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PEDS D119 – WGU LATEST UPDATE 2024 ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS /GRADED A+
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PEDS D119 – WGU LATEST UPDATE 2024 ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS /GRADED A+
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PEDS D119 – WGU LATEST UPDATE 2024ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS /GRADED A+
Which newborn screening tests are mandatory State requirements? - Correct Answer -
Thyroid function tests & Phenylketonuria (PKU)
The FNP is assessing an infant that was delivered by cesarean section. What is a
complication frequently associated with cesarean delivery? - Correct Answer -
Respiratory distress
The FNP is performing a newborn assessment on a full-term infant approximately 6
hours after birth. When evaluating the infant's head, the FNP identifies an edematous
area that crosses the cranial suture lines, is soft, and varies with size. The cranial suture
lines have minimal space between them. What is the interpretation of these findings? -
Correct Answer - A caput succedaneum is present
What is an appropriate treatment for a child with roseola? - Correct Answer -
Antipyretics, rest, and hydration: the primary treatment for roseola is supportive,
including control of a fever, adequate rest, and hydration. No preventive measure or
immunization is available
A 10-week-old premature infant, who was not immunized before being discharged from
the hospital, is seen for the first time in your office. What immunizations should the
provider administer today? - Correct Answer - Haemophilus influenzae type B,
diphtheria - tetanus - pertussis, Hepatitis B, inactivated polio vaccine, Roto virus,
pneumococcal
A two-year-old patient presents today with a diffuse, non-pruritic, discreet, rose-colored
maculopapular rash located on the trunk. The lesions measure 2-3 mm in diameter and
Fades on pressure. The provider learned that for the last three days, the patient had a
pg. 1
,temperature of 101 degrees Fahrenheit and when the fever broke the rash appeared.
What condition does this patient most likely have? - Correct Answer - roseola infantum
What reasons are commonly given by parents and caregivers for failing to have their
children vaccinated? (Select all that apply.) - Correct Answer - Religious beliefs, mistrust
in government agencies, believed connection to the development of autism, inoculation
is to physically and emotionally traumatic
The National Academy of Medicine has determined, after a comprehensive review,
determined there is no substantiated evidence of a causal relationship between
thimerosal-containing vaccines or measles, mumps, rubella (MMR) vaccine and what
disorders? - Correct Answer - Autism
Which statement is not supported by the ACIP general vaccination guidelines? - Correct
Answer - While written, dated records are preferred, parent or guardian recollection of a
child's immunization status may be accepted if source is considered reliable
A 3-year-old child is recovering from injuries sustained in a motor vehicle accident. How
will the FNP nurse practitioner evaluate this child's pain? - Correct Answer - Have the
child describe any pain as "no pain, a little pain, or a lot of pain."
A 4-year-old child has just been released from the hospital after orthopedic surgery on
one leg following a bicycle accident. The child is sitting quietly on the exam table. When
asked to rate pain, the child points to the "1" on a faces rating pain scale. What will the
Family nurse practitioner do next? - Correct Answer - Assess the child's vital signs and
ability to walk without pain.
An adolescent takes ibuprofen, acetaminophen, and a tricyclic antidepressant (TCA) to
treat phantom limb pain and reports that the medications are no longer effective. What
will the FNP do? - Correct Answer - Refer the adolescent to a pain management
specialist
The FNP is considering use of a relatively new drug for a 15-month-old child. The drug
is metabolized by the liver, so the nurse practitioner will consult a pharmacologist to
discuss giving the drug: - Correct Answer - Less often or at a lower dose
pg. 2
,The single mother of a 4-year-old who attends daycare tells the FNP that she had
difficulty giving her child a twice-daily amoxicillin for 10 days to treat otitis media during
a previous episode several months earlier because she works two jobs and is too busy.
The child has an ear infection in the clinic today. What will the nurse practitioner do? -
Correct Answer - Prescribe azithromycin once daily for 5 days.
The parent of a school-age child who has asthma tells the FNP that the child often
comes home from school with severe wheezing after gym class and needs to use his
metered-dose inhaler right away. What will the nurse practitioner do? - Correct Answer -
Write the prescription for two metered-dose inhalers with spacers.
An eight-month-old patient has difficulty sleeping at night without being held by the
parents. The family nurse practitioner understands that this is a result of: - Correct
Answer - Learned behavior
Which of the following information is most important to ask while performing a sports
physical? - Correct Answer - Has the child ever fainted during exercise?
The FNP is reviewing strategies to increase physical activity. The patient should also be
educated about which of the following are commonly associated with sports injuries? -
Correct Answer - Improper training
The parent of a child who has asthma asks the FNP practitioner about whether the child
may engage in strenuous exercise. What will the NP tell the parent? - Correct Answer -
Children with asthma show improved aerobic and anaerobic fitness with moderate to
vigorous/physical activity.
The FNP is discussing lifestyle changes with an adolescent who has hypertension.
What will the NP recommend about exercise for this client? - Correct Answer - Regular
to vigorous activity initially with a combination of resistance and aerobic exercise to
maintain lower blood pressure
The FNP is offering anticipatory guidance to the parents of a 6-year-old child who has
Down syndrome. What will the NP tell the parents about physical activity and sports in
pg. 3
, school? - Correct Answer - Their child should have a cervical spine evaluation before
participation in sports.
The FNP is discussing fitness and exercise with the parents of a 5-year-old child who
ask what kinds of activities are developmentally appropriate for their child. What will the
NP recommend? - Correct Answer - Bike riding
The FNP is performing a well-child examination on a high school-age adolescent who
plays football and has hypercalciuria. Which dietary supplement will the NP question the
adolescent about? - Correct Answer - Protein supplements
The FNP is performing a pre-participation sports physical examination on a 14-year-old
male who will be on the wrestling team at school. What will the NP include when
discussing healthy practices with this adolescent? - Correct Answer - Risks associated
with repeatedly losing and gaining weight
The FNP examines a three-year-old patient who underwent a myringotomy 4 months
ago. 65% of the child's speech remains unintelligible. The FNP's response is to: -
Correct Answer - Interpret the patient's speech performance against expected standards
and recommend a referral to an audiologist
The FNP performs a developmental assessment on a 32-month-old child. The child's
parent reports that about 70% of the child's speech is intelligible. The pediatric nurse
practitioner observes that the child has difficulty pronouncing "t," "d," "k," and "g"
sounds. Which action is correct? - Correct Answer - Reassure the parent that this is
normal
The FNP is counseling the parents of a toddler about appropriate discipline. The parents
report that the child is very active and curious, and they are worried about the potential
for injury. What will the pediatric FNP recommend? - Correct Answer - Allow the child to
explore and experiment while providing appropriate limits.
The mother of a 3-year-old child takes the child to a play group once a week. She
expresses concern that the child plays with toys but does not interact with the other
toddlers. What will the Family nurse practitioner counsel the mother? - Correct Answer -
pg. 4
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