Description

1. Question: The primary care pediatric muse practitioner prescribes metformin for a 15-year-old adolescent newly diagnosed with type 2 diabetes. What will the nurse practitioner include when teaching the adolescent about this drug?
2. Question: The parent of a 3-month-old reports that the infant arches and gags while feeding and spits up undigested formula frequently. The infant’s weight gain has dropped to the Sth percentile from the 12th percentile. What is the best course of treatment for this infant?
3. Question: The parent of a school-age child reports that the child becomes frustrated when unable to perform tasks well and often has temper tantrums and difficulty sleeping. Which disorder may be considered in this child?
4. Question: Effective for 85% of women who have mild or moderate symptoms of mastalgia, the first line of treatment is
5. Question: Which of the following is one of the key criteria for a diagnosis of PMS?
6. Question: A school-age child has a 3-month history of dull, aching epigastric pain that worsens with eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8 mg/dL. What is the next step in management?
7. Question: A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows a 6 mm cylindrical object in the child’s stomach. The child is able to swallow without difficulty and is not experiencing pain. What is the correct course of treatment?
8. Question: A 10-year-old child has had abdominal pain for 2 days, which began in the periumbilical area and then localized to the right lower quadrant. The child vomited once today and then experienced relief from pain followed by an increased fever. What is the likely diagnosis?
9. Question: An 18-month-old child has a 1-day history of intermittent, cramping abdominal pain with non-bilious vomiting. The child is observed to scream and draw up his legs during pain episodes and becomes lethargic in between. The primary care pediatric nurse practitioner notes a small amount of bloody, mucous stool in the diaper. What is the most likely diagnosis?
10. Question: A 12-month-old infant exhibits poor weight gain after previously normal growth patterns. There is no history of vomiting, diarrhea, or irregular bowel movements, and the physical exam is normal. What is the next step in evaluating these findings?
11. Question: A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school-age child with dysuria and foul-smelling urine but no fever who has not had previous urinary tract infections. A culture is pending. What will the pediatric nurse practitioner do to treat this child?
12. Question: A healthy 14-year-old female has a dipstick urinalysis that is positive for 5-6 RBCs per hpf but otherwise normal. What is the first question the primary care pediatric nurse practitioner will ask this patient?
13. Question: An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent first-morning voided specimen is negative. What will the primary care pediatric nurse practitioner do to manage this condition?
14. Question: A 6-month-old infant has a retractile testis that was noted at the 2-month well-baby exam. What will the primary care pediatric nurse practitioner do to manage this condition?
15. Question: A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness. The primary care pediatric nurse practitioner notes a tender mass in the affected scrotum that is difficult to reduce. What is the correct action?
16. Question: The mother of a 12-month-old uncircumcised male infant reports that the child seems to have pain associated with voiding. A physical examination reveals a tight, pinpoint opening of the foreskin, which thickened and inflamed. What will the primary care pediatric nurse practitioner do?
17. Question: An adolescent male comes to the clinic reporting unilateral scrotal pain, nausea, and vomiting that began that morning. The primary care pediatric nurse practitioner palpates a painful, swollen testis and elicits increased pain with slight elevation of the testis (a negative Phren’s sign). What will the nurse practitioner do?
18. Question: The phmary care pediatric nurse practitioner evaluates children’sgrowth to screen for endocrine metabolic disorders. Which is a critical component of this screening?
19. Question: The primary care pediatric nurse practitioner performs a physical examination on a 9-month-old infant with congenital hypothyroidism who takes daily levothyroxine sodium and notes a recent slowing of the infant’s growth rate. What will the nurse practitioner order? a. Free serum T4 and TSH levels – b. Serum levothyroxine level c. Total T4 and free T4 levels d. TSH and total T4 levels
20. Question: A 12-year-old child has a recent history of increased thirst and frequent urination. The child’s weight has been in the 95th percentile for several years. A dipstick UA is positive for glucose, and random plasma glucose is 350 mg/dL. Which test will the primary care pediatric nurse practitioner order to determine the type of diabetes in this child?
21. Question: The primary care pediatric nurse practitioner diagnoses an 8-year-old child with type 1 diabetes after a routine urine screen is positive for glucose and negative for ketones and plasma glucose is 350 mg/dL. The child’s weight is normal and the parents report a mild increase in thirst and urine output in the past few days. Which course of action is correct?
22. Question: A 16-year-old adolescent female whose body mass index (BMI) is at the 90th percentile reports irregular periods. The primary care pediatric nurse practitioner notes widespread acne on her face and back and an abnormal distribution of facial hair. The nurse practitioner will evaluate her further based on a suspicion of which diagnosis?
23. Question: A child diagnosed with attention-deficit/hyperactivity disorder (ADHD) has difficulty stopping activities to begin other activities at school. The primary care pediatric nurse practitioner understands that this is due to difficulty with what self-regulation ability?
24. Question: The primary care pediatric nurse practitioner cares for a preschool-age child who was exposed to drugs prenatally. The child bites other children and has tantrums when asked to stop but is able to state later why this behavior is ygrorigljhis child most likely has a disorder related to what process?
25. Question: The parent of a child diagnosed with attention-deficit/hyperactivity disorder (ADHD) tells the primary care pediatric nurse practitioner that the child gets overwhelmed by homework assignments, doesn’t seem to know which ones to do first, and then doesn’t do any assignments. The nurse practitioner tells the parent that this represents impairment in which executive function?
26. Question: The primary care pediatric nurse practitioner is examining a 3-year-old child who speaks loudly, in a monotone, does not make eye contact, and prefers to sit on the exam room floor, moving a toy truck back and forth in a repetitive manner. Which disorder does the nurse practitioner suspect?
27. Question: The primary care pediatric nurse practitioner is conducting a follow-up examination on a child who has recently begun taking a low-dose stimulant medication to treat attention-deficit hyperactivity disorder (ADHD). The child’s school performance and home behaviors have improved. The child’s parent reports noticing a few tics, such a twitching of the eyelids, but the child is unaware of them and isn’t bothered by them. What will the nurse practitioner recommend?
28. Question: Ovulation is dependent on an increased level of
29. Question: Cyclic Mastalgia (breast pain) is more likely to be caused by?
30. Question: The most common benign breast masses are
31. Question: A woman’s lifetime risk of being diagnosed with breast cancer is?
32. Question: What is the term for the inflammation of the vagina characterized by an increased vaginal discharge containing numerous white blood cells?
33. Question: What is the most common symptom of bacterial vaginosis?
34. Question: Vulvovaginal candidiasis accounts for what percentage of all vaginal infections?
35. Question: Which organism causes 90% of vulvovaginal candidiasis episodes in women?
36. Question: What percentage of Toxic Shock Syndrome cases are related to menses?
37. Question: Why shouldn’t symptoms such as bloating and breast tenderness be considered disordered perimenstrual symptoms?
38. Question: How is secondary dysmenorrhea defined?
39. Question: What is the most common symptom of vulvovaginal candidiasis?
40. Question: What is a good first question to ask women who present with a concern about abnormal bleeding?
41. Question: The least variation in menses occurs during the ages of
42. Question: Exercise-induced amenorrhea is probably due to the combination of low body fat and decreased secretion of
43. Question: When is a pelvic examination unnecessary for a woman who is experiencing AUB?
44. Question: Approximately how many Americans will contract one or more sexually transmitted infections during their lifetime?
45. Question: Of the more than 100 known serotypes of human papillomavirus (HPV), approximately how many can infect the genital tract?
46. Question: An initial or primary genital herpes infection characteristically lasts about
47. Question: Which of the following is caused by an anaerobic one-celled protozoan that commonly lives in the vagina?
48. Question: The second most commonly reported STI after chlamydia is a. Gonorrhea?
49. Question: Patients presenting for STI treatment should be screened for HIV
50. Question: A pregnant immigrant has an unknown immunization history. When she presents for routine vaccinations, which will the nurse administer?

Further Exam Questions:

• Question: When the pregnant woman develops changes caused by pregnancy, the nurse recognizes that the darkly pigmented vertical midabdominal line is the:
• Question: Which nursing measure would be appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth?
• Question: Following a vaginal birth, a client has lost a significant amount of blood and is starting to experience signs of hypovolemic shock. Which clinical signs would be consistent with this clinical diagnosis?