NP Pediatric Nurse Practitioner 2

Question 1

A 2-year-old presents with stridor at rest, drooling, and a toxic appearance. Which diagnosis is most concerning?

Accepted Answer

Epiglottitis

Answer

Epiglottitis presents with the classic triad of drooling, dysphagia, and distress, with a toxic appearance distinguishing it from croup.

Question 2

Which vaccine is contraindicated in a 6-month-old with a documented anaphylaxis to eggs?

Accepted Answer

Yellow fever

Answer

Yellow fever vaccine is produced in embryonated eggs and is contraindicated in individuals with severe egg allergy; influenza and MMR are generally safe even with egg allergy.

Question 3

A 10-year-old with obesity has a fasting glucose of 118 mg/dL and HbA1c of 5.8%. What is the correct classification?

Accepted Answer

Prediabetes

Answer

Prediabetes is defined as fasting glucose 100-125 mg/dL or HbA1c 5.7-6.4%, indicating impaired glucose regulation without meeting diabetes criteria.

Question 4

Which finding on newborn exam is most indicative of congenital hypothyroidism?

Accepted Answer

Large anterior fontanelle, macroglossia, and hypotonia

Answer

Congenital hypothyroidism classically presents with a large fontanelle, macroglossia, hypotonia, prolonged jaundice, and poor feeding due to absent thyroid hormone.

Question 5

A 4-year-old is diagnosed with attention-deficit disorder. According to AAP guidelines, what is the first-line treatment?

Accepted Answer

Behavior therapy alone

Answer

AAP guidelines recommend behavior therapy as first-line treatment for preschool children (4-5 years) with ADHD before considering medication.

NP - Nurse Practitioner Practice Test

NP - Nurse Practitioner Practice Test

NP Pediatric Nurse Practitioner 2