PEDSCE PNP-PC EXAM PRACTICE QUESTIONS & ANSWERS. GRADED A+/[LPEDSCE PNP-PC EXAM PRACTICE QUESTIONS & ANSWERS. GRADED A+/ATEST EXAM UPDATES]

PEDSCE PNP-PC EXAM PRACTICE QUESTIONS & ANSWERS. GRADED A+/ 10. During a well-child visit, a mother expresses concern that her three-year-old has recently started to stutter when excited. The pediatric primary care nurse practitioner informs the mother that stuttering in a preschool-aged child: a. Is a normal characteristic of language development b. Is a sign of abnormal speech pattern development c. Occurs because the child does not know what to say d. Signals the presence of stress in the child's environment - -a. Is a normal characteristic of language development Rationale: 3-4 year old children have normal hesistancy in speech or stuttering. They will repeat words especially when stating a full sentence or when excited. It should not include syllable repetition. This usually resolves by 5 years of age and should not cause undue stress to the child. (Burns) A 14-year-old female patient has nonpustular, closed and open comedones. The patient has administered over-the-counter medications without effect. The pediatric primary care nurse practitioner's next action is to: a. Prescribe oral minocyclyine (Minocin) b. Prescribe topical tretinoin (Retin-A) c. Recommend an antibacterial facial soap d. Refer the patient to a dermatologist - -b. Prescribe topical tretinoin (Retin-A) Rationale: Because over the counter treatment of mild to moderate acne was ineffective, topical tretinoin (Retin-A) is recommended as the next line of treatment. Patients with mild to moderate comedonal and/or inflammatory acne usually respond well to a combination of topical retinoids, benzoyl peroxide, and antibiotics. Moderate to severe papulopustular acne warrants the use of oral antibiotics in combination with topical agents. (Zitelli and Davis' Atlas of Pediatric Physical Diagnosis, Chapter 8