H
FNP
PEDIATRIC
EXAMTEST
BANK;
COMPLETE
GUIDEA+
Q&A
,FNPPediatricExamTestBank;completeA+
Questions & Answers
The concept of health promotion consists of efforts to prevent rather than to cure di
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sease or disability. This description best describes:
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a. tertiary prevention H
b. secondary prevention H
c. primary prevention H
d. morbidity prevention - c H H H
Standards for well child care and health promotion are set forth by the:
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a. Task Force on Preventative Services, US Department of Health and Human
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Hservices
b. American Academy of Family Physicians H H H H
c. American Academy of pediatrics H H H
d. Healthy People 2010 and 2020 - c H H H H H H
A 15 yo female comes to the clinic for a health maintenance visit. The patient repo
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rts no complaints. She does well in school, has many friends, and gets along well w
H H H H H H H H H H H H H H H
ith her parents and two siblings. She has recently become sexually active with her
H H H H H H H H H H H H H H
boyfriend of 6mo. The physical exam is normal for her age. What screening, lab te
H H H H H H H H H H H H H H
sts, and/or immunizations should the PNP order?
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a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as
H H H H H H H H H
Hneeded
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as
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Hindicated
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
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d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and
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Hcholesterol screen if indicated. - a H H H H H
Which of the following is the best written chief complaint?
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a. 5yo asian female with itchy red rash
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b. 1 mo with difficulty feeding
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c. 15yo african american female complaining of lower abdominal pain for 3 days
H H H H H H H H H H H H
,d. 12yo caucasian with itchy eye for 1 week - c
H H H H H H H H H H
The past history should include
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a. family history H
b. social hx H
c. symptom analysis H
d. hospitalization - d H H
The family history should include:
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a. the health status of the paternal grandparents
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b. the living conditions of the family
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c. the work status of the parents
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d. school information - a H H H
Which of the following statements would be considered subjective data obtained fr
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om the client during the review of systems for the skin?
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a. the skin appears dry & excoriated
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b. a lesion is noted on the lateral aspect of the right leg
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c. there is moderate acne on the forehead and back
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d. the patient denies changes in skin texture - d
H H H H H H H H
The PNP is completing the ROS on a 4mo. What response from the mother might i
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ndicate a cardiac problem in the infant & require a more thorough history?
H H H H H H H H H H H H
a. the baby gets the hiccups often.
H H H H H
b. it takes the baby over 30min to complete a bottle
H H H H H H H H H
c. the baby's heart seems to beat rapidly sometimes
H H H H H H H
d. sometimes the baby sounds congested - b H H H H H H
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be import
H H H H H H H H H H H H H H H H
ant to include:
H H
a. the date of last breast self-exam.
H H H H H
b. any limitations related to sports participation.
H H H H H
c. the last hematocrit and hemoglobin
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d. the last lead screen - b
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, The mother of a 3yo states that her son was completely toilet trained at 18mo. The
H H H H H H H H H H H H H H H H
PNP explores further, asking:
H H H
a. how the mother did the toilet training
H H H H H H
b. if the child is dry at night and fully trained for urine and stool day and night
H H H H H H H H H H H H H H H H
c. at what age did the mother begin toilet training the other child.
H H H H H H H H H H H
d. if the child gets up at night to use the bathroom - b
H H H H H H H H H H H H
Jasmine, a 5-month- H H
old infant is in the clinic for a well child visit and is sleeping in her mother's arms.
H H H H H H H H H H H H H H H H H H
What should the PNP do first?
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a. Examine the ears, since this is uncomfortable for the infant.
H H H H H H H H H
b. Quickly give any needed immunizations.
H H H H
c. Begin with assessment of the head and proceed from head to toe.
H H H H H H H H H H H
d. auscultate the heart & lungs while the infant is sleeping. - d
H H H H H H H H H H H
The mother of a newborn brings the baby to the clinic because she is afraid someth
H H H H H H H H H H H H H H H
ing is wrong with her baby ("his head is so big"). The PNP responds that:
H H H H H H H H H H H H H H
a. "this is normal. The head of a newborn is proportionately large to the rest of the
H H H H H H H H H H H H H H H
Hbody"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be
H H H H H H H H H H H H H H
Hseen by a neurologist."
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d. "your head appears large so it is probably genetic." - a
H H H H H H H H H H H
A healthy 12yo female is at the clinic for a well checkup. On physical examination,
H H H H H H H H H H H H H H
Ha marked elevation of the right scapula and right thoracic hump and spinal curve a
H H H H H H H H H H H H H H
bnormally are noted. Spinal films indicate 20 degree curve. The PNP should:
H H H H H H H H H H H
a. refer the patient to an orthopedist
H H H H H
b. monitor the patient every 3 mo until menarche
H H H H H H H
c. refer the patient for physical therapy
H H H H H
d. recommend bedrest and back brace - a H H H H H H
What is the % of risk an autosomal dominant gene is being passed on to each offspr
H H H H H H H H H H H H H H H H
ing?
a. 25
b. 50
c. 100
FNP
PEDIATRIC
EXAMTEST
BANK;
COMPLETE
GUIDEA+
Q&A
,FNPPediatricExamTestBank;completeA+
Questions & Answers
The concept of health promotion consists of efforts to prevent rather than to cure di
H H H H H H H H H H H H H H
sease or disability. This description best describes:
H H H H H H
a. tertiary prevention H
b. secondary prevention H
c. primary prevention H
d. morbidity prevention - c H H H
Standards for well child care and health promotion are set forth by the:
H H H H H H H H H H H H
a. Task Force on Preventative Services, US Department of Health and Human
H H H H H H H H H H
Hservices
b. American Academy of Family Physicians H H H H
c. American Academy of pediatrics H H H
d. Healthy People 2010 and 2020 - c H H H H H H
A 15 yo female comes to the clinic for a health maintenance visit. The patient repo
H H H H H H H H H H H H H H H
rts no complaints. She does well in school, has many friends, and gets along well w
H H H H H H H H H H H H H H H
ith her parents and two siblings. She has recently become sexually active with her
H H H H H H H H H H H H H H
boyfriend of 6mo. The physical exam is normal for her age. What screening, lab te
H H H H H H H H H H H H H H
sts, and/or immunizations should the PNP order?
H H H H H H
a. Vision, hearing, urinalysis, STD screen, pelvic exam, and immunizations as
H H H H H H H H H
Hneeded
b. STD screen, pneumococcal vaccine, pelvic exam, and cholesterol screening as
H H H H H H H H H
Hindicated
c. vision, hearing, STD screen, pelvic exam, and hemoglobin if indicated.
H H H H H H H H H
d. Measles vaccine, vision, hearing, STD screen, pelvic exam exam, and
H H H H H H H H H
Hcholesterol screen if indicated. - a H H H H H
Which of the following is the best written chief complaint?
H H H H H H H H H
a. 5yo asian female with itchy red rash
H H H H H H
b. 1 mo with difficulty feeding
H H H H H
c. 15yo african american female complaining of lower abdominal pain for 3 days
H H H H H H H H H H H H
,d. 12yo caucasian with itchy eye for 1 week - c
H H H H H H H H H H
The past history should include
H H H H
a. family history H
b. social hx H
c. symptom analysis H
d. hospitalization - d H H
The family history should include:
H H H H
a. the health status of the paternal grandparents
H H H H H H
b. the living conditions of the family
H H H H H
c. the work status of the parents
H H H H H
d. school information - a H H H
Which of the following statements would be considered subjective data obtained fr
H H H H H H H H H H H
om the client during the review of systems for the skin?
H H H H H H H H H H
a. the skin appears dry & excoriated
H H H H H
b. a lesion is noted on the lateral aspect of the right leg
H H H H H H H H H H H
c. there is moderate acne on the forehead and back
H H H H H H H H
d. the patient denies changes in skin texture - d
H H H H H H H H
The PNP is completing the ROS on a 4mo. What response from the mother might i
H H H H H H H H H H H H H H H
ndicate a cardiac problem in the infant & require a more thorough history?
H H H H H H H H H H H H
a. the baby gets the hiccups often.
H H H H H
b. it takes the baby over 30min to complete a bottle
H H H H H H H H H
c. the baby's heart seems to beat rapidly sometimes
H H H H H H H
d. sometimes the baby sounds congested - b H H H H H H
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be import
H H H H H H H H H H H H H H H H
ant to include:
H H
a. the date of last breast self-exam.
H H H H H
b. any limitations related to sports participation.
H H H H H
c. the last hematocrit and hemoglobin
H H H H
d. the last lead screen - b
H H H H H
, The mother of a 3yo states that her son was completely toilet trained at 18mo. The
H H H H H H H H H H H H H H H H
PNP explores further, asking:
H H H
a. how the mother did the toilet training
H H H H H H
b. if the child is dry at night and fully trained for urine and stool day and night
H H H H H H H H H H H H H H H H
c. at what age did the mother begin toilet training the other child.
H H H H H H H H H H H
d. if the child gets up at night to use the bathroom - b
H H H H H H H H H H H H
Jasmine, a 5-month- H H
old infant is in the clinic for a well child visit and is sleeping in her mother's arms.
H H H H H H H H H H H H H H H H H H
What should the PNP do first?
H H H H H
a. Examine the ears, since this is uncomfortable for the infant.
H H H H H H H H H
b. Quickly give any needed immunizations.
H H H H
c. Begin with assessment of the head and proceed from head to toe.
H H H H H H H H H H H
d. auscultate the heart & lungs while the infant is sleeping. - d
H H H H H H H H H H H
The mother of a newborn brings the baby to the clinic because she is afraid someth
H H H H H H H H H H H H H H H
ing is wrong with her baby ("his head is so big"). The PNP responds that:
H H H H H H H H H H H H H H
a. "this is normal. The head of a newborn is proportionately large to the rest of the
H H H H H H H H H H H H H H H
Hbody"
b. "Yes, this does appear abnormal. I will make an appointment for the baby to be
H H H H H H H H H H H H H H
Hseen by a neurologist."
H H H
d. "your head appears large so it is probably genetic." - a
H H H H H H H H H H H
A healthy 12yo female is at the clinic for a well checkup. On physical examination,
H H H H H H H H H H H H H H
Ha marked elevation of the right scapula and right thoracic hump and spinal curve a
H H H H H H H H H H H H H H
bnormally are noted. Spinal films indicate 20 degree curve. The PNP should:
H H H H H H H H H H H
a. refer the patient to an orthopedist
H H H H H
b. monitor the patient every 3 mo until menarche
H H H H H H H
c. refer the patient for physical therapy
H H H H H
d. recommend bedrest and back brace - a H H H H H H
What is the % of risk an autosomal dominant gene is being passed on to each offspr
H H H H H H H H H H H H H H H H
ing?
a. 25
b. 50
c. 100
