PNP Exam Study Guide
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
A pediatric nurse practitioner is considering leaving primary care for a position in a mental
health clinic
which includes screening and managing medications for patients of all ages. Before making such
a
change in employment it is MOST important to consult the
A. staff at the certification board.
B. staff at the malpractice insurance carrier.
C. professional organization's scope and standards of practice.
D. state board of nursing's rules and regulations. - Answer: D. state board of nursing's rules and
regulations.
The parents of a 2-year-old are concerned that their child is having temper tantrums in public
settings.
Which is the BEST response?
A. Modifying expectations when in a public place is acceptable to promote calming.
B. The temper tantrum is an indication that the child is tired and needs a nap.
C. Address any safety concerns while ignoring the child's display of behavior.
,D. Respond to the tantrum with firm expectations for public behavior. - Answer: C. Address any
safety concerns while ignoring the child's display of behavior.
Which of the following has been identified as a potential cause of bowel perforation if ingested?
A. jewelry beads
B. latex balloons
C. multiple magnets
D. marbles - Answer: C. multiple magnets
A 10 month old has had apparent abdominal pain for the past 4 hours. During episodes of pain,
the infant
screams inconsolably and draws his legs towards the abdomen, has vomited twice, but has had
no
diarrhea. Between episodes the infant is calm and quiet. The MOST likely diagnosis is:
A. appendicitis
B. acute gastroenteritis
C. intussusception
D. Meckel's diverticulum - Answer: C. intussusception
A 10-month-old male is irritable and has lower extremity weakness on physical exam. Which of
the
following infant characteristics would prompt screening for rickets?
A. African American ethnicity
B. living below 40 degrees latitude
C. recent relocation from Texas to Wisconsin
D. breastfed supplemented with 18 oz (532 mL) formula per day - Answer: A. African American
ethnicity
, In addition to use of the supine position, which of the following is a sudden infant death
syndrome risk
reduction strategy to teach parents?
A. use a humidifier in the room to avoid overheating
B. allow co-sleeping to monitor infant sleep position
C. give the infant a pacifier at bed and nap time
D. use a device to maintain supine sleep position - Answer: C. give the infant a pacifier at bed
and nap time
The MOST common symptom of hepatitis A in a 14 month old is:
A. ascites
B. dark urine
C. fever
D. jaundice - Answer: C. fever
Which of the following PRIMARY interventions assists in the prevention of adolescent
depression?
A. screen for co-morbid conditions
B. discuss changes associated with adolescence
C. recommend help from professionals rather than friends
D. reassure that short-term depression and mood swings can be normal - Answer: B. discuss
changes associated with adolescence
An adolescent presents with a complaint of chest pain. Which associated symptom MOST likely
indicates that the underlying problem is of a non-cardiac origin?
A. pain with palpation
B. nausea
C. palpitations
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
A pediatric nurse practitioner is considering leaving primary care for a position in a mental
health clinic
which includes screening and managing medications for patients of all ages. Before making such
a
change in employment it is MOST important to consult the
A. staff at the certification board.
B. staff at the malpractice insurance carrier.
C. professional organization's scope and standards of practice.
D. state board of nursing's rules and regulations. - Answer: D. state board of nursing's rules and
regulations.
The parents of a 2-year-old are concerned that their child is having temper tantrums in public
settings.
Which is the BEST response?
A. Modifying expectations when in a public place is acceptable to promote calming.
B. The temper tantrum is an indication that the child is tired and needs a nap.
C. Address any safety concerns while ignoring the child's display of behavior.
,D. Respond to the tantrum with firm expectations for public behavior. - Answer: C. Address any
safety concerns while ignoring the child's display of behavior.
Which of the following has been identified as a potential cause of bowel perforation if ingested?
A. jewelry beads
B. latex balloons
C. multiple magnets
D. marbles - Answer: C. multiple magnets
A 10 month old has had apparent abdominal pain for the past 4 hours. During episodes of pain,
the infant
screams inconsolably and draws his legs towards the abdomen, has vomited twice, but has had
no
diarrhea. Between episodes the infant is calm and quiet. The MOST likely diagnosis is:
A. appendicitis
B. acute gastroenteritis
C. intussusception
D. Meckel's diverticulum - Answer: C. intussusception
A 10-month-old male is irritable and has lower extremity weakness on physical exam. Which of
the
following infant characteristics would prompt screening for rickets?
A. African American ethnicity
B. living below 40 degrees latitude
C. recent relocation from Texas to Wisconsin
D. breastfed supplemented with 18 oz (532 mL) formula per day - Answer: A. African American
ethnicity
, In addition to use of the supine position, which of the following is a sudden infant death
syndrome risk
reduction strategy to teach parents?
A. use a humidifier in the room to avoid overheating
B. allow co-sleeping to monitor infant sleep position
C. give the infant a pacifier at bed and nap time
D. use a device to maintain supine sleep position - Answer: C. give the infant a pacifier at bed
and nap time
The MOST common symptom of hepatitis A in a 14 month old is:
A. ascites
B. dark urine
C. fever
D. jaundice - Answer: C. fever
Which of the following PRIMARY interventions assists in the prevention of adolescent
depression?
A. screen for co-morbid conditions
B. discuss changes associated with adolescence
C. recommend help from professionals rather than friends
D. reassure that short-term depression and mood swings can be normal - Answer: B. discuss
changes associated with adolescence
An adolescent presents with a complaint of chest pain. Which associated symptom MOST likely
indicates that the underlying problem is of a non-cardiac origin?
A. pain with palpation
B. nausea
C. palpitations
