WGU- D119 PEDS Latest Update 2024-2025 Actual Exam from Credible Sources with 300 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor 18 year old boys experiencing problems with wheezing, coughing, and shortness of breath for about 4 hours after basketball practice. He has normal respirations and experiences problems only after exercise. He is experiencing no other respiratory problems, and the physical findings are within normal limits. What is the treatment of choice for this child? - CORRECT ANSWER: albuterol two Puffs metered dose inhaler 20 to 30 minutes before exercise; medication should be taken only when the child is planning to exercise and anticipates respiratory difficulty. Cromolyn and beclomethasone or steroids and do not provide immediate relief. The other one should be avoided unless symptoms progressively worsen and cannot be controlled with inhalation therapy
18 year old girl comes to the clinic with complaints of nausea, vomiting, and right upper quadrant pain during vigorous play. She is also more tired than usual. Serologic tests for immunoglobulins IGM antibodies are ordered to rule out: - CORRECT ANSWER: Hep A; right upper quadrant pain during exercise, malaise, nausea, and vomiting or early signs of hepatitis A. Elevated IGM antibodies indicate a recent or current infection. Clinical findings of cholecystitis include colicky pain in the right upper quadrant with radiation to the flanks after a large meal. Mononucleosis, common in college age adults and young children, has the classic triad of fever, exudative pharyngitis, and adenopathy, particularly posterior cervical. Hepatitis B causes symptoms ranging from a symptomatic seroconversion to acute illness with malaise, anorexia, and nausea to fatal hepatitis.
18 year old taking Isoniazid (INH) prophylactically for exposure to TB complains of headache, palpitations, rash, and diarrhea. What would the management be based on?
- CORRECT ANSWER: addition of Pyridoxine to the diet;
Pyridoxine (vitamin B6) is added to prevent peripheral neuropathy. Foods containing tyramine and histamine (tuna, aged cheese, yeast, vitamin supplements) cause interaction with monoamine oxidase Inhibitors. Anorexia, jaundice, malaise, and fatigue would be signs of hepatic involvement
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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 10-year-old child has had abdominal pain for 2 days, which began in the periumbilical area and then localized to the right lower quadrant. The child vomited once today and then experienced relief from pain followed by an increased fever. What is the likely
diagnosis? - CORRECT ANSWER: Appendicitis with perforation
A 10-year-old is hit in the head with a baseball during practice and is diagnosed with a concussion, even though no loss of consciousness occurred. The FNP is evaluating the child 2 weeks after the injury and learns that the child is still experiencing some sleepiness every day. The neurological exam is normal. The child and the parent are adamant that the child be allowed to return to play baseball. What will the nurse practitioner recommend? - CORRECT ANSWER: Continuation of physical and cognitive rest
A 12 year old boy seen in the clinic, and a diagnosis of Hodgkin's disease is suspected .Which diagnostic test results confirm the diagnosis of Hodgkin's disease? - CORRECT
ANSWER: The presence of Reed-Sternberg cells in the lymph nodes;
Hodgkin's disease is a neoplasm of lymphatic tissue. The presence of gaint multinucleated cells ( Reed- Sternbergs cells) is the hallmark of this disease. The presence of blast cells in the bone marrow indicates leukemia. The Epstein-Barr virus is associated with infectious mononucleosis . Elevated levels of vanillylmandelic acid in the urine may be found in children with neroblastoma.
A 12-year-old child whose weight and body mass index (BMI) are in the 75th percentile has a diastolic blood pressure that is between the 95th and 99th percentiles for age, sex, and height on three separate occasions. Which test will be prescribed for this child
initially? - CORRECT ANSWER: renal function
A 13-year-old Native American female has a body mass index (BMI) at the 90th percentile for age. The Family nurse practitioner notes the presence of a hyperpigmented velvet-like rash in skin folds. The child denies polydipsia, polyphagia, 2 / 4
and polyuria. The nurse practitioner will take what action? - CORRECT ANSWER: Order a fasting blood sample for a metabolic screen for type 2 diabetes
A 14-year-old boy who is overweight develops a unilateral limp with pain in the hip and knee on the affected side. An exam reveals external rotation of the hip when flexed and pain associated with attempts to internally rotate the hip. What is most important initially
when managing this child's condition? - CORRECT ANSWER: Place the child on
crutches of in a wheelchair to prevent weight-bearing
A 14-year-old child has a 2-week history of severe itching and tearing of both eyes. The FNP notes redness and swelling of the eyelids along with stringy, mucoid discharge.
What will the NP prescribe? - CORRECT ANSWER: Topical NSAID drops
a 15 year old male patient presents with complaints of severe scrotal pain for the last 2 hours. The scrotum is swollen and extremely tender, palpation of the epididymis it's not possible. What does the family nurse practitioner recognized as the immediate
treatment? - CORRECT ANSWER: referral to a surgeon for exploration;
this involves the differential diagnosis between epididymitis and testicular torsion.Irreversible damage will be done to the testicles if torsion is not released in three to four hours. Time should not be wasted with other treatments if torsion is strongly suspected.
A 15-year-old female basketball player who has secondary amenorrhea is evaluated by the FNP who notes a BMI in the 3rd percentile. What will the nurse practitioner counsel this patient? - CORRECT ANSWER: to work with a dietician to improve healthy weight gain
A 16 year old adolescent boy is 54' in height. The FNP identifies the following as a positive, effective coping behavior: - CORRECT ANSWER: Has a rehearsed reply to teasing comments: role-playing and planning a rehearsed reply to teasing comments about short stature or helpful tools to deal with this issue. Although humor can be effective, constantly clowning around for attention is not positive coping Behavior.Withdrawal such as watching television or reading is not effective coping and may indicate depression. Spending time and associating only with younger adolescents who are his height is not a positive coping behavior and may hinder normal maturation
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A 16-year-old adolescent female whose body mass index (BMI) is at the 90th percentile reports irregular periods. The FNP notes widespread acne on her face and back and an abnormal distribution of facial hair. The np will evaluate her further based on a suspicion
of which diagnosis? - CORRECT ANSWER: Polycystic ovarian syndrome
A 2-year-old child has an acute diarrheal illness. The child is afebrile and, with oral rehydration measures, has remained well hydrated. The parent asks what can be done to help shorten the course of this illness. What will the Family nurse practitioner
recommend? - CORRECT ANSWER: lactobacillus
A 2-year-old child who has sickle cell anemia (SCA) comes to the clinic with a cough and a fever of 101.5°C. The child currently takes penicillin V prophylaxis 125 mg orally twice daily. What will the FNP do? - CORRECT ANSWER: Admit the child to the hospital to evaluate for sepsis
A 3-month-old infant who was previously healthy now has a persistent cough, bilateral lung crackles, and poor appetite. The Family nurse practitioner auscultates a grade III/VI, low-pitched, holosystolic murmur over the left lower sternal border and palpates the liver at one centimeter below the ribs. What diagnosis is likely? - CORRECT
ANSWER: Ventricular septal defect (VSD)
A 3-year-old child has head lice. What will the initial treatment recommendation be to
treat this child? - CORRECT ANSWER: Permethrin
A 3-year-old child is brought to the clinic by a parent who reports that the child refuses to use the right arm after being swung by both arms while playing. The child is sitting with the right arm held slightly flexed and close to the body. There is no swelling or ecchymosis present. What will the Family nurse practitioner do? - CORRECT ANSWER: Gently attempt a supination and flexion technique.
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 30-month-old girl who has been toilet trained for 6 months has daytime enuresis and dysuria and a low-grade fever. A dipstick urinalysis is negative for leukocyte esterase
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