Pediatric Nurse Practitioner Exam Practice |1295 Multiple Questions with 100% correct answers
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Course
Pediatric Nurse Practitioner
Institution
Pediatric Nurse Practitioner
An 8-year-old child is brought to the urgent care clinic. No chart is available for the history. The child's symptoms include tea-colored urine and periorbital edema, and the blood pressure is 142/90. There is no dysuria or frequency. Poststreptococcal acute glomerulonephritis (PSAGN) is suspected....
An 8-year-old child is brought to the urgent care clinic. No chart is available for the history. The child's symptoms
include tea-colored urine and periorbital edema, and the blood pressure is 142/90. There is no dysuria or frequency.
Poststreptococcal acute glomerulonephritis (PSAGN) is suspected. Which of the following statements is correct?
A) PSAGN typically begins 28 days after a streptococcal infection
B) Appropriate antibiotic treatment prevents nephritogenic group A beta-hemolytic streptococcal (GABHS) infection
C) The urine test reveals no RBC casts or proteinuria
D) Treatment in the acute phase may require salt restriction, diuretics, and antipyretics; the expected outcome is good
d
An 8-year-old child with spina bifida is examined in the clinic. The mother states that the child was doing well until
attending a party at school today. Physical examination reveals a cooperative child with mild, clear rhinorrhea; red,
watering eyes; generalized hives; edema of the face and eyes; and no acute respiratory symptoms. What would be
the most appropriate question to ask when looking for the possible cause of an allergic reaction in this child?
A) "What foods did you eat?"
B) "Have you been exposed to anything new?"
C) "Were there any balloons at the party?"
D) "Did a bee or insect sting you?"
c
A 12-year-old child is seen in the school-based clinic because of a red, swollen, tender area on the upper eyelid. The
PNP prescribes:
A) A topical steroid to be applied to the inflamed eyelid
B) Warm compresses to be applied two to three times a day and a topical antibiotic
C) A systemic antibiotic for 2 weeks
D) A systemic antihistamine and a steroid cream
b
A 14-year-old adolescent has an annular rash (erythema migrans) on the legs with some clearing in the center of the
lesions. The rash has appeared and disappeared over the last few weeks. The adolescent also complains of fever,
myalgia, and headache. Which of the following subjective data would be most helpful in making a diagnosis for this
condition?
A) The rash is pruritic and feels warm
B) The adolescent recently went backpacking in wooded area
C) A sore throat developed 3 days ago
D) The adolescent went on a hiking trip 3 days ago in Southern California
b
A 2-month-old infant has symptoms of a severe cough followed by vomiting. The infant had an upper respiratory tract
infection 2 weeks before the onset of coughing. The PNP suspects pertussis and orders a chest x-ray film and culture
of the nasopharynx. The PNP refers the infant for hospitalization and begins treatment with:
A) Erythromycin
B) Trimethoprim/sulfamethoxazole
C) Corticosteroids and beta-agonist aerosol
D) Amoxicillin
a
,A 15-year-old adolescent is brought to the clinic with jaundice, anorexia, and nausea. The adolescent is concerned
that she may be pregnant because she has nausea and has had unprotected sex. The PNP suspects that the
diagnosis may be:
A) Infectious mononucleosis
B) Hepatitis B
C) Chronic fatigue syndrome
D) Viral gastritis
b
A complete blood count (CBC) is obtained for a 6-year-old child with a rash and systemic symptoms of fever and
general malaise. The results are all within normal limits except the eosinophil count, which is elevated. This finding
supports the diagnosis of:
A) Allergic reaction
B) Bacterial infection
C) Viral exanthem
D) Rheumatic fever
a
A child is brought to the clinic after being hit in the head with a hockey stick. The child now has profuse rhinorrhea but
is in no distress. The examination reveals a hemotympanum, which is indicative of:
A) A foreign body in the canal
B) Perforation of the tympanic membrane
C) A basilar skull fracture
D) Acute serosanguineous otitis media
c
A 2-year-old child who may have swallowed a watch battery is brought to the clinic. The child has no symptoms of
ingestion of a foreign body. The initial action for the PNP is to:
A) Obtain an x-ray film of the chest and abdomen to locate the battery
B) Refer immediately for a surgery consult and possible removal of the battery
C) Send the parents home with instructions to watch for the battery in the stool
D) Send the parents home with instructions to return if the child experiences abdominal pain
a
A child is brought to the office with irritability, agitation, muscle pain, and cramping in the large leg muscles. On
examination a target lesion consisting of an erythematous ring around a pale center is noted. The child has been
playing in the garage and does not recall seeing or being bitten by an insect. The child's face is flushed, and there is
some diaphoresis. The PNP suspects:
A) An allergic reaction to flea bites
B) A black widow spider bite
C) A brown recluse spider bite
D) Ingestion of weed pods
b
A 3-year-old child is brought to the clinic with noisy respirations. Which of the following signs or symptoms would be an
indication for immediate referral and hospitalization?
A) Mild restlessness
B) Stridor at rest
C) Fever of 102°F
D) Slightly elevated white blood cell count
b
, A 10-year-old child is brought to the office with coughing, abdominal pain, splinting on the right side, fever, headache,
and chills. The child appears to be in severe distress. There are decreased breath sounds, crackles, and dullness to
percussion in the area of the right middle and right lower lobe. The diagnosis of pneumonia is made. The PNP orders
an anteroposterior and lateral view of the chest and:
A) Sputum stain
B) Blood culture
C) Complete blood cell count and blood culture
D) Blood gases and pulse oximetry
c
A 12-year-old child comes to the school-based clinic complaining of unilateral chest pain that radiates to the back and
abdomen. On physical examination, tenderness over the costochondral junction is noted. The chest pain is most likely
caused by:
A) A fractured rib
B) Gastric reflux
C) Costochondritis
D) Pneumonia
c
A 10-month-old infant is noted to have cranial and facial asymmetry during a well-child visit. The PNP should:
A) Observe the infant, and reevaluate cranial shape at the 1-year well visit
B) Refer immediately to a neurologist
C) Obtain a cranial radiologic film, CT scan of the skull, or both
D) Perform a Denver Developmental Screening Test
c
A 15-year-old adolescent who has joint pain related to juvenile rheumatoid arthritis has been taking NSAIDs to relieve
the pain. The adolescent came to the school-based clinic with epigastric and abdominal pain. The PNP suspects that
the pain is related to the NSAIDs and manages the symptoms by:
A) Modifying the adolescent's diet
B) Substituting salicylates for NSAIDs
C) Treating for H. pylori
D) Administering a H2 receptor antagonist
d
A 9-year-old child has circumscribed, coalescent, generalized, erythematous raised lesions of various sizes. The PNP
recognizes that the most common cause of hives is:
A) Sun exposure
B) Cold exposure
C) Ingestion of foods and food additives
D) Insect bites
c
A 10-month-old infant is brought to the clinic because of an acute illness. On examination the PNP notes a large,
bulging umbilical mass. The mass is easily reducible although prominent when the child cries. The PNP:
A) Refers the infant to a surgery clinic for evaluation of the hernia and treats the acute illness
B) Treats the acute illness, comments on the hernia, and measures the abdominal opening
C) Discusses with the parents the need to apply a bellyband to "hold in" the hernia
D) Explains to the parents that surgical repair should be performed when the child is between age 2 and 3 years
b
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