PNPp -p Pediatricp Nursep Practitionerp Examp (2023-2024)
H.O.pispap5pyopVietnamesepchildpwhophaspfallenpoffpofphispgrowthpcurve.pThepbestpinterventionpwo
uldpbepto:
a. Suggestphigh-caloriepbreakfastpdrinkspaspsupplements
b. incorporateptraditionalpfoodspintopapmanagementpplanpthatpwillpprovidepincreasedpcaloriesp
andpnutrients
c. educatepthepfamilyponpthepneedpforpincreasedpcaloriespandpnutrients
d. referpthepfamilyptopgrowthpclinicpforpevaluationp-pANSWER B
Whileptakingpthephistorypofp6-
monthpoldpE.M.pyouplearnpthatpshepispnotpsleepingpthroughpthepnightpandpwillpnotpfallpbackptopslee
ppwithoutpthepparentsprockingporpfeedingpher.pThispispanpexamplepof:
a. somnambulism
b. pavorpnocturnus
c. learnedpbehavior
d. delayedpsleeppphasep-pANSWER C
Whichpofpthepfollowingpscenariospispsuggestivepofpapchildpwhopmaypnotpbepreadyptopenterpfirstpgra
de?pAnpinabilitypto:
a. recognizepsixpcolorspandprememberpone'spphonepnumber
b. accuratelypuseppronouns
c. empathizepwithpothers
d. countptopfivepandpdrawpappersonpwithpthreeppartsp-pANSWER d
T.T.pispap9pweekpoldppretermpinfantpwhosepbirthpwtpwasp2.3pkg.pMompwaspHBspAgpNeg.pHepispseenp
todaypforpthepfirstptimepsincepdischargepfrompthepnursery.pHephaspreceivedpnoppriorpimmunizati
ons.pThepappropriatepimmunizationsptopgivepatpthisptimepwouldpbe:
a. Dtap,pHib,pIPV,protavirus,pHepBp1,ppneumo
b. Dtap,pHib,pOPV,protavirus,pHepBp1
,c. Dtap,pHib,protavirus,pIPV,ppneumo
d. Dtap,pHib,pIPV,ppneumop-pANSWER a
Whilepexaminingp10pyopRMspteethpyoupnotepthatpthepupperpincisorspslightlypoverlapptheplowerpinc
isors.pThepsecondpandplowerpfirstpmolarsparepabsent.pYourpassessmentpis:
a. malocclusion
b. delayedpmandibularpdentition
c. normalpdentition
d. hyperdontiap-pANSWER b
Thepmotherpofp5yopDWpispconcernedpthatpherpsonpoftenpcheatspwhenpplayingpboardpgamespwithph
ispolderpsister.pWhatpispthepmostpappropriatepresponseptopDWspbehavior?
a. encouragepthepparentptopusep5pminuteptime-outspwhenpcheatingpoccurs
b. explainpthatpDWpispdevelopmentallypunableptopcomprehendprigidprules
c. makepsurepthatpDWpunderstandsptheprulespbeforepstartingptopplaypthepgame
d. explainptopDWpthatpcheatingpisplikeplyingpandpispnotpacceptablepbehaviorp-pANSWER
bpWhichpofpthepfollowingpispnotpapsignpofpreadinessptoptoiletptrain?
a. canpsitpforpextendedpperiods
b. canpfollowpdirections
c. occasionalpwakingpfrompnapspwithpdrypdiapers
d. regularitypofpbowelpmovementsp-pANSWER d
Whichpofpthepfollowingpphysicalpfindingspinpap2pmonthpoldpchildpwarrantspanpimmediatepreferralpt
opapneurologist/neurosurgeon?
a. headpcircumferencepgrowingpfasterpthanpheightpandpweight
b. unresolvedpcephalhematoma
c. rigidpandpimmobilepsagittalpsuture
d. snappingpsensationpwhenppressurepispappliedptopparietalpbonep-pANSWER c
Whileplisteningptop2.5pyopKLptalk,pyoupnotepthatpshepfrequentlypomitspfinalpconsonantspandpher
,sentencespareptwopandpthreepwordspinplength.pThepappropriatepplanpofpcarepwouldpbe.
a. routinepfollowpuppatpnextpwellpchildpvisit
b. referringpforphearingpscreening
c. assessingpforpdevelopmentalpdelays
d. referringptopapspeechppathologistp-pANSWER a
Thepmotherpofp3pyopGWpreportspthatphephaspbegunptopstutter.pFurtherpprobingprevealspthatpthepst
utteringpoccurspfrequentlypandplastsp1ptop2pseconds.pGWpdoespnotpseempbotheredpbypthepstutte
ring.pThepappropiratepmanagementpwouldpbe:
a. referralptopapspeechppathologist
b. referralpforpanpevaluationpforpanpanxietypdisorder
c. reassuringpthepmotherpthatpthispispapmildpproblem
d. demonstratingptopGWpslow,pdeeppbreathingpbeforeptalkingp-pANSWER
cpYoupwouldpexpectpapschoolpagepchildpto:
a. growp1.5pinchespperpyear
b. growp0.5pinchpperpyear
c. gainpaboutp6plbspperpyear
d. gainpaboutp3plbspperpyearp-pANSWER c
Duringp8pmonpoldpLBspphysicalpexam,pthepfatherpboastspthatpLBpispgoingptopbepapleft-
handedpbatterpsincepheppreferspdoingpeverythingpwithphispleftphand.pThepappropriatepresponsep
wouldpbepto:
a. askpifpotherspinpthepfamilyparepleftphanded
b. suggestpplaypactivitiespthatprequirepusingpbothphands
c. presentptoyspmorepoftenptoptheprightphand
d. performpapcarefulpneurologicalpexamp-pANSWER d
Atp12pyo,pPeterphaspbeenpdxpwithpconstitutionalpgrowthpdelay.pAppropriatepmanagementpwould
pinclude:
a. startingplow-doseptestosteroneptherapypnow
, b. counselingpregardingpdelayedponsetpofppuberty
c. thyroxinepreplacement
d. nutritionalpcounselingp-pANSWER b
WhichpofpthepfollowingpbestpdescribespbehaviorpassociatedpwithpPiaget'spconcretepoperations?
a. learningpprimarilypbyptrialpandperror
b. interpretingpeventspinprelationshipptopthemselves
c. categorizingpinformationpintoplowerptophigherpclasses
d. drawingplogicalpconclusionspfrompobservationsp-pANSWER c
Jeffrey,patp8pyearspofpage,phaspbeenpdiagnosedpwithpADHDpandpispreceivingpstimulantpmedication.
pWhichpofpthepfollowingpinterventionspwouldpbepleastphelpful?
a. monthlyphtpandpwtpchecks
b. smallpfrequentpmealspandpsnack
c. high-caloriepsupplementalpdrinks
d. eliminationpofprefinedpsugarpfrompdietp-pANSWER d
Thepprinciplepthatpgrowthpandpdevelopmentpbecomespincreasinglypintegratedpispbestpdemonstra
tedpby:
a. gainingpheadpcontrolpbeforepraisingpthepchest
b. bringingpthepcupptopmouth,ptippingpandpswallowing
c. rollingpoverpbeforepsitting
d. graspingpwithpfistpbeforepusingpfingersp-pANSWER b
Inpmales,pTannerpstagepIIIpcanpbepdistinguishedpfromptannerpstagepIIpby:
a. finepdownyppubicphairpatpthepbasepofppenis
b. adultlikeppubicphairpnotpextendingptopthighs
c. penilepgrowthpinpwidth
d. penilepgrowthpinplengthp-pANSWER d
H.O.pispap5pyopVietnamesepchildpwhophaspfallenpoffpofphispgrowthpcurve.pThepbestpinterventionpwo
uldpbepto:
a. Suggestphigh-caloriepbreakfastpdrinkspaspsupplements
b. incorporateptraditionalpfoodspintopapmanagementpplanpthatpwillpprovidepincreasedpcaloriesp
andpnutrients
c. educatepthepfamilyponpthepneedpforpincreasedpcaloriespandpnutrients
d. referpthepfamilyptopgrowthpclinicpforpevaluationp-pANSWER B
Whileptakingpthephistorypofp6-
monthpoldpE.M.pyouplearnpthatpshepispnotpsleepingpthroughpthepnightpandpwillpnotpfallpbackptopslee
ppwithoutpthepparentsprockingporpfeedingpher.pThispispanpexamplepof:
a. somnambulism
b. pavorpnocturnus
c. learnedpbehavior
d. delayedpsleeppphasep-pANSWER C
Whichpofpthepfollowingpscenariospispsuggestivepofpapchildpwhopmaypnotpbepreadyptopenterpfirstpgra
de?pAnpinabilitypto:
a. recognizepsixpcolorspandprememberpone'spphonepnumber
b. accuratelypuseppronouns
c. empathizepwithpothers
d. countptopfivepandpdrawpappersonpwithpthreeppartsp-pANSWER d
T.T.pispap9pweekpoldppretermpinfantpwhosepbirthpwtpwasp2.3pkg.pMompwaspHBspAgpNeg.pHepispseenp
todaypforpthepfirstptimepsincepdischargepfrompthepnursery.pHephaspreceivedpnoppriorpimmunizati
ons.pThepappropriatepimmunizationsptopgivepatpthisptimepwouldpbe:
a. Dtap,pHib,pIPV,protavirus,pHepBp1,ppneumo
b. Dtap,pHib,pOPV,protavirus,pHepBp1
,c. Dtap,pHib,protavirus,pIPV,ppneumo
d. Dtap,pHib,pIPV,ppneumop-pANSWER a
Whilepexaminingp10pyopRMspteethpyoupnotepthatpthepupperpincisorspslightlypoverlapptheplowerpinc
isors.pThepsecondpandplowerpfirstpmolarsparepabsent.pYourpassessmentpis:
a. malocclusion
b. delayedpmandibularpdentition
c. normalpdentition
d. hyperdontiap-pANSWER b
Thepmotherpofp5yopDWpispconcernedpthatpherpsonpoftenpcheatspwhenpplayingpboardpgamespwithph
ispolderpsister.pWhatpispthepmostpappropriatepresponseptopDWspbehavior?
a. encouragepthepparentptopusep5pminuteptime-outspwhenpcheatingpoccurs
b. explainpthatpDWpispdevelopmentallypunableptopcomprehendprigidprules
c. makepsurepthatpDWpunderstandsptheprulespbeforepstartingptopplaypthepgame
d. explainptopDWpthatpcheatingpisplikeplyingpandpispnotpacceptablepbehaviorp-pANSWER
bpWhichpofpthepfollowingpispnotpapsignpofpreadinessptoptoiletptrain?
a. canpsitpforpextendedpperiods
b. canpfollowpdirections
c. occasionalpwakingpfrompnapspwithpdrypdiapers
d. regularitypofpbowelpmovementsp-pANSWER d
Whichpofpthepfollowingpphysicalpfindingspinpap2pmonthpoldpchildpwarrantspanpimmediatepreferralpt
opapneurologist/neurosurgeon?
a. headpcircumferencepgrowingpfasterpthanpheightpandpweight
b. unresolvedpcephalhematoma
c. rigidpandpimmobilepsagittalpsuture
d. snappingpsensationpwhenppressurepispappliedptopparietalpbonep-pANSWER c
Whileplisteningptop2.5pyopKLptalk,pyoupnotepthatpshepfrequentlypomitspfinalpconsonantspandpher
,sentencespareptwopandpthreepwordspinplength.pThepappropriatepplanpofpcarepwouldpbe.
a. routinepfollowpuppatpnextpwellpchildpvisit
b. referringpforphearingpscreening
c. assessingpforpdevelopmentalpdelays
d. referringptopapspeechppathologistp-pANSWER a
Thepmotherpofp3pyopGWpreportspthatphephaspbegunptopstutter.pFurtherpprobingprevealspthatpthepst
utteringpoccurspfrequentlypandplastsp1ptop2pseconds.pGWpdoespnotpseempbotheredpbypthepstutte
ring.pThepappropiratepmanagementpwouldpbe:
a. referralptopapspeechppathologist
b. referralpforpanpevaluationpforpanpanxietypdisorder
c. reassuringpthepmotherpthatpthispispapmildpproblem
d. demonstratingptopGWpslow,pdeeppbreathingpbeforeptalkingp-pANSWER
cpYoupwouldpexpectpapschoolpagepchildpto:
a. growp1.5pinchespperpyear
b. growp0.5pinchpperpyear
c. gainpaboutp6plbspperpyear
d. gainpaboutp3plbspperpyearp-pANSWER c
Duringp8pmonpoldpLBspphysicalpexam,pthepfatherpboastspthatpLBpispgoingptopbepapleft-
handedpbatterpsincepheppreferspdoingpeverythingpwithphispleftphand.pThepappropriatepresponsep
wouldpbepto:
a. askpifpotherspinpthepfamilyparepleftphanded
b. suggestpplaypactivitiespthatprequirepusingpbothphands
c. presentptoyspmorepoftenptoptheprightphand
d. performpapcarefulpneurologicalpexamp-pANSWER d
Atp12pyo,pPeterphaspbeenpdxpwithpconstitutionalpgrowthpdelay.pAppropriatepmanagementpwould
pinclude:
a. startingplow-doseptestosteroneptherapypnow
, b. counselingpregardingpdelayedponsetpofppuberty
c. thyroxinepreplacement
d. nutritionalpcounselingp-pANSWER b
WhichpofpthepfollowingpbestpdescribespbehaviorpassociatedpwithpPiaget'spconcretepoperations?
a. learningpprimarilypbyptrialpandperror
b. interpretingpeventspinprelationshipptopthemselves
c. categorizingpinformationpintoplowerptophigherpclasses
d. drawingplogicalpconclusionspfrompobservationsp-pANSWER c
Jeffrey,patp8pyearspofpage,phaspbeenpdiagnosedpwithpADHDpandpispreceivingpstimulantpmedication.
pWhichpofpthepfollowingpinterventionspwouldpbepleastphelpful?
a. monthlyphtpandpwtpchecks
b. smallpfrequentpmealspandpsnack
c. high-caloriepsupplementalpdrinks
d. eliminationpofprefinedpsugarpfrompdietp-pANSWER d
Thepprinciplepthatpgrowthpandpdevelopmentpbecomespincreasinglypintegratedpispbestpdemonstra
tedpby:
a. gainingpheadpcontrolpbeforepraisingpthepchest
b. bringingpthepcupptopmouth,ptippingpandpswallowing
c. rollingpoverpbeforepsitting
d. graspingpwithpfistpbeforepusingpfingersp-pANSWER b
Inpmales,pTannerpstagepIIIpcanpbepdistinguishedpfromptannerpstagepIIpby:
a. finepdownyppubicphairpatpthepbasepofppenis
b. adultlikeppubicphairpnotpextendingptopthighs
c. penilepgrowthpinpwidth
d. penilepgrowthpinplengthp-pANSWER d
