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
A 5-year-old with asthma requires a second controller medication. Which add-on therapy is preferred in children aged 5-11 years according to NAEPP guidelines?
Answer: Low-dose ICS plus LABA
NAEPP guidelines recommend adding a LABA to low-dose inhaled corticosteroids as step-up therapy for children 5-11 years with uncontrolled moderate persistent asthma.
A 3-year-old presents with sudden onset of wheezing and decreased breath sounds on the right. He was playing with small toys before symptom onset. What is the priority intervention?
Answer: Chest X-ray and rigid bronchoscopy
Unilateral decreased breath sounds with sudden wheezing in a toddler strongly suggests foreign body aspiration, which requires urgent bronchoscopy for diagnosis and removal.
Which lab finding is most diagnostic of iron deficiency anemia in a 12-month-old?
Answer: Low MCV with elevated RDW and low serum ferritin
Iron deficiency anemia is characterized by microcytosis (low MCV), elevated red cell distribution width (RDW) indicating anisocytosis, and low ferritin reflecting depleted iron stores.
A 10-year-old with known sickle cell disease presents with severe headache and right-sided weakness. What is the immediate priority?
Answer: Exchange transfusion and neuroimaging
Acute stroke in sickle cell disease requires emergent exchange transfusion to rapidly reduce HbS percentage and neuroimaging to confirm the diagnosis and guide care.
A 2-year-old has a serum lead level of 8 mcg/dL found on routine screening. What is the appropriate next step?
Answer: Environmental investigation and dietary counseling
Lead levels 3.5-14 mcg/dL require environmental investigation to identify and remove lead sources, plus nutritional counseling (iron, calcium, vitamin C) without chelation therapy.
An 8-year-old presents with a painless, freely mobile anterior neck mass that moves upward when the patient swallows or sticks out the tongue. What is the most likely diagnosis?
Answer: Thyroglossal duct cyst
Thyroglossal duct cysts are midline neck masses that move with tongue protrusion because they are attached to the hyoid bone and thyroglossal tract remnant.
A 13-year-old female with anorexia nervosa has bradycardia (HR 42 bpm) and QTc of 490 ms. What is the most appropriate setting for treatment?
Answer: Medical inpatient hospitalization
Bradycardia below 50 bpm and prolonged QTc in anorexia nervosa indicate medical instability requiring inpatient hospitalization for cardiac monitoring and refeeding.