Expiration Date: January 31, 2010. No CE contact hours (CH) will be given after this date.
This continuing education module should be taken ONLY by those who have purchased the Pediatric Nurse Practitioner Review and Resource Manual, 2nd Edition. During the process of purchasing this CE module, you will be asked to input the proof of purchase code which can be obtained by sending an e-mail to revmanuals@ana.org.
The actual questions that will be on the test have been posted below.
When you purchase the CE module, you will be issued a password which will allow you to access all CE modules purchased on the NursingWorld Web site. This password is NOT to be confused with the proof of purchase code you received when you purchased the manual. It is important that you remember this password, as you MUST use it if you wish to log out of the system and return at a later time to take the test or to print duplicates of your certificate of completion.
IMPORTANT NOTE: The test for Contact Hours for Pediatric Nurse Review and Resource Manual, 2nd Edition contains 20 questions. You may find that you are not able to complete the entire test in one sitting. If this is the case, simply click on "Grade My Test" at the bottom of the test page even though you have not yet completed the test. This will allow the system to store your test for your return visit.
When you wish to return, click on "Log Back In" from the CE home page menu and input the CE password you were issued when you first registered for ANA's online CE. Again, do not input the purchse code you were issued as proof of purchase of the manual. Once you are logged back into the system, you will see a list of the ISMs you have completed and ones that are incomplete. Click on "Take Test" next to any incomplete ISM and you will be told how many questions you have completed and how many are left to complete.
The above PDF document requires that you have Adobe Acrobat Readersoftware installed on your computer.It is best viewed with the Adobe Reader version 7.0 or above. If you do not have the Reader, or if you are using version 6.0 or below, you can download the latest version of the Acrobat Reader freefrom the Adobe site.
Help with PDFs and using the Acrobat Reader
Test Questions
1. A 15-year-old girl is brought to the office by her mother due to decreasing grades, weight gain, fatigue and irregular periods. Her physical exam reveals a heart rate of 68 bpm, a 28-lb weight gain over the past year, cool, dry skin and a firm, thyroid with a 3cm palpable nodule. What is the most likely diagnosis?
a. Hyperthyroidism
b. Depression
c. Hypothyroidism
d. Bulimia
2. The first line of treatment for primary dysmenorrhea is:
a. oral contraceptive pills.b. NSAIDs.
c. aspirin.
d. acetaminophen.
3. The most likely cause of a painless limp in an obese adolescent is:
a. Osgood-Schlatter disease.b. osteosarcoma.
c. trauma.
d. slipped capital femoral epiphysis.
4. Which statement regarding adolescent menstrual cycles is true?
a. Adolescents commonly experience irregular menstrual patterns.b. All adolescents have attained menarche by Tanner Breast Stage 4.
c. Regular ovulatory cycles develop immediately after menarche, depending upon the age the adolescent begins menarche.
d. Lack of menses in a 15-year-old warrants further evaluation.
5. A 16-year-old football player sustained his first concussion during a game over the weekend. He lost consciousness for 2 minutes and had amnesia for several hours. His exam today is completely normal. He can return to play in:
a. one week.b. one month.
c. today.
d. two weeks.
6. A 16-year-old male presents with severe pain in the left ear that worsens when touching the outside of the ear. He is on the school swimming team. The most likely diagnosis is:
a. acute otitis media.b. serous otitis media.
c. sinusitis.
d. otitis externa.
7. What is the appropriate management for a 5-year-old newly diagnosed with early-localized Lyme disease?
a. Doxycycline (Vibramycin) 100 mg bid x 14–21 daysb. Sulfamethoxazole and Trimethoprim (Bactrim) 400 mg bid x 14–21 days
c. Amoxicillin (Amoxil) 25 – 50 mg/kg/day bid x 14–21 days
d. Cephalexin (Keflex) 100 mg/kg/day bid x 14–21 days
8. The Jones criteria are used to diagnose which acquired heart disease?
a. Acute Rheumatic Fever (ARF)b. Lyme carditis
c. Kawasaki Disease
d. Myocarditis
9. Which antibiotic is the recommended first-line choice for acute otitis media and sinusitis in a child without antibiotic allergies?
a. Amoxicillin and Clavulanic Acid (Augmentin)b. Sulfamethoxazole and Trimethoprim (Bactrim)
c. Amoxicillin (Amoxil)
d. Ceftriaxone (Rocephin)
10. A 7-year-old presents with a history of intermittent watery diarrhea, gassiness and anorexia for a period of 4–5 months with a 4 lb weight loss. On previous visits, he has been alternately diagnosed with acute gastroenteritis and irritable bowel syndrome; CBC has been normal, urine culture and stool studies have been negative. Despite these negative results, consideration needs to be given to ordering which labs?
a. Stool for ova and parasitesb. Upper GI with small bowel follow through
c. Abdominal flat plate
d. Urinalysis and culture
11. The most likely cause of primary nocturnal enuresis is:
a. maturational delay.b. genetics.
c. urinary tract infection.
d. dysfunctional voiding.
12. Which is an appropriate drug to use in the management of an acute severe asthma exacerbation?
a. Inhaled B 2-agonistb. Systemic corticosteroid
c. Salmeterol inhaler
d. Leukotriene modifier
13. The baby-sitter brings in a 10-year-old male because she saw red spots on him. His PMH is noncontributory and his immunizations are up-to-date. On inspection, the pediatric nurse practitioner notes over 2 dozen erythematous papules and scattered vesicles on his trunk and back. He has 2 vesicles on his face and 1 scabbed lesion. This patient most likely has:
a. chicken pox.b. impetigo.
c. herpes simplex.
d. Molluscum Contagiosum.
14. Coxsackie virus is the most common cause of which of the following diagnoses?
a. Herpanginab. Herpes simplex
c. Peritonsillar abscess
d. Thrush
15. A 2-month-old is brought in for a well-baby check. Which finding requires immediate referral to an ophthalmologist?
a. Bilateral epicanthal folds with different iris colorsb. White pupillary reflex on fundoscopic exam
c. Intermittent esophoria
d. Lacrimal duct obstruction
16.An 18-month-old male is on day 5 of an URI. His mom reports that during the night he spiked a fever of 105 ºF (40.5 ° C), and began coughing and “breathing fast.” On exam, the PNP notes a pale, listless child with a respiratory rate of 50. He has obvious intercostal retractions. Upon auscultation, the PNP notes rales and decreased breath sounds on the right side. What is the most likely diagnosis?
a. Atelectasisb. Foreign body aspiration
c. Bacterial pneumonia
d. Viral pneumonia
17.Which is an appropriate laboratory test for tinea capitis?
a. Culture and sensitivityb. Potassium hydroxide (KOH)
c. Wet mount
d. Complete blood cell (CBC) count
18. Which is the most appropriate medication for treatment of ADHD in an adolescent with a history of substance abuse?
a. Atomoxetine (Strattera)b. Lithium (Lithobid)
c. Dextroamphetamine (Dexedrine)
d. Methylphenidate (Ritalin)
19.The key diagnostic test for the diagnosis of cystic fibrosis is:
a. rectal mucosal biopsy.b. sweat chloride analysis.
c. barium enema.
d. erythrocyte sedimentation rate.
20. A 16-year-old female with morning nausea and vomiting for the last 3 weeks is diagnosed with gonorrhea. The most appropriate treatment for this patient is:
a. obtain a pregnancy test and treat with ceftriaxone (Rocephin) IM and azithromycin (Zithromax).b. treat sexual partner ONLY if symptomatic.
c. treat with ofloxacin (Floxin) and doxycycline (Vibramycin).
d. obtain a pregnancy test and treat with ciprofloxacin (Cipro).
Previous: Pre Test
Next: Take
test