Pediatric Nurse Practitioner Practice Exam

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At a 12-year-old's annual checkup, which pubertal change will begin next?
A 4-week-old neonate with greasy stools and poor weight gain most likely has which condition?
The term "incident to" refers to:
In a breastfed newborn, which combination of stools and wet diapers suggests adequate intake?
Separation anxiety is a common developmental stage and is most often expected at which age?
Which of the following physical stigmata is common in newborns with Down syndrome?
Which of the following likely indicates paraphimosis in a boy with a retractile foreskin?
Which test is used to evaluate vesicoureteral reflux after a suspected urinary tract infection in a child?
Adolescents who receive teaching about condoms should also have information about which of the following lubricants or spermicides?
In a febrile child, when is antipyretic treatment commonly considered?
An 8-year-old child with an eye injury shows a vertical linear abrasion after a foreign body. The fluorescein test is positive, pupils are equal and reactive, and no foreign body is visible. An appropriate plan of care would include:
Which of the following is not characteristic of Jale's condition (contact dermatitis)?
For a 2-year-old with suspected hearing deficit, which assessment is most appropriate to evaluate hearing?
In epiglottitis, patients typically prefer which position to ease breathing?
A 5-year-old child is brought to the clinic for a 'bad cold.' On physical examination a grade II/VI sharp, systolic murmur that had not previously been documented is noted. The radial and femoral pulses are 2+ and equal. The heart rhythm and tempo do not change with position, and the remainder of the examination is normal. An appropriate plan of care should include:
During a well-visit for a 16-year-old with Down syndrome, which screenings and education are appropriate?
Deon is a 4yo male with a history of atopic dermatitis and recurrent pneumonias. He presents with a persistent nighttime cough. His most likely diagnosis is:
Which symptom is not typical of ADHD?
Paul has four superficial lesions on the abdomen that are scaly with erythematous borders. What condition do you suspect?
The mother is concerned that her 3-year-old child has begun stuttering over the past 4 to 6 weeks. The PNP should:
The most common cause of chest pain in children and adolescents is
Most stage-based theories of development focus primarily:
If a 6-month-old exclusively breastfed infant's solid foods are delayed until 12 months, which nutrient is most likely deficient?
In which situation should treatment of a healthy child who is an asymptomatic carrier of Giardia lamblia be considered?
Which statement describes the goal of physical therapy after an ankle sprain?
In a 4-month-old with atopic dermatitis, which is an important consideration in management?
Adolescent with signs of hyperthyroidism; which lab pattern is expected in hyperthyroidism?
Which program includes the Maternal and Child Health Services Block Grant as part of Title V amendments in 1981 and 1986?
For a foreign-born child recently immigrated to the United States, when is PPD testing recommended?
An adolescent who has tall stature, increased arm span, arachnodactyly, laxity of joints, pectus excavatum, and abnormal echocardiogram would be suspected of having:
For this condition, the pediatric nurse practitioner prescribes:
A 16-year-old adolescent has evidence of weight loss. The PNP notes on the chart documentation of frequent loose stools for 2 weeks. The differential diagnosis includes hyperthyroidism. What additional clinical finding would suggest this diagnosis?
What is an appropriate recommendation for a 3-month-old with hard stools?
Anticipatory guidance for a parent of a child with a venous lead level of 15 mcg/dL should include which action?
In most cases the PNP is covered by employee professional liability for which scenario?
A 12-month-old with an eye that drifts nasally has a complication that may develop if not treated; which is most likely?
In an allergic reaction after a party, which question would be most appropriate to identify a possible cause?
In suspected craniosynostosis, which finding would most strongly support the diagnosis?
By what age does the anterior fontanel typically close?
A mildly ill 4-year-old presents with exudative pharyngitis and erythematous nonblanching lesions on the legs. Rapid strep test is positive. What is the most likely diagnosis?
The leading cause of death for children 1-18 years of age in the United States is:
One of a toddler's greatest fears is:
Which statement is not true about type 1 diabetes?
The mother has been identified as a carrier of the hemophilia gene. What chance does each female offspring have of having hemophilia?
According to Erikson, the major psychosocial task of adolescence is the achievement of:
The most important diagnostic measure for identifying tuberous sclerosis is:
Adam’s forward bend test is used to screen for scoliosis by observing which of the following findings during forward bending?
When discussing laser therapy for a capillary vascular malformation, which statement is most accurate about treatment?
Which organism is often associated with congenital infections presenting with snuffles and hepatosplenomegaly?
If a neonate presents with craniotabes, the recommended parental reassurance is that this finding is
A mother reports a rebellious two-year-old; the child repeatedly takes items from the mother's purse despite 'no.' The PNP's most appropriate suggestion is
A 9-month-old infant with diarrhea shows dehydration estimated at about what percent?
For a febrile seizure in a 20-month-old, what is the first essential step in evaluation?
Standards of practice may be used to:
The steeple sign on a neck radiograph is associated with subglottic narrowing in which pediatric condition?
Endocardial cushion defect is the same as which term?
When introducing solid foods to an infant’s diet, which food is typically introduced last?
For licensed day care centers, which infant-to-adult ratio is appropriate when caring for infants?
Which treatment option is most appropriate for pediculosis capitis in a school-age child?
A 5.5-year-old child who has fallen off the growth curve—another valid intervention is to:
Which insulin type is considered short-acting?
Which value defines an elevated blood lead level in pediatrics in many guidelines?
In a 4-month-old with hypotonia and motor delay since birth, which finding most strongly suggests lower motor neuron involvement?
Postpartum counseling for a mother who is HIV-positive should include which item?
The PNP is testing a 10-month-old for ocular alignment with the corneal light reflex test. The test is used to screen for which condition?
Which environmental management step is recommended in scabies treatment?
Seborrheic dermatitis affects which age groups?
Nurse practitioners can best assist teens in reducing health-risk behaviors by which approach during regular health visits?
Fluorescein screening of the eye is used to detect a:
Which symptom would prompt consideration of Ascaris lumbricoides (roundworm) infection?
If a child with atopic dermatitis develops a secondary bacterial infection at several lesions, what is the best management for the infection?
A pediatric nurse practitioner evaluating an established patient for fever documents history and a review of systems across three organ systems, with a final diagnosis of fever with lower respiratory tract infection. Which level of E/M service is most appropriate?
Anticipatory guidance for a child newly diagnosed with hypothyroidism should include which of the following?
The MOST important rationale for using combined oral contraceptives in an adolescent with primary dysmenorrhea includes that hormones do what?
If Trina delivers her baby, which is not a focus of care in the first weeks after delivery?
A 12-year-old girl presents with enlarged breasts and areolas and curly, dark, coarse pubic hair. Using Tanner staging, this child is classified as which stage?
The Pediatric Nurse Practitioner encounters a 6-month-old with suspected craniosynostosis showing prominent ridges over the occipital and coronal sutures. The appropriate action is to:
A 4-year-old is unable to sit cross-legged and rise without using the hands; the pediatric nurse practitioner is concerned that the child may have a:
Which finding is most specific to purging behaviors in eating disorders?
Diagnostic studies included in routine screening of a child with developmental delays of unknown etiology include which of the following?
If thumb-sucking continues beyond age 3, which statement best describes the importance of intervention?
At what age is the pincer grasp typically mastered?
A 5-year-old presents with a painful left eye after a sibling scratch; fluorescein exam shows a small central corneal abrasion. What is the most appropriate management during the first 24 hours?
Abdominal pain and vomiting in a child with diabetes may indicate the onset of which condition?
A child presents with 10 macular tan lesions of varying sizes and you suspect cafe au lait spots. What kind of lesion is this?
In implementing evidence-based practice, which is the initial step?
For a recently adopted infant from Eastern Europe with unknown family history, which initial screening tests should be included?
In mild hypospadias, which is part of management?
The purpose of administering acidophilus while taking antibiotics is to
Good communication between families, schools, and primary care providers is an example of which ecological concept?
In the case of a 13-year-old with difficulty walking and a cold 2 weeks ago, what is the most appropriate initial action?
A 23-month-old child's immunization history shows 9 months: DTaP, HIB, HepB, IPV, PCV7; 13 months: DTaP, HIB, HepB, IPV, PCV7, MMR, Var. The most appropriate recommendation is to now administer which combination of vaccines?
Which statement about epinephrine auto-injector use in pediatric patients is correct?
Which of the following is an appropriate goal for a child being treated for osteomyelitis?
Which adolescent profile is most strongly associated with higher likelihood of illicit drug use?
Which early Lyme disease skin manifestation is most characteristic?
Which statement about newborn screening is described as most accurate in the material?
What is an appropriate strategy to instruct the parents of an 18-month-old child who has just been diagnosed with a febrile seizure and who has a fever of 104F?
An 8-year-old with precocious puberty has abdominal cramps and increased vaginal discharge while on hormone therapy and has missed 6 months of treatment. Which intervention is most appropriate to address the abdominal pain?
Which description best captures the ADHD symptom pattern in a school-age child?
A 5-year-old child is due for immunizations; the record suggests uncertain varicella status. What is the most appropriate action?
A 14-year-old presents with chest pain. Among the differential diagnoses, which is the most common cause of cardiac pain in children and adolescents?
Varicella zoster infection is most commonly associated with which skin lesion?
An integrated delivery system:
Which acne medication requires strict pregnancy prevention counseling due to teratogenicity?
Decreased platelets may not be found in which condition?
Developmental milestones for a 5-month-old typically include which of the following?
Which finding is considered an ophthalmic emergency in a neonate?
Which clinical scenario requires the use of an inactivated vaccine rather than a live vaccine?
A pearly white plaque on the tympanic membrane—prior infection—most likely indicates which condition?
Which of the following statements would be considered subjective data obtained from the client during the review of systems for the skin?
Which urine finding would most strongly prompt evaluation for glomerular disease?
What is the most common pediatric urinary tract problem seen in primary care?
The most typical chest radiographic finding consistent with the diagnosis of asthma is:
Asplenia commonly predisposes to infection with which type of organism?
In an adolescent with signs of major depressive disorder but no safety concerns, which is the most appropriate initial management?
Standards for well child care and health promotion are set forth by the:
Cafe au lait spots have which characteristic?
A 13-year-old adolescent complains of difficulty walking and arms feeling weak. The adolescent had a cold 2 weeks ago. On examination, deep tendon reflexes cannot be elicited. The PNP knows the most appropriate course of action is to:
Which statement best describes siblings' experience when a child is seriously ill or injured?
A grade II musical or vibratory murmur heard best at the left sternal border that changes with positioning is suggestive of a:
Which scenario represents an example of child ASSENT in health care research?
Which statement is true about enuresis management, reflecting the priority described in the material?
Which statement about pediatric asthma management goals is accurate?
A term newborn with birth weight below the 10th percentile but length at the 50th percentile most likely represents which type of IUGR?
Which statement best describes licensure?
A 15-year-old with jaundice and nausea raises concern for a pregnancy-related condition. Which diagnosis is most likely?
A 15-day-old infant with respiratory distress, mild cyanosis, hepatosplenomegaly, and features consistent with Down syndrome. Which congenital heart defect is most likely?
Which item is not among the National Institutes of Health diagnostic criteria for NF1?
Which Eriksonian concept is described as the foundational trust important for later self-confidence?
The most common form of reimbursement for services provided by PNPs is
Which statement is true about the risk of cervical injury from induced abortion as discussed?
Which adolescent would be at greatest risk for developing anorexia nervosa?
Which nutrition counseling point is appropriate for a 13-month-old with continued use of milk and juice?
A 5‑year‑old shows a desire to choose clothing. Which parent statement best promotes self-esteem?
What is the most common condition seen with sudden exercise-associated cardiac death in young athletes?
A newborn delivered at 3 weeks premature has a macular erythematous lacy appearance on undressing; which condition is most likely?
RSV infection in infants and young children commonly presents with which combination?
Which of the following statements about dysmenorrhea is not true?
A newly delivered mother wants to breastfeed but admits to using marijuana occasionally. She reports last using marijuana over 6 weeks ago. Her drug toxicology screen is positive for marijuana. What would the PNP advise regarding breastfeeding?
Which age range best describes when the Moro reflex typically disappears?
Diagnostic findings consistent with beta-thalassemia are:
A 7-year-old who fell and had a negative initial wrist X-ray is treated with a sling. Ten days later, pain persists with point tenderness. What is the NEXT step?
Which characteristic is most concerning in a school-age patient with a cardiac murmur?
The incidence of cryptorchidism at one year of age is about 1%. The best explanation for this is:
Which statement about Chlamydia infection is most accurate?
Endocardial cushion defect is a synonym for which congenital heart defect?
At a 5-month-old well-child visit, today the infant should receive which immunizations?
For an 8-month-old with diarrhea but no dehydration, which statement best reflects appropriate management for parents?
A criterion for Kawasaki disease includes fever for at least 5 days plus which extremity finding?
An 10-month-old infant presents with a circumscribed, dry, pruritic rash on the cheeks and flexor surfaces of the arms. What treatment should be prescribed?
Which assessment tool is appropriate for screening articulation in a 4-year-old with language delay?
A 6-year-old with attention difficulties and disruptive behavior: what is the most appropriate initial action in evaluation for ADHD?
In bronchiolitis from RSV in infants, which finding is most characteristic?
In a 9-month-old with sensorineural hearing loss, which diagnostic test offers the highest cost-benefit ratio to determine etiology?
Most healthy infants are able to reach, grasp, & hold onto a rattle or other small toy by about:
Which statement best describes a simple partial seizure?
Scoliosis management: which finding would require surgical intervention?
A 7-year-old who was playing outside in a grassy, wooded area presents with two small red puncture marks surrounded by blanching and an erythematous border on the leg. Which insect bite is most likely?
A 3-year-old begins waking at night frightened with nightmares. What is the best approach?
Which management measure would you not prescribe to treat diaper dermatitis?
Inflammatory bowel disease in pediatric patients most likely presents in which age group?
A 16-year-old female adolescent with Down's syndrome, healthy and mainstreamed, who has Tanner stage III breast development and pubic hair, today the PNP should:
Which statement is not characteristic of constitutional growth delay?
In pediatric obesity, which factor best predicts progression to adult obesity?
A 15-year-old adolescent routine examination shows no varicella history. The immunization plan includes prior DTP and OPV. Which should be administered today?
In avoidant attachment, which underlying emotion is most associated?
What is the probability of having a child with cystic fibrosis if the mother carries the △F508 gene and the father does not?
Which term describes services provided by a nurse practitioner under physician supervision billed to the physician's name?
Neurofibromatosis can be used as an example of influencing factors in Mendelian inheritance patterns except for which?
Which of the following is not likely to cause secondary hypercholesterolemia?
Which statement is supported by the material regarding puberty timing in girls?
The most effective method to prevent childhood gun injuries is:
A 6-year-old child with suspected corneal abrasion: which diagnostic test is used?
Which immunizations should be given at a 4-year-old preschool physical if DTaP, IPV, and MMR are due?
In the context of parental separation, a preschool child may believe the divorce has occurred due to which of the following?
Managed care is a term that describes:
The cover test reveals which condition when the left eye is covered and the right eye moves outward to fix on a near object?
Which presentation most strongly suggests diabetes insipidus in an infant?
A newborn presents with a large VSD, rocker bottom feet, overlapping second & third fingers, & fourth & fifth fingers with hypotonia. What is the most likely diagnosis?
A white reflex instead of a red reflex upon eye examination of a 1-year-old would suggest which condition?
In Marfan syndrome, which skeletal feature is commonly observed?
Which substance is associated with pupillary constriction?
Two irregular blue-gray discolorations over the sacral area of a 4-week-old infant are most likely due to which etiology?
In adolescent confidentiality discussions, which statement is correct for an adolescent who is 18 years old or older or under the state age of majority?
In adolescent confidentiality discussions, which statement is correct for an adolescent who is 18 years old or older or under the state age of majority?
Which finding on physical examination is most consistent with meningitis in a neonate being evaluated for infection?
Which option best reflects the key contagious period of mumps as described in the case material?
An 11-year-old boy is diagnosed with constitutional growth delay. Which management is most appropriate?
Before filing such report for potential neglect in a 3-year-old with severe asthma when a parent continues to smoke around the child, what is the most important preliminary step?
Which food would be appropriate for a child with celiac disease?
For a child with mild intermittent asthma, which item is NOT a routine part of management?
A 3-month-old who cannot remain seated upright without support will most likely achieve a seated position with support by which age?
A 16‑year‑old with long QT syndrome after syncope should be managed by which measure?
Which statement about spacer use with a metered‑dose inhaler in children is accurate?
Which immunization combination should be given in one visit to a 5-year-old who has never had vaccines?
In a febrile toddler with bilateral otitis media who experiences a brief seizure-like event, the initial management should prioritize treating which condition?
A 12-year-old girl asks about getting much taller. In examining puberty timing, which statement is consistent with the typical pattern in girls?
Which presentation is consistent with neonatal disseminated herpes disease?
Inheritance of tuberous sclerosis is by:
Which vaccine is contraindicated in an immunocompromised pediatric patient?
Classic malaria symptoms include which of the following?
Which antibiotic is commonly used as the drug of choice for urinary tract infections in most children?
In pediatric primary care, what is the most common form of child abuse seen?
Which suggestion should the PNP make to reduce medical errors in the clinical area, according to a health care quality report?
Which screening test requires a 12-hour fast before testing?
An example of a pleiotropic genetic disorder is:
A 3-month-old has a mild asymmetrical corneal light reflex on physical exam. What is the next appropriate step?
A 10-year-old child presents with non-genital warts on the hand. Which management is most appropriate for the primary care nurse practitioner?
Retropharyngeal abscess is typically seen in which age group, and treatment mainstay includes:
Which component of identity develops first?
An 18-month-old child has irritability, nightmares, and fatigue for several nights. Grandmother gave OTC medication for rhinorrhea. The child is afebrile with clear rhinorrhea. Which action should the PNP take?
Legg-Calve-Perthes disease most commonly presents with which symptom?
The past history should include
During a track meet, a 14-year-old pole vaulter experiences sudden severe testicular pain and vomiting. The most likely diagnosis is?
In education for parents whose child has sickle cell disease, which factor is most commonly associated with triggering pain crises?
Which professional team is typically involved in the initial evaluation for an IEP?
Which of the following is a potential childhood risk factor for development of adult cardiovascular disease?
A 14-month-old child with no vaccine reactions is brought to the clinic. Which immunization combination should be given today?
In pediatric OCD, which feature is essential for diagnosis?
For a child presenting with suspected acute idiopathic thrombocytopenia purpura (ITP) and a platelet count around 20,000/mm3, what is the most appropriate initial management?
A 2.5-year-old with fever who remains well hydrated and playful: which approach is appropriate?
Public Laws 94-142 and 101-476 mandate that a child with disabilities is entitled to:
Children in child-care facilities are at greater risk of being exposed to which infection?
The BEST option for a 2-year-old with public temper tantrums is to:
If an 8-month-old shows stranger anxiety, what is the typical clinical guidance?
Which vaccine is not listed as part of the 2-month immunizations described in the case?
For a child with four episodes of acute otitis media in the past five months, what management is currently advised?
Nephrogenic diabetes insipidus is caused by:
A 2-week-old presents with mucopurulent eye discharge with conjunctival injection and edema. The mother had no prenatal care. What is the most likely organism?
Which feature is characteristic of rubella infection?
Which statement about meningococcal disease risk for college freshmen living in dorms is true?
For a child with a history of egg allergy, which statement about MMR and Varicella vaccines is true?
A 9-month-old presents with irritability and developmental concerns; an exam reveals a cherry-red spot on the retina. Which disease is most consistent?
Which statement is true about innocent murmurs in children during evaluation?
Which is proper management for pityriasis alba?
A 13-year-old asks when she will start menstruating. The best response is:
Which injury-prevention topic would a pediatric nurse practitioner emphasize when addressing a group of children?
A 2-year-old child is evaluated for language development. Which finding would indicate a language delay?
A 2-year-old child is brought to the clinic with wheezing after a cookout episode; the clinician suspects which diagnosis?
Which treatment would you not recommend for molluscum contagiosum?
Which laboratory finding would support a diagnosis of pertussis in an adolescent?
Erythema toxicum neonatorum most commonly appears during which period of life?
The inheritance pattern described by several generations in a family with von Willebrand disease is best called what?
Duchenne muscular dystrophy is characterized by which of the following s/s?
At a 15-month well visit, which vaccination combination is most appropriate to administer?
Which symptom is commonly experienced in pityriasis rosea?
Prior to splenectomy, which preventive measure is recommended to reduce infection risk?
Which statement about the use of combined oral contraceptives in adolescents with dysmenorrhea reflects the most important rationale?
Which of the following is not associated with Rh incompatibility?
In the nursery, the cremasteric reflex is absent and the right testicle cannot be palpated in the scrotum. The PNP should:
Which of the following is not a characteristic sign of fragile X syndrome in adolescent males?
A common presenting symptom of new-onset type 1 diabetes in children is:
The incidence of epiglottitis has decreased because of which vaccine?
You are evaluating a 3-year-old who acutely sustained a burn involving 5% of body surface, with injury limited to the epidermis and upper part of the dermis. How would you rate this burn?
A macrobiotic diet can best be described as which of the following?
Spasticity in an infant may be an early sign of which condition?
In routine workup for developmental delays, which test is included?
Which finding is most suggestive of the likely diagnosis in this patient?
Which concept is described by stage-based theories as shaping development through environmental influences?
Which of the following is a major contributor to asthma morbidity and mortality?
A pediatric nurse practitioner suspects autism spectrum disorder in a 2-year-old. What is the best immediate course of action?
When evaluating a preschooler with bifid uvula and palatal contour abnormalities, which assessment is most appropriate to assess potential speech issues?
Recommendations regarding the current management of croup with increased work of breathing include the use of:
Which presenting symptom might alert the PNP to the presence of a possible genetic disorder?
Which finding would most strongly support a diagnosis of precocious puberty in an 8-year-old boy?
A 12-year-old has a four-week history of a paroxysmal cough with occasional post-tussive emesis. The MOST LIKELY causative organism is?
A 4-year-old child with a bifid uvula and an abnormal contour on the back of the hard palate should have which assessment performed?
What is the primary purpose of bone age assessment in pediatric endocrinology?
Precocious puberty is defined as development of secondary sexual characteristics in boys before age 9 years and menses in girls before age 9.5 years. Which pair of ages corresponds to this definition?
A 17-year-old adolescent reports taking 1200 mg of ibuprofen every 4–6 hours for the first 3 days of menses. What is the best counseling point?
Chest pain in young children is usually?
Which vaccine was documented at birth in the case presentation?
A child with chickenpox and a fever of 102 F should receive which medication for fever?
In assessing a 6-year-old with lifelong fruit allergies, which history question should be asked FIRST?
In evaluating a healthy toddler with asymptomatic microcytic anemia, which laboratory test is most diagnostic?
At 1 month, an infant with a mother who is hepatitis B surface antigen (HBsAg) positive has received both Hep B vaccine and HBIG at birth. At this visit, the PNP should:
In a well-appearing infant with acute diarrhea, the recommended initial management is
Appropriate interventions for a 3-month-old infant diagnosed with sickle cell anemia include which of the following?
Medical professionals are legally required to report abuse when:
During a health maintenance visit for a 15-year-old female who is sexually active, which screenings, labs, and immunizations are indicated?
Which set of findings best matches the diagnostic criteria for autistic disorders?
A 3-year-old adopted child with suspected fetal alcohol effects (FAE). Which physical finding would most strongly suggest FAE?
The first nurse practitioner program was designed to:
Which of the following is not considered best prevention education for malignant melanoma?
A neonate screen shows low T4 and elevated TSH. The recommended course of action is to:
Providing reassurance of 'normalcy' during the course of an exam would be most important for which age group?
A preschool-aged child with Giardia infection; the appropriate treatment is
The primary treatment for bronchopulmonary dysplasia is which of the following?
Which symptom pattern is most characteristic of intussusception in an infant?
A macrobiotic diet can best be described as a diet containing:
Which ocular finding is commonly associated with Down syndrome?
The family history should include:
Wheezing in a child may not be found in which of the following conditions:
Which is considered the strongest level of evidence among the following choices?
S/S associated with Duchenne muscular dystrophy are:
A painless, non-tender scrotal mass that transilluminates on exam is most consistent with which diagnosis?
Which disorder is usually associated with adduction of the forefoot?
A 4 week old has short palpebral fissures, hypoplastic philtrum and low nasal bridge with current symptoms of a poor suck and jitteriness. Which of the following in-utero exposures is most likely?
A 5-year-old who received BCG vaccine as an infant has a 10-mm PPD after 48 hours. How should this PPD be interpreted?
In a pediatric patient with pneumonia, which assessment tools best evaluate oxygenation status?
In adolescent health care, under which scenario would a pelvic examination be deferred?
A 4-year-old with sore throat and fever; what is the best course of action?
For a 2-year-old with fever who has been alternating acetaminophen and ibuprofen every 3 to 4 hours, counseling should include which statement?
An adolescent with painful vesicular skin lesions has the most likely diagnosis. Which is it?
An 18-month-old with fever, conjunctivitis, strawberry tongue; what is the most appropriate initial action?
A 12-month-old with esotropia is at risk for which vision problem if not treated promptly?
Which statement about erythema toxicum neonatorum is true?
Which finding suggests a need for further evaluation for glomerular disease?
Which of the following factors associated with poor health outcomes would be least attributable to lack of health insurance?
Which of the following is the most common type of congenital bleeding disorder?
During a newborn eye examination you note white specks around the iris circumference. Which finding is appropriate to assess next?
A 4 month old with congenital nasolacrimal duct obstruction (CNLDO) had several episodes of dacryocystitis and is currently hospitalized for cellulitis. What is the appropriate follow up?
Which statement about alternating doses of ibuprofen and acetaminophen for fever is most accurate?
A 10-year-old child presents with a puncture wound to the buttocks after contact with rusty metal. Which action is most appropriate for the PNP to perform at the visit?
A 3yo has an edematous, mildly erythematous right upper eyelid for one day with a fever of 103F. An important eye assessment would be:
In addition to airway hyper-responsiveness and reversible airway obstruction, asthma is a chronic lung disease characterized by which of the following?
Which finding is most characteristic of pinworm infection in children?
Reimbursement under managed care:
For a child with intermittent asthma, which therapy is used only to treat symptoms?
The pediatric nurse practitioner examines a 4-year-old child who is home-schooled and immunization-delayed. The child has pain when chewing; a fever; and enlarged, tender salivary nodes. The pediatric NP diagnoses mumps and informs the mother that mumps is contagious for:
Which infant reflex is described as not disappearing by 6 months in the provided material?
In a 14-year-old with dilated pupils, diaphoresis, and panic-like behavior, the most appropriate initial testing would be
Medicare Part B covers:
At 15 months, which vaccines are routinely given?
A 12-month-old infant tested HIV positive with no history of allergies or reactions to vaccines. The PNP should administer the following immunizations today:
In a postterm neonate, which skin finding is most characteristic?
the preferred name now for insulin dependent diabetes mellitus (IDDM) is:
For a teenager who has had two sexual encounters and is concerned about pregnancy and STDs, which condom option is recommended?
In a child with known risk factors for TB, a Mantoux reaction of what induration is considered positive?
A 7-year-old with type 1 diabetes has a morning blood glucose elevated to 250 mg/dL with ketones in the urine after several days; what advice would the PNP give?
Which parental history is most strongly associated with an increased risk of child maltreatment?
Ascaris lumbricoides is transmitted primarily through which route?
A 2‑month‑old formula-fed infant who vomits after nearly every feeding, but is thriving, most likely has which cause?
A 5-year-old child born at 28 weeks gestation has mild spastic diplegia. Which evaluation is important before the child is placed in regular kindergarten?
A well-appearing 18-month-old child has 6 weeks of progressively looser stools and a diet that includes 12 ounces of cow's milk and 24 ounces of apple juice daily. The most likely diagnosis is?
Which vaccine is given at birth?
Which statement about milk choices for a 16-month-old is supported by the referenced guidance?
Which patient profile among these has the highest risk of progression for a 20-degree adolescent idiopathic scoliosis curve?
A 12-year-old girl with a blood pressure of 140/90 at a routine visit is asymptomatic. The initial management would include:
Which topic would be least appropriate for anticipatory guidance for a 4-month-old (rephrased from prior guidance)?
Which neonatal presentation is most indicative of Prader-Willi syndrome?
The Dubowitz tool is used to estimate what?
A 10-month-old infant presents with a large bulging umbilical mass that is easily reducible, especially when crying. The PNP should:
A 16-year-old girl reports a frothy, malodorous discharge after first sexual intercourse. Which infection is most likely?
J.D. is a postterm infant with lesions of varying morphology including wheals, vesicles, and pustules on her trunk. You suspect J.D. has:
In a child with neurogenic bladder from myelomeningocele, what is the most critical long-term goal?
In a community with a teen pregnancy rate of 3 in 100 among ages 15 to 19, what is the most important area to explore when the patient is 12 years old and possibly pregnant?
Which statement best describes caput succedaneum?
A 15-year-old basketball player returns home from a postgame party euphoric, hostile, and hyperactive. Which substance is most likely used?
A 7.5-year-old Hispanic girl has prepubertal pubic hair with no other secondary sex characteristics. Which statement is most appropriate?
Which substance is most likely to cause immediate euphoria and hyperactivity after a party in a teenager?
A nine-year-old with signs of acute otitis media; most appropriate management is:
An adolescent presents with fatigue, morning stiffness, anorexia, weight loss, and a butterfly rash across the cheeks. Which test is most appropriate to order first when evaluating for systemic lupus erythematosus?
In a patient with suspected appendicitis, which finding would most strongly support the diagnosis?
When discussing the cause of impetigo with the parents of a child just diagnosed, the pediatric nurse practitioner tells them it is caused by:
A 15-month-old with chronic nasal congestion and recurrent otitis media; what should the PNP do next?
Which Kawasaki disease statement is most accurate?
At a 6-month well-child visit, today the infant should receive which immunizations?
Which discipline approach is recommended as an additional method when a young child frequently misses chores?
Cutis marmorata is best described as which pattern on the newborn’s skin?
A 7-year-old who recently started immunizations should return for the second set in what time frame?
Genu varum is considered abnormal when which of the following occurs?
Which statement best describes Duchenne muscular dystrophy?
Infants identified as IUGR are prone to developing hypoglycemia due to which cause?
A 3-year-old child refuses to use the toilet and squats in a corner to pass stool despite encouragement. The clinician should respond that:
A term infant born by C-section, with birthweight of 5 lbs 5 oz (2.4 kg), develops tachypnea with a respiratory rate of 68 at 2 hours of life. The most likely diagnosis is
Licensure is:
At what age do children generally begin to exhibit fear of strangers?
Oophoritis is a potential complication of which disease?
A 4-year-old child with chickenpox has vesicles on the skin of the right eyelid and eye pain with blurred vision. The PNP should treat the condition by:
In Turner syndrome, which ongoing assessment has no specific clinical indication?
Which diagnosis is not more common among males?
In pediatric glomerulonephritis, which of the following is not typically part of standard care?
A preterm infant born at 31 weeks’ gestation, now 4 months old, with no major complications other than a minor intraventricular hemorrhage at birth. If the local RSV season is approaching, what RSV prophylaxis schedule should the PNP consider today?
Prader-Willi syndrome is a congenital genetic disorder characterized by:
A 3-year-old refuses to use the toilet and continues to pass stools in a diaper in a secluded corner. The most appropriate explanation is:
Which statement about congenital HIV infection is true?
What is the recommended approach when immunizing a child for measles, mumps, and rubella (MMR) in relation to a TB skin test (PPD)?
A 7-year-old child with opaque tympanic membranes, visible landmarks, and a fluid line is diagnosed with otitis media with effusion. Which management is most appropriate?
The test most commonly used to elicit strabismus in infants and children older than 6 months is the:
A 2-year-old uncircumcised boy presents with retracting foreskin, discoloration, and glans swelling. The most likely diagnosis is?
What is the preferred treatment of choice for syphilis?
When providing asthma education regarding the use of long-acting beta2 agonist, it is important to stress:
A 4-year-old child presents with ulcers on the tongue and oral mucosa, with vesicles on the palms, soles, and interdigital spaces. Which diagnosis is most likely?
Which of the following is NOT a characteristic feature of DiGeorge syndrome in the provided material?
A 15-year-old pregnant test is positive. The PNP should advise the adolescent to first:
Which combination is listed for vaccines at 2 months and 4 months in the infant immunization schedule?
A 7-year-old with otitis media with effusion persists for months with hearing concerns. The most appropriate next step is:
Which of the following is most likely to cause foul smelling vaginal discharge in a child?
According to the National Asthma Education and Prevention Program (NAEPP) Expert Panel 3 Update, potential long-term adverse effects of chronic inhaled corticosteroids use in children includes
In suspected appendicitis, which of the following may occur?
Duchenne muscular dystrophy typically leads to wheel-chair dependence by which age range?
In the initial evaluation of an adolescent with recent eye trauma, which item is commonly assessed to monitor ocular integrity?
Which statement best defines health literacy?
A child just beginning to reach for objects placed in front of him is approximately how old?
Which test is NOT routinely included in newborn screening for metabolic disorders?
Cryptorchidism is more prevalent in which group?
At an 18-month well-child visit, a mother reports a 4 oz milk bottle at nap time and 8 oz at bedtime, with other fluids in a cup. Which information is most pertinent to obtain?
A child diagnosed with HIV can best be monitored by assessing which of the following?
Which nutrient combination is most essential to ensure adequate intake for a vegetarian adolescent?
What is the best approach for conducting a physical examination of the 2- to 3-year-old child?
The most useful test for evaluation of suspected acute rheumatic fever is:
If head lag persists beyond 6 months, this could indicate delayed motor development.
At a 4-month well-child visit, which immunizations should be given today?
Which dietary recommendation is appropriate for a toddler with acute gastroenteritis?
Pinworms can cause which of the following?
In autism diagnostic criteria, which core feature is described alongside social communication deficits?
An infant should no longer have a head lag when pulled from the supine to sitting position at what age?
A toddler has remained in the 5th percentile for height and weight since birth without crossing percentiles. What is the most accurate interpretation?
Which of the following contraceptive methods would be least suitable for adolescents?
Which statement describes a recommended approach to managing pityriasis rosea?
Not a precipitating factor for hemolysis in G6PD deficiency?
A 15-year-old mother brings a 3-month-old infant; to obtain accurate information about the infant's routine, the PNP should first:
Which sign describes softening of the lower uterine segment during early pregnancy?
A 2-week-old neonate with suspected Down's syndrome exhibits phenotypic features including:
Which statement about lead exposure in children is most accurate?
A full-term newborn has birth weight below the 10th percentile, length at the 50th percentile, and a maternal history positive for anemia, preeclampsia, and two prior miscarriages. Most likely diagnosis is:
A dark-skinned adolescent with non-itching hypopigmented patches on the trunk is most likely diagnosed with which condition?
The pediatric nurse practitioner evaluates an injured pediatric patient and suspects abuse. The nurse practitioner should:
A patient with asthma is prescribed salmeterol (Serevent) by inhalation. The family should be warned about which side effects?
Sheryl, a 12-year-old with vaginal discharge for months, is most consistent with which diagnosis?
During a first-trimester discussion about abortion, which statement reflects a misconception about the procedure?
The most important PRIMARY care goal for a school aged child with a prosthetic heart valve is to
A 4-year-old with a productive cough; which statement best describes the likely cause?
Conductive hearing loss can be caused by:
Which of the following is NOT an appropriate management option for a port-wine stain?
Hemolysis does not contribute to which problem in sickle cell disease?
Which chronic illness should be considered in a child with recurrent perirectal abscesses?
Which statement about the pediatric nurse practitioner's scope of practice is most accurate?
Which of the following should be included when educating a family regarding the care of children with atopic dermatitis?
Asthma is best described as a chronic lung disease characterized by which feature?
Which statement about the evaluation of a suspected learning disorder is NOT routinely included?
Which foods are most commonly associated with food allergies in children?
In pediatric asthma management, long-acting beta2 agonists are used as part of combination therapy with inhaled corticosteroids.
In a 5-year-old who has not received any immunizations, which vaccine is not routinely indicated at this age?
Which of the following is a characteristic physical sign of fragile X syndrome in adolescent males?
For a child with acute sinusitis after 10 days of persistent symptoms, which management is most appropriate?
Which test is the most sensitive early indicator for musculoskeletal inflammatory disorders?
A 7-year-old with a 10-day history of green, thick rhinorrhea is diagnosed with sinusitis. Which treatment is most appropriate?
If persistent wrist pain persists after an initial negative X-ray, what is the next recommended step?
In a family with a known carrier mother for hemophilia, what is the probability that a male child will be affected?
In premature infants, catch-up growth is best described as which statement?
In autism screening for a 17‑month‑old, which test is listed as not typically useful beyond screening?
The parents of a 6-month-old report the infant is 'different' from their previous child. Which behavior would alert the PNP to a diagnosis of autism?
The greatest risk in a patient with a hyphema is which one of the following?
What is the major cause of death among adolescents and young adults aged 15 to 24 years?
Which drug is important in symptom management and prevention of complications in Kawasaki disease?
An infant brought to the clinic is diagnosed with failure to thrive (FTT), persistent growth deficiency of the head, and delayed development. Some unusual facial abnormalities are noted. The mother has a history of consuming large amounts of alcohol. The PNP suspects fetal alcohol syndrome (FAS) and refers the infant:
Which of the following is least helpful in evaluating epilepsy?
Insect stings are most commonly reported in which season?
What is the best management for erythema toxicum neonatorum?
Typical migraine symptoms in a 14‑year‑old usually include which combination?
Glucagon should be used to treat which level of hypoglycemia?
Which is NOT an appropriate management option for a port-wine stain?
All of the following are permitted uses or disclosures of an individual's protected health information under HIPAA except which one?
Which statement is most accurate regarding pediatric head injuries?
Medicaid provides health insurance coverage to:
A painless mass on the right side of the scrotum in a young male most likely represents which condition?
What is the appropriate initial step when a parent declines immunizations?
Which antibiotic is appropriate for axillary infection after dog bite puncture wounds?
A well-child CBC shows hemoglobin 7.8, low MCV, elevated RDW; most likely cause of anemia?
Luke has a mild persistent asthma. Appropriate daily medication should include:
An 18-year-old with epilepsy seeks contraception. Which method is recommended?
Which exposure increases melanoma risk in childhood?
What is the most sensitive physical finding for the diagnosis of testicular torsion?
Which condition is a known contributor to microcephaly?
Appropriate management of a full-term, 3-day-old, breastfed infant with a bilirubin level of 16 mg/L would consist of:
An 18-month-old child with asthma and egg allergy; which immunizations should be given today?
The pediatric nurse practitioner is evaluating a one-month-old infant male with a unilateral undescended testicle (cryptorchidism). The patient was born at term after an uncomplicated pregnancy and physical examination reveals no other abnormalities. The pediatric nurse practitioner should:
The PNP is completing the ROS on a 4mo. What response from the mother might indicate a cardiac problem in the infant & require a more thorough history?
The most common congenital heart defect in children is which of the following?
Which set of vaccines is typically administered at a 4-month vaccination visit?
Muscle spasms in tetanus are aggravated by what?
When counseling about obesity prevention for an 18-month-old, which recommendation is most appropriate?
The Dubowitz tool is:
A parent has questions about over-the-counter fever medications for a 2-year-old with a fever of 101.2°F for one day. The child is well-appearing and active. Appropriate counseling involves:
Patients with epiglottitis prefer to sit in which position?
Which method would best confirm chlamydia conjunctivitis in a newborn?
Which statement about febrile seizure prophylaxis is true?
For a 16-year-old with a latex allergy, which contraception option would be advised?
What is the cause of molluscum contagiosum?
In a 5-year-old with allergic rhinitis and pale boggy nasal mucosa, which non-sedating antihistamine is appropriate?
In pediatric diabetes, ketone testing should be performed under which circumstance?
Regarding childhood obesity, which statement is true?
A 14-year-old with PMS should be advised to...
At 6 months, which vaccines are given?
If a child has a mild upper respiratory infection and is otherwise well, should routine vaccines be given today?
An appropriate intervention for a dried pea lodged in a child’s nose past the first turbinate is to:
A child with urinary obstruction shows hydronephrosis on imaging. Which diagnosis is most likely?
For a 7-year-old with type 1 diabetes, the diet should consist of which macronutrient distribution?
A 15-year-old comes to clinic with painful vesicular skin lesions. The most likely diagnosis is:
A 3-year-old recently develops breath-holding spells. After an event, what is the recommended parental response?
"Incident to" billing is specific to:
In educational health programs for chronic illness, which approach is most effective?
A newborn presents with white papular lesions on the cheeks; distinguishing milia from neonatal acne, which finding supports milia?
A 3-year-old child with sickle cell disease is brought for a well-child visit. What is an appropriate intervention to decrease the child’s risk of infection?
A 14-year-old girl with delayed menarche asks for guidance. Which statement is MOST accurate?
Which statement best describes the relationship between Down syndrome and endocardial cushion defects?
In Legg-Calve-Perthes disease, which sign is seen?
Which sequence best represents the standard motor development progression in infancy?
Which hepatitis virus vaccines are available and approved for use in children?
Which statement about iron in infant formula is correct?
An 8-month-old missed the 4- and 6-month visits and immunizations; parents are substance abusers. Which plan is appropriate?
Which organism is most likely to cause Bordetella pertussis infection in a school-aged child?
Radiographic findings of disease progression and sphericity of the femoral head are useful in the diagnosis and follow-up of which hip disorder?
Which instruction should be given to patients with otitis externa?
Which maternal factor is most likely associated with asymmetric intrauterine growth restriction?
Once a child is started on oral iron therapy for iron-deficiency anemia, what changes are evident in laboratory studies?
Which combination is appropriate to administer at the 15-month visit according to the schedule?
Which age is recommended to introduce iron-fortified cereal to prevent iron deficiency anemia?
Vulvovaginitis in children is not caused by which of the following?
Regarding folliculitis etiologies, which statement is not correct?
Which food would be appropriate for a child with celiac disease?
Which statement describes psoriasis vulgaris pathophysiology?
Which factor is not usually perceived as a risk factor for adolescent pregnancy?
In educational health programs for patients with chronic illness, the most effective model involves:
Which symptom listed in the case is characteristic of diabetic ketoacidosis?
At 12 months, an HIV-positive child with the described immunization history should receive which vaccines today?
In a neonate diagnosed with trisomy 21, which follow-up is included in the recommended panel?
Meatal stenosis is identified by which of the following signs?
A 4-year-old unable to sit cross-legged on the floor and rise without using the hands may indicate which issue?
Adolescent parents may be at greater risk for abusing their child because:
In infants born to mothers with diabetes or gestational diabetes, which cluster of findings is most characteristic?
Which seizure type is defined by brief lapses of consciousness that are most common in preschool children?
In a 10-year-old with fever of 102°F and palatal petechiae presenting with sore throat, the BEST management is?
Impetigo is described as which characteristic lesion?
A 6-month-old well-child visit with fever and otitis media; which immunizations should be administered today?
For pediculosis, which statement is true?
Which statement describes a normal developmental aspect for a 2-year-old?
Prader-Willi syndrome is most commonly caused by which genetic mechanism?
Which practice helps prevent diaper dermatitis recurrence?
A child with an initial total cholesterol of 205 mg/dL on screening for hyperlipidemia should have which test next?
Which of the following is not a characteristic of capillary hemangioma?
Vulvovaginitis may be caused by all of the following except which?
School-aged children involved in athletic activities may not be at increased risk for which condition?
Which of the following is a characteristic feature of simple partial seizures?
A 14-year-old adolescent has knee pain that worsens with activity and improves with rest. The PNP diagnoses Osgood-Schlatter disease. Which management plan is most appropriate?
A 16-year-old adolescent presents with chest pain. Based on common pediatric data, which is the most likely cause of cardiac pain?
Which is the correct regimen for a single dose of pinworm medication with a follow-up dose in two weeks?
Which finding is commonly associated with pediatric Cushing syndrome?
Which antibiotic class is commonly used to treat pertussis?
Which technique is most effective in communicating with a shy, 4- to 5-year-old patient?
The first nurse practitioner program was designed to
An 8-year-old afebrile child presents with a sore throat; on exam, his tonsils are 4+ without exudate. Differential diagnosis includes which of the following?
Capillary hemangioma typically enlarges during which period?
Malignant melanoma not characteristic. Which of the following is not characteristic of this condition?
Which statement accurately reflects the risk profile for leukemia in children with Down syndrome?
A hypernasal voice and snoring in a child is suggestive of which condition?
Which statement about feeding infants is supported by guidelines?
Which statement about combination vaccines is true?
At what age is it expected that an infant no longer has a head lag when pulled from supine to sitting?
Which factor is NOT a risk factor for otitis media?
What is the most important factor in reducing a child's risk of urinary tract infections?
A parent asks for guidance on fever management in a 3-year-old. Which statement reflects best practice?
For a 2-year-old with thumb-sucking, which action is appropriate?
In school-aged children, which cognitive operation is characteristic?
A 16-year-old adolescent who was jogging in 90°F heat is found confused. What is the initial management by the pediatric nurse practitioner?
Fragile X syndrome is inherited in which pattern?
Systemic-onset JIA is most commonly associated with:
For a 10-year-old with borderline hyperlipidemia, which plan is appropriate to pursue before considering pharmacologic therapy?
The most appropriate initial management of a toddler with persistent post-infectious diarrhea is to
The expected clinical severity of hemoglobin sickle C disease (Hgb SC) is:
When teaching adolescents about condoms, which statement should be included regarding lubricants?
When counseling an adolescent vegetarian, which nutrient combination is most essential to ensure adequate intake?
Which vaccine is associated with a decreased incidence of epiglottitis?
At what age should Pap testing begin, according to the material?
Which imaging study is essential to assess for intra-abdominal pathology in a child with a palpable varicocele?
A deficiency of which vitamin may cause night blindness, xerophthalmia, or keratomalacia?
For a 10-month-old infant, which car-seat guideline is appropriate?
During evaluation of a child with abdominal pain, which symptom most suggests an organic etiology?
Cafe au lait spots are present and evaluation is often performed to rule out which associated disorder?
A 17-year-old adolescent attended a party and returned home. The grandmother reports the eyes look puffy, the pupils are slow to react or nonreactive, and tearing is present. Which substance is most likely involved?
A 15-year-old with hypothyroidism is tested. Which laboratory pattern defines early hypothyroidism?
Which physical finding is not usually associated with talipes equinovarus congenita?
Which strategy would not be appropriate to include as part of your management of a 9-year-old boy who is obese?
In a newborn, a diagnosis of hip dislocation is suspected when
Piaget's concrete operational stage is best described by:
Which hematologic profile is typical of beta-thalassemia major?
When a 10-day-old neonate has mildly low T4 and elevated TSH but is feeding well, what is the recommended management?
For a 13-year-old with a partial-thickness burn, which immunizations should be administered today?
Which symptoms are most common in the early phase of appendicitis in children?
In suspected testicular torsion, the primary management is...
What would you not recommend as management and treatment of Jale's condition (contact dermatitis)?
The initial attack of acute rheumatic fever is most commonly preceded by which infection?
A 1-week-old infant has a papular rash with clustered lesions, some vesicular, and is otherwise healthy. What is the most likely diagnosis?
Which motor development milestone is typical for a 2-month-old infant?
Regular insulin
What is the most important factor in determining toilet-training readiness in a toddler?
Which of the following is a fine motor skill example achieved by preschool-aged children?
A 16-year-old with pallor and fatigue; CBC consistent with iron deficiency anemia. What should the PNP tell the teen?
During the ROS, which statement would be considered subjective data?
Which of the following is NOT a goal for appropriate asthma management in children?
A thick, purulent vaginal discharge that is greenish-yellow is most likely an infection caused by:
At what age is the MMR vaccine first given in the immunization schedule described?
A father asks whether an opioid cough suppressant (eg, promethazine with codeine) could help his school-aged child with a nagging cough during recovery from a cold. The PNP explains possible problems with opioid cough suppressants include:
Which symptom cluster is core to the diagnosis of ADHD?
A newborn with a vascular lesion that will not fade with age has which diagnosis?
Which murmur is commonly described as vibratory murmur or Still's murmur in children?
Which immunization guideline applies to a 3-year-old who recently completed chemotherapy for acute lymphoblastic leukemia (ALL) two months ago?
A 7-year-old child with factor IX deficiency who hits his head on the ground. What action should the PNP take first?
At 7 months, when concerns arise about hearing milestones that may come and go, what is the recommended approach?
Implications for nurse practitioners who counsel adolescents on health risks related to smoking are based on current research concluding that which statement is true?
The siblings of a child who develops a serious illness, injury, or disability:
One of the major psychosocial tasks of infancy is:
Which of the following would not elevate the pulse of a child?
Which exam finding would you expect on rectal examination in Hirschsprung disease?
The most common congenital heart defect in children is:
To reduce sibling rivalry after the birth of a new sibling, what is recommended?
Which statement about the honeymoon period in type 1 diabetes is true?
Which statement about the earliest Nurse Practitioner program is accurate?
What is the first clinical sign of puberty in girls?
A 12-month-old child is brought to the clinic with the right eye drifting toward the nasal side. The clinician notes this misalignment and explains that a common complication may be:
A 2-month-old infant has persistent vomiting; gastroesophageal reflux is suspected. During a feeding, the PNP observes for:
Cholesterol screening should be done:
A 17-year-old adolescent asks if it is possible that any future children will have sickle cell disease. The intended spouse has sickle cell trait. Which statement is most accurate?
If a female adolescent has breast development at Tanner stage II and pubic hair at Tanner stage III, what is the overall Tanner stage?
The father of a 10-day-old neonate calls about a continually watery left eye without redness or swelling; which response is most appropriate?
What is the American Academy of Pediatrics' recommendation for routine TB skin testing for a child with no risk factors living in a low-prevalence area of the country?
In idiopathic scoliosis, which statement about family history is true?
A 7-year-old child with cerebral palsy is brought to the clinic. The child is unable to walk but is able to use a wheelchair. The child uses the arms and hands to eat and perform self-care tasks. The PNP diagnoses this child with:
Which analgesic regimen is appropriate for a 4-year-old recovering from tonsillectomy?
A 15 year old previously healthy teen is having school problems, feelings of sadness, insomnia, and disinterest in activities previously enjoyed. The parents report the teen spends hours alone, avoiding social situations. When questioned, the teen denies any desire or plan to hurt himself or others. Which would be the MOST appropriate INITIAL management of this patient?
Children born with cleft lip/palate are prone to:
In a 14-year-old adolescent with delayed puberty and underdeveloped genitalia, which initial diagnostic tests are most appropriate?
Initial treatment of a sprain includes which of the following?
Trauma to the eye increases the risk of developing all but which one of the following?
Drug therapy commonly used to treat absence seizures, in addition to valproic acid, includes:
When assessing the heart of a healthy 4-year-old child, which finding would you expect?
A newborn at 2 weeks has head circumference 2 SDs below the norm, with normal neurologic findings. What is the most appropriate recommendation?
In preterm infants born at 32 weeks gestation, when is the earliest recommended time to begin immunizations?
A 7-year-old with recurrent epistaxis; which finding on exam would suggest an underlying medical cause?
Pain produced by manipulation of the auricle or pressure on the tragus suggests which condition?
A 3-year-old who sucks his thumb raises concerns about dental problems. The nurse explains which of the following?
In a head injury, bruising or tearing of the cerebral structures occurs in a:
Menarche typically occurs after which pubertal event?
An infant with polydipsia, polyuria, irritability, and failure to thrive should be evaluated for:
The parents of an 18 month old are both overweight. When counseling them about prevention of overweight in their child, suggestions should include
Which description best describes psoriasis vulgaris lesions?
In a 10-year-old presenting with fever, sore throat, cervical lymphadenopathy, and splenomegaly, if throat culture and Monospot test are negative, which diagnostic test is most appropriate next?
What is the appropriate initial intervention if the parent refuses immunizations?
The progression to wheel-chair dependence in Duchenne muscular dystrophy is best described as which?
In primary health care, what is the major perceived barrier to utilization of pediatric nurse practitioner services?
The most common side effects of Retin-A cream which include erythema, dryness, and burning can be minimized by applying the medication
In pediatric research, assent is the child's affirmative agreement to participate, when capable.
Which statement best describes imaging after a first urinary tract infection in a child?
Credentialing of the pediatric nurse practitioner requires which of the following?
Which combination of findings is most consistent with fetal alcohol effects in a child with unknown prenatal history?
Which vaccines are routinely given at 6 months of age?
When examining a 10-year-old's dentition, upper incisors overlap lower incisors slightly and some molars are absent. This most likely indicates:
Which lifestyle modification is most appropriate for a 14-year-old with PMS?
A 3-year-old boy is toilet trained and the urine stream is not directed straight from the meatus at the tip of the penis. This supports hypospadias because:
After a first febrile UTI, which imaging strategy is recommended if the child experiences a second febrile UTI?
A 12-year-old girl with enlarged breasts and areolas and curly pubic hair is classified using Tanner staging as which stage?
Which group is at higher risk for nicotine dependence?
Of the pathogens causing otitis media, which is MOST LIKELY to require antibiotic therapy?
Congenital complete heart block may be associated with?
Which of the following is the earliest screening test used in managing Trina's care during her first trimester?
A 2-month-old infant with a history of sacral myelomeningocele repair shows head circumference rising from the 75th to the 95th percentile. What is the most appropriate first action?
Which immunization combination should be given in one visit to a 5-year-old who has never had vaccines?
Which of the following is not part of the differential diagnosis for child abuse?
What is the first physical sign indicating the onset of female puberty?
At a 4-month well-child visit, which vaccine combination is appropriate for an infant who has already received Hep B at birth and at 1 month?
Which organism is most likely the cause of congenital syphilis?
Which factor is a reason why adolescent parents are at greater risk for abusing their newborns?
Which action should be taken when a child presents with a prenatal or early-life craniosynostosis sign and the clinician is unsure of the diagnosis?
Why are blood glucose targets slightly higher in younger children with diabetes compared to older children?
A 2-week-old neonate weighing 3.18 kg at birth now weighs 2.95 kg. The infant is breastfeeding about every 2 hours; how many calories per day does this infant need for growth?
Which of the following may occur with suspected appendicitis?
Which statement about the incidence of acute atopic dermatitis in children is not correct?
A 3-year-old child has hypochromic, microcytic anemia. Which condition should be included in the differential diagnosis?
What is an appropriate approach during a night terror episode?
Which of the following are symptoms of cat scratch disease?
Scope of practice is defined as which of the following statements?
What is the most useful diagnostic tool for diagnosing epilepsy?
Which of the following is not considered preventative management for iron deficiency anemia?
SBE prophylaxis is recommended for which of the following groups?
In young athletes, which condition is most commonly associated with sudden exercise-related cardiac death?
A 15-month-old who failed amoxicillin for otitis media and has persistent fever and a red tympanic membrane on recheck. What is the next step in treatment?
The first step in developing an individualized education program (IEP) for a child with disabilities is to:
In early puberty, which change typically appears first in girls?
Systemic-onset JIA is most characteristically associated with which fever pattern?
What is the most common cause of myocarditis?
Which statement about chickenpox transmission is NOT true?
A parent calls regarding the use of over-the-counter medications for a 2-year-old with fever of 101.2°F who has been alternating acetaminophen and ibuprofen every 3 to 4 hours. Which counseling is appropriate?
A 6-year-old in foster care is brought to the clinic; which immunizations are recommended today based on the record provided?
Which scenario would raise concern about a preschooler's language development?
An infant who recognizes parents, sits independently for 1-2 minutes, rolls over from supine or prone, drops one object when another is offered, and babbles one-syllable sounds is approximately how old?
The PNP is evaluating a 2-year-old child with a 48-hour history of a dry, coarse cough and fever. Upon examination the child appears ill but non-toxic. The child has a harsh, forceful cough with intermittent stridorous breaths after a coughing spasm but no stridor at rest. The parents have been giving the child an expectorant and cough suppressant that have provided little relief. The PNP makes the diagnosis of croup without respiratory distress. Treatment for this child should include:
A 3-year-old with non-severe acute otitis media is seen in the clinic. Which management is appropriate?
Which condition among the following is least likely to present with steatorrhea?
Which condition would not cause an elevated pulse of a child?
Which of the following does not suggest a urinary tract infection?
A 14-year-old adolescent has a second-degree burn along the hairline from using a curling iron. The lesions are erythematous and blistering. The PNP advises:
An 8-year-old presents after playing on a rock wall with arm pain and inability to lift the arm. The most likely diagnosis is:
A positive Adam’s sign indicates which clinical finding?
The etiologic cause of meningitis in the newborn is most likely:
Which symptom pattern is most typical for urinary tract infections in infants?
Which of the following is a differential diagnosis to consider when evaluating ADHD symptoms?
Pityriasis alba is more apparent in which population or season?
Under federal laws, a child with disabilities is entitled to an individualized education program. Which option reflects that entitlement?
Blood pressure measurement should begin at well-child visits at what age?
A 1-year-old with fever and left flank pain, nitrates and leukocyte esterase on dipstick; which action is correct?
A previously healthy 10-month-old has vomiting, intermittent periods of intense crying, and the passage of red stool. Which would be considered FIRST in the child?
In adolescents with anorexia nervosa, which finding is commonly observed?
Klinefelter's syndrome in adolescence typically presents with which finding?
A CBC shows normal all values except eosinophil count elevated. This finding supports which diagnosis?
In evaluating syncope in pediatric patients, which factor is considered most important in establishing the diagnosis?
A 16-year-old with tinea versicolor is treated with which regimen?
Which medication is primarily used for absence seizures?
Which condition is described by a fir-tree pattern of lesions on the trunk in a child?
Individals with chronic adrenal insufficiency often have which symptom?
To receive Medicare reimbursement, APRN must:
A neonate with a spongy area over the parietal region is diagnosed with craniotabes. The best next step is to
All definitions of primary health care include which combination?
Which genetic testing is used to detect Fragile X syndrome as part of the screening process for developmental delays?
Which management measure would you not recommend for acute atopic dermatitis?
Which statement about nocturnal enuresis is true?
What general advice should a pediatric practitioner give adolescents who are using herbal remedies?
A Down syndrome newborn has an elevated TSH on newborn screening. What is the appropriate counseling and plan?
Which statement best reflects the migratory pattern of abdominal pain in acute appendicitis based on the vignette?
Which statement is most appropriate anticipatory guidance for colic?
An 8-year-old with hard, painless neck and axillary lymph nodes; frequent nursing home exposure; the PNP suspects which diagnosis?
Medicaid reimbursement is available to an APRN:
Which statement about sports-related injuries in adolescents is true?
Which laboratory test is routinely included in the evaluation of metabolic disorders in the newborn period?
In which child would you most suspect hyperthyroidism?
At the 4-month well-child visit, which vaccine combination is recommended?
Which statement best identifies the recommended long-term controller therapy for persistent mild-to-moderate asthma in a child?
Which of the following features is most closely associated with paralytic poliomyelitis?
In a child with esotropia, what is a potential vision-related complication if untreated?
A 5-year-old presents with a drop-foot gait and lifts the leg to clear the toes. Which condition is most consistent?
Which statement is true for idiopathic scoliosis, which occurs primarily in adolescents?
Which rhythm disturbance in a neonate is most likely when the heart rate is around 240/min at rest during sleep?
Which is not part of the initial treatment of a sprain?
An ill-appearing 10-month-old infant presents with fever, tachypnea, and cough. Which laboratory test would be most useful in the initial evaluation?
Which statement about immunizations during active chemotherapy is correct?
The Denver II screening tool is described as which of the following?
Which finding in a 6-month-old is most suggestive of cerebral palsy?
If solids are delayed beyond 12 months, which nutrient is most likely deficient?
Which temperamental profile is most common in children?
The most definitive feature for a diagnosis of growing pains includes:
Which statement is true about children of parents who smoke cigarettes?
Which of the following is not a proposed etiologic factor in premenstrual syndrome?
A neonate in the nursery has an absent cremasteric reflex and the right testicle cannot be palpated in the scrotum. The most appropriate next step is to:
A parent of a 7-year-old is concerned about the child's school absence; what is the FIRST challenge for the parent?
KOH is positive for hyphae and Wood’s lamp does not fluoresce. You are sure Paul’s condition was not caused by which organism?
An infant with a severe cough following a recent URI is suspected of having pertussis. Which antibiotic is started?
For a mother who adopted a child at birth, when is the most appropriate time to tell the child they are adopted?
A 7-year-old with recurrent epistaxis and a mother with heavy menses; most likely diagnosis?
Young infants with cerebral palsy often show:
Counseling regarding meningococcal disease for a prospective college freshman who plans to live in a dormitory should include that
A 9-year-old with circumscribed, coalescent, erythematous raised lesions of various sizes; The most common cause of hives is:
Which statement about slipped capital femoral epiphysis is true?
Malpractice insurance:
In the diagnostic approach to tuberous sclerosis, which test is most definitive for identifying brain involvement?
In a child with diabetes, sweating, hunger, drowsiness, and confusion are most consistent with which condition?
If a child has consistently tracked in the 5th percentile for growth since birth, which statement best describes this pattern?
A 20-month-old child experienced a brief episode of shaking after a fever of 102°F but returned to normal. What should be undertaken first?
Blepharitis in a child should be treated with which initial management?
Which sign is commonly associated with Graves disease in adolescents?
To prevent transmission of tinea corporis, which measure is most important?
A child has developed her 2nd perirectal abscess in 6 months. She should be evaluated for which condition?
When performing a preemployment physical on a 16-year-old adolescent, given that the girlfriend was recently treated for a vaginal infection, the PNP should:
In neonates with ABO incompatibility, baseline management includes serial monitoring of bilirubin and hemoglobin levels.
In evaluating a 3-year-old with sudden onset high fever and stridor, the child sits forward with the mouth open and drooling. The safest and most helpful diagnostic test to order now would be:
Which statement is true about true precocity or incomplete (pseudoprecocity)?
Early nursing research focused on which outcome?
During auscultation of a 3-year-old's chest, you note an irregular heartbeat of 90 bpm that slows when respiratory rate slows and accelerates when the child breathes faster. The rest of the exam is normal. What is the appropriate response to this finding?
The MOST APPROPRIATE management of an infant or young child with recurrent wheezing is
You see Jack, a 20-month-old toddler with diarrhea. He passes up to three loose stools a day and drinks 20 oz of apple juice per day. What is the most likely diagnosis?
Which statement about HbA2 in beta-thalassemia trait is true?
In girls entering puberty, which information is most accurate regarding timing?
The most accurate test on a vaginal swab to identify Chlamydia trachomatis in a 3-year-old girl with vaginal discharge is?
In managing bedtime resistance for a 2-year-old, which approach aligns with best practice?
A 7-year-old child with no record of prior immunizations receives initial immunizations including Td, IPV, MMR, Var, and Hep B today. When should the child return for the second set of immunizations?
Which vision screening result should be referred for further testing?
PSAGN statement: which is correct?
The most common rheumatoid disease of childhood is which of the following?
Which anticipatory guidance statement is most appropriate for parents with a colicky baby?
The presence of motile flagellated organisms on vaginal wet mount in an adolescent with frothy discharge indicates infection with:
In Tanner staging, which features define Tanner stage II in girls?
For an infant with suspected fetal alcohol syndrome and developmental concerns, which service is appropriate to obtain early intervention?
A 7-month-old who previously babbled and imitated sounds now shows reduced babbling. What is the recommended response?
An 11-month-old well-appearing and well-dressed with a long philtrum, midface hypoplasia, microcephaly, mild developmental delay, and myopia. The mother denies drinking alcohol. What is the next best step?
A neonate with failure to thrive, persistent growth deficiency of the head, and facial abnormalities with maternal alcohol use is suspected to have which syndrome?
Which item is included in the differential diagnosis for seizures?
Which factor is most predictive of suicide in an adolescent?
A neonate with abnormal newborn screening showing low T4 and elevated TSH should be managed by which step?
A 9-year-old with a rash and detected speech dysfluency requires which of the following actions?
A 5-year-old presents with a 3-day history of sore throat, fever of 101–103 F, headache, and one episode of vomiting. Exam shows enlarged tonsils with erythema and palatal petechiae; the nose is clear. The best course of action is to:
Which parental characteristic is associated with an increased risk of child maltreatment?
A PNP has been asked by the emergency room physician to evaluate a child for costochondritis. The PNP would expect to find:
An 18-month-old child is being evaluated in the clinic for falling with increasing frequency and loss of speaking ability. The PNP considers:
Current prescriptive authority for APRN:
Which finding is most suggestive of gastroesophageal reflux in a 2-month-old with frequent vomiting?
The intervention currently advised for a child with four episodes of acute otitis media in the past five months is
Which laboratory test is considered the most sensitive early indicator of musculoskeletal inflammatory disorders?
Which of the following is an atypical behavior trait in autistic children?
Tibial Torsion is commonly associated with which finding?
Which statement best describes the classic presentation of malaria?
For a two-year-old twins where one twin is verbal and the other is nonverbal and fearful, the most appropriate intervention is
One of the major psychosocial tasks of infancy is:
Which timing is recommended for initiating acyclovir therapy after the onset of HSV lesions?
The PNP evaluates an infant born to a mother known to have autoimmune thyroid disease. Congenital hypothyroidism in infants is associated with which of the following?
Which term describes nasal discharge seen in congenital syphilis?
A 2-month-old with a 3-day history of stuffy nose and poor sleep but no fever or respiratory difficulty. What is the most appropriate guidance?
Dysmenorrhea duration is typically described as lasting how long?
During the 4-month well-child visit, what is advised about fruit juice?
Which long-term adverse effect is associated with chronic inhaled corticosteroid use in children?
In assessing ADHD in a 7-year-old, which symptom pattern is most descriptive of the disorder?
TMP-SMX should not be prescribed to infants of which age group?
Which action best addresses concerns about a preschooler's frequent grounding for chores?
Jerry has a condition that most commonly occurs on which body surface (folliculitis)?
Which of the following abnormalities is not multifactorially inherited?
In an adolescent with suspected systemic lupus erythematosus, which test is most useful as an initial screening test?
Which finding may accompany macrocephaly?
The most common skull fracture in children with excellent prognosis is:
Legal authority for APRN practice is granted by:
Which statement about the pediatric nurse practitioner's scope of practice is correct?
Which of the following is included in the diagnostic criteria for migraine headache in postpubertal children?
A Mantoux test in a child with no risk factors is considered positive with a reaction of:
The initial attack of acute rheumatic fever is preceded by:
Which symptom is not typically associated with acute glomerulonephritis?
What is the best treatment of seborrhea in the infant?
For toilet training readiness in a 2-year-old, what is the most important factor?
In HIV testing for a neonate, which test is most accurate?
Infant immunizations for hepatitis B often raises many parental questions about the disease. Which of the following is not true about Hep B virus?
A 10-month-old child attending a child care facility with gastroenteritis is most likely infected with which pathogen?
The time of ovulation is usually:
A 4-year-old child sustained an insect bite near the left eye. The area is now red, warm to the touch, tender, and not well demarcated. The PNP:
Which statement is NOT typical of the erythema multiforme reaction?
What is the primary safety concern with alternating doses of acetaminophen and ibuprofen for pediatric fever?
Providing reassurance of 'normalcy' during the course of an exam would be most important for which of the following age groups?
The mother of a 4-year-old female patient reports that the child frequently awakens screaming and agitated about 1 hour after falling asleep and does not appear to recognize her mother. The child falls asleep again within 10 minutes and does not recall these events in the morning. The pediatric nurse practitioner should:
In a physician-supervised practice, nurse practitioner services billed under the physician's name are called:
When calculating oral replacement therapy for a child with moderate dehydration from gastroenteritis, which guideline should be followed?
Gynecomastia in a male may not be a finding in which of the following?
A 9-year-old child is brought to the clinic with facial pain, purulent nasal discharge, and tenderness over the maxillary sinus for the past 4 days. After completing the physical examination, the PNP should:
Therapeutic level in antibiotic therapy refers to which concept?
In evaluating bruising for possible maltreatment or nonaccidental trauma, which aspect is most important?
In a child with suspected elbow dislocation after a fall, what is the most appropriate action?
Which statement about emancipated minors is true?
Prematurity is associated with an increased risk of which refractive error?
Cholesterol screening should be done in children who have which scenario?
What action is most appropriate when counseling a pregnant patient who continues to smoke?
During a health maintenance visit, which screening test is most important for a 15-year-old Vietnamese adolescent who recently immigrated?
Which of the following factors is not usually present in a 4-year-old with migraine headaches?
A child with a vocabulary of about 250 words and using three-word sentences is approximately how old?
A 2-year-old with microcephaly and Denver II showing delays is brought to clinic. What is the recommended action?
A preschool boy whose parents are separating and beginning divorce procedures may:
The American Academy of Pediatrics recommends that a child ASSENT to participate in clinical research requires evidence of which of the following?
After tympanostomy tube insertion, which method may be used to determine patency?
Hypertrophied adenoids are most likely associated with which finding?
Which statement regarding slipped capital femoral epiphysis is true?
In the initial evaluation for suspected ADHD, which test is NOT routinely recommended?
Which management statement is most consistent with gastroesophageal reflux in infants?
What is the MOST appropriate treatment for children with uncomplicated obstructive sleep apnea (OSA)?
A 2-week-old infant is breastfed exclusively and at the 1-week checkup weighed 4 oz more than at birth. The infant has not had a bowel movement in 4 days but has had more than eight wet diapers each day, is nursing vigorously, and has no signs or symptoms of illness. What counseling is appropriate for the mother?
Traveling to a measles-endemic area with an infant: what is the best preventive action?
VZIG should be administered to which group after exposure to varicella?
What is the single most predictive factor in the development of bronchopulmonary dysplasia?
Two day old baby not passed meconium. This is a red flag for which condition?
Preventative health guidelines typically include guidance on which of the following?
In acute sinusitis, which statement about antibiotic duration is correct?
A 10-month-old infant presents with a large bulging umbilical mass that is easily reducible and more prominent when the child cries. The PNP should:
For a 2-year-old who may have swallowed a watch battery, what is the initial action for the PNP?
Which finding would you expect to occur in a baby with intussusception?
In a 2-month-old with visible rib fractures on radiograph, the next most critical evaluation to obtain is which study?
Which statement best completes a malpractice claim alongside duty and breach?
In acute osteomyelitis, femur and tibia are commonly involved. Which option shows this correctly?
A mother with Marfan syndrome comes with her 5-year-old for a checkup. The child has myopia & a + wrist & thumb sign. What is the next best step?
KC, age 13, has firm, small umbilicated papules on the neck. What is the most likely diagnosis?
A child hit in the head with a hockey stick now has profuse rhinorrhea and a hemotympanum. This finding most strongly suggests which diagnosis?
In evaluating Billy, a child with bloody diarrhea, which of the following would not be appropriate first action?
At what age should prophylactic penicillin be initiated in children with sickle cell anemia?
Regarding complete or central precocious puberty, which statement is most accurate?
Regarding normal development of pediatric sinuses, which statement is correct?
A 10 month old has had apparent abdominal pain for the past 4 hours. During episodes of pain, the infant screams inconsolably and draws his legs towards the abdomen, has vomiting but no diarrhea. Between episodes the infant is calm. The MOST LIKELY diagnosis is
Among toddlers with chronic diarrhea, which dietary pattern is most associated?
A potential childhood risk factor for development of atherosclerotic or coronary heart disease as adults is:
Which diagnostic finding is consistent with Wiskott-Aldrich syndrome?
The virus that causes hand, foot, and mouth syndrome is:
Which of the following would not be associated with an uncomplicated concussion?
Quality improvement activities commonly include which set of actions?
Tina, 12 years old, presents with a lateral curvature of her spine. Which of the following tests would diagnose scoliosis?
For a 4-week-old with positive Barlow and Ortolani tests, which study best confirms the diagnosis?
A classic physical finding in pediatric pyloric stenosis is
Which management approach is NOT used in pediatric phimosis?
An 11-year-old presents with a 3-day history of cough at night, tachypnea, and URI symptoms. Exam shows loud inspiratory and expiratory wheezing. What is the FIRST course of action?
'Boggy' nasal mucous membranes with serous drainage upon examination usually suggests which condition?
Which finding helps distinguish obesity from a large body frame in an adolescent concerned about weight?
Which physical finding is not consistent with gestation of less than 12 weeks?
Which topic is not appropriate to include when providing anticipatory guidance to the parent of an 18-month-old?
Regarding pityriasis alba in AF, which statement about prognosis is correct?
A 12-year-old with a dry, unproductive cough, a low-grade fever, and copious sputum; coarse breath sounds and moist rales in the upper lungs. The PNP diagnoses bronchitis and treats with:
A 3-week-old infant has difficulty breathing and feeding. The mother reports that the infant's cry has become hoarse. The infant is bottle-fed and is not offered honey with feedings. The most likely diagnosis is:
What is the most likely interpretation for a 13-year-old with Tanner stage 4 and no menarche?
Which sign is least likely to be seen with a peritonsillar abscess?
Which statement correctly describes fifth disease?
Infant cradle cap presents with which description?
The nurse practitioner role was initially established to:
A preteen girl notices breast asymmetry during puberty. What is the best counseling?
A neonate is diagnosed with trisomy 21 based on karyotyping. What type of follow-up will the infant need?
ANA seropositivity for antibodies in juvenile idiopathic arthritis is:
Which of the following is a focus of care in the first weeks after delivery?
Among a child with hemophilia who injures a knee, what is the highest priority in emergency care?
A newborn of an HIV-positive mother; priority for neonatal care?
Regarding delivery of inhaled albuterol in children, which statement is MOST appropriate?
A newly adopted 4-year-old from Romania with no medical records: Today's visit should include which of the following?
Which statement is true regarding childhood obesity?
What is the most common cause of tic disorders in children?
A 6-month-old with gastroenteritis has mild dehydration. What is the best initial management?
A child with gastroesophageal reflux is discharged with a nasogastric tube for feeding. Which home-teaching approach is most effective?
A 2-year-old presents with anal fissures but no history of constipation. The clinician should be most concerned about which possibility?
For which of the following individuals is there no indication for obtaining a chromosomal analysis?
Which criteria is essential for the diagnosis of obsessive-compulsive disorder (OCD) for children?
What represents the best organizational approach when changing one's practice based on clinical evidence?
Which data would be most helpful in diagnosing erythema migrans (Lyme disease) in a teen?
During treatment for childhood cancer, which statement is true regarding immunizations?
Which statement about onset of autistic behaviors is not consistent with typical autism presentation?
A 3-year-old child is suspected of fetal alcohol effects (FAE); which physical findings support this diagnosis?
A 4-year-old Romanian child adopted with no medical records. Today's visit should include which of the following?
Johnny, a 16-year-old, is told that the most common type of headache with onset in adolescents is which of the following?
In counseling a parent regarding possible lead poisoning in the child, the PNP states that the most common source of lead is:
In evaluating a child for suspected growth delay, which test best assesses skeletal maturity?
In addition to a developmental evaluation, which baseline studies should be included for an infant diagnosed with 22q11 deletion syndrome?
The murmur heard when a child has rheumatic heart disease is the result of:
A 10-year-old child has persistent fever of 102°F for 5 days, sore throat, and a faint pink rash on the abdomen and groin. An earlier rapid antigen-detection test for GABHS was negative. The most appropriate next step is to:
During a sports physical, a 13-year-old girl has urinary frequency and dark vaginal discharge. Dipstick shows +1 blood with no protein, leukocytes, or nitrites. What is the most appropriate management?
In counseling about a 13-month-old's nutrition, which statement best reflects appropriate guidance?
An 8-year-old with influenza-like illness presents within 48 hours of symptoms onset. Which statement is correct regarding antiviral treatment?
Which statement about childhood lead exposure is most accurate?
Which statement about antipyretic use in a feverish toddler is most appropriate?
In accidental genitourinary trauma, which finding is not commonly seen?
A young child has had nasal congestion and a runny nose with a green discharge for 3 weeks. Which physical finding would be particularly worrisome and indicate the need for further evaluation?
A 17-year-old adolescent comes to the clinic because of weight loss, irritability, insatiable hunger, and heat intolerance. The PNP screens for hyperthyroidism. In the patient with hyperthyroidism:
The described major first- and second-degree burn should appear as which of the following?
A 2-year-old with vomiting, diarrhea, fever, and tender abdomen; The PNP should:
A new mom calls on postpartum day 5. She reports her newborn wants to nurse for 30 minutes every 2 hours. Which of the following is your best response?
Which factor has the strongest association with malignant melanoma?
Which blood lead level is not considered lead poisoning?
Which statement correctly describes autosomal dominant inheritance?
The most accurate test to determine whether a 6-week-old HIV-exposed neonate is HIV positive is:
Which statement is NOT an appropriate part of anticipatory guidance for a child newly started on thyroid hormone therapy?
Meatal stenosis features: which statement is true?
Which finding is not typically associated with allergic rhinitis?
In evaluating pityriasis rosea in an adolescent, screening should include which condition?
Which statement reflects the current expert consensus about syrup of ipecac?
Which statement best describes the CBC pattern consistent with iron deficiency anemia in a toddler?
Which statement about infant gastroesophageal reflux management is most consistent with the source information?
Kawasaki disease most commonly affects which age group?
In a patient with a hyphema, which outcome is considered the greatest risk for further complication?
A newborn evaluation for unilateral choanal atresia is BEST achieved by which method?
In a child with moderate persistent asthma, the most appropriate daily controller therapy is which of the following?
A low-birth-weight neonate whose mother is Native American and smoked heavily during pregnancy has an increased incidence of which condition?
What is an effective disciplinary approach for a preschooler who struggles with chores?
An 18‑month‑old with moderate croup symptoms requires treatment. Which option is the MOST appropriate therapy?
A nurse practitioner considers a position at a pediatric CF clinic with patients over 21. What is the BEST action to determine regulatory scope?
Which of the following would not be consistent with a diagnosis of functional constipation in an infant?
Which of the following sign or symptom is seen in students most often associated with anorexia nervosa (AN)?
Which diagnostic evaluation warrants the MOST attention when evaluating autism?
Which condition would exclude a child from participating in contact collision sports?
A pelvic exam should not be performed on which of the following adolescents?
A conjunctivitis appearing in a 2 day old newborn is likely due to:
Cat scratch disease typically presents with fever, malaise, and what?
A 12-month-old child is brought to the clinic for routine anemia screening. The hemoglobin level is 9.5 g/dL, and iron sulfate is prescribed at a dosage of:
Which counseling for parents of a 2-year-old with an elevated lead level would be effective in decreasing lead exposure?
A 1-year-old child presents with a fever of 102°F and left flank pain. Urine dipstick is positive for nitrates and leukocyte esterase. The presentation suggests left pyelonephritis. What is the most appropriate action for the pediatric nurse practitioner?
What percent of factor VII/IX is associated with severe hemophilia A & B?
After one month of ferrous sulfate therapy for iron deficiency anemia in an infant, what is the recommended course of action?
Which presentation least warrants sweat chloride testing?
Adolescent gynecomastia most commonly peaks at which age range?
Which description best fits pityriasis rosea?
Which finding would be most likely associated with asymmetric intrauterine growth retardation?
In adolescent acne, which statement is most consistent with its pathophysiology?
A 5-year-old child has sudden onset of nonblanching purpuric lesions scattered over the body and petechiae, with a platelet count of 20,000/mm3. What should the PNP do next?
Meatal stenosis is most commonly seen after which procedure?
Your patient has inflammatory bowel disease. Which finding is most consistent with ulcerative colitis?
In a child with suspected streptococcal pharyngitis, which finding among Centor criteria most supports testing?
The type of head injury that is easily treatable but potentially the most lethal is:
A 13-year-old female patient with Tanner stage 4 breasts and pubic hair who has not had menarche: the pediatric nurse practitioner suspects:
Management for physiologic leucorrhea includes which of the following?
Role-play with equipment during the course of a physical exam would be most beneficial with which age group?
When a mother of a 5-month-old breastfed infant asks about weaning, what is the recommended approach?
Which statement about MMR vaccination timing is supported by the immunization history?
Which radiographic finding is classic for croup?
Which of the following is the best written chief complaint?
A 2-year-old with a 2-day history of a harsh, predominantly nocturnal cough and fever 100°F is diagnosed with croup. What should the PNP tell the parent?
Which condition is thought to be more apparent in darker-skinned individuals or during the summer?
In a child presenting with headaches, which pattern is most concerning for a brain tumor?
What would you not advise regarding the management or treatment of psoriasis vulgaris?
For a 2-week-old infant seen with a 15-year-old mother, which of the following is the most appropriate focus of the visit?
What is the most appropriate initial management for a newborn diagnosed with developmental dysplasia of the hip?
Newborn screening most accurate statement:
During a clinic visit, a mother reports vague reporting of the infant’s routine. which question best elicits accurate information about the infant’s daily care?
What is the percent risk that an autosomal dominant gene is passed on to each offspring?
Which bleeding manifestation is most characteristic of severe factor VIII deficiency?
A child would warrant referral for a comprehensive developmental evaluation if which occurs?
Which condition is required for Medicare reimbursement by an APRN?
Which statement describes slipped capital femoral epiphysis most accurately?
National certification of PNPs has been offered since the 1970s. Which credential identifies nurses who have national specialty certification?
Infant seborrheic dermatitis (cradle cap) is best described by which statement?
The most appropriate analgesia for a 4-year-old with post-operative tonsillectomy pain would include which of the following?
Which should always be included in the evaluation of a child with a suspected learning disorder?
The PNP is obtaining a review of systems on a healthy 8yo girl. It would be important to include:
Which radiographic change is most characteristic of Legg-Calvé-Perthes disease?
The most appropriate car-seat anticipatory guidance for a foster infant weighing 20 pounds at 10 months is:
Which testing should internationally adopted children receive?
Which statement is NOT a contraindication to routine vaccination?
For monitoring an infant on an aminoglycoside, which type of monitoring is essential?
In evaluating a child with growth failure, which screening tests are most relevant and cost-effective?
In a 2-month-old infant with leukocoria, which diagnosis is most commonly associated?
Tourette syndrome commonly begins at what age range?
An 8-year-old with scaly, hyperpigmented lesions in a fir-tree distribution on the trunk, with one large buttock lesion, most likely has which diagnosis?
What is the first step in developing an Individualized Education Program for a child with disabilities?
In insecurely attached avoidant relationships, what is the underlying emotion?
Corneal abrasions can be managed with topical application of which one of the following?
In evaluating abdominal pain in this patient, which test is least helpful?
A 2-year-old girl with lymphedema of the hands and feet, a low posterior hairline, cubitus valgus, and a history of intrauterine growth retardation. Which cardiac defect is most commonly associated?
Which antibiotic is the primary treatment for gonorrhea in the provided material?
During discussion of breast self-examination in a 16-year-old, which statement is correct?
The Moro reflex typically disappears at about which age range?
The mother of a 3yo states that her son was completely toilet trained at 18mo. The PNP explores further, asking:
Adolescent girls are especially prone to developing which of these disorders?
A 4-year-old child is being assessed for language delays. Which screening tool would the clinician most likely select?
The PNP is discussing with the father of a child in day care the issues related to treating head lice. The PNP stresses the following:
Which statement best describes a healthy breastfeeding pattern on day 5 postpartum?
What is the best initial management for roseola?
An 8-year-old with chronic intermittent nasal congestion; which finding would support allergic rhinitis?
Which test is required to diagnose leukemia?
A Wright’s stained smear in erythema toxicum neonatorum is expected to show which cell type?
Topical conjugated estrogen cream for labial adhesions is best described as...
Early reflexive responses that are not r/t survival include all but:
In evaluating a child with signs of attention problems and learning difficulties at 30 months, which approach is most appropriate as an initial step?
Steatorrhea is not consistent with which of the following?
A child who is able to run, kick a ball, wash and dry the hands, tower two cubes, and use pronouns indiscriminately is probably aged:
In learning disabilities, which combination is commonly associated with perceptual-motor impairments?
A 1-year-old child presents with fever of 102ºF and left flank pain. Urine dipstick shows nitrates and leukocyte esterase. The presenting signs suggest left pyelonephritis. What is the most appropriate action for the PNP?
Which combination of findings is most consistent with fetal alcohol effects in a child with unknown prenatal history?
Which statement about erythema toxicum neonatorum is true?
Sally, a 9-year-old with moderate persistent asthma, is still having mild symptoms. You alter this treatment to include which of the following?
In a newborn with conjunctivitis on day 2, which diagnosis is most likely?
A 16-year-old female adolescent with Down's syndrome presents for a well-child visit with Tanner stage III breast development and pubic hair. The nurse practitioner should:
A pediatric patient has a positive PPD (12 mm) 48 hours after placement. What is the next best action?
A 2-year-old presents with a history of limping, fever, and refusal to walk or bear weight on an extremity. INITIAL management includes
The PNP teaches new parents that when breastfeeding is well established they can expect the baby to have:
A 2-month-old infant with spina bifida and shunted hydrocephalus has gagging with feeds, spit-up, intermittent stridor, and failure to thrive. The most likely explanation is:
A healthy 12-year-old girl presents with a 20-degree scoliosis and a thoracic hump. What is the most appropriate action?
In a 3-month-old with mild asymmetry of the corneal light reflex, the most appropriate initial plan?
After an ALTE, management and treatment are based on findings from which source?
Which statement best reflects a risk factor for adolescent pregnancy among the listed items?
Which daily caloric amount is appropriate for a 2-week-old neonate during growth?
In Turner syndrome, which assessment has a specific indication?
In the pediatric corneal abrasion case, which of the following is an appropriate antibiotic management approach?
Which statement best explains why combined oral contraceptives are considered for dysmenorrhea in adolescents?
Six-year-old with fever and sore throat with exudative tonsils and no cough. The most appropriate next step is:
In the newborn period, infants of diabetic mothers are particularly at risk for:
In pediatric patients, inflammatory bowel disease most commonly presents during which age range?
Which congenital bleeding disorder is most commonly diagnosed?
For children aged 5–11 years with diabetes, the recommended blood glucose range is:
Which feature is characteristic of Marfan syndrome?
Which is the appropriate return-to-child-care guidance for a child with mumps?
During play, a 4-year-old's arm is grabbed as the child darts away, and the child begins crying immediately. Which injury is most likely and requires immediate examination?
In a 9-month-old with sensorineural hearing loss, which diagnostic approach provides the highest cost-benefit ratio for etiologic determination?
A 13-year-old adolescent complains of difficulty walking and weakness in the arms after a recent cold. On exam, deep tendon reflexes cannot be elicited. What is the most appropriate course of action?
With winter approaching, a grandfather plans to keep cough syrups on hand for family colds. The PNP should warn that cough suppressants should be used only for:
Communicating hydrocele is best differentiated from the noncommunicating type by which finding?
A characteristic feature of polyarticular juvenile idiopathic arthritis (JIA) is:
Which symptom is most compatible with pediatric sinusitis in a child with persistent sinus symptoms?
The most common cause of primary amenorrhea is:
According to family systems theory, which statement best reflects the impact of a change in one family member?
Which statement about pediatric sinus development is true?
Which feature is characteristic of erythema multiforme lesions?
Medicare reimbursement for services:
Which statement about reporting child abuse is true?
A teen who frequently eats fast food is most likely deficient in which nutrients?
At 4 months, which vaccines are given?
Which finding is most characteristic of Trichomonas vaginalis infection?
A teenager sustains a puncture wound in the sole of a foot after stepping on a protruding nail. The most appropriate INITIAL management of this injury would be
Which patient is NOT at increased risk for developing otitis media?
A 7.5-year-old presents with inspiratory stridor, drooling, and a fever of 105F. He insists on sitting up during the exam. What is your diagnosis?
Which statement about Tourette syndrome is not true?
A 2-week-old infant is brought to clinic by a 15-year-old mother. What is the primary goal of this visit?
A 12-year-old presents with peri-umbilical pain that limits standing and fever to 102°F. What is the most appropriate FIRST action?
Which symptoms would prompt the ordering of a genetic test for Prader-Willi syndrome?
Which test is not appropriate for developmental dysplasia of the hip in an 18-month-old?
A mother calls after her 2-year-old has had fever and diarrhea for 5 days with multiple stools. What is the most appropriate initial advice?
For strep pharyngitis in a penicillin-allergic patient, which antibiotic is a common alternative?
A 13-year-old adolescent with a new unilateral headache that is increasing in intensity. What type of headache is it most likely?
In acute uncomplicated sinusitis, which statement is true?
A 16yo was hit in the eye 1 day ago and now has ecchymoses on the upper & lower lids with 5/10 eye pain. All but which one of the following would be appropriate to obtain at this time?
Individuals who have spina bifida are at high risk for allergy to:
Which infant reflex should not disappear by 6 months?
The knowledge base of the APRN is based on:
In performing a physical examination on a 9-month-old infant, which developmental fear would not be appropriate to consider?
Standards for well-child care and health promotion are set forth by which organization?
Which behavior would you expect to decrease during the preschool years?
Congenital hypothyroidism has a higher incidence in which populations?
Circumscribed, coalescent, generalized, erythematous raised lesions of various sizes occur in a child. The most common cause of hives is:
Which statement best describes toilet-training readiness in toddlers?
Most risk management programs are based on the assumption that:
In evaluating pityriasis alba in a 9-year-old, which finding would not confirm the diagnosis?
For an 18‑month‑old who completed antibiotics for a first febrile UTI and is asymptomatic, which management option is MOST appropriate?
Which statement about HPV infection is true?
Which of the following is not found in an adolescent with untreated Graves disease?
An adolescent male who fails to develop secondary sex characteristics at puberty and who has small, underdeveloped testes should be suspected of having:
Internationally adopted children should be tested for which combination of infections?
An 8-year-old with growing pains and a normal exam: which test would be most appropriate to order?
For a 2-year-old who thumbsucks, which approach is recommended by the clinician?
In the differential diagnosis for suspected child abuse, which finding would be least expected based on medical conditions rather than abuse?
When counseling a family about congenital cytomegalovirus (CMV) infection and hearing, which statement is MOST accurate?
A postterm neonate in the nursery is being examined. Which finding would you expect?
Which complication of strep pharyngitis cannot be prevented with antibiotics?
After eight weeks of antifungal treatment for tinea corporis, new larger lesions have developed. Which option would you not consider?
Infants under 6 months with pertussis are often hospitalized for which combination of symptoms?
Symmetric intrauterine growth retardation is typically characterized by which pattern?
A CBC for a 10-year-old shows decreased MCHC and decreased MCV. Differential diagnosis should include which condition?
Which newborn rash is erythema toxicum neonatorum?
All but which assessment is used to determine the presence of a strabismus?
In assessing a 17‑month‑old with suspected autism, which test is NOT typically included beyond screening?
Which statement about emancipated minors is accurate?
Which statement is NOT a recommended approach for a 2-year-old's bedtime management?
Management of a patient who undergoes splenectomy does not include which of the following?
Which of the following is appropriate advice for the mother of a newborn?
Informed consent is characterized by which duty?
Which physical finding is not usually associated with talipes equinovarus congenita (clubfoot)?
What is the most common chromosomal pattern found in Turner syndrome?
A 6-week-old infant has a bright red, raised, rubbery lesion about 2 cm in diameter on the occiput. Which condition is most likely?
For a two-week-old neonate, approximately how many calories per day are needed for growth?
Prophylaxis for secondary prevention following a definitive diagnosis of rheumatic fever includes which regimen?
During a well-child visit for a 2.5-year-old who rocks back and forth since 6 months, with normal development, what is the most likely explanation?
Which statement about slipped capital femoral epiphysis is not true?
Which level of E/M service is best described by a history focused on the presenting problem with a moderately detailed examination and straightforward management?
At a party, which item is a common latex trigger that should be avoided in a latex-allergic child?
Which statement best describes the APRN Consensus Model?
Which statement best reflects the impact of parental smoking on SIDS risk?
The most likely weight of a 1-year-old child whose birth weight was 6.5 lb would be:
In a 19-month-old with a five-minute generalized shaking episode followed by brief unresponsiveness, the initial appropriate management includes which of the following?
Which of the following is NOT a typical presentation of neonatal disseminated herpes infection?
Which clinical finding would not suggest an eating disorder with purging component?
A 9-year-old presents with a 10-day history of nasal symptoms consistent with sinusitis. Management should include:
Which statement is not a recommended sun exposure precaution?
Which vaccine is documented as being administered at 9 months of age in the immunization history?
An adolescent in a school-based clinic states they are a member of a gang. What response would be appropriate in the initial discussion?
Which of the following describes the weight pattern for a baby who weighs 6.5 lb at birth when weighing around 12 months?
Tuberous sclerosis is a progressive, neurocutaneous syndrome in which there is a combination of:
Which statement about anticipatory guidance for an 8-year-old is most appropriate?
During puberty in girls, which finding marks a milestone typically years after breast development?
A 2.5-week-old infant has irritability when lifted and an asymmetrical Moro reflex, with a spasm of the left sternocleidomastoid. The most likely diagnosis is:
During a well-child visit for a 3-year-old, labial adhesions are noted; which management should be discussed with the mother first?
Congenital defects are present in approximately 3-5% of infants. Which factor is the lowest contributor to defects?
What is the recommended management for cutis marmorata aside from monitoring?
In the context of aminoglycoside use in an infant, which complication is most associated?
Which concept is considered the cornerstone of vital personality in infancy according to Erikson?
In a child with a positive tuberculin skin test, which test should be used to evaluate for active tuberculosis disease?
Mumps contagion period described in the case material is when?
In a child with intermittent asthma with symptoms less than twice weekly and a normal peak flow, which therapy is recommended?
Which item is typically documented as part of a review of systems (ROS) in pediatric assessment?
The peak incidence for adolescent gynecomastia occurs at which age range?
A patient presents with a thin, white, malodorous vaginal discharge. What is the most likely diagnosis?
For Lyme disease in a child under 8 years old, which antibiotic is preferred?
Which of the following is a common cause of acquired coronary artery disease during childhood?
Which imaging study is best to confirm hip dysplasia in a 4-week-old infant with positive Barlow and Ortolani tests?
In a child with chronic sinusitis, the most accurate method of identifying abnormalities is:
Which factor is most commonly associated with sports injuries?
An adolescent with juvenile rheumatoid arthritis is taking NSAIDs and develops epigastric pain. What management is appropriate?
Which accompanying finding most supports pyloric stenosis in an infant with vomiting?
In diagnosing osteomyelitis, which statement is not accurate or recommended?
A 10-year-old with a cholesterol level of 186 mg/dL was evaluated. What is the most appropriate next step?
When approaching adolescents about sensitive issues, which interviewing approach is recommended?
Which physical finding is often seen in adolescents with Fragile X syndrome?
Which of the following is usually elevated with viral infections?
Which primary drug is used for treatment of generalized tonic-clonic seizures?
In an adolescent with a rash suggestive of pityriasis rosea, which STI serology is most appropriate to screen for due to the differential diagnosis?
The ECG in a school-age child presenting with syncope shows a prolonged QT interval. The initial clinical evaluation should always include which test?
A parent of a 2-week-old infant switched from iron-containing Enfamil LIPIL to a soy-based ProSobee LIPIL due to concern about allergies in an older child. What is the BEST response?
A toddler is unable to use the right arm normally after the parent pulled the arm to prevent the child from falling. Which finding would confirm the diagnosis of subluxation of the radial head?
Which of the following genetic disorders can be detected by cytogenic testing?
The 10-year-old's asthma classification described would be categorized as:
In pediatric primary care, which injury type is most commonly observed in cases of suspected abuse?
A child presents with a barking cough and inspiratory stridor. Neck radiographs show subglottic narrowing. This finding is most consistent with which condition?
A 10-year-old obese child with a total cholesterol of 205 on initial screening for hyperlipidemia. What is the MOST appropriate next step?
Which statement best describes catch-up growth in premature infants?
A 3-year-old in daycare with three days of low-grade fever and foul-smelling watery stools followed by abdominal distention. Which organism is most probable?
Which vaccine is a live attenuated vaccine?
For a 6-month-old with suspected infantile botulism, which intervention would be inappropriate?
Which of the following Is not a frequent sign of a gonorrhea infection:
The diagnostic criteria for Tourette syndrome require which of the following?
The most appropriate management of a 5yo with a firm, nontender nodule in the mid-upper eyelid for 3 weeks would be:
In suspected infantile botulism, which diagnostic approach is commonly pursued to identify the etiologic agent?
Which test is not a specific exam test for detecting a dislocated hip?
Which option best reflects rotavirus vaccination's role in preventing gastroenteritis in children?
Which nasal foreign body requires immediate removal?
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?
A 12-month-old with non-retractile foreskin and a prior urinary tract infection; what is the recommended action?
Painful vesicular skin lesions in an adolescent most likely indicate which infection?
The parachute reflex is expected to appear by which age range?
Long-term inhalant use in an adolescent most commonly leads to which consequence?
Education of sexually active adolescents concerning use of condoms to prevent STI's would include:
A wide pulse pressure resulting from high systolic blood pressure is usually not due to which of the following?
In an 8-year-old health maintenance visit, which item would be important to include in the review of systems?
Beyond the neonatal period, which set of signs is most consistent with bacterial sepsis in a child?
Which vocabulary size is typical for a 24-month-old?
Which infant reflex is a survival reflex aiding feeding?
A PNP is following a child placed in foster care. The most common health problem of children in foster care is:
An at-risk 10-year-old with a history of anaphylactic reactions to stings is prescribed an epinephrine auto-injector (1:1000) 0.3 mg. Which instruction is MOST appropriate?
An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
In girls, menarche typically occurs after which pubertal event?
For a well-appearing toddler, what is the recommended approach to the physical examination?
Which statement best describes alarm therapy for enuresis, based on the material?
A 12-year-old boy is brought to the office for a yearly physical and has recently noticed enlargement of his testes and scrotum. When counseling the boy about what to expect next in pubertal development, which change is likely to occur first?
A fair-skinned 17-year-old adolescent presents with a maculopapular red scaling rash on the trunk that later forms lesions following a line of cleavage. The most likely diagnosis is
A 14-year-old adolescent has early hypothyroidism. The management plan includes which of the following?
For a 10-month-old who weighs 21 pounds, what is the most appropriate instruction regarding car seats?
A 12-month-old child has an abnormal urine culture at the 12-month well-child visit. The child is uncircumcised with non-retractile foreskin, and the parents have not routinely retracted or cleaned under the foreskin. What is the most appropriate treatment?
Which description best matches psoriasis vulgaris lesions?
Medicare Part B covers:
A pustular eruption on a newborn’s face and trunk that is transient is most consistent with which diagnosis?
Which combination should be administered at the 23-month visit given the child’s immunization history (9 months and 13 months schedules described)?
Which combination of vaccines is typically administered at the 2-month vaccination visit?
Which hemorrhage pattern is most characteristic of severe factor VIII deficiency?
Which test best reflects long-term glycemic control in a child with diabetes?
Which of the following is NOT a characteristic finding in a child with scabies?
A 3-week-old infant is being breastfed and the mother wants to know signs of adequate intake besides weight gain. Which sign would the mother observe?
A 12-year-old with chest pain radiating to the back and abdomen has tenderness over the costochondral junction. The most likely diagnosis is?
During a preadmission college physical, which vaccine is typically discussed as needed?
During a well-child visit, a 3-year-old girl is noted to have labial adhesions. What topic should the PNP discuss with the mother?
Which of the following children need an orthopedic referral?
An infant born to a mother with chronic hepatitis B should receive which treatment within the first hours of life?
A 5-year-old presents with a 2 cm abscess on the thigh with purulent discharge; what is the first step in management?
Which murmur is commonly described as a vibratory murmur in children?
A 4-year-old is brought in for a preschool physical. Immunization records show that DTaP, IPV, and MMR are due. The child had Kawasaki syndrome treated with IVIG 9 months ago. Which immunizations should be administered today?
Which congenital infection is classically associated with a blueberry muffin rash due to extramedullary hematopoiesis?
Which statement about type 1 diabetes in children is true?
The major psychosocial task of adolescence is the development of which?
Asplenic children are at increased risk for which of the following?
A 2-year-old child with bowing of the legs; the PNP should
Which muscle is involved in torticollis?
Which statement best describes pediatric syncope in most cases?
Which sign describes softening of the cervix during early pregnancy?
A patient has folliculitis caused by the most common organism. Which antibiotic is most appropriate to prescribe?
Which is not a proposed etiologic factor in premenstrual syndrome?
In neonatal newborn screening panels, which condition is most commonly screened for after birth?
Concurrent otitis media & conjunctivitis is likely due to which organism?
During ROS focused on the skin, which finding is an objective observation?
The parents of a child with cystic fibrosis are considering another pregnancy. They want to know what their chances are of having another child with cystic fibrosis. The PNP explains that cystic fibrosis is an autosomal recessive disorder and that each conception of carrier parents has a:
What is the MOST important safety question to ask a 17-year-old patient?
The most appropriate agent for treating varicella zoster infection in an immunocompromised host is which?
Beta-chain synthesis is absent in:
Lyme disease is most closely associated with which skin lesion?
Koplik spots are pathognomonic for which disease?
The most common hematological presentation of leukemia in children is anemia along with which of the following?
A 3-year-old child has painful sores in the mouth. On examination there are two to five pin-sized vesicles covered with a yellow-gray membrane on the lips and inside the mouth. Which diagnosis is most likely?
For a nonverbal infant or toddler, which pain assessment method is most appropriate?
What protective measure is recommended to reduce Lyme disease risk in endemic areas?
Of the following, the MOST effective method to prevent childhood gun injuries and death is
A 3-year-old afebrile with a one-day history of limp after a viral illness: what is the most likely diagnosis?
Physiological splitting of the second heart sound during inspiration in a child:
Which statement best describes postoperative outcomes after pectus excavatum repair?
Which developmental theory best explains the multifactorial etiology of failure to thrive?
During school-age years, typical annual weight gain is approximately:
Which problem is common in a child with Hurler's syndrome?
In a 5-year-old with a gross motor deficit but normal language, which statement best reflects the association between language skills and school success?
Which one of the following is not found in children with growth hormone excess?
Which statement about condylomata acuminata is true?
Preventative health guidelines typically include which elements?
All but which one of the following is consistent with glaucoma?
Which of the following findings is not characteristic of hyperadrenocortism?
Which statement about Piaget's theory best describes preschool thinking?
In the typical infant motor development sequence, which milestone occurs first?
A 2-year-old girl presents with painful urination, frequency, and occasional incontinence; fever is present. Which specimen collection is most appropriate for urine culture?
What activity should patients with sinusitis be instructed to avoid?
Which rash characteristic and travel history would most strongly indicate Lyme disease?
The MOST appropriate treatment for documented Lyme disease in a 5-year-old who weighs 55 lb (25 kg) is
For a 7-year-old child with type 1 diabetes, which blood glucose target range is commonly recommended?
After exposure to meningococcal disease, which approach is appropriate for an asymptomatic close contact?
Which statement is not typically true for migraines in a 4-year-old?
A 9-year-old with primary enuresis asks about treatment options. The family should be told which statement is true?
A 2-year-old presents with a history of limping, fever, and refusal to bear weight on an extremity. Which initial management step is most appropriate?
In boys, lack of secondary sexual characteristics after 17 years of age suggests:
Which statement best describes innocent murmurs in children?
When supporting parents of a school‑aged child with a learning disability, what is the most important PNP role?
Which combination of findings is most suggestive of congenital syphilis?
Which treatment is appropriate for Hirschsprung disease?
Tuberous sclerosis typically presents with which combination?
In early male puberty, which event is typically the first physical change?
A sexually active 17-year-old boy reports unprotected sex recently. Which care approach is most appropriate?
A neonate with suspected fetal alcohol syndrome and developmental delays should be referred to which early intervention program?
A 17-year-old presents to the fast-track with respiratory distress, headache, and euphoria. Which exposure is most likely suspected?
Which diagnosis would not be part of the differential for recurrent lobar pneumonia in a 2-year-old?
A 2.5-year-old child has anal itching and has been awakening at night. The diagnosis is:
An adoptive family brings a 10-month-old with unknown medical history for a first well-child visit. Which initial screening tests are indicated?
What is identified as the major perceived barrier to using a nurse practitioner in a primary health care setting?
A 9-year-old boy with fever to 102 F and leg pains; tender swollen knees; a blowing systolic murmur at the apex. The most likely diagnosis is:
Which organization is primarily responsible for pediatric preventive care guidelines?
What is the correct order for introducing solid foods to an infant?
Quality improvement activities include which combination?
Which parental behavior would discourage sibling rivalry?
The PNP is evaluating a postterm neonate (42 weeks gestation) in the nursery. On examination, which finding would be expected?
In a malpractice claim, which statement completes the triad alongside duty and breach of standard of care?
At a 6-month well-child visit, which statement about cow's milk is correct?
Which statement best reflects a privacy-respecting approach to discussing sensitive topics with teens during health visits?
Hashimoto's thyroiditis is best described as which type of disease?
A 5-year-old is frequently grounded for chores. How should the PNP respond?
Which cluster of symptoms would make Lyme disease a likely diagnosis?
During a 2-week-old well-child visit, which question would be most appropriate to address safety counseling?
A 9-year-old with irritability and multiple seasonal allergies; the suspected cause is which?
Which physical finding is a recognized diagnostic criterion for NF1?
A typical febrile seizure is most likely to be the problem of which of the following children?
Which child should not have tuberculin skin testing?
At a well-child visit, a 5-year-old is grounded frequently for chores. How should the PNP respond?
At age 6 months, which vaccines are listed in the immunization schedule described?
In an adolescent presenting with signs that may indicate drug use, which testing approach is most appropriate?
In girls, peak height velocity is most closely associated with which timing relative to menarche?
In a child with knee pain, which area should also be examined to assess referred pain?
A 3-month-old infant cannot elicit a red reflex in the right eye. What is the most appropriate next step?
Which statement about precocious puberty is most accurate?
In counseling about lead exposure, what is the most common source of lead exposure in children?
Which is a sign that may indicate seizures in a child with cerebral palsy?
The PNP is employed by a physician and performs services under direct supervision; these services provided by the PNP are billed under the physician's name and are called
A 5-year-old with clear rhinorrhea and pale, boggy nasal mucosa is treated with which therapy?
A 5-day-old neonate with trisomy 21 has an elevated TSH on newborn screening performed at day 3. What should the clinician do next?
Penicillin is the drug of choice for syphilis because it is effective against which organism?
Congenital hypothyroidism in infants is most commonly associated with which finding?
In a full-term neonate with early-onset jaundice and a large cephalohematoma, which is least likely to be the cause?
A 12-month-old with developmental concerns should be followed for readiness and screening in which area?
In adolescents, which type of primary headache is most common?
Which statement about innocent pediatric heart murmurs is true?
A 6-month-old presents with four days of diarrhea and vomiting. Weighing 7 kg at check, now 6.5 kg. What is the percent dehydration?
Which test is most appropriate to assess skeletal maturation in pediatric patients?
Which statement accurately describes certification for APRNs?
A father brings his 9-month-old because the infant is tugging on the right ear. Cranial and facial asymmetry are noted, but there is no evidence of otitis media. What is the most appropriate next step for the PNP?
Which disease is prevented by the MMR vaccine?
Which of the following may cause microcephaly?
Jerry has folliculitis. What is the most common cause of this condition?
A school-age athletic male presents with a recurrent episode of hematuria. A urinalysis shows nitrite and leukocyte esterase negative; greater than 50 RBCs per high power field; and protein greater than 100 mg/L. The MOST likely diagnosis is
Giardia infection is caused by which organism?
According to NIH guidelines for management of moderate-persistent asthma in a school-aged child, which daily plan is the BEST INITIAL recommendation?
Which finding is commonly associated with Kawasaki disease?
In the immunization history of the foster child, which vaccination was documented at birth?
Fluorescein dye is used to detect which of the following ocular issues?
The PNP sees a 6-week-old HIV-exposed neonate; which prophylaxis would be appropriate in conjunction with the HIV specialist managing the infant?
For a toddler with fear of the dark, which statement about fears is most accurate?
In a child with suspected acute bacterial sinusitis, which finding would most strongly suggest antibiotics are indicated?
Which diagnostic step is used to visualize a corneal abrasion after staining?
Which of the following best demonstrates the oral behavior of a 12 month old in relation to readiness for feeding?
Which diagnosis is associated with contracture of one sternocleidomastoid muscle?
What is the predominant characteristic of a young infant with bronchopulmonary dysplasia?
Which credential identifies nurses who have national specialty certification?
A 9-year-old with heel pain that begins with football practice, with infectious or inflammatory causes ruled out, most likely has which condition?
In a pediatric patient with suspected rheumatic heart disease, the disorder most commonly involves which structure?
Which of the following methods is best for diagnosing obesity?
A 10-year-old child has been referred for evaluation of scoliosis, which was identified in a school screening program. On physical examination the PNP finds a curvature of the spine when it is anteriorly flexed from the trunk. There is slight shoulder asymmetry, with prominence of the scapula. The curvature is at 10 degrees. The PNP should:
Rubeola (measles) is which of the following statements?
The type of seizure that first presents during infancy in which the infant goes into a 'jack knife' posture is:
An 8-year-old child with no TB risk factors has a PPD induration of 7 mm with redness. How should this be interpreted?
Meatal stenosis is a potential complication most commonly associated with which procedure?
In a child with lipomyelomeningocele, new back pain with changes in bowel and bladder function suggests tethered cord.
What is the primary public health measure to decrease the incidence of bacterial meningitis in infants and children?
A 4-year-old with a history of Kawasaki disease treated with intravenous immune globulin (IVIG) 2 months ago presents for immunizations. Which immunizations should be administered today?
An 8-year-old with cough; immunization status; which is the suggested course?
Which credential may identify nurses who have national specialty certification?
Which of the following is not a sign or symptom of congenital hypothyroidism?
Which is the BEST initial counseling for a family of a 5 year old with nocturnal enuresis?
In a child with persistent fever and sore throat after negative rapid antigen tests for GABHS, what is the most appropriate next step?
What clinical signs would you expect in a 7% dehydration on examination?
An 8-year-old child has a vertical linear corneal abrasion seen on fluorescein staining; Pupils are equal and reactive. Which plan of care is appropriate?
Which factor does NOT predispose a pediatric patient to thrush?
Most patients with uncomplicated UTI can be treated on an outpatient basis. The first antibiotic you would consider using is which?
Labial adhesions are most likely to resolve without intervention. Which statement reflects this?
Which POST competition guidance is most helpful for best nutrition practices for the athlete?
A 7-year-old child with no history of immunizations and no varicella history is seen. Which immunizations are required at this visit?
Which finding is not a sign or symptom of diabetes onset in children?
Which statement reflects one of a young child's greatest fears?
One difference between the lesions of primary syphilis (chancre) and HSV genital lesions that may help in differentiating the two is:
Which screening instrument is specifically designed to assess articulation in preschool children?
Which of the following responses during a tonic-clonic seizure is most important to teach family members of a child who has these seizures?
Which finding is most significant for pertussis in an adolescent patient?
According to Erikson, the major psychosocial task between ages 1 and 2 is the development of which concept?
Which item is included in the past history of a pediatric patient?
Which clinical feature most strongly suggests pinworms infection in a preschool child?
Which statement about melanoma spread is correct?
Which of the following is not a good goal of appropriate asthma management?
A vibratory systolic murmur heard between the lower left sternal border and the apex in a healthy 4-year-old with otherwise normal cardio exam. The most likely diagnosis is:
During anticipatory guidance with parents of a 5-year-old child with diabetes, which symptom cluster indicates hypoglycemia?
A child presents with irritability, agitation, muscle pain, and cramping in the large leg muscles. Exam reveals a target lesion with an erythematous ring around a pale center. The child was playing in a garage and does not recall insect bites. What is the most likely cause?
A previously healthy 4-year-old with acute sinusitis should be treated with which therapy first-line?
A MOST concerning cardiac finding in the initial newborn assessment is which of the following?
A 15-year-old adolescent has pallor and fatigue. The CBC results are consistent with iron-deficiency anemia. What would be appropriate information to give this adolescent?
Which symptom is commonly associated with rubella infection in adults?
Which observation during a pediatric exam demonstrates the function of the oculomotor nerve?
Which sign is most characteristic of congenital hypothyroidism in infants?
Which diagnostic finding is consistent with X-linked agammaglobulinemia?
A 10-year-old presents with a central, painless swelling on the left upper eyelid with mild erythema. The most likely diagnosis is:
In adolescent migraine evaluation, which symptom pair is most characteristic?
Congenital hypothyroidism in infants is associated with which clinical sign?
A birth dose of Hep B vaccine is given with HBIG because the mother is HBsAg positive. HBIG provides which type of immunity?
Appropriate anticipatory guidance for the parents of an 8-year-old girl should not include which statement?
The most significant finding in the case of Chlamydia infection is:
Which description best characterizes urticaria lesions?
An 8-year-old afebrile child presents with 4+ tonsils without exudate; which item is included in the differential diagnosis?
Which statement is most accurate about inhaled corticosteroids in pediatric asthma?
Kawasaki disease is most common in:
You would expect a school-age child to:
A mother asks if screaming, falling on the floor, and kicking are normal tantrum behaviors in a 2-year-old. What is the most accurate explanation?
A 7-year-old child in the emergency department presents with an acute asthma attack. Which medication is most appropriate to administer first?
For the parents of an 8 month old, the MOST appropriate age-related anticipatory guidance related to safety should include which of the following?
Which hormone is primarily responsible for sexual maturation of males?
Which inherited disorder is most associated with seizures and cognitive deficits?
Which organism is most likely responsible for septicemia in the newborn period?
An example of a genetic disorder occurring because of genomic imprinting is:
Which of the following conditions would be most likely to occur in a 4-year-old boy?
In a term infant with unilateral undescended testis, when should pediatric surgery be considered if the testis remains undescended?
Which topic would not be appropriate to include when providing anticipatory guidance to the parent of a 4-month-old infant?
Unintentional injuries are a major cause of death in preschool-aged children. Which cause accounts for the most deaths?
A previously healthy 4-year-old with acute sinusitis should be treated with which agent?
A child with upper respiratory symptoms and a grayish-white pseudomembrane in the throat most suggests diphtheria when accompanied by which fever/airway findings?
Legal authority for APRN practice is granted by state law and regulations.
Which statement best describes 'incident-to' billing in pediatric primary care?
Which term describes the outward signs of puberty in males?
A mother of a 10-week-old asks about managing hard stools. Which suggestion is appropriate?
Labial adhesions have their highest incidence in which age group?
Which of the following is not a specific exam test for a dislocated hip?
Clinical jaundice of the distal extremities would be noted at a bilirubin level of:
Which approach to cultural differences between healthcare providers and patients/families is most effective?
A neonatal male has ventrally displaced urethral opening along the glans consistent with mild hypospadias. What should the parents be told?
Which statement about scope of practice is true?
A 15-month-old child undergoing leukemia treatment has IPV and MMR due today. What immunizations should be given?
Which term is used to describe nasal discharge in congenital syphilis?
Which of the following is an appropriate long-term management strategy for pityriasis alba?
Which type of play is most sophisticated and advanced?
Which strategy is recommended to reduce sibling rivalry when a new infant enters the family?
Which fine motor milestone is most characteristic of a 12-month-old?
What treatment would be appropriate for Jamie's Hirschsprungs Disease?
Dislocation in the hip of a child 6 months or older may typically present with which sign?
Which beverage inhibits the absorption of nonheme iron when consumed with iron-rich meals?
Which statement about Wood’s lamp fluorescence in dermatophyte infections is true?
A 4-month-old infant has not had other immunizations besides Hep B; Which vaccines should be given today?
Among survivors of meningitis, which sequela is most frequently observed in older infants and children?
A 9-month-old with diarrhea has a slightly depressed anterior fontanel and normal capillary refill. What percent dehydration is most likely?
If both parents are carriers for cystic fibrosis, what is the chance that a child will be unaffected and not a carrier?
Which immunizations would be appropriate to administer today for a 5-year-old with egg allergy?
A 6-month-old with increased tone and leg scissoring is most consistent with which condition?
A 4-month-old infant with cyanotic spells and a systolic murmur best heard at the left sternal border most likely has which condition?
Which instrument is a caregiver-report measure of adaptive behavior and social functioning?
Which symptom is typical of scabies?
Secondary hypothyroidism results from which cause?
Consistent with Hirschsprungs Disease, rectal exam would be which finding?
Which of the following is NOT a reliable predictor of intellectual giftedness?
Which child does not need Pneumocystis carinii pneumonia (PCP) prophylaxis?
Which management step is NOT recommended for scabies?
Transient neonatal hypoglycemia is:
Which of the following would usually not be considered a sign of a pituitary tumor in an adolescent female?
In a 4-week-old neonate with greasy stools and poor weight gain, which diagnosis is most likely?
Which entity is responsible for legally defining the scope of practice for pediatric nurse practitioners?
A mother brings her 2-year-old child to the clinic for a well-child visit. The mother's chief complaint is the child's rebellious behavior. The mother says that she has tried time-out, yelling, and spanking but nothing has worked. The child has never slept through the night and still gets a bottle in the middle of the night. In the examination room the PNP observes as the child repeatedly gets into the mother's purse when she is not paying attention, despite the mother telling the child no. Based on the history and observation, the PNP suggests that:
Which foods are among the most common allergies in children?
An 18 month old with a history of recurrent otitis media and prolonged febrile seizures—Which management is most appropriate?
A 13-month-old child is brought for routine immunizations; which immunizations should be given today?
A 5-year-old with acute gastroenteritis is thirsty but tolerates oral fluids well. What is the best initial management?
If erythema multiforme major is suspected, which management is most indicated?
Which medication should be avoided in a child with chickenpox due to the risk of Reye syndrome?
A dark-skinned 14-year-old adolescent presents with a nonpruritic rash with loss of pigment; The PNP diagnoses tinea versicolor and treats with:
A newborn's head appears proportionally large compared with the rest of the body. How should the clinician respond to the parent?
Which immunization combination is listed as given at age 4 years in the foster care record?
In ADHD management, which nonpharmacologic approach is commonly recommended as part of initial treatment?
Which institution legally defines the scope of practice for pediatric nurse practitioners?
Which statement about acute osteomyelitis is true?
What is the approximate average age at which tobacco use begins?
A 2-year-old child screened for lead poisoning has a lead level of 14 mcg/dL. The intervention should include which action?
A toddler presents with a second-degree glove distribution burn; which scenario would raise suspicion for nonaccidental injury?
A 6-year-old presents with limp and knee pain, with limited passive internal rotation and abduction of the hip. The most likely diagnosis is which?
Which management would you not recommend for pityriasis rosea?
Leukotriene modifiers in children with asthma: which statement is true?
Which statement represents a key benefit of physical therapy for a moderate-to-severe ankle sprain?
Treatment of a child with glomerulonephritis would include:
Which imaging or regulatory action is most appropriate when considering a CF clinic with patients older than 21?
A 2-year-old with chronic serous otitis media has pearly white opacity in the upper outer quadrant of the tympanic membrane and no symptoms. Most likely diagnosis and management?
Which vaccine is contraindicated for an immunocompromised child?
Which of the following tests is not an appropriate test for developmental dysplasia of the hip in an 18-month-old?
At 2 months, which vaccines are given?
Which of the following is not commonly used to treat condylomata acuminata?
Which statement best describes polyarticular juvenile idiopathic arthritis?
An 8-year-old girl presents with a 2 week history of brownish-red, foul smelling vaginal discharge. It is most likely caused by:
Which sign would you expect in a child with dehydration?
Which congenital anomaly feature is most characteristic of Edwards syndrome?
What is considered minimal weight gain in a normal newborn after hospital discharge?
In what Tanner stage for girls would the PNP expect to see enlargement of the breasts and areolae, as well as curly, coarse pubic hair?
Premenstrual syndrome management: which option is most appropriate for a teen who declines NSAIDs?
Which imaging modality provides the most accurate assessment of sinus abnormalities in chronic sinusitis?
A 4-year-old child with a vesicular eyelid eruption and eye pain should be managed by which of the following as the best immediate step?
The described familial pattern of von Willebrand disease across multiple generations is best described as which inheritance pattern?
In a 3-month-old infant with absent red reflex, which condition should be considered as a possible cause that warrants urgent evaluation?
Which of the following is not a characteristic of innocent heart murmurs in children?
Which CBC pattern is most typical of iron deficiency anemia?
A 2-year-old child presents with periumbilical abdominal pain and vomiting that began this morning. The examination is noncontributory except for tenderness around the umbilicus. The differential includes appendicitis. What should you do next?
Which statement best describes hyperthyroidism in adolescence?
Absence seizures are best described by which statement?
The most likely organism to cause urinary tract infection in the pediatric population is:
Which of the following is not an expected finding in a child with myocarditis?
Which medication should be avoided in a child with ITP?
Which diagnostic test would not be helpful when evaluating a child with suspected inflammatory bowel disease?
Which sign marks the transition from Tanner stage II to III in male puberty?
Seborrheic dermatitis is common in both infants and adolescents. Which statement is not correct about this condition?
Title V amendments in 1981 and 1986 expanded coverage for children with special health care needs under which program?
All but which of the following conditions requires urgent inpatient admission?
In evaluating suspected Kawasaki disease, which diagnostic test is essential to assess possible cardiac involvement?
Family-centered care is characterized by which of the following?
A 6-year-old presenting with fever, cough, and left lower chest findings has left base decreased breath sounds. Which diagnostic test is most appropriate to order next?
An infected naval piercing in a 15-year-old, with lake swimming history, the MOST appropriate management is?
The "incident to" billing concept is most relevant to which billing requirement?
A 15-year-old with acne; an appropriate plan of care would include
An 18-year-old female presents with abdominal pain that began around the periumbilical area and migrated to the right lower quadrant, with guarding and tenderness but normal vitals. What is the most likely diagnosis?
Management of the infant with suspected heart disease and cyanotic spell should include which of the following?
A three-year-old with intermittent abdominal pain and vomiting; examination is otherwise benign. Which management is most appropriate?
What is the most appropriate treatment for axillary adenitis in a 3-year-old after dog puncture wounds?
A 13-year-old adolescent complains of having difficulty walking and the arms feeling weak. The adolescent had a cold 2 weeks ago. On examination, the PNP is not able to elicit deep tendon reflexes. The PNP knows that the most appropriate course of action is to:
Children with Down syndrome have 15 to 20 times incidence of developing which of the following as compared to other children?
For a newborn, the correct management of hip dislocation should include:
An 18-month-old presents with irritability and nightmares after a URI and OTC cold medication; what is the most appropriate counseling point?
Which organism is commonly associated with infectious diarrhea following exposure to contaminated food?
A foster mother suspects the adolescent is using drugs and wants separate testing. The most appropriate response is:
A 12-year-old girl in late puberty asks about height growth. Which statement is most accurate?
Which test best supports a diagnosis of a recent group A streptococcal infection in suspected acute rheumatic fever?
Which symptom is not typical of ADHD in a child?
In initial therapy for ALL, which treatment is not typically included?
In Jale’s contact dermatitis, which symptom is most characteristic?
What is the average daily sleep time for a 12-month-old infant?
The primary treatment for Neisseria gonorrhoeae would be?
In counseling about herbal remedies for adolescents, which statement is most appropriate?
In a 12-year-old girl who may be pregnant, what is the most important area to explore?
Billy's family eats at fast food restaurants 4-5x/week. If you suspect the diarrhea is infectious in nature, which organism is likely causative?
Which agency administers the School Lunch, WIC, and Food Stamp programs?
Routine pediatric office developmental testing is conducted to:
The expected hemoglobin range for sickle cell anemia is:
The PNP is counseling the parents of a child with recurrent episodes of acute otitis media. The PNP informs the parents of environmental risk factors for acute otitis media. Which factors are correct?
A mother reports her 4-year-old 'plays with himself in front of the TV.' What guidance should the PNP give?
A 5-year-old child is brought for a prekindergarten physical. The child has an egg allergy with GI symptoms. Which immunizations would be appropriate today?
An 8.5-year-old boy presents with penile length of 6.2 cm. Which additional finding is associated with precocious puberty?
Which patient group is explicitly listed as needing endocarditis prophylaxis despite prior repair?
A child with a cyanotic spell and a systolic murmur best heard at the left sternal border most likely has which condition?
Which symptom is not commonly associated with Legg-Calvé-Perthes disease?
A typical febrile seizure is most likely to be the problem of which of the following children?
A 14-year-old cross-country runner has a 3- to 4-week history of knee pain that worsens with activity. Exam shows tenderness over the tibial tubercle. What is the BEST management strategy?
What statement best describes dysfluency in preschoolers?
Which option best describes the purpose of a Mantoux tuberculin skin test in pediatric care?
Individuals living with an infant who has pertussis should receive which prophylaxis or vaccine?
At a physical examination for Head Start, a mother reports being concerned about her 4-year-old child's speech. She worries that the child's speech is unclear and that the child is not saying enough words. The PNP explains to the mother that the child should:
Which statement reflects mandatory reporting in most jurisdictions when abuse is suspected?
Title V funding for children with special health care needs is provided through which mechanism?
Vitamin D–resistant rickets is inherited as X-linked dominant; which statement is true?
Shelby, a 4-week-old infant, presents with fever, poor feeding, paroxysmal coughing, and labored breathing during winter. What is the most likely cause?
The mother of a 3-year-old child questions the PNP regarding areas in North America where roundworms are a prevalent parasitic infection. Ascaris lumbricoides (roundworm) is most prevalent in what part of the United States?
In a 2-week-old neonate with excessive lacrimation and hazy corneas but clear conjunctiva, which diagnosis is most likely and requires ophthalmology referral?
Which type of headache requires immediate referral to a physician?
Which feature is commonly associated with Down's syndrome in a neonate?
Which approach best supports early identification of a language disorder in a child who shows speech dysfluency?
Which infection is not typically associated with hypogammaglobulinemia?
At what age does separation anxiety typically peak?
A risk factor that is common to many psychosocial pediatric problems including failure to thrive, conduct or oppositional disorders, and childhood depression is:
A 5-year-old who occasionally reverses letters with no other learning problems: what is the likely course?
Foods containing high levels of iron appropriate for a 2-year-old with iron deficiency anemia include which of the following?
Nutrition assessment of the child on a strict vegan diet should include regular growth monitoring, diet analysis, and laboratory assessment of
16yo Sarah makes the following statements to you during a health visit. Which of the following pieces of information should not be kept confidential?
When approaching adolescents about sensitive issues, such as drug use and sex, an effective interviewing approach is to:
A 9-year-old patient whose father recently had an acute myocardial infarction should undergo which screening test next?
Which approach best respects patient autonomy and cultural beliefs when delivering pediatric care?
A parent asks what intervention you would recommend for a 6-year-old who wets the bed (primary nocturnal enuresis).
According to Erik Erikson, which is the cornerstone of vital personality?
The Moro reflex typically disappears during infancy in which approximate age range?
The Denver II screening tool is designed for children within which age range?
The PNP is in the nursery to examine a neonate. The results of the neonatal screen are noted in the chart. The T4 level is low, and the TSH level is elevated. The PNP should:
Buffalo-type adiposity of face, neck, & trunk is a characteristic finding in which condition?
When craniosynostosis is suspected in a 6-month-old, what is the most appropriate initial action by the primary care provider?
Which test provides the most definitive diagnosis for suspected syphilis?
Cystitis or pyelonephritis in childhood is most commonly caused by which mechanism?
A parent reports that the child awakens crying and agitated during the last half of night sleep; the child is awake and can be comforted; the parent denies this child is experiencing:
The pediatric nurse practitioner suspects domestic violence; the best approach is to?
At a routine health maintenance visit, an 11-year-old patient with Tourette Syndrome informs the nurse practitioner that he is struggling both socially and academically at school. His parents have spoken with his teacher at school, but the problems have continued. He confides that he often goes to the school nurse's office with vague complaints to avoid some of his regular school day. The pediatric nurse practitioner's next action should be to:
Which BEST represents the description of Tanner stage 3 in an adolescent female?
By 8 months of age, which immunizations should have been administered?
In an X-linked dominant inheritance pattern, an affected father transmits the condition to which offspring?
In the evaluation of HPV-related genital lesions in a teenage patient, which statement is correct about HPV?
Which statement about nutrition in school-age children is most accurate?
Which of the following is not an absolute contraindication for oral contraceptive?
Which finding in an adolescent with pelvic inflammatory disease (PID) is an indication for hospitalization?
During the preschool years, which type of play is likely to decrease?
In an afebrile 3-year-old with limp after a viral illness, which diagnosis is MOST likely?
Significant progression of a 20 degree scoliotic curve is most likely to occur in a female who is
Which of the following is not a typical clinical feature of Kawasaki disease?
Which birth order is most associated with pyloric stenosis presenting in infancy?
Which statement about discussing confidential topics with adolescents is correct?
Which option best represents the correct sequence for adolescent female development?
Which of the following should not be included in the differential diagnosis for diaper dermatitis?
In a child with macrocephaly, which imaging study would be most appropriate to evaluate intracranial structures?
A 16-month-old should be switched to whole milk rather than skim milk because which of the following is true?
Which child should be referred for developmental evaluation?
Isotretinoin therapy requires which precaution due to teratogenic risk?
Initial exposure to herpes virus may produce all except:
Medicare Part A covers:
An infant presents with cataracts, congenital glaucoma, congenital heart disease, hepatosplenomegaly, thrombocytopenia, blueberry muffin rash, and growth retardation. What is the most likely diagnosis?
A 10-year-old child with pneumonia undergoes imaging. The clinician orders an anteroposterior and lateral chest view and which laboratory tests?
Which CBC finding is most commonly associated with viral infections?
A 10-month-old infant shows cranial asymmetry during a well-child visit. The appropriate next step is to:
Which health problem is most commonly seen among children in foster care?
Which chest radiographic finding is most consistent with pediatric asthma?
When switching from short-acting to long-acting methylphenidate, which factor is a key consideration?
Which factor increases the risk of developing hydrocephalus?
When describing levothyroxine administration for congenital hypothyroidism to parents, which is important to reinforce?
Which of the following is appropriate postpartum counseling regarding the infant of an HIV-positive mother?
What is the most common agent for nonviral pneumonia from older preschool to young adulthood?
Fifth disease is usually seen in which age group?
The rash that begins on the wrists and ankles and often involves the palms and soles is most characteristic of which disease?
Which clinical feature most strongly suggests epiglottitis in a child presenting with fever and drooling?
Unilateral wheezing in a child is most suggestive of which condition?
Which statement best describes peak height velocity in girls in relation to menarche?
A newborn or infant with birth length below the 50th percentile and microphallus should be suspected of having:
Which statement best describes a cyanotic spell associated with tetralogy of Fallot?
Which statement about insect stings from bees, wasps, and fire ants is NOT true?
Which description best matches Tanner stage 3 pubertal development?
A 16-year-old adolescent is brought to the emergency room with bradycardia, miosis, depressed respiration, and stupor; the adolescent does not respond to verbal stimulation. On examination, possible needle tracks are noted between the toes. The PNP suspects a heroin overdose and after consulting with a physician begins treatment with:
Which of the following is NOT a characteristic feature of DiGeorge syndrome?
When labial adhesions are observed in a child, which counseling point is most appropriate for the parent?
Which statement is most accurate concerning pain assessment in the pediatric patient?
Cytogenetic testing is used to detect which genetic condition?
Which is the MOST appropriate management for a 14-year-old sexually active patient who tests positive for Neisseria gonorrhoeae and Chlamydia trachomatis?
An 18-month-old is evaluated for a cough and runny nose lasting seven days. The nasal discharge is yellow-green. The mother has been using over-the-counter cold medications every six hours. There is no fever. What is the most appropriate step for the PNP to take?
A 9-year-old child is brought to the clinic for a rash. During examination, a speech dysfluency is detected. The most appropriate plan of treatment should include:
Hypercholesterolemia in children over 2 years is defined as total cholesterol at or above:
Which statement about pediatric phimosis management is true?
Which diagnostic finding should be referred to a specialist immediately?
Higher-functioning adolescents with autism are at increased risk for which condition?
In regards to generalized anxiety disorder (GAD), evidence has shown that
Role-play with equipment during the course of a physical exam would be most beneficial for which age group?
The most likely weight of a 1-year-old child with birth weight 6.5 pounds is:
A 10-year-old with a 12-day history of rash and intermittent fever has an annular indurated lesion on the thigh and two small papules with surrounding erythema. An appropriate treatment approach is:
Which of the following is not a common source of lead exposure?
An adolescent presents with chronic nasal congestion and fatigue; examination reveals a small perforation in the nasal septum. The patient reports an antihistamine was tried without relief. The PNP suspects:
Prescriptive privileges for nurse practitioners are legally granted by which authority?
Which of the following is NOT an acceptable management option for allergic rhinitis?
Which of the following does not characterize the lesion of malignant melanoma?
A 10yo has marked ear pain, not wanting anyone to touch his ear. The canal is edematous & exudate is present. TM is normal. How would this be managed?
Which condition presents with a persistent limp and hip symptoms during early school age and is associated with avascular necrosis of the femoral head?
Which alternative therapy is most likely to be explored by parents of a child with attention deficit hyperactivity disorder (ADHD)?
Complications of SLE commonly include which of the following?
Which finding is not a typical feature of rubella?
When performing a physical examination on a toddler, which of the following body parts would you examine last?
In assessing a preschool-age child, which factor is the best predictor and most frequently noted indicator of intellectual giftedness?
In an infant with rib fractures, which imaging study is considered most critical initially?
Which regimen is appropriate for streptococcal pharyngitis in a child with no penicillin allergy?
A child who completed chemotherapy for ALL two months ago — which immunization guideline applies?
Which child is at greatest risk for influenza complications and should be prioritized for vaccination?
A principal clinical feature of Kawasaki disease includes:
Which of the following is not characteristic of an apparent life-threatening event (ALTE)?
A 12-year-old presents with several vesicles and honey-colored crusted lesions on the face above the right nares after scratching the area. What condition is most likely?
Tanner staging helps differentiate puberty in which group?
Prematurity increases the risk of developing which one of the following?
Which of the following is not a risk factor for infantile botulism?
A foster mother calls about a 10-year-old child who has knocked out a permanent tooth. The PNP instructs:
In addition to penicillin, which antibiotic is NOT appropriate for treating strep pharyngitis?
Renal tubular acidosis type 1 true statement: which of the following?
Which of the following is not a major factor influencing healthcare delivery services?
In infants of diabetic mothers, which combination of findings is most likely?
An infant with suspected fetal alcohol syndrome should be referred to which program for early intervention?
A 2-year-old with anal fissures and no constipation: which concern should be considered?
During an acute episode of urticaria, which management measure is NOT appropriate?
The most common thyroiditis in children is:
Which adolescent is considered the MOST likely to abuse illicit drugs?
Appropriate laboratory tests to obtain in assessment of cervical adenitis include all of the following except:
Which of the following is not included as part of the initial therapy for ALL?
Which imaging study would be indicated to evaluate intracranial structures in a child with macrocephaly?
The most common trigger for acute asthma episode in the very young child is:
If an APRN practices beyond scope, which statement is true?
The PNP is managing the case of a 2.5-year-old child with otitis media with effusion after an episode of acute otitis media. The effusion has now been present for 3 months. The most appropriate step is to:
A 4-month-old preterm infant (birth weight 2.0 kg) presents for vaccination today. Which immunizations are appropriate?
What is the best treatment for the described burn?
The father of a 10-month-old is concerned because of the lack of eruption of primary teeth. The PNP suggests:
In sports evaluation, which history question is most important to assess during exercise?
Which disease is explicitly prevented by the MMR vaccine?
Which of the following is the MOST effective primary intervention to prevent adolescent depression?
Which serological finding indicates a carrier state for hepatitis B?
Learning disabilities are typically associated with perceptual-motor impairments and which behavioral trait?
For primary dysmenorrhea in a 14-year-old, which treatment is recommended first?
Newborn screening for congenital hypothyroidism is performed by measuring which combination of hormones?
For a 12-year-old with a red, swollen eyelid, what is the most appropriate initial management?
During a well-child visit, what should the pediatric nurse practitioner do first when the infant is asleep in the parent's arms?
The common practice using 'time outs' with young children is direct application of:
In pediatric research assent, which concept is essential for an adolescent to participate?
In a child with sickle cell disease, which statement best describes an infection-prevention strategy at a well visit?
When evaluating a child with suspected inflammatory bowel disease, which of the following diagnostic tests would not be helpful?
A 4-year-old scheduled for a tonsillectomy and adenoidectomy has a prolonged active partial thromboplastin time (aPTT) on preoperative testing. The PNP should suggest that they:
The antibiotic trimethoprim/sulfamethoxazole (Bactrim) should not be prescribed in infants 2 months old and younger because:
The PNP examines a 4-month-old infant with hypotonia and motor delay since birth. The most significant finding indicating lower motor neuron involvement in this infant would be:
In suspected infantile botulism, which option would be inappropriate?
In a 14-year-old adolescent who is sexually active and wants to prevent pregnancy, which birth control method is best?
Absence seizures are best described by which statement?
An 13-month-old drinks 23 oz skim milk and 20 oz juice daily. What guidance is appropriate?
Which vaccine provides protection against a common cause of sepsis and meningitis in children?
An 18-month-old child has rash and fever (103ºF) for 5 days with bilateral conjunctivitis, dry cracked lips, and strawberry-like tongue. Cervical lymphadenopathy and a heart murmur are noted. The PNP should:
When advising families about antipyretic use for a 2-year-old with fever, which statement is most accurate?
In a child with headaches, nausea, and vomiting, which symptom would most strongly suggest a brain tumor?
An 18-month-old child exposed to HIV in utero had negative HIV DNA at 2 weeks and 8 weeks. What is indicated at the 18-month visit?
An infant with atopic dermatitis often has dry patches located on the cheeks and extensor surfaces of the arms and legs. Which option best reflects this location?
An adolescent with Achilles tendonitis who runs long distances several times a week is advised to rest and elevate. What additional measure is recommended?
A common cause of congestive heart failure in the first year of life is?
A parent brings a 1-week-old neonate into the clinic. The mother is concerned that the infant's testicles do not seem 'even.' The PNP notes that the cremasteric reflex is absent and the right testicle cannot be palpated in the scrotum. The PNP should:
Autosomal recessive trait transmission: which statement is accurate?
Precocious puberty is defined as sexual development beginning before the youngest acceptable age. Which statement is true regarding precocious puberty?
Compared to single-component vaccines, combination vaccines:
When evaluating a 12-year-old with rhinitis and facial pain, which statement about testing for sinusitis is most accurate?
Which would not be an appropriate recommendation to prevent diaper dermatitis?
Antonio is a newborn and both feet turn in. When attempting ROM, both feet move relatively freely in all directions. Antonio has:
Historically, the APRN role has primarily focused on delivering what level of care?
In a 14-year-old girl with pubertal development described as breast development starting about 18 months ago and pubic hair starting about 2 years ago, which statement about the timing of menarche is MOST accurate?
Which scenario does not meet the criteria for selective screening for hyperlipidemia?
The most common cause of hyperthyroidism in children and adolescents is:
Role play with equipment during the course of a physical exam would be most beneficial with which age group?
Pinworm infestation is common in children. The PNP discusses the signs and symptoms of pinworm infestation with a mother. Which of the following parasites is responsible for this disorder?
Dwayne, a senior in high school, suffers a concussion playing football. Immediately following the event, a typical clinical picture would include:
A 9-month-old with bifed uvula has increased risk for which problem?
Two days after diagnosing sinusitis, the child returns with swelling of the eye, redness, inflammation, and impaired extraocular movement in the right eye. Which action is most appropriate?
The PNP suspects that a sexually active adolescent has pityriasis rosea. Based on the differential diagnosis, the PNP screens for:
A 2-year-old child is receiving chemotherapy for neuroblastoma. The older sibling is due to receive a poliovirus vaccine before starting kindergarten. The appropriate action is:
Certification is a process in which a nongovernmental agency or group verifies that an APRN has met certain predetermined standards for specialty practice.
Which of the following explains physiologic jaundice (unconjugated hyperbilirubinemia)?
A 13-month-old healthy well-child visit; immunization record shows age 5 months DTaP, IPV, Hib, Prevnar, and Hep B. The child should receive today:
A 9-month-old infant with fever of 103.2°F is reported by the mother. The best response to the mother is:
A 3-week-old infant with irritability, pallor, poor feeding; afebrile; heart rate 240/min while asleep. The most likely diagnosis is:
Which malignancy is associated with genitourinary anomalies?
Which disease has a characteristic rash that begins on the wrists and ankles and spreads proximally, often involving the palms and soles?
Which contraception method is placed inside the uterus?
Jamil has had diarrhea for 3 days. Which of the following would not be helpful advice?
What is the most appropriate immediate action for suspected testicular torsion?
In evaluating bloody diarrhea, which stool test helps screen for occult blood?
Which statement about inhaled corticosteroid therapy in children is most accurate?
A newborn presents with lymphadenopathy, a decrease in the ability to move the left leg, Coombs-negative hemolytic anemia, hepatomegaly, & snuffles. What is the most likely diagnosis?
Which statement about scope of practice is true?
A parent requests that her 6mo old child receive immunoglobulin as protection against hepatitis A prior to international travel. Which of the following does this parent need to know?
Which statement about pediatric urinary tract infections is not true?
Which test on a vaginal swab is used to identify Chlamydia trachomatis in a preschooler with vaginal discharge?
The following test is required to diagnose leukemia:
Why should caregivers be counseled about decongestant and antihistamine side effects in infants with URI?
What is an appropriate management approach for a child with acute sinusitis who is otherwise well?
Which of the following signs indicates that a baby is not receiving sufficient breastmilk?
During a genital examination of a prepubescent girl after penile penetration, which finding would a pediatric nurse practitioner most likely observe?
For a child with primary nocturnal enuresis, the first recommended approach is to:
Regarding pectus excavatum repair and asthma outcomes, which statement is most accurate?
Certification is:
A new parent asks why a light is shined in the infant's eyes. The PNP tells the parent that the infant must be checked for a red reflex in each eye to rule out:
A 3-year-old child is brought to the clinic with vomiting, low-grade fever, and watery, frequent stools for the past 24 hours. What is the recommended management?
A parent presents after a newborn evaluation with hypotonia; what is the best next step for the clinician?
Findings consistent with a peritonsillar abscess include all of the following except:
In evaluating cervical adenitis, which test is least likely to yield diagnostic value?
In the United States, parasitic gastroenteritis is most commonly caused by which organism?
A 2.5-year-old is brought to the clinic because of vomiting, low-grade fever, and frequent watery stools for the past 24 hours. The PNP suggests:
Which statement is not correct regarding the etiology or incidence of psoriasis vulgaris?
Which statement helps differentiate night terrors from nightmares in preschoolers?
In Duchenne muscular dystrophy, which history is most commonly noted?
In a child with functional abdominal pain, which approach is most appropriate during episodes?
Which daily medication is appropriate for a child with mild persistent asthma?
Standards of practice are best described as which?
A child who is just starting to reach for objects placed in front of him is around how old?
A mother asks how to decrease discomfort in her 9-year-old with an upper respiratory infection. Which instruction is appropriate?
Which language milestone is expected for a healthy 24-month-old?
During development, a child first transfers an object from one hand to another at approximately what age?
Which medication is commonly used to increase fetal hemoglobin production in sickle cell disease, reducing vaso-occlusive events?
Renal tubular acidosis type 1 is characterized by which of the following?
The most common clinical presentation of pneumonia includes which of the following?
A 14-year-old adolescent presents in acute distress with high fever, chills, malaise, pharyngitis, vomiting, peripheral cyanosis, tachypnea, tachycardia, hypotension, and erythroderma. The PNP recognizes toxic shock syndrome and:
One of the most appropriate agents used to treat influenza A is which antiviral medication?
A 6-year-old child with asthma is brought to the clinic because the parents have noticed daily wheezing for the past week, especially during the night. The PNP recognizes that this may indicate the child has:
Which organism is most commonly associated with concurrent otitis media and conjunctivitis in children?
In adolescent acne, which statement is NOT true?
Which of the following is the most appropriate approach to help a toddler who frequently wakes at night for a bottle?
In an adolescent health maintenance visit, which screening is appropriate for a sexually active teenager?
Physiologic jaundice mechanism in newborns is described as which of the following?
A cobblestone appearance of the palpebral conjunctiva usually indicates which of the following?
Rubella may have uncommon sequelae that include which combination?
For mild hypospadias management, which step is often involved?
In screening for developmental delays of unknown etiology, which genetic test is considered part of normal evaluation?
Which of the following are most often associated with hemoglobin C?
Which milestone is the earliest in the typical infant motor development sequence?
Which anatomical region is most commonly injured in youths who skateboard?
In the evaluation of a school-aged child with prolonged QT interval, which test should be included in the initial workup?
Which represents information obtained during a review of systems (ROS)?
An 8-year-old with moderate persistent asthma continues to have a daily cough despite using a short-acting inhaled beta2 agonist and cromolyn sodium. Which change should be added to the management plan?
For a child with type 1 diabetes, which macronutrient distribution is recommended in a well-balanced diet?
A 4-year-old child presents with ulcers on the tongue and oral mucosa, and vesicles on the palms, soles, and interdigital areas. Which diagnosis is most likely?
Which antibiotic is not a typical first-line option for strep pharyngitis?
An eye that deviates inward when covered and returns to midline when uncovered is called:
Which factor is MOST suggestive of an organic cause of recurrent abdominal pain?
A 2-year-old child is screened for lead poisoning. The blood level is 16 mg/dL. The PNP discusses nutritional needs, including a diet high in:
A 9-year-old child is evaluated for a rash. During the exam, a speech dysfluency is detected. What is the most appropriate plan of treatment?
In evaluating an adolescent with delayed puberty, which combination of tests is most informative initially?
Which feature suggests a non-cardiac cause of syncope in a pediatric patient?
What sinusitis complication are adolescent males more prone to?
Which of the following is not typically a urinary tract indicator?
Which risk factor is common to many psychosocial pediatric problems including depression and conduct disorders?
For a 12-year-old with acute diarrhea, which test is used to confirm the diagnosis?
Which statement about scope of practice is true in most states?
Which diagnostic criterion is MOST consistent with a finding of acute otitis media (AOM)?
Following hepatitis A immunoglobulin administration for travel, what is the recommended interval before giving a measles-containing vaccine?
A shift to the left is present when which cells are elevated?
Which statement about pityriasis alba is most accurate?
What does SPF 6 indicate on sunscreen?
A newborn presents with cranial asymmetry but no signs of illness. What is the most appropriate next step?
Parotitis is a classic feature of which illness?
A 3-year-old child presents with noisy respirations. Which finding would indicate the need for immediate referral and hospitalization?
A 5-year-old female presents with hyperactivity, mild developmental delay, gaze aversion, hand mannerisms, a long narrow face and slightly dysmorphic ears. Which diagnosis is most likely?
Infants of diabetic mothers are at risk for hypoglycemia in the newborn period primarily due to maternal hyperglycemia causing fetal insulin overproduction.
Which vaccine is specifically designed to protect against Haemophilus influenzae type B meningitis?
When asked at a prenatal visit how to feed an infant—breast or bottle—how should the PNP respond?
A 14-year-old with cerebral palsy who is nonambulatory but uses a wheelchair and can perform self-care tasks best fits which CP subtype?
During a routine sports physical, a 13-year-old is asked about tobacco use. Which rationale best justifies this question?
Which of the following is emphasized as part of promoting healthy behavioral changes for an overweight child?
A 6-month-old with increased tone and lower leg scissoring is most indicative of which condition?
Which statement describes the not part of initial management for adolescent hypertension?
Erythema toxicum neonatorum most commonly presents with lesions on which areas of a newborn?
In an infant with vomiting and thriving weight gain, which finding supports overfeeding rather than pyloric stenosis?
Which statement about pediculosis humanus is NOT correct?
Which immunization plan is most appropriate for a child who recently had Kawasaki disease and was treated with IVIG?
According to the material, at what age should Pap testing begin?
For a 2-month-old breastfed infant and a mother nursing on demand, what is the recommended approach?
Which of the following is associated with alcohol use in adolescence?
What is the most sensitive physical finding for the diagnosis of testicular torsion?
Which precaution should be emphasized when prescribing metronidazole for trichomoniasis?
If Monospot test is negative in a presentation suggestive of infectious mononucleosis, which test would most reliably confirm EBV infection?
Which should be included in the plan of care for preterm infants?
An adolescent with recurrent respiratory tract infections. The complete blood count shows a WBC of 20,500 with 35% blasts. The next step in management is:
What action should the pediatric nurse practitioner take when a pregnant patient who smokes requests guidance?
The APRN Consensus Model is described as:
A 2-year-old with lead exposure at 14 mcg/dL—what is the appropriate public health action?
What is an appropriate treatment for herpes simplex stomatitis in a child?
From the immunization history, which vaccine is scheduled at 20 months but not at 5 years?
A 6-year-old child is evaluated after seizures. Which test is most relevant for screening?
Which of the following is not a complication of mumps?
A 2-year-old with nasal congestion and runny nose is seen. What is the most appropriate initial management?
Tammy has mild persistent asthma. Appropriate daily medications for this 4-year-old preschooler should include:
In the Native American population described, which maternal factor is associated with increased risk for adverse neonatal outcomes such as SIDS?
For children 1-4 yrs of age, the most common cause of head injury is:
A 14-month-old with a 7-day history of cough and yellow-green nasal discharge. The father has given OTC cold medications regularly and suspects a sinus infection. What is the most appropriate action by the PNP?
At which point of life is UTIs more common in males?
An important assumption underlying family systems theory is?
The parachute developmental reflex in infants occurs at which age?
Head and chest circumferences should be equal by about which age?
What is the peak incidence age range for osteosarcoma?
Antimicrobials will improve the condition of a 4-year-old child with diarrhea caused by which organism?
In a child presenting with suspected ITP, which is the most appropriate initial step?
A 14-year-old adolescent has an asthma exacerbation with peak expiratory flow 50% to 80% of personal best. This corresponds to which zone on a peak flow meter?
An 11-year-old girl is concerned about breast size and has noticed uneven development since it began. Which statement is the most appropriate reassurance?
In Neurofibromatosis type 1 (NF1), which problem is most likely to require medical/educational intervention?
In a 5.5-year-old Asian child who has fallen off the growth curve, the best intervention is to:
The nighttime waking of a 12-month-old: which option best helps prevent reinforcing the habit?
Head and chest circumferences should be equal at which age?
Which infant disease is not associated with exposure in the first trimester of pregnancy?
A 17-year-old basketball player has burning and itching between the toes on both feet. The PNP diagnoses tinea pedis and treats with:
A 3-month-old infant presents with white, cottage cheese-like patches on the inner cheeks. The appropriate treatment is:
When giving injury prevention education to a sixth-grade class, which topic should be emphasized?
A 10-year-old child is seen for recurrent UTIs but the urologic workup is normal. To help prevent future UTIs, which measure should the pediatric NP suggest?
The role of the APRN has traditionally focused on:
Which finding is most important to confirm erythema multiforme major rather than erythema multiforme minor?
For an HIV-exposed neonate, which combination would be used in addition to ZDV for PCP prophylaxis?
A 10-year-old with unilateral chest pain that radiates to the back and abdomen has tenderness over the costochondral junction. The PNP diagnoses chest pain due to:
The most important evaluation of a 6-year-old male with an acute, palpable varicocele is to
Which of the following is the most appropriate first-choice management for a 30-month-old child with learning difficulties and ADD/ADHD?
Which statement about genital warts management is true?
A 13-month-old with iron deficiency anemia has completed one month of ferrous sulfate therapy. What is the best management now?
In a 3-year-old with labial adhesions, what is the most appropriate initial management?
Which finding is most characteristic of hand-foot-and-mouth disease?
When speaking to a fifth grade class about injury prevention, based on the national top five causes for fatal injuries in this age group, which topic would the PNP emphasize?
Which nasal exam finding most strongly supports allergic rhinitis in a child?
A child presents with a 7-year-old slapped-cheek rash that blanches and a lacy body rash. Which diagnosis is most consistent with this presentation?
For a 2-year-old with a barking cough and no respiratory distress due to croup, which treatment plan is appropriate?
Which concept is relevant to the school-aged child?
A large, reducible umbilical hernia in infancy is best managed by which plan?
During a visit, Mitch, 2 years old, presents with large muscular calves and difficulty rising from a sitting position. Which lab test should you order?
Which statement about family-centered care is NOT accurate?
The mother of a 1-year-old child requests information about the child's speech and language development. The PNP explains that vocabulary acquisition may be slow during certain periods and that a vocabulary spurt is most common between ages:
Which of the following is NOT true regarding the use of acyclovir in the treatment of herpes simplex virus?
For preterm infants, immunizations should begin based on corrected age. Which statement is true?
Which statement about puberty timing in girls is correct?
In a child with painless lymphadenopathy and recent nursing home exposure, which diagnosis should be high on the differential?
Which vaccine is inactivated (non-live)?
A toddler presents after a parent pulled the arm to prevent a fall. Which position is most characteristic of radial head subluxation?
A 9-year-old patient has several circular scaly patches on the scalp with overlying hair loss, consistent with tinea capitis. The pediatric nurse practitioner prescribes:
A toddler with chronic loose stools and high juice intake is most likely diagnosed with which condition?
The least likely physical finding in a 2-month-old with congestive heart failure is?
An 15-year-old girl with delayed puberty: which current finding would support the diagnosis of delayed puberty?
A 9-year-old child with reactive airway disease has had three exacerbations in the past two weeks. The most appropriate medication is:
Which statement about child abuse and maltreatment is correct?
Herpes Zoster is characterized by clustered vesicles; which area/nerves is it often associated with?
If an infant with vomiting and diarrhea has stopped and oral replacement therapy is needed today, what is the appropriate amount to recommend over 4 hours?
Which newborn presentation warrants orthopedic referral for a foot deformity?
What is the MOST common side effect noted when oxybutynin chloride (Ditropan) is used in the management of dysfunctional voiding?
A 10-year-old presents with a single painful ulcer on the inner cheek mucosa; most likely diagnosis and treatment?
A newborn with blue-gray sacral spots in a Hispanic infant most likely has Mongolian spots. Which option best describes this condition?
Which statement best describes innocent murmurs in children?
Leukotriene modifiers in children with asthma have been efficacious in preventing exercise-induced symptoms in adolescents. Which option best reflects this?
During a visit with a 13-year-old, the patient discusses sexual activity and depressive symptoms. What should be the first priority in care?
National certification of PNPs has been offered since the 1970s. Which credential identifies nurses who have national specialty certification?
In a 16-year-old male with acute scrotal pain lasting three hours, what is the FIRST course of action?
One of the most commonly suggested reasons for primary enuresis is:
A pathognomonic skin finding in children with chronic adrenal insufficiency (Addison's) is:
An 18-month-old with a second-degree glove distribution burn in the emergency department prompts consideration of possible child abuse. Which history would most strongly suggest abuse?
A preschool child who says the sky is blue because it is his favorite color demonstrates which concept?
A child with Marfan syndrome features should be referred for which reason?
The parents of a 3-year-old child have noticed that the child experiences episodes of abrupt, brief loss of consciousness many times during the day. The PNP suspects that the child is having:
A mother brings a 1-year-old child with Down's syndrome to the clinic. The initial plan should be to:
The most common form of reimbursement for services provided by PNPs is:
The most appropriate laboratory tests to obtain for evaluation of a neonate with jaundice presenting in the first 36 hours of life include:
The most judicious recommendation for therapy for primary hypertension in a 15-year-old is:
Which scenario requires the use of an inactivated (not live) vaccine?
What type of hemorrhage would be expected with severe factor VIII deficiency?
Diffuse edema of the soft tissue of the scalp crossing suture lines in the newborn is called what?
Which diagnostic test is most appropriate to confirm Giardia lamblia infection?
Which statement about hepatitis B virus is true?
A 9-year-old with joint pain, trunk rash, and a sore throat 3 weeks ago would lead you to order which test?
For a preschool child with immune thrombocytopenia purpura and platelets around 45,000/mm3 without mucocutaneous bleeding, what is the NEXT step?
A father reports that his 4-year-old child with lipomyelomeningocele has had back pain for 3 months and a change in bowel movements; the most likely cause is:
Which statement about type 1 diabetes is true?
At 18 months, which vaccines are routinely given?
A 4-year-old boy presents with a sudden painful limp and low-grade fever. Which diagnosis is most likely?
The concept of health promotion focuses on preventing disease rather than curing it. This description best describes which type of prevention?
The anterior fontanel usually closes by which age?
Which feature is characteristic of a venous hum?
Which physical finding supports a diagnosis of costochondritis in a patient with chest pain?
Which statement best describes common fears in preschool children?
Which scenario would not typically prompt chromosomal analysis?
What is the most common form of glomerulonephritis in children?
A 13 year old has repeatedly exhibited behaviors of purposeful cruelty to younger children, property destruction, and school truancy. These behaviors fit BEST the diagnostic criteria for
Which situation does not necessarily warrant immediate mental health assessment and/or referral?
At a 6-month well-child visit, which immunizations should be given today?
Which immunoglobulin level is reported as normal in Wiskott-Aldrich syndrome according to the provided material?
Which eye finding would be considered an ophthalmic emergency?
Which Piagetian stage characterizes the way preschoolers think?
Which immunologic finding is most consistent with X-linked agammaglobulinemia?
Which finding is most consistent with Edwards syndrome in a newborn?
A patient with acne is being treated with various antibiotics. Which antibiotic would you not consider using?
In male puberty, Tanner stage III is distinguished from stage II by which change?
Which option best describes the primary purpose of standards of practice in healthcare?
What is the typical appearance of molluscum contagiosum lesions?
When considering growing pains, which finding supports excluding other causes?
At an 18-month well-child visit, the father reports the child drinks 4 oz of milk at nap time and 8 oz at bedtime, with the rest of fluids taken by cup. Which information is most pertinent for the PNP to obtain to assess the child’s diet?
Daily eyelid cleansing with diluted baby shampoo and a cotton-tipped applicator would be appropriate in the treatment of which condition?
Which is the first sign of puberty in girls?
A 4 year old with close contact 10 days ago to a school classmate, now hospitalized with meningococcemia, currently has no symptoms and a normal physical exam. No other cases have been reported in the community. Appropriate management would include
A parent reports that her 18-month-old cries during the entire aerosol asthma treatment with albuterol and budesonide. What is an alternative management?
When a mother asks about infant formula for iron content, what is the key message?
Which exposure history would most support a diagnosis of Lyme disease in a teen with an annular rash?

Pediatric Nurse Practitioner Practice Exam

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