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Number of Questions: Approximately 200 multiple-choice questions.
Time Allotted: 3.5 hours.
Content Areas: Based on the above topics, weighted as follows:
Clinical Practice: 60%
Professional Role and Policy: 10%
Systems-Based Practice: 15%
Health Promotion and Disease Prevention: 10%
Special Populations: 5%

- Health History and Physical Exam:
- Comprehensive and focused health histories.
- Developmental exam
- Denver II
- Ages and Stages Questionnaire
- Physical examination techniques specific to pediatric populations.
- Interpretation of growth charts (e.g., WHO, CDC).

- Diagnostic Reasoning:
- Differential diagnosis development.
- Interpretation of diagnostic tests
- labs
- imaging
- EKG
- PFTs
- Use of clinical guidelines and evidence-based practice.

- Disease Management:
- Acute conditions
- respiratory distress
- sepsis
- dehydration
- Chronic conditions
- asthma
- diabetes
- cystic fibrosis
- Critical care
- shock
- traumatic injury
- cardiac arrest
- Pain management and palliative care.

- Pharmacology:
- Pediatric pharmacokinetics and pharmacodynamics.
- Common medications used in acute care
- antibiotics
- analgesics
- sedatives
- Medication dosing and safety
- weight-based dosing
- renal/hepatic adjustments

- Scope of Practice:
- State and federal regulations governing NP practice.
- Collaborative practice agreements and prescriptive authority.
- Ethical and Legal Issues:
- Informed consent and assent.
- Confidentiality and HIPAA compliance.
- End-of-life care and ethical dilemmas.

- Health Policy and Advocacy:
- Impact of healthcare policies on pediatric acute care.
- Advocacy for patients and families (e.g., access to care, health equity).

- Systems-Based Practice
- Care Coordination:
- Interdisciplinary collaboration
- with physicians
- social workers
- therapists
- Transition of care
- hospital to home
- pediatric to adult care

- Quality Improvement:
- Identifying and addressing gaps in care.
- Implementing evidence-based practice changes.
- Participating in quality improvement initiatives.

- Healthcare Systems:
- Understanding of healthcare financing
- Medicaid
- private insurance
- Utilization of healthcare resources
- telemedicine
- community resources

- Health Promotion and Disease Prevention
- Health Maintenance:
- Immunizations and vaccine schedules.
- Screening for developmental, behavioral, and mental health issues.
- Nutritional counseling and obesity prevention.

- Injury Prevention:
- Education on safety measures (e.g., car seats, helmet use).
- Prevention of accidental injuries (e.g., poisoning, burns).

- Family Education:
- Teaching families about disease management and prevention.
- Supporting families in coping with acute and chronic illnesses.

- Neonates and Infants:
- Management of prematurity, congenital anomalies, and neonatal emergencies.
- Developmental care in the NICU.

- Adolescents:
- Addressing risky behaviors (e.g., substance abuse, sexual health).
- Managing eating disorders and mental health issues.
- Children with Special Healthcare Needs:
- Care coordination for children with complex medical conditions.
- Supporting families of children with disabilities.

- Common Procedures:
- IV insertion, lumbar puncture, wound care, and suturing.
- Airway management (e.g., intubation, tracheostomy care).

- Use of ventilators, ECMO, and other life-support devices.
- Interpretation of monitoring data (e.g., hemodynamic monitoring, capnography).
- Acute Care: Short-term, intensive treatment for severe injuries or illnesses.
- Chronic Condition: A long-term health issue requiring ongoing management.

- Palliative Care: Focused on relieving symptoms and improving quality of life.
- Evidence-Based Practice: Integrating clinical expertise with the best available research.
- Pharmacokinetics: How the body processes medications.

- Health Equity: Ensuring all patients have access to quality care regardless of background.
- Interdisciplinary Team: Collaboration among healthcare professionals from different disciplines.
- Telemedicine: Use of technology to provide remote healthcare services.