PEDIATRIC NURSE PRACTITIONER PRACTICE EXAM
LATEST COMPLETE ACTUAL TEST WITH REAL
QUESTIONS AND CORRECT ANSWERS (100%
CORRECT VERIFIED SOLUTION) NEWEST UPDATED
VERSION |GUARANTEED PASS.
The PNP is examining an infant recently adopted from Western Europe. When
should a foreign-born child undergo PPD testing?
A) At the first health examination after entering the United States
B) After the child develops signs and symptoms suggesting TB exposure
C) Never (if the child has had BCG, a chest x-ray examination should be ordered)
D) At the same time as infants born in the United States - CORRECT ANSWER ✔✔-
a
The PNP is concerned that a child may have A. lumbricoides (roundworm). Which
of the following symptoms would lead the PNP to this diagnosis?
A) Fever and runny nose
B) Nausea and vomiting
C) No symptoms
D) Vomiting and rash - CORRECT ANSWER ✔✔- c
A 17-year-old adolescent is seen in the "fast track" of the emergency room with
symptoms of respiratory distress, headache, and euphoria. The PNP suspects:
A) Glue sniffing
Pg. 1
,B) Overdose of antihistamines
C) Alcohol ingestion
D) Acetaminophen overdose - CORRECT ANSWER ✔✔- a
A husband and wife, both aged 42 years, have adopted a 10-month-old infant
from Eastern Europe. The infant has been in an orphanage since birth. The
infant's family history is unavailable. A physical examination of the infant was
required before the infant entered the United States, and the results were
documented as "normal.'' The adoptive parents are bringing the child in for the
first well-child visit with the PNP today. What initial screening tests should be
performed?
A) CBC, urinalysis, hepatitis B screen, and screening for fetal alcohol effects (FAE)
and fetal alcohol syndrome (FAS)
B) Hepatitis B screen, human immunodeficiency virus (HIV) screen, stool test for
parasites, and screening for FAE and FAS
C) CBC, Mantoux test, and screening for FAE and FAS
D) CBC, hepatitis B screen, HIV screen, and screening for FAE and FAS - CORRECT
ANSWER ✔✔- d
A 4-month-old infant is brought to the office for a well-child visit. While giving the
infant's history, the grandmother states that she dreaded coming to the office
today because the infant "cried for hours" after the first set of immunizations. The
immunization record reads as follows:
Birth Hep B
Age 2 months DTP/Hib, Hep B, Prevnar, and IPV
The following immunizations should be given today:
A) DTaP, Hib, and MMR
B) DT, Hib, Hep B, and IPV
Pg. 2
,C) DTaP, Hib, Prevnar, Hep B, and IPV
D) DTP/Hib and IPV - CORRECT ANSWER ✔✔- b
A 6-month-old infant is brought to the office for a well-child visit. The infant has
had several upper respiratory tract infections but is healthy today. The mother
states that the infant attends day care 3 days a week. The immunization record
reads as follows:
Birth Hep B
4 months DTaP, IPV, Hib, and Hep B
What immunizations should the infant be given today?
A) DTaP, IPV, Hib, Prevnar, and Hep B
B) DTaP, IPV, Prevnar, and Hib
C) DTaP, OPV, Hib, and Rv
D) DTaP, IPV, Hib, and Rv - CORRECT ANSWER ✔✔- b
The PNP is examining a 15-year-old Vietnamese adolescent during a health
maintenance visit. The adolescent immigrated to the United States 3 weeks ago.
Which of the following screening tests is most important at this visit?
A) Mantoux skin test
B) Malaria smear
C) Microfilaria smear
D) Papanicolaou test - CORRECT ANSWER ✔✔- a
Once a child is started on oral iron therapy for the treatment of iron-deficiency
anemia, what changes are evident in the laboratory studies?
Pg. 3
, A) There is an immediate rise in the reticulocyte count, and the hemoglobin level
returns to normal in 2 weeks
B) There is a rise in the reticulocyte count beginning on the third day, and the
hemoglobin level returns to normal in 6 to 10 weeks
C) There is a concurrent rise in the hemoglobin level and the reticulocyte count,
with both returning to normal in 3 weeks
D) There is a rise in the reticulocyte count beginning in 2 weeks, and the
hemoglobin level returns to normal in 3 to 6 weeks - CORRECT ANSWER ✔✔- b
A 12-month-old child is brought to the clinic for routine anemia screening. The
hemoglobin level is 9.5 g/dL, and iron sulfate is prescribed at a dosage of:
A) 1 mg/kg/day
B) 10 mg/kg/day
C) 6 mg/kg/day
D) 8 mg/kg/day - CORRECT ANSWER ✔✔- c
What should the PNP consider when immunizing a child for measles, mumps, and
rubella (MMR) in relationship to a TB skin test?
A) Give MMR first, and give the PPD in 1 to 2 weeks
B) Give PPD first, and 6 months later give MMR
C) PPD and MMR should never be given at the same time
D) Give both at the same time, or give MMR and wait 4 to 6 weeks to apply PPD -
CORRECT ANSWER ✔✔- d
A child with hemophilia falls off a bike, hurting the knee. The child is brought to
the emergency room because the mother notices swelling of the affected joint
Pg. 4
LATEST COMPLETE ACTUAL TEST WITH REAL
QUESTIONS AND CORRECT ANSWERS (100%
CORRECT VERIFIED SOLUTION) NEWEST UPDATED
VERSION |GUARANTEED PASS.
The PNP is examining an infant recently adopted from Western Europe. When
should a foreign-born child undergo PPD testing?
A) At the first health examination after entering the United States
B) After the child develops signs and symptoms suggesting TB exposure
C) Never (if the child has had BCG, a chest x-ray examination should be ordered)
D) At the same time as infants born in the United States - CORRECT ANSWER ✔✔-
a
The PNP is concerned that a child may have A. lumbricoides (roundworm). Which
of the following symptoms would lead the PNP to this diagnosis?
A) Fever and runny nose
B) Nausea and vomiting
C) No symptoms
D) Vomiting and rash - CORRECT ANSWER ✔✔- c
A 17-year-old adolescent is seen in the "fast track" of the emergency room with
symptoms of respiratory distress, headache, and euphoria. The PNP suspects:
A) Glue sniffing
Pg. 1
,B) Overdose of antihistamines
C) Alcohol ingestion
D) Acetaminophen overdose - CORRECT ANSWER ✔✔- a
A husband and wife, both aged 42 years, have adopted a 10-month-old infant
from Eastern Europe. The infant has been in an orphanage since birth. The
infant's family history is unavailable. A physical examination of the infant was
required before the infant entered the United States, and the results were
documented as "normal.'' The adoptive parents are bringing the child in for the
first well-child visit with the PNP today. What initial screening tests should be
performed?
A) CBC, urinalysis, hepatitis B screen, and screening for fetal alcohol effects (FAE)
and fetal alcohol syndrome (FAS)
B) Hepatitis B screen, human immunodeficiency virus (HIV) screen, stool test for
parasites, and screening for FAE and FAS
C) CBC, Mantoux test, and screening for FAE and FAS
D) CBC, hepatitis B screen, HIV screen, and screening for FAE and FAS - CORRECT
ANSWER ✔✔- d
A 4-month-old infant is brought to the office for a well-child visit. While giving the
infant's history, the grandmother states that she dreaded coming to the office
today because the infant "cried for hours" after the first set of immunizations. The
immunization record reads as follows:
Birth Hep B
Age 2 months DTP/Hib, Hep B, Prevnar, and IPV
The following immunizations should be given today:
A) DTaP, Hib, and MMR
B) DT, Hib, Hep B, and IPV
Pg. 2
,C) DTaP, Hib, Prevnar, Hep B, and IPV
D) DTP/Hib and IPV - CORRECT ANSWER ✔✔- b
A 6-month-old infant is brought to the office for a well-child visit. The infant has
had several upper respiratory tract infections but is healthy today. The mother
states that the infant attends day care 3 days a week. The immunization record
reads as follows:
Birth Hep B
4 months DTaP, IPV, Hib, and Hep B
What immunizations should the infant be given today?
A) DTaP, IPV, Hib, Prevnar, and Hep B
B) DTaP, IPV, Prevnar, and Hib
C) DTaP, OPV, Hib, and Rv
D) DTaP, IPV, Hib, and Rv - CORRECT ANSWER ✔✔- b
The PNP is examining a 15-year-old Vietnamese adolescent during a health
maintenance visit. The adolescent immigrated to the United States 3 weeks ago.
Which of the following screening tests is most important at this visit?
A) Mantoux skin test
B) Malaria smear
C) Microfilaria smear
D) Papanicolaou test - CORRECT ANSWER ✔✔- a
Once a child is started on oral iron therapy for the treatment of iron-deficiency
anemia, what changes are evident in the laboratory studies?
Pg. 3
, A) There is an immediate rise in the reticulocyte count, and the hemoglobin level
returns to normal in 2 weeks
B) There is a rise in the reticulocyte count beginning on the third day, and the
hemoglobin level returns to normal in 6 to 10 weeks
C) There is a concurrent rise in the hemoglobin level and the reticulocyte count,
with both returning to normal in 3 weeks
D) There is a rise in the reticulocyte count beginning in 2 weeks, and the
hemoglobin level returns to normal in 3 to 6 weeks - CORRECT ANSWER ✔✔- b
A 12-month-old child is brought to the clinic for routine anemia screening. The
hemoglobin level is 9.5 g/dL, and iron sulfate is prescribed at a dosage of:
A) 1 mg/kg/day
B) 10 mg/kg/day
C) 6 mg/kg/day
D) 8 mg/kg/day - CORRECT ANSWER ✔✔- c
What should the PNP consider when immunizing a child for measles, mumps, and
rubella (MMR) in relationship to a TB skin test?
A) Give MMR first, and give the PPD in 1 to 2 weeks
B) Give PPD first, and 6 months later give MMR
C) PPD and MMR should never be given at the same time
D) Give both at the same time, or give MMR and wait 4 to 6 weeks to apply PPD -
CORRECT ANSWER ✔✔- d
A child with hemophilia falls off a bike, hurting the knee. The child is brought to
the emergency room because the mother notices swelling of the affected joint
Pg. 4
