Practice Test GeeksNP - Nurse Practitioner Practice Test
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Pediatric Nurse Practitioner Flashcards

7 cards from real NP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Pediatric Nurse Practitioner flashcards as text

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

    Answer: Epiglottitis

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

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

    Answer: Yellow fever

    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.

  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?

    Answer: Prediabetes

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

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

    Answer: Large anterior fontanelle, macroglossia, and hypotonia

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

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

    Answer: Behavior therapy alone

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

  6. Which finding in a 3-month-old warrants immediate evaluation for non-accidental trauma?

    Answer: Posterior rib fractures on chest X-ray

    Posterior rib fractures in infants are highly specific for non-accidental trauma because normal infant activity or CPR does not generate the forces needed to cause them.

  7. A 7-year-old presents with recurrent abdominal pain, pallor, and splenomegaly. CBC shows microcytic anemia with target cells. Which diagnosis fits best?

    Answer: Beta-thalassemia trait

    Beta-thalassemia trait causes microcytic anemia with target cells and mild splenomegaly; unlike thalassemia major, growth is typically preserved.