PNP EXAM NEWEST 2025 ACTUAL EXAM COMPLETE

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PNP EXAM NEWEST 2025 ACTUAL EXAM COMPLETE

300 QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED

A+||BRAND NEW!!(ATHABASCA UNIVERSITY)

The mother of 12yo Nathan has brought him to the clinic bc he has had a runny nose for 2 wks. Hx reveals that Nathan has visited the clinic 3 other times this year for upper respiratory complaints. Examination reveals slightly edematous and erythematous eyes, pale nasal mucosa with clear mucus, and pharynx with thin secretions posteriorly. There is no tonsillar swelling or exudate. Lips and nail beds are pink. Lymph node exam is significant for multiple shotty nodes. Lungs are clear to auscultation. Which actions is appropriate at this time?

• discuss symptomatic relief of the common cold with Nathan

and his mother

• culture nasal drainage and delay treatment until result are

known

• order an antibitotic
• order an antihistamine - CORRECT ANSWER -d

A 1 wk old infant has been diagnosed with nasolacrimal duct

obstruction. A typical initial therapy includes:

• use of prophylactic oral antibiotics
• nasolacrimal sac massage 1 / 4

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• surgical opening of obstructed ducts
• referral to an ophthalmologist - CORRECT ANSWER -b

Marie, at 4 years old, has been brought to the clinic bc she " has something wrong with her eye." Marie and her mother report that there has been no injury to the eye and that it has been red since yesterday. Exam reveals conjuntival hyperemia and a copious amount of purulent discharge bilaterally. Vision, pupilary reflexes, and corneal clarity are normal. Which treatment should be ordered?

• sodium sulfacetamide ophthalmic solution
• gentamycin ophth sol
• tobramycin ophth sol
• cromolyn sodium ophth sol - CORRECT ANSWER -a

During the routine exam of a 12 yo boy, you detect a group of hard fixed nontender lymph nodes, each of which measure about

• cm, in the posterior cervical chain. You are unable to detect

any signs of infection. Your management should include:

• recording the finding and reassessing the nodes in 1 month
• ordering a 10d course of a broad spectrum abx and

reevaluating the nodes in 2wks

• ordering a CBC, ESR, and chest radiograh
• referring the child to and allergist - CORRECT ANSWER -c 2 / 4

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Which method might be used to assess the vision of a 1 mos old child?

• check the vessel pattern of the fundus of the eye
• watch to see if the infant turns his or her head toward you

when you speak

• observe the pattern of interaction with the mother
• perform the titmus test on the infant - CORRECT ANSWER -

C

The most common congenital heart defect in children is:

• tricuspid atresia
• ventricular septal defect
• coarctation of the aorta
• pulmonary atresia with intact ventricular septum - CORRECT

ANSWER-b

The mother of a 4 mos old infant reports that he turned "blue" and seemed to have fast, labored breathing after vigorous crying soon after awakening. He settled down and his color and breathing seemed to improve. On physical exam, the mucous membranes of the lips and mouth appear mildly cyanotic. A systolic murmur is heard best at the left sternal border. Vital 3 / 4

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signs are normal with normal peripheral pulses. There is no

hepatomegaly. A likely diagnosis is:

• congestive heart failure
• acute life-threatening event related to reflux
• coarctation of the aorta
• cyanotic spell related to tetraology of Fallot - CORRECT

ANSWER-d

Management of the infant with suspected heart dz and a reported

cyanotic spell should include:

• prompt referral to a cardiolgist
• an apnea monitor for 30 days to document further events
• instructing the parent to keep a diary of these episodes
• continuous administation of oxygen - CORRECT ANSWER -a

Chest pain in young children is usually:

• a symptom of congenital heart disease
• noncardiac in origin
• an early sign of hypercholesterolemia
• a symptom of CHF - CORRECT ANSWER -b

A common cause of CHF in the first year of life is:

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