FNP PEDIATRICS LATEST 2023 -2024 3 VERSIONS A, B C

pg. 1 FNP PEDIATRICS LATEST 2023 -2024 (3 VERSIONS A, B & C)

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FNP PEDIATRICS VERSION A

The PNP is examining a neonate with a heart murmur. The S2 sound is loudest at the apex. The respiratory rate is 65 breaths per minute, and the heart rate is 180 beats per minute. Which of the following would be an appropriate action by the PNP?

• Reevaluate the neonate in 24 hours
• Increase the number of oral feedings
• Order cardiac catheterization
• Refer the neonate to a cardiologist - Correct Answer - d

A 2-week-old neonate is brought to the clinic with excessive lacrimation of both eyes.The eyes are clear, with no areas of redness, but the corneas appear hazy. The PNP

explains to the parents the possible diagnosis and treatment as follows:

• Congenital glaucoma requiring an ophthalmology referral
• Corneal foreign body requiring fluorescein staining and removal
• Chalazion requiring treatment with antibiotic eyedrops
• Allergic conjunctivitis requiring treatment with Benadryl eyedrops - Correct Answer -

a

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pg. 2 On examination of a 3-month-old infant the PNP is unable to elicit a red reflex in the right eye. Previous examinations failed to note the presence or absence of a red reflex.

The PNP's response is to:

• Reassure the parents that this is not a problem because the infant has dark eyes
• Note this finding in the infant's chart and check again in a few months
• Refer the infant to an ophthalmologist to rule out retinal trauma
• Immediately refer the infant to a pediatric ophthalmologist to rule out a congenital

cataract or retinoblastoma - Correct Answer - d

A 4-year-old child with chickenpox has vesicles on the skin of the right eyelid. The child complains of eye pain and blurred vision. The PNP should treat the condition by:

• Applying cool compresses to the eye and lesions
• Prescribing eyedrops containing steroids to decrease inflammation and pain
• Prescribing polyspoium ophthalmic ointment for the secondary bacterial infection
• Immediately referring the child to an ophthalmologist - Correct Answer - d

An adolescent is being seen at a community health center because of recurrent respiratory tract infections. The complete blood cell count (CBC) with differential shows a white blood cell count of 20,500 with 35% blast cells. The next step in managing the

adolescent's care is to:

• Repeat the CBC with differential in 1 week
• Refer to a specialist in pediatric hematology
• Perform bone marrow aspiration
• Hospitalize the adolescent immediately - Correct Answer - b

A new parent asks why a light is shined in the infant's eyes. The PNP tells the parent

that the infant must be checked for a red reflex in each eye to rule out:

• Glaucoma
• Strabismus
• Cataracts
• Amblyopia - Correct Answer - c 2 / 4

pg. 3

The mother of a 3-year-old child questions the PNP regarding areas in North America where roundworms are a prevalent parasitic infection. Ascaris lumbricoides (roundworm) is most prevalent in what part of the United States?

• Urban Northeast
• Suburban Northwest
• Rural South
• Desert areas of the Southwest - Correct Answer - c

Pinworm infestation is common in children. The PNP discusses the signs and symptoms of pinworm infestation with a mother. Which of the following parasites is responsible for this disorder?

• Enterobius vermicularis
• Giardia lamblia
• Ascaris lumbricoides
• Trichinella spiralis - Correct Answer - a

The PNP is discussing with the father of a child in day care the issues related to treating

head lice. The PNP stresses the following:

• Lice are highly contagious, so all family members should be checked
• Repeat permethrin cream rinse in 5 days
• Re-treat in 2 weeks if itching persists
• Prescribe lindane 1% for all cases of lice - Correct Answer - a

The mother of a 1-year-old child requests information about the child's speech and language development. The PNP explains that vocabulary acquisition may be slow

during certain periods and that a vocabulary spurt is most common between ages:

• 10 and 12 months
• 12 and 14 months
• 16 and 24 months
• 2 and 3 years - Correct Answer - c 3 / 4

pg. 4

The mother is concerned that her 3-year-old child has begun stuttering over the past 4

to 6 weeks. The PNP should:

• Refer the child to a speech therapist and audiologist
• Instruct the mother to remind the child to speak more slowly and clearly when

beginning to stutter

• Explain that dysfluency is normal at this age but should be reevaluated if it is

persistent or worsens

• Instruct the mother not to make eye contact with the child while the child is speaking

to decrease anxiety - Correct Answer - c

At a physical examination for Head Start, a mother reports being concerned about her 4-year-old child's speech. She worries that the child's speech is unclear and that the child is not saying enough words. The PNP explains to the mother that the child should:

• Have a vocabulary of approximately 1500 words
• Have speech that is 100% intelligible to strangers
• Speak in sentences of three to four words
• Not have problems with dysfluency (stuttering) - Correct Answer - a

A 2-year-old child is screened for lead poisoning. The blood level is 16 mg/dL. The PNP

discusses nutritional needs, including a diet high in:

• Protein and calcium
• Vitamin C and iron
• Fat and Zinc
• Calcium and iron - Correct Answer - d

In counseling a parent regarding possible lead poisoning in the child, the PNP states

that the most common source of lead is:

• Drinking water
• Soil
• Lead-based paint
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