Pediatric Nurse Practitioner Exam Newest

pg. 1 Pediatric Nurse Practitioner Exam Newest 2024 -2025 Test Bank/ Complete 1200 Practice Questions with Correct Detailed Answers (Verified Answers) Graded A+

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 9-month-old infant was diagnosed with sickle cell disease shortly after birth.The mother telephones the PNP to report that the infant has a fever of 103.2°F.

The best response to the mother is:

• "Take the infant to the emergency room immediately."
• "Administer a dose of ibuprofen, and call back in 6 hours if the fever continues."
• "Give extra fluids and acetaminophen, and call back tomorrow if the fever continues."
• "Give extra fluids and acetaminophen, and bring the infant to the clinic tomorrow

morning." - Correct Answer - a

A 5-year-old child has sudden onset of nonblanching purpuric lesions scattered over the body and petechiae scattered over the neck and shoulders. The mother reports that the child has been healthy, except for a cold a few weeks ago. The child is not taking any medications. Physical examination reveals a healthy, afebrile child with no other significant findings. The laboratory data show a 1 / 4

pg. 2 hemoglobin level of 12.5 g/dL, white blood cell count of 6500/mm3, and platelet count of 20,000/mm3. Based on this information, what should the PNP do next?

• Reassure the parents that these findings are consistent with acute idiopathic

thrombocytopenia purpura (ITP), and advise a hematology consultation for confirmation

• Refer the child immediately to the pediatric hematology/oncology department of the

nearest tertiary care center

• Report the family to the local protective services department as soon as possible

because of the - Correct Answer - a

A 4-year-old child is scheduled for a tonsillectomy and adenoidectomy. The preoperative laboratory tests indicate a prolonged active partial thromboplastin

time (aPTT). The PNP should suggest that they:

• Continue with the surgery, and monitor the child closely for bleeding complications
• Cancel the surgery, and recheck the aPTT in 1 week
• Cancel the surgery, and refer the child to a hematologist
• Obtain a family history, and determine whether there are other relatives with a

bleeding disorder - Correct Answer - c

A 14-year-old adolescent, who appears to be in acute distress and is anxious, is brought to the clinic with symptoms of high fever, chills, malaise, pharyngitis, vomiting, peripheral cyanosis, tachypnea, tachycardia, low blood pressure, and

erythroderma. The PNP recognizes this as toxic shock syndrome and:

• Orders a CBC and blood culture immediately
• Orders a CBC and blood culture, and sends the adolescent to an emergency room

for a lumbar puncture

• Sends the adolescent to the emergency room by ambulance immediately without

providing any treatment in the clinic

• Collaborates with the clinic physician to determine appropriate antibiotic use in this

patient - Correct Answer - c

The PNP is assessing a neonate in the nursery. The cremasteric reflex is absent,

and the right testicle cannot be palpated in the scrotum. The PNP should:

• Order a sonogram 2 / 4

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• Consult with the physician
• Wait for the next well visit to see if the situation has changed
• Order an MRI - Correct Answer - b

A 9-year-old child is brought to the clinic for the evaluation and treatment of a rash. While examining the child, the PNP detects a speech dysfluency. The most

appropriate plan of treatment should include:

• Treating the rash and scheduling a well-child visit to address the speech problem
• Treating the rash and making a referral for speech, language, and hearing evaluation

with a speech pathologist

• Treating the rash and making no referral because it is too late for speech therapy to

be beneficial

• Using a clinical screening tool to determine whether a language disorder exists -

Correct Answer - b

A 13-year-old adolescent complains of having difficulty walking and the arms feeling weak. The adolescent had a cold 2 weeks ago. On examination, the PNP is not able to elicit deep tendon reflexes. The PNP knows that the most appropriate

course of action is to:

• Refer the adolescent to an orthopedic surgeon
• Schedule a follow-up visit in 1 week
• Refer the adolescent to a neurologist
• Refer the adolescent to an emergency room - Correct Answer - d

A 1-year-old child is brought to the clinic with a temperature of 102°F and left flank pain. The urine dipstick test indicates nitrates and leukocyte esterase. The presenting signs and symptoms suggest left pyelonephritis. Based on the data,

the most appropriate action for the PNP is to:

• Refer the child to a urologist for diagnosis and treatment
• Consult with a physician
• Provide symptomatic treatment for 24 hours, and repeat the urine dipstick test
• Send urine for culture and sensitivity testing - Correct Answer - b 3 / 4

pg. 4 A 15 day old infant with respiratory distress arrives in the ED. The exam reveals mild cyanosis, hepatosplenomegaly, & features consistent with Down syndrome.Which of the following is the most likely diagnosis?

• Complete AV canal (endocardial cushion defect)
• Patent ductus arteriosus
• Atrial septal defect
• Ventricular septal defect - Correct Answer - a

A newborn presents with lymphadenopathy, a decrease in the ability to move the left leg, Coombs-negative hemolytic anemia, hepatomegaly, & snuffles. What is the most likely diagnosis?

• Congenital herpes infection
• Congenital cytomegalovirus infection
• Congenital syphilis
• Congenital gonococcal infection - Correct Answer - c

Individuals who have spina bifida are at high risk for allergy to:

• Eggs
• Pollens
• Latex
• Dust mite feces - Correct Answer - c

What is the preferred treatment of choice for syphilis?

• Erythromycin
• Penicillin
• Cefotaxime
• Zithromax - Correct Answer - b

Which of the following is consistent with neonatal disseminated herpes disease?

• Hyperactive newborn with apparent spasticity
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