equal to head circumference. - CORRECT ANSWER The chest circumference of a
12-month-old is:
routinely measured on well-child visits.
1-2 cm larger than head circumference.
smaller than head circumference.
equal to head circumference.-
this is a normal exam. - CORRECT ANSWER An otherwise healthy two-year-old
presents with a heart rate that varies with inspiration and expiration. Which
statement is true?
The child has ingested too much caffeine.
A cardiology referral is prudent.
This is a normal exam.
There is a need for an echocardiogram.
3 years - CORRECT ANSWER At what age should initial blood pressure screening
take place?
3 years
4-6 years
6 years
6-10 years
Diabetes - CORRECT ANSWER Many factors can contribute to the risk of congenital
heart disease. Which maternal disease carries a higher risk of transposition of the
,great vessels (TGA), ventricular septal defect (VSD), and hypertrophic
cardiomyopathy?
Hypothyroidism
Diabetes
Lupus
Hypertension
Treat the otitis media and give education about fever management - CORRECT
ANSWER A 2-year-old has a sudden onset of high fever while at daycare. The
daycare attendant describes a seizure in the child. The child is brought to the
clinic; neurologically he appears normal. His body temperature is 99.9° F after
receiving ibuprofen. He is diagnosed with otitis media. How should the nurse
practitioner manage this?
Assess the child and refer to the ER
Treat the otitis media and give education about fever management
Start the child on seizure precautions
Have him admitted to the hospital for observation
enlargement and elevation of breast and areola with no separation of their
contours. - CORRECT ANSWER According to the Tanner stages of development
(Sexual Maturity Rating), breast development in Stage 3 in females includes the:
elevation of the breast and nipple.
enlargement and elevation of breast and areola with no separation of their
contours.
,projection of areola and nipple to form a secondary mound above the level of the
breast.
projection of the nipple only.
viral etiology - CORRECT ANSWER A 6-year-old patient with sore throat has coryza,
hoarseness, and diarrhea. What is the likely etiology?
Group A Streptococcus
H. parainfluenza
Viral etiology
Mycoplasma
diabetics with hypertension - CORRECT ANSWER Pharmacologic treatment for
children who have hypertension should be initiated for:
those who are obese.
Stage 1 hypertension.
diabetics with hypertension.
asymptomatic Stage 1 or Stage 2 hypertension.
Galeazzi and Kilic
Barlow and Ortolani are exam techniques used to asses hip stability in newborns
and infants 2 months of age and younger - CORRECT ANSWER A 4-month-old is
suspected of having developmental dysplasia of the hip (DDH). What test would
best assess for this?
, Barlow and Ortolani
Galeazzi and Kilic
Trendelenburg pelvic tilt test
Romberg balance test
The NP should order a hip X-ray, CBC and ESR.
Differential diagnoses include Legg-Calves Perthes, transient synovitis of the hip,
slipped capital femoral epiphysis, septic hip - CORRECT ANSWER An 8-year-old has
a painful limp. He reports that his knee hurts medially. On exam he has pain with
internal rotation of the hip. How should the NP manage this situation?
He should be immediately referred to orthopedics.
The NP should order a hip X-ray, CBC and ESR.
The NP should order a hip and knee X-ray.
He should be referred for synovial fluid aspiration.
found on the inside of the cheek and are granular. - CORRECT ANSWER A 4-year-
old has been diagnosed with measles. The nurse practitioner identifies Koplik's
spots. These are:
spots on the skin that are pathognomonic for measles.
red rings found on the tongue that have a white granular area inside the ring.
found on the inside of the cheek and are granular.
blanchable areas on the trunk and extremities.
12-month-old is:
routinely measured on well-child visits.
1-2 cm larger than head circumference.
smaller than head circumference.
equal to head circumference.-
this is a normal exam. - CORRECT ANSWER An otherwise healthy two-year-old
presents with a heart rate that varies with inspiration and expiration. Which
statement is true?
The child has ingested too much caffeine.
A cardiology referral is prudent.
This is a normal exam.
There is a need for an echocardiogram.
3 years - CORRECT ANSWER At what age should initial blood pressure screening
take place?
3 years
4-6 years
6 years
6-10 years
Diabetes - CORRECT ANSWER Many factors can contribute to the risk of congenital
heart disease. Which maternal disease carries a higher risk of transposition of the
,great vessels (TGA), ventricular septal defect (VSD), and hypertrophic
cardiomyopathy?
Hypothyroidism
Diabetes
Lupus
Hypertension
Treat the otitis media and give education about fever management - CORRECT
ANSWER A 2-year-old has a sudden onset of high fever while at daycare. The
daycare attendant describes a seizure in the child. The child is brought to the
clinic; neurologically he appears normal. His body temperature is 99.9° F after
receiving ibuprofen. He is diagnosed with otitis media. How should the nurse
practitioner manage this?
Assess the child and refer to the ER
Treat the otitis media and give education about fever management
Start the child on seizure precautions
Have him admitted to the hospital for observation
enlargement and elevation of breast and areola with no separation of their
contours. - CORRECT ANSWER According to the Tanner stages of development
(Sexual Maturity Rating), breast development in Stage 3 in females includes the:
elevation of the breast and nipple.
enlargement and elevation of breast and areola with no separation of their
contours.
,projection of areola and nipple to form a secondary mound above the level of the
breast.
projection of the nipple only.
viral etiology - CORRECT ANSWER A 6-year-old patient with sore throat has coryza,
hoarseness, and diarrhea. What is the likely etiology?
Group A Streptococcus
H. parainfluenza
Viral etiology
Mycoplasma
diabetics with hypertension - CORRECT ANSWER Pharmacologic treatment for
children who have hypertension should be initiated for:
those who are obese.
Stage 1 hypertension.
diabetics with hypertension.
asymptomatic Stage 1 or Stage 2 hypertension.
Galeazzi and Kilic
Barlow and Ortolani are exam techniques used to asses hip stability in newborns
and infants 2 months of age and younger - CORRECT ANSWER A 4-month-old is
suspected of having developmental dysplasia of the hip (DDH). What test would
best assess for this?
, Barlow and Ortolani
Galeazzi and Kilic
Trendelenburg pelvic tilt test
Romberg balance test
The NP should order a hip X-ray, CBC and ESR.
Differential diagnoses include Legg-Calves Perthes, transient synovitis of the hip,
slipped capital femoral epiphysis, septic hip - CORRECT ANSWER An 8-year-old has
a painful limp. He reports that his knee hurts medially. On exam he has pain with
internal rotation of the hip. How should the NP manage this situation?
He should be immediately referred to orthopedics.
The NP should order a hip X-ray, CBC and ESR.
The NP should order a hip and knee X-ray.
He should be referred for synovial fluid aspiration.
found on the inside of the cheek and are granular. - CORRECT ANSWER A 4-year-
old has been diagnosed with measles. The nurse practitioner identifies Koplik's
spots. These are:
spots on the skin that are pathognomonic for measles.
red rings found on the tongue that have a white granular area inside the ring.
found on the inside of the cheek and are granular.
blanchable areas on the trunk and extremities.
