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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 15-year-old athlete reports anterior knee pain worsened by stair climbing and kneeling, with tenderness over the tibial tuberosity. What is the most likely diagnosis?

    Answer: Osgood-Schlatter disease

    Osgood-Schlatter disease is traction apophysitis at the tibial tuberosity, common in active adolescents during growth spurts, causing localized tenderness and swelling.

  2. Which developmental milestone is expected at 9 months of age?

    Answer: Pincer grasp

    Pincer grasp (using thumb and index finger to pick up objects) typically develops between 9-12 months as fine motor skills mature.

  3. A breastfed 6-week-old has 8-10 yellow seedy stools per day. The mother is concerned. What is the appropriate response?

    Answer: Reassure that this is normal for breastfed infants

    Frequent loose yellow seedy stools are normal in breastfed newborns due to the laxative effect of human milk and immature stool regulation.

  4. A 5-year-old with a history of eczema develops a cluster of vesicles on an erythematous base around the mouth. Which pathogen is most likely?

    Answer: Herpes simplex virus

    Herpes simplex virus (HSV-1) causes clusters of vesicles on an erythematous base; eczema herpeticum is a serious superinfection in children with atopic dermatitis.

  5. Which screening tool is recommended by the AAP for autism spectrum disorder at the 18-month and 24-month well-child visits?

    Answer: Modified Checklist for Autism in Toddlers (M-CHAT)

    The M-CHAT (Modified Checklist for Autism in Toddlers) is the AAP-recommended autism-specific screening tool used at 18 and 24 months.

  6. A 13-year-old with type 1 diabetes has an HbA1c of 9.5%. Which insulin regimen is most appropriate?

    Answer: Basal-bolus regimen with insulin glargine and rapid-acting insulin

    Basal-bolus therapy with a long-acting basal insulin (glargine) and mealtime rapid-acting insulin provides the physiologic flexibility needed for optimal glycemic control in type 1 diabetes.

  7. A 2-month-old has a head circumference crossing from the 50th to the 95th percentile over 4 weeks. What is the priority next step?

    Answer: Order head ultrasound or CT to evaluate for hydrocephalus

    Rapid increase in head circumference crossing percentile lines warrants urgent neuroimaging to rule out hydrocephalus or other intracranial pathology.