PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM TEST BANK
PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
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 - Correct Answer-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. - Correct Answer-d
The PNP is following a 15-year-old male adolescent with consistent blood pressure
readings of 132 to 138/84 to 86 mm Hg, which is classified as significant
hypertension. After performing a workup, the PNP determines that the adolescent
has primary hypertension. The most judicious recommendation for therapy is:
A) Diet and exercise counseling and referral to a specialist
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, PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM TEST BANK
B) A diuretic, low-salt diet, exercise, and counseling by a dietician
C) Perform an extensive family history to determine other risk factors
D) A vasodilator, restricted activity, and a low-fat diet - Correct Answer-a
The PNP is examining a neonate with a heart murmur. The S2 sound is loudest at
the apex. The respiratory rate is 65 breaths per minute, and the heart rate is 180
beats per minute. Which of the following would be an appropriate action by the
PNP?
A) Reevaluate the neonate in 24 hours
B) Increase the number of oral feedings
C) Order cardiac catheterization
D) Refer the neonate to a cardiologist - Correct Answer-d
A 2-week-old neonate is brought to the clinic with excessive lacrimation of both
eyes. The eyes are clear, with no areas of redness, but the corneas appear hazy.
The PNP explains to the parents the possible diagnosis and treatment as follows:
A) Congenital glaucoma requiring an ophthalmology referral
B) Corneal foreign body requiring fluorescein staining and removal
C) Chalazion requiring treatment with antibiotic eyedrops
D) Allergic conjunctivitis requiring treatment with Benadryl eyedrops - Correct
Answer-a
On examination of a 3-month-old infant the PNP is unable to elicit a red reflex in
the right eye. Previous examinations failed to note the presence or absence of a
red reflex. The PNP's response is to:
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, PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM TEST BANK
A) Reassure the parents that this is not a problem because the infant has dark
eyes
B) Note this finding in the infant's chart and check again in a few months
C) Refer the infant to an ophthalmologist to rule out retinal trauma
D) Immediately refer the infant to a pediatric ophthalmologist to rule out a
congenital cataract or retinoblastoma - Correct Answer-d
A 4-year-old child with chickenpox has vesicles on the skin of the right eyelid. The
child complains of eye pain and blurred vision. The PNP should treat the condition
by:
A) Applying cool compresses to the eye and lesions
B) Prescribing eyedrops containing steroids to decrease inflammation and pain
C) Prescribing polyspoium ophthalmic ointment for the secondary bacterial
infection
D) Immediately referring the child to an ophthalmologist - Correct Answer-d
An adolescent is being seen at a community health center because of recurrent
respiratory tract infections. The complete blood cell count (CBC) with differential
shows a white blood cell count of 20,500 with 35% blast cells. The next step in
managing the adolescent's care is to:
A) Repeat the CBC with differential in 1 week
B) Refer to a specialist in pediatric hematology
C) Perform bone marrow aspiration
D) Hospitalize the adolescent immediately - Correct Answer-b
3|Page
, PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM TEST BANK
A 9-month-old infant was diagnosed with sickle cell disease shortly after birth. The
mother telephones the PNP to report that the infant has a fever of 103.2°F. The
best response to the mother is:
A) "Take the infant to the emergency room immediately."
B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever
continues."
C) "Give extra fluids and acetaminophen, and call back tomorrow if the fever
continues."
D) "Give extra fluids and acetaminophen, and bring the infant to the clinic
tomorrow morning." - Correct Answer-a
A 5-year-old child has sudden onset of nonblanching purpuric lesions scattered
over the body and petechiae scattered over the neck and shoulders. The mother
reports that the child has been healthy, except for a cold a few weeks ago. The
child is not taking any medications. Physical examination reveals a healthy, afebrile
child with no other significant findings. The laboratory data show a hemoglobin
level of 12.5 g/dL, white blood cell count of 6500/mm3, and platelet count of
20,000/mm3. Based on this information, what should the PNP do next?
A) Reassure the parents that these findings are consistent with acute idiopathic
thrombocytopenia purpura (ITP), and advise a hematology consultation for
confirmation
B) Refer the child immediately to the pediatric hematology/oncology department
of the nearest tertiary care center
C) Report the family to the local protective services department as soon as
possible because of the - Correct Answer-a
4|Page
PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
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 - Correct Answer-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. - Correct Answer-d
The PNP is following a 15-year-old male adolescent with consistent blood pressure
readings of 132 to 138/84 to 86 mm Hg, which is classified as significant
hypertension. After performing a workup, the PNP determines that the adolescent
has primary hypertension. The most judicious recommendation for therapy is:
A) Diet and exercise counseling and referral to a specialist
1|Page
, PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM TEST BANK
B) A diuretic, low-salt diet, exercise, and counseling by a dietician
C) Perform an extensive family history to determine other risk factors
D) A vasodilator, restricted activity, and a low-fat diet - Correct Answer-a
The PNP is examining a neonate with a heart murmur. The S2 sound is loudest at
the apex. The respiratory rate is 65 breaths per minute, and the heart rate is 180
beats per minute. Which of the following would be an appropriate action by the
PNP?
A) Reevaluate the neonate in 24 hours
B) Increase the number of oral feedings
C) Order cardiac catheterization
D) Refer the neonate to a cardiologist - Correct Answer-d
A 2-week-old neonate is brought to the clinic with excessive lacrimation of both
eyes. The eyes are clear, with no areas of redness, but the corneas appear hazy.
The PNP explains to the parents the possible diagnosis and treatment as follows:
A) Congenital glaucoma requiring an ophthalmology referral
B) Corneal foreign body requiring fluorescein staining and removal
C) Chalazion requiring treatment with antibiotic eyedrops
D) Allergic conjunctivitis requiring treatment with Benadryl eyedrops - Correct
Answer-a
On examination of a 3-month-old infant the PNP is unable to elicit a red reflex in
the right eye. Previous examinations failed to note the presence or absence of a
red reflex. The PNP's response is to:
2|Page
, PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM TEST BANK
A) Reassure the parents that this is not a problem because the infant has dark
eyes
B) Note this finding in the infant's chart and check again in a few months
C) Refer the infant to an ophthalmologist to rule out retinal trauma
D) Immediately refer the infant to a pediatric ophthalmologist to rule out a
congenital cataract or retinoblastoma - Correct Answer-d
A 4-year-old child with chickenpox has vesicles on the skin of the right eyelid. The
child complains of eye pain and blurred vision. The PNP should treat the condition
by:
A) Applying cool compresses to the eye and lesions
B) Prescribing eyedrops containing steroids to decrease inflammation and pain
C) Prescribing polyspoium ophthalmic ointment for the secondary bacterial
infection
D) Immediately referring the child to an ophthalmologist - Correct Answer-d
An adolescent is being seen at a community health center because of recurrent
respiratory tract infections. The complete blood cell count (CBC) with differential
shows a white blood cell count of 20,500 with 35% blast cells. The next step in
managing the adolescent's care is to:
A) Repeat the CBC with differential in 1 week
B) Refer to a specialist in pediatric hematology
C) Perform bone marrow aspiration
D) Hospitalize the adolescent immediately - Correct Answer-b
3|Page
, PEDIATRIC NURSE PRACTITIONER EXAM NEWEST ACTUAL EXAM TEST BANK
A 9-month-old infant was diagnosed with sickle cell disease shortly after birth. The
mother telephones the PNP to report that the infant has a fever of 103.2°F. The
best response to the mother is:
A) "Take the infant to the emergency room immediately."
B) "Administer a dose of ibuprofen, and call back in 6 hours if the fever
continues."
C) "Give extra fluids and acetaminophen, and call back tomorrow if the fever
continues."
D) "Give extra fluids and acetaminophen, and bring the infant to the clinic
tomorrow morning." - Correct Answer-a
A 5-year-old child has sudden onset of nonblanching purpuric lesions scattered
over the body and petechiae scattered over the neck and shoulders. The mother
reports that the child has been healthy, except for a cold a few weeks ago. The
child is not taking any medications. Physical examination reveals a healthy, afebrile
child with no other significant findings. The laboratory data show a hemoglobin
level of 12.5 g/dL, white blood cell count of 6500/mm3, and platelet count of
20,000/mm3. Based on this information, what should the PNP do next?
A) Reassure the parents that these findings are consistent with acute idiopathic
thrombocytopenia purpura (ITP), and advise a hematology consultation for
confirmation
B) Refer the child immediately to the pediatric hematology/oncology department
of the nearest tertiary care center
C) Report the family to the local protective services department as soon as
possible because of the - Correct Answer-a
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