FNP PEDIATRICS EXAM, PRACTICE EXAM AND

FNP PEDIATRICS EXAM, PRACTICE EXAM AND

STUDY GUIDE LATEST 2024 ACTUAL EXAM

TEST BANK 1200 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

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While examining a 3-year-old child for a well-child visit, labial

adhesions are noted. The PNP discusses with the mother:

• Concern of sexual abuse
• Proper hygiene
• Causes of UTI
• Surgical treatment of the adhesions - ANSWER- b

A 10-month-old infant is brought to the clinic for a rash. The rash is circumscribed, dry, pruritic, slightly flaky, and located on the cheeks and flexor surface of the arms. What treatment should the PNP prescribe?

• Bathe the infant frequently, and apply Vaseline to the rash
• Bathe the infant once a week with Dial soap and apply Gold Bond

cream to the lesions

• Bathe the infant daily with mild soap, such as Dove, and apply

Eucerin cream daily

• Bathe the infant daily or every other day with Dove soap and apply a

high potency corticosteroid cream, paying particular attention to the cheeks - ANSWER- c 1 / 4

In providing anticipatory guidance to the parents of a 5-year-old child with diabetes, the PNP should teach them to recognize the symptoms of

sweating, hunger, drowsiness, and confusion. These are all symptoms of:

• Diabetic ketoacidosis
• The dawn phenomenon
• Hypoglycemia
• The Somogyi phenomenon - ANSWER- c

An 18-month-old child is brought to the office for irritability, nightmares, and generally being tired for the past few nights. The child has had an upper respiratory tract infection for which the grandmother has administered an over-the-counter medication for rhinorrhea. The

child is afebrile and alert, with obvious clear rhinorrhea. The PNP:

• Orders sinus radiologic studies
• Prescribes amoxicillin
• Discusses side effects of decongestants and antihistamines
• Suggests that the grandmother administer acetaminophen -

ANSWER- c

A 16-year-old presents with pallor and fatigue for the past several weeks. The complete blood count (CBC) results are consistent with iron deficiency anemia. What should the PNP tell this teen?

• Antacids increase the absorption of iron
• Dairy foods are good sources of dietary iron
• Juices fortified with vitamin C inhibit the absorption of nonheme iron 2 / 4

• Tannin-containing products, such as tea, inhibit the absorption of

nonheme iron - ANSWER- d

A PNP has been asked by the emergency room physician to evaluate a

child for costochondritis. The PNP would expect to find:

• Tenderness of the midsternal area
• Atelectasis on chest x-ray film
• Dullness on percussion
• Muffled heart sounds - ANSWER- a

The murmur heard when a child has rheumatic heart disease is the result

of:

• Myocarditis
• Pericarditis
• Valvulitis
• Coronary artery involvement - ANSWER- c

A 16-year-old adolescent has evidence of weight loss. The PNP notes on the chart documentation of frequent loose stools for 2 weeks. The differential diagnosis includes hyperthyroidism. What additional clinical finding would suggest this diagnosis?

• Dry mouth
• Hypotension
• Coarse hair
• Heat intolerance - ANSWER- d 3 / 4

The PNP evaluates an infant born to a mother known to have autoimmune thyroid disease. Congenital hypothyroidism in infants is associated with which of the following?

• Excessive sleepiness
• Failure to thrive
• Tachycardia
• Diarrhea - ANSWER- a

Which of the following findings suggests a need for further evaluation for glomerular disease?

• Blood pressure of 135/85
• +1 protein and red blood cell (RBC) casts in the urine
• Bright red urine
• A urine culture of 100,000 bacteria/mL - ANSWER- b

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?

• PSAGN typically begins 28 days after a streptococcal infection
• Appropriate antibiotic treatment prevents nephritogenic group A

beta-hemolytic streptococcal (GABHS) infection

• The urine test reveals no RBC casts or proteinuria
• / 4