Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 4

Question 1

A school-age child is being seen for a well-child visit.
The nurse notes the child's blood pressure is at the 96th percentile for age, height, and sex on three separate visits.
This finding is consistent with:

Accepted Answer

Stage 1 hypertension

Answer

Normal blood pressure

Answer

Elevated blood pressure

Answer

Stage 2 hypertension

Question 2

Which screening is recommended by the AAP at the 9-month, 18-month, and 30-month well-child visits?

Accepted Answer

Developmental/behavioral surveillance and screening

Answer

Vision screening

Answer

Hearing screening

Answer

Autism-specific screening

Question 3

A nurse is educating parents about media use. According to the AAP, what is the screen time recommendation for children ages 2–5 years?

Accepted Answer

Less than 1 hour per day of high-quality programming

Answer

No screen time is allowed

Answer

Up to 2 hours per day

Answer

Screen time is not regulated for this age group

Question 4

Which dietary recommendation is appropriate for a healthy 12-month-old transitioning from formula or breast milk?

Accepted Answer

Introduce whole cow's milk as the primary milk source

Answer

Switch to skim (fat-free) milk to prevent obesity

Answer

Continue formula until age 2 years

Answer

Introduce 2% low-fat milk as the primary milk source

Question 5

A 4-year-old refuses to eat vegetables and only wants a few preferred foods. The nurse's best guidance to the parents is:

Accepted Answer

Use the division of responsibility: parents decide what is offered, child decides whether to eat

Answer

Force the child to eat at least one vegetable at every meal

Answer

Allow the child to eat only preferred foods to prevent mealtime conflict

Answer

Offer rewards such as dessert in exchange for eating vegetables

Question 6

Which finding on a newborn physical examination requires the nurse to notify the provider immediately?

Accepted Answer

Absent red reflex in one eye

Answer

Caput succedaneum

Answer

Epstein pearls on the palate

Answer

Mongolian spot on the sacral area

Question 7

A nurse is counseling a parent about introducing peanut-containing foods to a 4-month-old with severe eczema and egg allergy. The correct guidance is:

Accepted Answer

Refer to an allergist for evaluation before peanut introduction

Answer

Avoid all peanut products until age 5 to prevent allergy

Answer

Introduce peanut products at home without prior testing

Answer

Wait until 12 months then introduce under physician supervision

Pediatric Nurse Exam Pediatric Nurse Pediatric Health Promotion 4

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