NUR 634 APEA Pediatrics Qbank Questions Complete Solution
1. The NP should base a response to a parent’s question about the prognosis of ALL on which
... [Show More] of the following statements?
a. A majority of children go into remission and remain symptom free when treatment is completed. (Most common, 85% disease free survival rate)
2. The assessment finding that would necessitate a need for additional follow-up in a preschooler would be if the child:
a. Has a hundred-word vocabulary, at ages between 3-5 the child should have a vocab of 500-1200 words and speak in complete sentences.
3. Which one of the following is an appropriate type of play for a 6-month-old infant?
a. Pat-a-cake and peek-a-boo
4. During the first six months of life, an infant will:
a. Gain 1.5 pounds per month
5. A 9-year-old girl has a history of tuberculosis when she was 6-years-old. She presents with recent weight loss and anorexia. Along with her presenting symptoms, which one of the following assessments findings would be most indicative of Addison’s disease?
a. Hyperpigmentation and low blood pressure, SxS of addison’s could include: Loss of appetite, weight loss, N/V, diarrhea, muscle weakness, low blood pressure, salt cravings, dehydration and hypoglycemia, increased pigmentation of the skin, especially around the bony areas, and irregular or no menstrual periods in women.
6. A twelve-month-old was recently diagnosed with AIDS. The mother asks the NP: “How could my child have acquired AIDS?” The best response for the NP should be that: “Children under two years of age usually acquire AIDS:
a. Perinatally through an HIV infected mother
7. If a newborn is suspected of having congenital hypothyroidism, which clinical manifestation would be evident?
a. Enlarged anterior fontanel
8. At what age would a baby first be expected to locate an object hidden from view?
a. At 9 months of age
9. Which of the following would help a 9-year-old develop a sense of industry?
a. Helping him make a collection of several objects
10. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
a. Salty taste on the skin
11. The infant with the lowest risk of developing elevated levels of bilirubin is the one who:
a. Breast feeds within the first hour of life
12. When assessing a normal 5-year-old, the last site to assess would be the:
a. Throat, and mouth are considered invasive sites and should be performed last.
13. A six-year-old has a history of diabetes mellitus type 1 and is now experiencing cellulitis of the right lower leg. The child presents with deep, rapid, and unlabored respirations, fruity odor, and dry skin. There are symptoms of:
a. Ketoacidosis (DKA)
14. The parents of a child with sickle cell anemia are asking for information about future pregnancies. The NP should respond by telling them that with any future pregnancy they will have a:
a. 1 in 4 chance of producing a child with sickle cell anemia
15. When assessing a preschooler’s mouth, the number of deciduous teeth seen should be:
a. 16-20
16. Which of the following milestones is developmentally appropriate for a 2-month-old infant when pulled to a sitting position?
a. The infant is briefly able to hold the head erect
17. If a newborn develops a cephalohematoma, the newborn is at an increased risk for:
a. Jaundice
18. The first sign of puberty in a male is:
a. Testicular enlargement
19. An infant weighed 8 pounds at birth. According to the principles of normal growth and development, how much should he weigh at 12 months of age?
a. 24 pounds
20. Which one of the following groups of symptoms would be more consistent in a child with type 2 diabetes mellitus?
a. Blood glucose levels on two separate occasions greater than 126mg/dl, enuresis, and complaints of being tired
21. Which one of the following would be an abnormal finding in a 6-month-old?
a. Extrusion reflex occurs when feeding
22. A five year old will engage in what type of play?
a. Cooperative play
23. Which one of the following statements indicates a developmental delay?
a. A 6-month-old infant’s eyes appear crossed
24. In which of the following situations would a one-year-old child be at risk for lead poisoning?
a. Refinishing of all painted woodwork has occurred recently in the child’s home.
25. A 13-year-old girl presents with complaints of insomnia and hyperactivity along with gradual weight loss despite a good appetite. She has warm, flushed moist skin, and unusually fine hair. These manifestations are indicative of which of the following conditions?
a. Hyperthyroidism
26. The NP differentiates physiologic jaundice from pathologic jaundice by assessment of the:
a. Timing of the onset of the jaundice
27. At what age is it considered normal for a child to pick up objects using the palm of the hand only?
a. At 6 months of age
28. A six-month-old presents today for a well child visit. He is sitting in his mother’s lap. Assessment should begin with:
a. Auscultating the heart and lungs [Show Less]