FNP Pediatric Exam Test Bank |
Comprehensive A+ Questions
and Answers Guide
‣ Standards for well child care and health promotion are set forth by the:
a. Task Force on Preventative Services, US Department of Health and
Human services
b. American Academy of Family Physicians
c. American Academy of pediatrics
d. Healthy People 2010 and 2020 . Answer: c
‣ A 15 yo female comes to the clinic for a health maintenance visit. The
patient reports no complaints. She does well in school, has many friends,
and gets along well with her parents and two siblings. She has recently
become sexually active with her boyfriend of 6mo. The physical exam is
normal for her age. What screening, lab tests, and/or immunizations
should the PNP order?
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and
immunizations as needed
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol
screening as indicated
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if
indicated.
d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and
cholesterol screen if indicated. . Answer: a
,‣ Which of the following is the best written chief complaint?
a. 5yo asian female with itchy red rash
b. 1 mo with difficulty feeding
c. 15yo african american female complaining of lower abdominal pain
for 3 days
d. 12yo caucasian with itchy eye for 1 week . Answer: c
‣ The past history should include
a. family history
b. social hx
c. symptom analysis
d. hospitalization . Answer: d
‣ The family history should include:
a. the health status of the paternal grandparents
b. the living conditions of the family
c. the work status of the parents
d. school information . Answer: a
‣ Which of the following statements would be considered subjective data
obtained from the client during the review of systems for the skin?
a. the skin appears dry & excoriated
b. a lesion is noted on the lateral aspect of the right leg
,c. there is moderate acne on the forehead and back
d. the patient denies changes in skin texture . Answer: d
‣ The PNP is completing the ROS on a 4mo. What response from the
mother might indicate a cardiac problem in the infant & require a more
thorough history?
a. the baby gets the hiccups often.
b. it takes the baby over 30min to complete a bottle
c. the baby's heart seems to beat rapidly sometimes
d. sometimes the baby sounds congested . Answer: b
‣ The PNP is obtaining a review of systems on a healthy 8yo girl. It
would be important to include:
a. the date of last breast self-exam.
b. any limitations related to sports participation.
c. the last hematocrit and hemoglobin
d. the last lead screen . Answer: b
‣ The mother of a 3yo states that her son was completely toilet trained at
18mo. The PNP explores further, asking:
a. how the mother did the toilet training
b. if the child is dry at night and fully trained for urine and stool day and
night
c. at what age did the mother begin toilet training the other child.
d. if the child gets up at night to use the bathroom . Answer: b
, ‣ Jasmine, a 5-month-old infant is in the clinic for a well child visit and
is sleeping in her mother's arms. What should the PNP do first?
a. Examine the ears, since this is uncomfortable for the infant.
b. Quickly give any needed immunizations.
c. Begin with assessment of the head and proceed from head to toe.
d. auscultate the heart & lungs while the infant is sleeping. . Answer: d
‣ The mother of a newborn brings the baby to the clinic because she is
afraid something is wrong with her baby ("his head is so big"). The PNP
responds that:
a. "this is normal. The head of a newborn is proportionately large to the
rest of the body"
b. "Yes, this does appear abnormal. I will make an appointment for the
baby to be seen by a neurologist."
d. "your head appears large so it is probably genetic." . Answer: a
‣ A healthy 12yo female is at the clinic for a well checkup. On physical
examination, a marked elevation of the right scapula and right thoracic
hump and spinal curve abnormally are noted. Spinal films indicate 20
degree curve. The PNP should:
a. refer the patient to an orthopedist
b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
d. recommend bedrest and back brace . Answer: a
Comprehensive A+ Questions
and Answers Guide
‣ Standards for well child care and health promotion are set forth by the:
a. Task Force on Preventative Services, US Department of Health and
Human services
b. American Academy of Family Physicians
c. American Academy of pediatrics
d. Healthy People 2010 and 2020 . Answer: c
‣ A 15 yo female comes to the clinic for a health maintenance visit. The
patient reports no complaints. She does well in school, has many friends,
and gets along well with her parents and two siblings. She has recently
become sexually active with her boyfriend of 6mo. The physical exam is
normal for her age. What screening, lab tests, and/or immunizations
should the PNP order?
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and
immunizations as needed
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol
screening as indicated
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if
indicated.
d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and
cholesterol screen if indicated. . Answer: a
,‣ Which of the following is the best written chief complaint?
a. 5yo asian female with itchy red rash
b. 1 mo with difficulty feeding
c. 15yo african american female complaining of lower abdominal pain
for 3 days
d. 12yo caucasian with itchy eye for 1 week . Answer: c
‣ The past history should include
a. family history
b. social hx
c. symptom analysis
d. hospitalization . Answer: d
‣ The family history should include:
a. the health status of the paternal grandparents
b. the living conditions of the family
c. the work status of the parents
d. school information . Answer: a
‣ Which of the following statements would be considered subjective data
obtained from the client during the review of systems for the skin?
a. the skin appears dry & excoriated
b. a lesion is noted on the lateral aspect of the right leg
,c. there is moderate acne on the forehead and back
d. the patient denies changes in skin texture . Answer: d
‣ The PNP is completing the ROS on a 4mo. What response from the
mother might indicate a cardiac problem in the infant & require a more
thorough history?
a. the baby gets the hiccups often.
b. it takes the baby over 30min to complete a bottle
c. the baby's heart seems to beat rapidly sometimes
d. sometimes the baby sounds congested . Answer: b
‣ The PNP is obtaining a review of systems on a healthy 8yo girl. It
would be important to include:
a. the date of last breast self-exam.
b. any limitations related to sports participation.
c. the last hematocrit and hemoglobin
d. the last lead screen . Answer: b
‣ The mother of a 3yo states that her son was completely toilet trained at
18mo. The PNP explores further, asking:
a. how the mother did the toilet training
b. if the child is dry at night and fully trained for urine and stool day and
night
c. at what age did the mother begin toilet training the other child.
d. if the child gets up at night to use the bathroom . Answer: b
, ‣ Jasmine, a 5-month-old infant is in the clinic for a well child visit and
is sleeping in her mother's arms. What should the PNP do first?
a. Examine the ears, since this is uncomfortable for the infant.
b. Quickly give any needed immunizations.
c. Begin with assessment of the head and proceed from head to toe.
d. auscultate the heart & lungs while the infant is sleeping. . Answer: d
‣ The mother of a newborn brings the baby to the clinic because she is
afraid something is wrong with her baby ("his head is so big"). The PNP
responds that:
a. "this is normal. The head of a newborn is proportionately large to the
rest of the body"
b. "Yes, this does appear abnormal. I will make an appointment for the
baby to be seen by a neurologist."
d. "your head appears large so it is probably genetic." . Answer: a
‣ A healthy 12yo female is at the clinic for a well checkup. On physical
examination, a marked elevation of the right scapula and right thoracic
hump and spinal curve abnormally are noted. Spinal films indicate 20
degree curve. The PNP should:
a. refer the patient to an orthopedist
b. monitor the patient every 3 mo until menarche
c. refer the patient for physical therapy
d. recommend bedrest and back brace . Answer: a
