FNP Pediatric Exam Practice 1300

FNP Pediatric Exam Practice 1300 Questions and Verified Correct Answers Latest Update 2023-2024 Guaranteed A+ At First Attempt "boggy" nasal mucous membranes with serous drainage upon examination usually

suggests:

• sinusitis
• polyps
• URI

d. allergic rhinitis - CORRECT ANSWER: d

"incident to" billing is specific to:

• Medicare
• Medicaid
• Medicare & Medicaid

d. Private insurance companies - CORRECT ANSWER: a

• A 10mo old child has been diagnosed with gastroenteritis. He attends a child care

facility. What is the most likely cause of his illness?

• Clostridium difficile
• Rotavirus
• Salmonella

d. Cryptosporidium - CORRECT ANSWER: b

• A typical febrile seizure is most likely to be the problem of which of the following

children?

• A 1yo with otitis media & a fever of 104F
• A 3mo old with unequal pupils & bulging fontanels
• An 11yo with fever of 101F who is on valproic acid for seizure disorder

d. A 5yo with bacterial meningitis - CORRECT ANSWER: a

1. Baseline management of all neonates with ABO incompatibility includes:

• Phototherapy
• Serial monitoring of bilirubin & hemoglobin levels
• Exchange transfusion

d. Simple transfusion of packed RBCs - CORRECT ANSWER: b

1. Secondary hypothyroidism results from:

• Excess release of thyroid hormone beyond the newborn period
• Intrauterine exposure to thyrotoxic drugs
• Disease or disorder of the thyroid gland itself 1 / 4

• Disease or disorder of the hypothalamus or pituitary gland compromising thyroid

function - CORRECT ANSWER: d

• Septicemia in the newborn period is likely caused by which organism?
• Listeria monocytogenes
• Haemophilus influenza
• Neisseria meningitides

d. Streptococcus pneuomniae - CORRECT ANSWER: a

• Urinary tract infections (UTI) are the most common pediatric urinary tract problems

seen in primary care. Which of the following statements is not true regarding UTIs?

• Symptoms are often nonspecific, especially in infancy
• Urine culture is required for definitive diagnosis
• Trimethoprim-sulfamethoxazole is a drug of choice for most children
• Radiologic studies are rarely indicated with first infection - CORRECT ANSWER: d

• Which of the following disorders is usually associated with adduction of the forefoot?
• Internal femoral torsion
• Talipes equinovarus congenital
• Genu valgum

d. Internal tibial torsion - CORRECT ANSWER: b

• which of the following is a characteristic physical sign of fragile X syndrome in

adolescent males?

• Small posteriorly rotated ears
• Macroorchidism
• Hypertonia

d. Double hair whirl - CORRECT ANSWER: b

• Which of the following is true for idiopathic scoliosis, which occurs primarily in

adolescents?

• Mild curves occur equally between the sexes
• Generally there is no family history
• Back pain is usually associated with curves of 35 degrees or greater
• Bracing is indicated for thoracic curves of 10-25 degrees - CORRECT ANSWER: a

• A 2yr girl presents with symptoms of painful urination, frequency, & occasional

incontinence over the past week. When seen in your office, she has a temperature of 101.6F. Which of the following would be your approach in establishing a definitive diagnosis?

• Clean-catch midstream collection of specimen for urine analysis
• Clean-catch midstream collection of specimen for urine culture
• Straight catheterization collection of specimen for urine culture

d. Voiding cystourethrogram (VCUG) - CORRECT ANSWER: c

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• Congenital hypothyroidism has a higher incidence in which of the following

populations?

• African-americans
• Hispanic & native Americans
• Asian-americans

d. Euro-americans - CORRECT ANSWER: b

• In a healthy, 8mo old with diarrhea but not dehydration, what would be the most

appropriate device to give parents?

• Encourage ½ strength formula for 12hrs
• Give oral hydration solution (ORT) for 12hrs
• Give only fluids until stool turns to normal

d. Give bananas and cereal as tolerated - CORRECT ANSWER: d

• Signs & symptoms of bacterial sepsis in children beyond the neonatal period

include?

• Cough, fever, abdominal pain
• Vesicular rash, pruritus, fever
• Irritability, fever, lethargy

d. Abdominal pain, diarrhea, vomiting - CORRECT ANSWER: c

2. The most common rheumatoid disease of childhood is:

• Systemic lupus erythemtosus
• Kawasaki disease
• JRA

d. Legg-Calve-Perthes disease - CORRECT ANSWER: c

• Which of the following is not associated with Rh incompatibility?
• Mother Rh negative, baby Rh positive
• Mother Rh positive, baby Rh negative
• More severe in subsequent sensitized pregnancies

d. Hemolysis may occur up to 6 weeks or more - CORRECT ANSWER: b

• Which of the following physical stigmata are common in newborns with Down

syndrome?

• Microcephaly, large ears & mouth, flattened philtrum
• Hypotonia, large appearing tongue & small mouth, upward slant to eyes
• Fair mottled skin, large hands & feet, broad stocky neck
• Funnel or pigeon-breasted chest, Brushfield spots, extra digits - CORRECT

ANSWER: b

• Which of the following responses during a tonic-clonic seizure is most important to

teach family members of a child who has these seizures?

• Restrain the child
• Insert an airway into the mouth to prevent tongue biting
• Note the time, duration, & activity of the seizure 3 / 4

d. Protect child from injury - CORRECT ANSWER: d

• mo rachel cannot remain seated upright without support. At what age will she acquire

the seated position with support?

• 7mo
• 9mo
• 12mo

d. 14mo - CORRECT ANSWER: a

• a 2mo infant, with hx of sacral myelomeningocele repair, has an increase in head

circumference from the 75th to the 95th percentile. What is the most appropriate first action?

• Order a stat head CT scan
• Refer to neurosurgery for management
• Recheck it at the next well-child visit

d. Recheck & replot the child's head circumference - CORRECT ANSWER: d

• Clinical jaundice of the distal extremities would be noted at a bilirubin level of:
• <5mg/dl
• 5mg/dl
• 10mg/dl

d. >15mg/dl - CORRECT ANSWER: d

• Radiographic findings of disease progression and sphericity of femoral head is

helpful in the diagnosis and followup of:

• Transient synovitis of the hip
• Osgood-schlatter disease
• Legg-Calve-perthes disease

d. Slipped Capital Femoral epiphysis - CORRECT ANSWER: c

3. The most likely organism to cause UTI in the pediatric population is:

• Staphylococcus saprophyticus
• Klebsiella
• Chlamydia

d. E. coli - CORRECT ANSWER: d

• When evaluating a child with abdominal pain, what symptom would lead to a likely

organic etiology?

• Night waking
• Pallor
• Suprapubic pain

d. Sweating - CORRECT ANSWER: a

• Which of the following is an appropriate strategy to instruct the parents of an 18mo

old child who has just been diagnosed with a febrile seizure and who has a fever of 104F?

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