Pediatric Nurse Practitioner actual
Exam Practice Questions, Verified
1000+Questions and Correct Answers |
A+ Graded 2025
AF was diagnosed with pityriasis alba. Which of the following is proper
management of AF's condition?
a. bland moisturizers to reduce overdrying
b. topical steroids to the affected areas
c. expose affected areas to short periods of sunlight each day
d. Burow's wet compress to affected areas
a
Patient education is a major part in the PNP's role. What would you teach AF and
her parent regarding the progress and prognosis of pityriasis alba?
a. AF will continue to develop lesions for the rest of her life
b. AFs condition should fade appreciably in 3-4months
c. AF's condition is permanent and affected areas will not repigment
d. AF's condition will resolve completely, however, the affected areas can
become slightly reddened when exposed to sunlight
b
malignant melanoma is a form of much dreaded skin cancer. Which of the
following is not characteristic of this condition?
a. occurs in all ethnic groups but more commonly in light skinned individuals
b. severe sunburn or excessive exposure to sunlight before the age of 10yrs
predisposes developing melanoma later in childhood or in adult life
c. Spreads through the lymphatic system and invades other distant skin surfaces
and organs.
,d. spreads primarily by invading skin surfaces that surround the major lesion
d
Which of the following does not characterize the lesion of malignmant
melanoma?
a. irregular assymmetrical nodule with blurred borders
b. raised with distinct symmetrical borders
c. uneven coloring in which blue, black, brown, tan, and red may all be present in
the same lesion
d. bleeding, ulceration in later stages
b
In the management of a child with a neurogenic bladder resulting from
myelomeningocele, the most critical long-term goal is:
A) Controlling incontinence
B) Preventing kidney damage
C) Preparing the child for bladder augmentation
D) Preventing bladder spasms
b
Separation anxiety is a common developmental stage in which the child exhibits
fears and unusual behavior when a parent is absent. This behavior is most often
expected at:
A) Age 6 to 9 months
B) Age 9 to 12 months
C) Age 12 to 15 months
D) Age 15 to 18 months
a
,A 5-year-old child is at the clinic for a routine well-child visit before beginning
kindergarten. The mother reports the child's list of chores as follows: clean own
room, make own bed, wash and dry own clothing, take out the trash, and help
wash the dishes. If the chores are not completed, the child is grounded from
other activities, such as playing with friends or watching television. The mother
states that the child frequently must be grounded. How should the PNP respond?
A) Tell the mother to make a chart so the child can remember to do the chores
and record their completion and to continue grounding the child from activities
when necessary
B) Suggest use of natural consequences (e.g., having no clean clothes to wear if
the laundry does not get done) as an additional way to discipline
C) Perform a complete physical assessment of the child, as well as a parenting
assessment
D) Tell the mother she is expecting too much from the child and should reduce
the number of chores
c
One of a young child's greatest fears is:
A) Separation from parents or caregivers
B) Not getting enough food
C) Not being accepted by peers
D) Having limits set by caregivers
a
A 4-year-old child is examined in the clinic. The parents report that the child
has limited language skills and does not speak in three-word sentences. The PNP
is interested in further assessing the child and chooses the following:
A) Denver Articulating Screening Examination (DASE)
B) Denver II
C) Clinical Adaptive Test/Clinical Linguistics Auditory Milestone Scale
(CAT/CLAMS)
D) Vineland Social Maturity
, a
A 4-year-old child is brought to the office for a preschool physical examination.
The PNP asks the child to sit on the floor in a cross-legged position and then get
up without using the hands. The child is unable to do so and rolls onto all four
extremities before standing. The PNP is concerned that the child may have a:
A) Neuromuscular disorder
B) Developmental problem
C) Cognitive deficit
D) Neurologic deficit
a
A 6-month-old infant is brought to the clinic for a well-child visit. On physical
examination, increased tone and lower leg scissoring are noted. The PNP
recognizes this as a probable sign of:
A) Muscular dystrophy
B) Down's syndrome
C) Cerebral palsy
D) Fragile X syndrome
c
A 16-year-old female adolescent with Down's syndrome, who is healthy and has
had no major medical problems, comes to the clinic for a well-child visit. The
adolescent has been "mainstreamed" into a regular classroom and is doing well.
The physical examination reveals Tanner stage III breast development and pubic
hair. Today the PNP should:
A) Provide nutritional counseling, order cervical spine x-ray films, and refer the
adolescent to a family support group
B) Perform hearing and vision screens, and refer the adolescent to a long-term
planning counselor
Exam Practice Questions, Verified
1000+Questions and Correct Answers |
A+ Graded 2025
AF was diagnosed with pityriasis alba. Which of the following is proper
management of AF's condition?
a. bland moisturizers to reduce overdrying
b. topical steroids to the affected areas
c. expose affected areas to short periods of sunlight each day
d. Burow's wet compress to affected areas
a
Patient education is a major part in the PNP's role. What would you teach AF and
her parent regarding the progress and prognosis of pityriasis alba?
a. AF will continue to develop lesions for the rest of her life
b. AFs condition should fade appreciably in 3-4months
c. AF's condition is permanent and affected areas will not repigment
d. AF's condition will resolve completely, however, the affected areas can
become slightly reddened when exposed to sunlight
b
malignant melanoma is a form of much dreaded skin cancer. Which of the
following is not characteristic of this condition?
a. occurs in all ethnic groups but more commonly in light skinned individuals
b. severe sunburn or excessive exposure to sunlight before the age of 10yrs
predisposes developing melanoma later in childhood or in adult life
c. Spreads through the lymphatic system and invades other distant skin surfaces
and organs.
,d. spreads primarily by invading skin surfaces that surround the major lesion
d
Which of the following does not characterize the lesion of malignmant
melanoma?
a. irregular assymmetrical nodule with blurred borders
b. raised with distinct symmetrical borders
c. uneven coloring in which blue, black, brown, tan, and red may all be present in
the same lesion
d. bleeding, ulceration in later stages
b
In the management of a child with a neurogenic bladder resulting from
myelomeningocele, the most critical long-term goal is:
A) Controlling incontinence
B) Preventing kidney damage
C) Preparing the child for bladder augmentation
D) Preventing bladder spasms
b
Separation anxiety is a common developmental stage in which the child exhibits
fears and unusual behavior when a parent is absent. This behavior is most often
expected at:
A) Age 6 to 9 months
B) Age 9 to 12 months
C) Age 12 to 15 months
D) Age 15 to 18 months
a
,A 5-year-old child is at the clinic for a routine well-child visit before beginning
kindergarten. The mother reports the child's list of chores as follows: clean own
room, make own bed, wash and dry own clothing, take out the trash, and help
wash the dishes. If the chores are not completed, the child is grounded from
other activities, such as playing with friends or watching television. The mother
states that the child frequently must be grounded. How should the PNP respond?
A) Tell the mother to make a chart so the child can remember to do the chores
and record their completion and to continue grounding the child from activities
when necessary
B) Suggest use of natural consequences (e.g., having no clean clothes to wear if
the laundry does not get done) as an additional way to discipline
C) Perform a complete physical assessment of the child, as well as a parenting
assessment
D) Tell the mother she is expecting too much from the child and should reduce
the number of chores
c
One of a young child's greatest fears is:
A) Separation from parents or caregivers
B) Not getting enough food
C) Not being accepted by peers
D) Having limits set by caregivers
a
A 4-year-old child is examined in the clinic. The parents report that the child
has limited language skills and does not speak in three-word sentences. The PNP
is interested in further assessing the child and chooses the following:
A) Denver Articulating Screening Examination (DASE)
B) Denver II
C) Clinical Adaptive Test/Clinical Linguistics Auditory Milestone Scale
(CAT/CLAMS)
D) Vineland Social Maturity
, a
A 4-year-old child is brought to the office for a preschool physical examination.
The PNP asks the child to sit on the floor in a cross-legged position and then get
up without using the hands. The child is unable to do so and rolls onto all four
extremities before standing. The PNP is concerned that the child may have a:
A) Neuromuscular disorder
B) Developmental problem
C) Cognitive deficit
D) Neurologic deficit
a
A 6-month-old infant is brought to the clinic for a well-child visit. On physical
examination, increased tone and lower leg scissoring are noted. The PNP
recognizes this as a probable sign of:
A) Muscular dystrophy
B) Down's syndrome
C) Cerebral palsy
D) Fragile X syndrome
c
A 16-year-old female adolescent with Down's syndrome, who is healthy and has
had no major medical problems, comes to the clinic for a well-child visit. The
adolescent has been "mainstreamed" into a regular classroom and is doing well.
The physical examination reveals Tanner stage III breast development and pubic
hair. Today the PNP should:
A) Provide nutritional counseling, order cervical spine x-ray films, and refer the
adolescent to a family support group
B) Perform hearing and vision screens, and refer the adolescent to a long-term
planning counselor
