PNCB CPNP: TEST PREP Materials
Cystic fibrosis is more commonly seen in which ancenstry? - ANSWEREastern
European
Common signs and symptoms of Hodgkin's disease include: - ANSWER- Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
Pulmonary hypertension causes: - ANSWER- Increased blood pressure in the
pulmonary artery, vein and capillaries
- Causes shortness of breath and dizziness
An 18-month old is brought in and her nail beds are softening. What is this a sign of? -
ANSWERClubbing
- Clubbing is a sign of a congenital heart defect
For the patient who has recently undergone a kidney transplant, what anticipatory
guidance regarding immunosuppressives should be given? - ANSWER- The need for
immunosuppressives is lifelong
- Immunosuppressives are required after surgery to prevent organ rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
What is the importance of hydration in treating sickle cell disease? - ANSWERAdequate
hydration promotes hemodilution and circulation of red blood cells
Understanding "no" is expected in the 10-month-old. True or False. - ANSWERTrue
Characteristics of active listening: - ANSWER- Maintaining eye contact
- Asking open-ended questions
- Reflecting back what the speaker has said
Signs of pain in an infant: - ANSWER- Grimacing
- Crying
,- Restlessness
- Thrashing
- Flailing
Classic symptom of scabies: - ANSWERItching that is worse at night
A patient with primary case of scabies was probably infected how long ago? -
ANSWER3 to 4 weeks ago
- 3 to 4 weeks is the incubation period for scabies
Management of vulvovaginitis: - ANSWER- Discontinue bubble baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
Do PPO plan members need authorizations to visit specialists? - ANSWERNo
Do HMO plan members need authorizations for services and visits to specialists? -
ANSWERYes
Patients that come in with frequent urination, that is mostly water, will be diagnosed
with: - ANSWERDiabetes Insipidus
What assessment findings confirm Osgood-Schlatter Disease? - ANSWER- Pain
worsens with quadricep contraction
- There is swelling of the tibial tubercle
Signs of Rotavirus include: - ANSWER- Vomiting
- Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
A patient is given Vancomycin IV. What would cause Red Man Syndrome? -
ANSWERPushing the infusion too fast/ Rapid infusion
One of the indications of muscular dystrophy is the child's difficulty in rising to a
standing position. The child has to "walk" up his legs using his hands. What is this
called? - ANSWERGower's sign
Management of a brown recluse spider bite: - ANSWER- Ice pack and elevation of
extremity to decrease edema
- Immobilize the area
- Give tetanus toxoid
- Antihistamines to reduce swelling and itching
- PO Augmentin x 14 days
, Pharmacologic management of brown recluse spider bites include: -
ANSWERAmoxicillin-clavulanate (AUGMENTIN) PO x 14 days
Birth length usually doubles by: - ANSWER4 years of age
HIPAA - ANSWER- Health Information Portability and Accountability Act (1996)
- Governs the privacy and disclosure of health information as well as electronic transfer
of information
What is the pharmacologic treatment of choice for a 17yo pregnant female with a UTI? -
ANSWERNitrofurantoin (Macrodantin)
A child who displays urinary incontinence who has never been dry through the night is
said to have: - ANSWERPrimary enuresis
What is the causative organism of bronchiolitis? - ANSWERRespiratory Syncytial Virus
(RSV)
Management of a patient with PCOS includes: - ANSWER- Exercise and weight loss
- Metformin (Glucophage) to improve insulin sensitivity, lower LH, androgens and
improve fertility
- Monthly provera
Excessive estrogen in patients with PCOS leads to: - ANSWERHyperinsulinemia
Ignoring - ANSWERA pattern of behavior in which an adult refuses to interact with or
respond to a child
Locomotor movement - ANSWERMovement of the body from place to place
- e.g. running, walking, jumping, and skipping
A family that consists of a parent, his or her child and their new spouse is: - ANSWERA
blended family
Contraindications for administering a Hep B vaccination: - ANSWERPrior anaphylaxis or
severe hypersensitivity
Omphalocele - ANSWERA condition where infants are born with their liver and
intestines outside of the body
Signs of cerebral palsy in an infant: - ANSWER- Poor head control after 3 months
- Clenched fists after 3 months
- Stiff or rigid limbs
- Unable to sit unsupported after 8 months
- Persistent neonatal reflexes after 6 months
- Poor suck
Cystic fibrosis is more commonly seen in which ancenstry? - ANSWEREastern
European
Common signs and symptoms of Hodgkin's disease include: - ANSWER- Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
Pulmonary hypertension causes: - ANSWER- Increased blood pressure in the
pulmonary artery, vein and capillaries
- Causes shortness of breath and dizziness
An 18-month old is brought in and her nail beds are softening. What is this a sign of? -
ANSWERClubbing
- Clubbing is a sign of a congenital heart defect
For the patient who has recently undergone a kidney transplant, what anticipatory
guidance regarding immunosuppressives should be given? - ANSWER- The need for
immunosuppressives is lifelong
- Immunosuppressives are required after surgery to prevent organ rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
What is the importance of hydration in treating sickle cell disease? - ANSWERAdequate
hydration promotes hemodilution and circulation of red blood cells
Understanding "no" is expected in the 10-month-old. True or False. - ANSWERTrue
Characteristics of active listening: - ANSWER- Maintaining eye contact
- Asking open-ended questions
- Reflecting back what the speaker has said
Signs of pain in an infant: - ANSWER- Grimacing
- Crying
,- Restlessness
- Thrashing
- Flailing
Classic symptom of scabies: - ANSWERItching that is worse at night
A patient with primary case of scabies was probably infected how long ago? -
ANSWER3 to 4 weeks ago
- 3 to 4 weeks is the incubation period for scabies
Management of vulvovaginitis: - ANSWER- Discontinue bubble baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
Do PPO plan members need authorizations to visit specialists? - ANSWERNo
Do HMO plan members need authorizations for services and visits to specialists? -
ANSWERYes
Patients that come in with frequent urination, that is mostly water, will be diagnosed
with: - ANSWERDiabetes Insipidus
What assessment findings confirm Osgood-Schlatter Disease? - ANSWER- Pain
worsens with quadricep contraction
- There is swelling of the tibial tubercle
Signs of Rotavirus include: - ANSWER- Vomiting
- Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
A patient is given Vancomycin IV. What would cause Red Man Syndrome? -
ANSWERPushing the infusion too fast/ Rapid infusion
One of the indications of muscular dystrophy is the child's difficulty in rising to a
standing position. The child has to "walk" up his legs using his hands. What is this
called? - ANSWERGower's sign
Management of a brown recluse spider bite: - ANSWER- Ice pack and elevation of
extremity to decrease edema
- Immobilize the area
- Give tetanus toxoid
- Antihistamines to reduce swelling and itching
- PO Augmentin x 14 days
, Pharmacologic management of brown recluse spider bites include: -
ANSWERAmoxicillin-clavulanate (AUGMENTIN) PO x 14 days
Birth length usually doubles by: - ANSWER4 years of age
HIPAA - ANSWER- Health Information Portability and Accountability Act (1996)
- Governs the privacy and disclosure of health information as well as electronic transfer
of information
What is the pharmacologic treatment of choice for a 17yo pregnant female with a UTI? -
ANSWERNitrofurantoin (Macrodantin)
A child who displays urinary incontinence who has never been dry through the night is
said to have: - ANSWERPrimary enuresis
What is the causative organism of bronchiolitis? - ANSWERRespiratory Syncytial Virus
(RSV)
Management of a patient with PCOS includes: - ANSWER- Exercise and weight loss
- Metformin (Glucophage) to improve insulin sensitivity, lower LH, androgens and
improve fertility
- Monthly provera
Excessive estrogen in patients with PCOS leads to: - ANSWERHyperinsulinemia
Ignoring - ANSWERA pattern of behavior in which an adult refuses to interact with or
respond to a child
Locomotor movement - ANSWERMovement of the body from place to place
- e.g. running, walking, jumping, and skipping
A family that consists of a parent, his or her child and their new spouse is: - ANSWERA
blended family
Contraindications for administering a Hep B vaccination: - ANSWERPrior anaphylaxis or
severe hypersensitivity
Omphalocele - ANSWERA condition where infants are born with their liver and
intestines outside of the body
Signs of cerebral palsy in an infant: - ANSWER- Poor head control after 3 months
- Clenched fists after 3 months
- Stiff or rigid limbs
- Unable to sit unsupported after 8 months
- Persistent neonatal reflexes after 6 months
- Poor suck
