy swallow study
Fluoroscopy swallow study
the mother of a 12 month old uncircumcised male infant reports that the child seems to have
pain associated with voiding. A PE reveals a tight pinpoint opening at the foreskin which is
thickened and inflamed. What will the PNP do?
A. attempt to retract the foreskin to visualize the penis
B. order corticosteroid cream 3x/day for 4 weeks
C. refer the child to peds urology
D. teach the mother to gently stretch the foreskin with cleaning
C. refer the child to peds urology
