FNP Pediatric Exam Test Bank; complete A+ Questions
& Answers
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 - a
What is the % of risk an autosomal dominant gene is being passed on to each
offspring?
a. 25
b. 50
c. 100
d. none - b
A 13yo female is at the clinic for a routine check up. What presenting symptoms
might alert the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - a
The parents of a child with cystic fibrosis are considering another pregnancy. They
want to know what their chances are of having another child with cystic fibrosis.
The PNP explains that cystic fibrosis is an autosomal recessive disorder and that
each conception of carrier parents has a:
a. 25% chance of being affected
b. 50% chance of being affected
c. 75% chance of being affected
d. 100% chance of being affected - a
The parents of a son with hemophilia are considering another pregnancy. The
,mother has been identified as a carrier of the hemophilia gene. What chance does
each female offspring have of having hemophilia.
a. 100%
b. 50%
c. 25%
d. none - d
A male with Vitamin D-resistant rickets asks what his chances are of passing his
disease to his parents. The PNP answers:
a. all sons will be affected by only 25% daughters
b. all daughters are affected by only 25% sons
c. 50% of all offspring will have the disease
d. all daughters will be affected but no sons. - d
The concept of health promotion consists of efforts to prevent rather than to cure
disease or disability. This description best describes:
a. tertiary prevention
b. secondary prevention
c. primary prevention
d. morbidity prevention - c
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 - 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. - 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 - c
The past history should include
a. family history
b. social hx
c. symptom analysis
d. hospitalization - 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 - 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 - 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 - 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 - b
& Answers
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 - a
What is the % of risk an autosomal dominant gene is being passed on to each
offspring?
a. 25
b. 50
c. 100
d. none - b
A 13yo female is at the clinic for a routine check up. What presenting symptoms
might alert the PNP to the presence of a possible genetic disorder?
a. <10% on growth chart, Tanner I, and learning difficulties
b. Precocious puberty, developmental delays, gifted piano player
c. Lactose intolerance, frequent ear infections, speech delays
d. Peanut allergy, right-sided weakness, and exhibits bullying behavior - a
The parents of a child with cystic fibrosis are considering another pregnancy. They
want to know what their chances are of having another child with cystic fibrosis.
The PNP explains that cystic fibrosis is an autosomal recessive disorder and that
each conception of carrier parents has a:
a. 25% chance of being affected
b. 50% chance of being affected
c. 75% chance of being affected
d. 100% chance of being affected - a
The parents of a son with hemophilia are considering another pregnancy. The
,mother has been identified as a carrier of the hemophilia gene. What chance does
each female offspring have of having hemophilia.
a. 100%
b. 50%
c. 25%
d. none - d
A male with Vitamin D-resistant rickets asks what his chances are of passing his
disease to his parents. The PNP answers:
a. all sons will be affected by only 25% daughters
b. all daughters are affected by only 25% sons
c. 50% of all offspring will have the disease
d. all daughters will be affected but no sons. - d
The concept of health promotion consists of efforts to prevent rather than to cure
disease or disability. This description best describes:
a. tertiary prevention
b. secondary prevention
c. primary prevention
d. morbidity prevention - c
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 - 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. - 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 - c
The past history should include
a. family history
b. social hx
c. symptom analysis
d. hospitalization - 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 - 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 - 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 - 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 - b
