FNP PEDIATRIC EXAM TEST BANK 2023

FNP PEDIATRIC EXAM TEST BANK 2023-

2024 REAL EXAM 350+ QUESTIONS AND

CORRECT ANSWERS

The following are risk factors for hypertension in children and teens (choose all

that apply):

• being obese.
• drinking whole milk.
• being exposed to second-hand smoke.
• watching 2 or more hours of television per day. - ANSWER- A and C

Fruit juice intake is acceptable in children 6 months and older per the following

recommendation (choose all that apply):

• The juice is mixed in small amounts to flavor water.
• Only 100% juice is used.
• Juice replaces no more than one serving of milk.
• The juice is consumed in the morning with breakfast.
• No more than 6 oz (177 mL) per day is recommended for children 6 months to 5

years. - ANSWER- ABE

In evaluating a 9-year-old child with a healthy BMI during a well visit, a comprehensive cardiovascular evaluation should be conducted by the following

methods (choose all that apply):

• Obtain fasting lipid profile.
• Screen for type 2 diabetes mellitus by measuring HbA1c.
• Assess for family history of thyroid disease.
• Assess diet and physical activity. - ANSWER- A and D

At what age is it appropriate to recommend dietary changes to parents if overweight or obesity is a concern?

• 12 months old
• 5 years old

• 10 years old
• 18 years old - ANSWER- A

The following are risk factors for type 2 diabetes mellitus in children and teens

(choose all that apply):

• hyperinsulinemia.
• abnormal weight-to-height ratio.
• onset of nonorganic failure to thrive in the toddler years.
• Native American ancestry. - ANSWER- ABD

Screening children with a known risk factor for type 2 diabetes mellitus is recommended at age 10 or at onset of puberty, and should be repeated how often?

• every other year.
• every year.
• every six months.
• if child presents with a body mass index in the 85th percentile or higher. -

ANSWER- B

Prediabetes in children is defined as (choose all that apply):

• impaired fasting glucose (glucose level ≥100 mg/dL or 6.2 mmol/L) but ≤125

mg/dL or 7 mmol/L).

• impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8

mmol/L-11 mmol/L).

• body mass index in the 85th percentile or higher.

• body mass index in the 60th percentile or higher. - ANSWER- A and B

Risk factors for dyslipidemia in children include (choose all that apply):

• blood pressure at the 70th to 80th percentile for age.
• breastfeeding into the toddler years.
• family history of lipid abnormalities.
• family history of type 2 diabetes mellitus. - ANSWER- C and D

Screening cholesterol levels in children with one or more risk factors begins at what age?

• birth

Beginning between ages to years, smoking status of the child should be assessed and anti-smoking counseling offered at each visit. Smoking cessation assistance or referral should be offered when needed. - ANSWER- 9 to 11

• 2 years
• 5 years
• 10 years - ANSWER- B

An acceptable level of total cholesterol (mg/dL) in children and teens is:

• <170 mg/dL or 9.4 mmol/L.
• <130 mg/dL or 7.2 mmol/L.
• 110-130 mg/dL or 6.2 mmol/L-7.2 mmol/L.
• 130-199 mg/dL or 7.2 mmol/L-11 mmol/L. - ANSWER- A

T/F: low birth weight, and poor infant growth are risk factors for type 2 diabetes - ANSWER- True

T/F: Prediabetes in children is defined as impaired fasting glucose (glucose level ≥100 mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11 mmol/L) or an A1C of 5.7% to 6.4%. - ANSWER- True

Screening for type 2 diabetes begins at age or at onset of puberty and continues every 2 years until adulthood; at that point, the adult guidelines should be followed. - ANSWER- 10

The AAP screening guidelines for total cholesterol levels in children and

adolescents aged 2 to 19 years old are as follows:

Acceptable level is < mg/dL (<9.4 mmol/L), borderline is 170-199 mg/dL (9.4 mmol/L-11 mmol/L), and high is >200 mg/dL (≥11.1 mmol/L) - ANSWER- 170

Children should be screened for family history of cardiovascular disease (CVD) beginning at age and should be periodically updated annually or as required by risk factors during non-urgent health visits. - ANSWER- 3

For at-risk children, fasting lipid levels should be tested after years of age (but no later than 10 years of age) and should be retested in 3-5 years if the values fall within the reference range. - ANSWER- 2

After 12 months, limit milk to a total of to ounces (480-720 mL)

a day. - ANSWER- 16 to 24 ounces

Body mass index (BMI) should be measured beginning at age . - ANSWER- 2

For children between 12 months and 2 years of age for whom overweight or obesity is a concern, the use of fat milk would be appropriate. - ANSWER- reduced

Beginning at age if BMI is ≥ 85th percentile, intensify dietary and activity changes to the parent. - ANSWER- 5

In the well child, check blood pressure annually beginning at age years and chart for age, gender, and history. - ANSWER- 3

Refer to National Institutes of Health guidelines when screening pediatric patients for elevated blood pressure because definitions for elevated systolic and diastolic blood pressure vary with age, gender, and percentile of . - ANSWER- height

Children should have two doses of the measles, mumps, and rubella (MMR) vaccine before their birthday. - ANSWER- 6th

The MMR vaccine is a , attenuated vaccine. - ANSWER- live

How many doses of the MMR vaccine should a child 6 to 11 months of age receive before traveling outside of the United States?

• none
• one dose
• two doses
• depends on where the child is traveling - ANSWER- B

A 9-year-old child with no documentation of vaccinations comes in for an MMR immunization update. Her parent states that child has received "some" vaccinations, but no documentation is available. How many doses of MMR should the child receive and at what frequency?

• one MMR dose

From 12 to 24 months of age, drinking whole cows' milk is recommended. After 24 months, children should switch to . - ANSWER- skim or 1% milk