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MN580- Final/ Questions And Answers /LATEST UPDATED 2022/Purdue Global University, Exams of Health sciences

Georgia Highlands CollegeHealth sciences

MN580- Final/ Questions And Answers /LATEST UPDATED 2022/Purdue Global University

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2021/2022

Available from 07/19/2022

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MN580- Final
GU.
1. A 30monthold girl who has been toilet trained for 6 months has daytime enuresis and dysuria
and a low-grade fever. A dipstick urinalysis is negative for leukocyte esterase and nitrites. What
is the next step?
a. Begin empiric treatment with trimethoprim sulfamethoxazole.
b. Discuss behavioral interventions for toilet training.
c. Reassure the child’s parents that the child does not have a urinary tract infection.
d. Send the urine to the lab for culture. Correct
2. The clean catch urine specimen of a child with dysuria, frequency, and fever has a
colony count between 50,000 and 100,000 of E. coli. What is the treatment for this child?
a. Obtain a complete blood count and C reactive protein.
b. Perform sensitivity testing before treating with antibiotics.
c. Repeat the culture if symptoms persist or worsen.
d. Treat with antibiotics for urinary tract infection. Correct
3. A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school aged child with
dysuria and foul-smelling urine but no fever who has not had previous urinary tract infections.
A culture is pending. What will the pediatric nurse practitioner do to treat this child?
a. Order ciprofloxacin ER once daily for 3 days if the culture is positive.
b. Prescribe trimethoprim sulfamethoxazole (TMP) twice daily for 3 to 5 days. Correct
c. Reassure the child’s parents that this is likely an asymptomatic bacteriuria.
d. Wait for urine culture results to determine the correct course of treatment.
4. A child is diagnosed with nephrotic syndrome, and the pediatric nurse practitioner provides
primary care in consultation with a pediatric nephrologist. The child was treated with steroids
and responded well to this treatment. What will the nurse practitioner tell the child’s parents
about this disease?
a. “Future episodes are likely to have worse outcomes.”
b. “Steroids will be used when relapses occur.” Correct
c. “This represents a cure from this disease.”
d. “Your child will need to take steroids indefinitely.
5. A child who has nephrotic syndrome is on a steroid and a salt restricted diet for a relapse of
symptoms. A dipstick urinalysis shows 1+ protein, down from 3+ at the beginning of the
episode.
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Download MN580- Final/ Questions And Answers /LATEST UPDATED 2022/Purdue Global University and more Exams Health sciences in PDF only on Docsity!

GU.

  1. A 30monthold girl who has been toilet trained for 6 months has daytime enuresis and dysuria and a low-grade fever. A dipstick urinalysis is negative for leukocyte esterase and nitrites. What is the next step? a. Begin empiric treatment with trimethoprim sulfamethoxazole. b. Discuss behavioral interventions for toilet training. c. Reassure the child’s parents that the child does not have a urinary tract infection. d. Send the urine to the lab for culture. Correct
  2. The clean catch urine specimen of a child with dysuria, frequency, and fever has a colony count between 50,000 and 100,000 of E. coli. What is the treatment for this child? a. Obtain a complete blood count and C reactive protein. b. Perform sensitivity testing before treating with antibiotics. c. Repeat the culture if symptoms persist or worsen. d. Treat with antibiotics for urinary tract infection. Correct
  3. A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school aged child with dysuria and foul-smelling urine but no fever who has not had previous urinary tract infections. A culture is pending. What will the pediatric nurse practitioner do to treat this child? a. Order ciprofloxacin ER once daily for 3 days if the culture is positive. b. Prescribe trimethoprim sulfamethoxazole (TMP) twice daily for 3 to 5 days. Correct c. Reassure the child’s parents that this is likely an asymptomatic bacteriuria. d. Wait for urine culture results to determine the correct course of treatment.
  4. A child is diagnosed with nephrotic syndrome, and the pediatric nurse practitioner provides primary care in consultation with a pediatric nephrologist. The child was treated with steroids and responded well to this treatment. What will the nurse practitioner tell the child’s parents about this disease? a. “Future episodes are likely to have worse outcomes.” b. “Steroids will be used when relapses occur.” Correct c. “This represents a cure from this disease.” d. “Your child will need to take steroids indefinitely.
  5. A child who has nephrotic syndrome is on a steroid and a salt restricted diet for a relapse of symptoms. A dipstick urinalysis shows 1+ protein, down from 3+ at the beginning of the episode.

In consultation with the child’s nephrologist, what is the correct course of treatment considering this finding? a. Begin a taper of the steroid medication while continuing salt restrictions. b. Continue with steroids and salt restrictions until the urine is negative for protein. Correct c. Discontinue the steroids and salt restrictions now that improvement has occurred. d. Relax salt restrictions and continue administration of steroids until proteinuria is gone.

  1. A child who had GABHS 2 weeks prior is in the clinic with periorbital edema, dyspnea, and elevated blood pressure. A urinalysis reveals tea colored urine with hematuria and mild proteinuria. What will the primary care pediatric nurse practitioner do to manage this condition? a. Prescribe a 10to 14day course of high dose amoxicillin. b. Prescribe high dose steroids in consultation with a nephrologist. c. Reassure the parents that this condition will resolve spontaneously. d. Refer the child to a pediatric nephrologist for hospitalization. Correct
  2. During a well child examination of a 2yearold child, the primary care pediatric nurse practitioner palpates a unilateral, smooth, firm abdominal mass which does not cross the midline. What is the next course of action that? a. Order a CT scan of the chest, abdomen, and pelvis. b. Perform urinalysis, CBC, and renal function tests. c. Reevaluate the mass in 1 to 2 weeks. d. Refer the child to an oncologist immediately. Correct
  3. A 6monthold infant has a retractile testis that was noted at the 2month well baby exam. What will the primary care pediatric nurse practitioner do to manage this condition? a. Reassure the parent that the testis will most likely descend into place on its own. b. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy. Correct c. Teach the parent to manipulate the testis into the scrotum during diaper changes. d. Tell the parent that hormonal therapy may be needed to correct the condition.
    1. A 9monthold infant is brought to the clinic with scrotal swelling and fussiness. The primary care pediatric nurse practitioner notes a tender mass in the affected scrotum that is difficult to reduce. What is the correct action? a. Obtain an abdominal radiograph.

c. Reassure the parent that this is expected with cyclic vomiting syndrome. d. Refer to a pediatric gastroenterologist for further workup. Correct.

  1. A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows a 6 mm cylindrical object in the child’s stomach. The child is able to swallow without difficulty and is not experiencing pain. What is the correct course of treatment? a. Administer ipecac to induce vomiting. b. Have the parents watch for the object in the child’s stool Correct c. Insert a nasogastric tube to flush out the object. d. Refer the child for endoscopic removal of the object.
  2. A 10yearold child has had abdominal pain for 2 days, which began in the periumbilical area and then localized to the right lower quadrant. The child vomited once today and then experienced relief from pain followed by an increased fever. What is the likely diagnosis? a. Appendicitis with perforation Correct b. Gastroenteritis. c. Pelvic inflammatory disease (PID) d. Urinary tract infection (UTI)
    1. An 18monthold child has a 1day history of intermittent, cramping abdominal pain with nonbilious vomiting. The child is observed to scream and draw up his legs during pain episodes and becomes lethargic in between. The primary care pediatric nurse practitioner notes a small amount of bloody, mucous stool in the diaper. What is the most likely diagnosis? a. Appendicitis b. Gastroenteritis C. Intussusception Correct D. Testicular torsion
    2. A school age child has had abdominal pain for 3 months that occurs once or twice weekly and is associated with a headache and occasional difficulty sleeping, often causing the child to stay home from school. The child does not have vomiting or diarrhea and is gaining weight normally. The physical exam is normal. According to Bishop, what is included in the initial diagnostic workup for this child? a. CBC, ESR, amylase, lipase, UA, and abdominal ultrasound Correct b. CBC, ESR, CRP, and fecal calprotectin c. CBC, ESR, CRP, UA, stool for ova, parasites, and culture

d. Stool for H. pylori antigen and serum IgA, IgG, tTg

  1. An adolescent is diagnosed with functional abdominal pain (FAP). The child’s symptoms worsen during stressful events, especially with school anxiety. What will be an important part of treatment for this child? a. Informing the parents that the pain is most likely not real b. Instituting a lactose free diet along with lactobacillus supplements. c. Teaching about the braingut interaction causing symptoms Correct d. Using histamine2blockers to help alleviate symptoms
    1. A school age child has recurrent diarrhea with foul smelling stools, excessive flatus, abdominal distension, and failure to thrive. A 2week lactose free trial failed to reduce symptoms. What is the next step in diagnosing this condition? a. Lactose hydrogen breath test b. Serologic testing for celiac disease Correct c. Stool for ova and parasites c. Sweat chloride test for cystic fibrosis
    2. A child is diagnosed with Crohn disease. What are likely complications for this child? a. Cancer of the colon and possible colectomy b. Intestinal obstruction with scarring and strictures Correct c. Intestinal perforation and hemorrhage d. Liver disease and sepsis
  2. A 12monthold infant exhibits poor weight gain after previously normal growth patterns. There is no history of vomiting, diarrhea, or irregular bowel movements, and the physical exam is normal. What is the next step in evaluating these findings? a. Complete blood count and electrolytes b. Feeding and stooling history and 3day diet history Correct c. Stool cultures for ova and parasites d. Swallow study with videofluoroscopy.
  3. A 2yearold child has an acute diarrheal illness. The child is afebrile and, with oral rehydration measures, has remained well hydrated. The parent asks what can be done to help shorten the course of this illness. What will the primary care pediatric nurse practitioner recommend? a. Clear liquids only

d. Ventricular septal defect Correct

  1. An infant with trisomy 21 has a complete AV canal defect. Which finding, associated with having both of these conditions, will the primary care pediatric nurse practitioner expect? a. Crackles in both lungs b. Hepatomegaly c. Oxygen desaturation Correct d. Peripheral edema.
  2. A 6yearold child has a systolic blood pressure between the 95th and 99th percentile for age, sex, and height and a diastolic blood pressure between the 90th and the 95th percentile on three separate clinic visits. This child’s blood pressure is classified as: a. normotensive. b. prehypertensive. c. stage 1 hypertensive. Correct d. stage 2 hypertensive.
  3. A 12yearold child whose weight and BMI are in the 75th percentile has a diastolic blood pressure that is between the 95th and 99th percentiles for age, sex, and height on three separate occasions. Initial tests for this child will include: a. complete blood count. b. erythrocyte sedimentation rate. c. renal function and plasma renin tests. Correct d. urinalysis and electrolytes.
  4. A 12yearold child whose BMI is greater than the 95th percentile has a blood. pressure at the 98th percentile for age, sex, and height. After lifestyle changes that include diet and exercise, the child’s BMI drops to the 90th percentile, but the blood pressure remains the same. What is the primary care pediatric nurse practitioner’s next step in treating this child? a. Continued close monitoring of blood pressure b. Ordering an echocardiogram or MRI c. Prescribing an ACE inhibitor medication d. Referral to a nephrologist or cardiologist Correct
  5. A 7yearold child who has a history of a repaired congenital heart defect has many dental caries along with gingival erythema and irritation and a temperature of 102.5°F. What will the primary care pediatric nurse practitioner do next?

a. Admit to the hospital with a pediatric cardiology consult. Correct b. Obtain blood cultures and a CBC and consult a pediatric cardiologist. c. Refer the child to a pediatric dental surgeon immediately. d. Start prophylactic antibiotics such as penicillin twice daily for 2 weeks. Resp.

  1. A child has an acute infection causing lower airway obstruction. Which initial symptom is expected in this child? a. Atelectasis b. Barrel chest c. Overinflation d. Wheezing Correct
  2. A 4yearold child with an upper respiratory tract infection has cloudy nasal discharge and moderate nasal congestion interfering with sleep. The parent asks what product to use to help with symptoms. What will the primary care pediatric nurse practitioner recommend? a. Antihistamines b. Decongestant sprays c. Saline rinses Correct d. Zinc supplements
  3. After 14 days of treatment with amoxicillin 45 mg/kg/day for acute rhinosinusitis, a child continues to have mucopurulent nasal discharge along with induration, swelling, and erythema of both eyelids. What is the next course of treatment? a. Amoxicillin 80 mg/kg/day for 14 days b. Amoxicillin clavulanate for 10 to 14 days. c. Antibiotic ophthalmic drops for 5 to 7 days d. Referral to a pediatric otolaryngologist Correct
  4. The primary care pediatric nurse practitioner evaluates a child who awoke with a sore throat and high fever after a nap. The child appears anxious and is sitting on the parent’s lap with the neck hyperextended. The physical exam reveals stridor, drooling, nasal flaring, and retractions. What will the nurse practitioner do next? a. Administer a broad-spectrum intravenous antibiotic. b. Obtain blood, throat cultures, and start antibiotic therapy.
  1. The primary care pediatric nurse practitioner applies fluorescein stain to a child’s eye. When examining the eye with a cobalt blue filter light, the entire cornea appears cloudy. What does this indicate? a. The cornea has not been damaged. b. There is too little stain on the cornea. c. There is damage to the cornea. d. There is too much stain on the cornea. Correct
  2. A toddler exhibits exotropia of the right eye during a cover uncover screen. The primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment? a. Botulinum toxin injection b. Corrective lenses c. Occluding the affected eye for 6 hours per day d. Patching of the unaffected eye for 2 hours each day Correct 7.
  3. The primary care pediatric nurse practitioner performs a well child examination on a 9monthold infant who has a history of prematurity at 28 weeks’ gestation. The infant was treated for retinopathy of prematurity (ROP) and all symptoms have resolved. When will the infant need an ophthalmologic exam? a. At 12 months of age Correct b. At 24 months of age c. At 48 months of age d. At 60 months of age
  4. During a well-baby assessment on a 1weekold infant who had a normal exam when discharged from the newborn nursery 2 days prior, the primary care pediatric nurse practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and moderate amounts of thick, purulent discharge. What is the diagnosis? a. Chemical induced conjunctivitis b. Chlamydia trachomatis conjunctivitis Correct c. Herpes simplex virus (HSV) conjunctivitis d. Neisseria gonorrhea conjunctivitis.
  5. The primary care pediatric nurse practitioner performs a well-baby assessment of a 5dayold infant and notes mild conjunctivitis, corneal opacity, and serosanguinous discharge in the right eye. Which course of action is correct?

a. Administer intramuscular ceftriaxone 50 mg/kg. b. Admit the infant to the hospital immediately. Correct. c. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks. d. Teach the parent how to perform tear duct massage.

  1. A preschool age child who attends day care has a 2day history of matted eyelids in the morning and burning and itching of the eyes. The primary care pediatric nurse practitioner notes yellow green. purulent discharge from both eyes, conjunctival erythema, and mild URI symptoms. Which action is correct? a. Culture the conjunctival discharge. b. Observe the child for several days. c. Order an oral antibiotic medication. d. Prescribe topical antibiotic drops. Correct.
  2. A school age child is seen in the clinic after a fragment from a glass bottle flew into the eye. What will the primary care pediatric nurse practitioner do? a. Refer immediately to an ophthalmologist. Correct b. Attempt to visualize the glass fragment. c. Irrigate the eye with sterile saline. d. Instill a topical anesthetic. Dermatology.
  3. When prescribing topical glucocorticoids to treat inflammatory skin conditions, the primary care pediatric nurse practitioner will: a. initiate therapy with a high potency glucocorticoid. b. order lotions when higher potency is necessary. c. prescribe brand name preparations for consistent effects. Correct d. use fluorinated steroids to minimize adverse effects.
  4. An adolescent who recently spent time in a hot tub while on vacation has discrete, erythematous 1to 2mm papules that are centered around hair follicles on the thighs, upper arms, and buttocks. How will the primary care pediatric nurse practitioner manage this condition? a. Culture the lesions and treat with appropriate IM antibiotics. b. Hospitalize for incision and drainage and intravenous antibiotics. c. Order an ant staphylococcal beta lactamase resistant antibiotic.

c. Recommend topical antihistamines to control itching. d. Stress the need to remain home from school until the lesions are gone.

  1. A school age child is brought to clinic after a pediculosis capitis infestation is reported at the child’s school. If this child is positive, what will the primary care pediatric nurse practitioner expect to find on physical examination, along with live lice near the scalp? a. Excoriated macules along the child’s collar and underwear lines b. Inflammation and pustules on the face and neck c. Itching of the scalp, with skin excoriation on the back of the head Correct d. Linear or S shaped lesions in webs of fingers and sides of hands.
  2. A 9monthold infant has vesiculopustular lesions on the palms and soles, on the face and neck, and in skin folds of the extremities. The primary care pediatric nurse practitioner notes linear and S shaped burrow lesions on the parent’s hands and wrists. What is the treatment for this rash for this infant? a. Ivermectin 200 mcg/kg for 7 to 14 days, along with symptomatic treatment for itching b. Permethrin 5% cream applied to face, neck, and body and rinsed off in 8 to 14 hours Correct c. Treatment of all family members except the infant with permethrin 5% cream and ivermectin d. Treatment with permethrin 5% cream for 7 days in conjunction with ivermectin 200 mcg/kg 18.
  3. An adolescent has acne with lesions on the cheeks and under the chin. Which distribution is this? a. Athletic b. Frictional c. Hormonal Correct d. Pomadal
  4. An adolescent has acne characterized by papules and pustules mostly on the forehead and chin. What will the primary care pediatric nurse practitioner prescribe? a. Azelaic acid applied daily at nighttime b. Benzoyl peroxide applied twice daily c. Topical erythromycin with benzoyl peroxide Correct d. Tretinoin applied nightly after washing the face.
  1. An adolescent who had cradle cap as an infant is in the clinic with thick crusts of yellow, greasy scales on the forehead and behind the ears. What will the primary care pediatric nurse practitioner recommend? a. Daily application of ketoconazole 2% topical cream Correct b. High potency topical corticosteroids applied daily c. Mineral oil and shampoo on the affected areas d. Selenium sulfide shampoo twice weekly to the face
  2. A child is brought to the clinic with a generalized, annular rash characterized by raised wheals with pale centers. On physical examination, the child’s lungs are clear and there is no peripheral edema. A history reveals ingestion of strawberries earlier in the day. What is the initial treatment? a. Aqueous epinephrine 1:1000 subcutaneously b. Cetirizine once in clinic and then once daily for 2 weeks c. Diphenhydramine 0.5 to 1 mg/kg/dose every 4 to 6 hours Correct d. Prednisone 1 to 2 mg/kg/day for 1 week with rapid taper.
  3. A child who has been taking antibiotics is brought to the clinic with a rash. The parent reports that the child had a fever associated with what looked like sunburn and now has “blisters” all over. A physical examination shows coalescent target lesions and widespread bullae and areas of peeled skin revealing moist, red surfaces. What will the primary care pediatric nurse practitioner do? a. Consult with a pediatric intensivist for admission to a pediatric intensive care unit. Correct b. Order oral acyclovir 20 mg/kg/day in two doses for 6 to 12 months. c. Prescribe systemic antihistamines and antimicrobial medications as prophylaxis. d. Recommend analgesics, cool compresses, and oral antihistamines for comfort.
  4. A school age child has a rash without fever or preceding symptoms. Physical examination reveals a 3cm ovoid, erythematous lesion on the trunk with a finely scaled elevated border, along with generalized macular, ovoid lesions appearing in a “Christmas tree” pattern on the child’s back. What is the initial action? a. Obtain a KOH preparation of a skin scraping to verify the diagnosis. b. Prescribe topical steroid creams to shorten the course of the disease. c. Reassure the child’s parents that the rash is benign and self-limited. Correct d. Recommend topical antihistamines and emollients to control the spread.
  1. The primary care pediatric nurse practitioner prescribes a new medication for a child who develops a previously unknown adverse reaction. To report this, the nurse practitioner will: a. access the BPCA website. b. call the PREA hotline. c. log onto the FDA MedWatch website. Correct d. use the AAP online PediaLink program.
  2. The primary care pediatric nurse practitioner is considering using a drug for an “off label” use in a child. The nurse practitioner has used the drug in a similar situation previously, has consulted a pharmacology resource and the FDA website, and has determined that there are no significant contraindications and warnings for this child. What else must the nurse practitioner do when prescribe this drug? a. Discuss recommendations with the parents and document their consent. Correct b. Document anecdotal reports of previous use of the drug by other providers. c. Follow up daily with the parents to determine safe administration of the drug. d. Report this use to the FDA MedWatch website for tracking purposes.
    1. The primary care pediatric nurse practitioner is counseling an adolescent who was recently hospitalized for an asthma exacerbation and learns that the child usually forgets to use twice daily inhaled corticosteroid medications that are supposed to be given at 0800 and 2000 each day. Which strategy may be useful in this case to improve adherence? a. Ask the adolescent to identify two times each day that may work better. Correct b. Consider having the school nurse supervise medication administration. c. Prescribing a daily oral corticosteroid medication instead. d. Suggest that the parent enforce the medication regimen each day.
  3. The primary care pediatric nurse practitioner is treating a toddler who has a lower respiratory tract illness with a low-grade fever. The child is eating and taking fluids well and has normal oxygen saturations in the clinic. The nurse practitioner suspects that the child has a viral pneumonia and will: a. order an antiviral medication and schedule a follow up appointment. b. prescribe a broad-spectrum antibiotic until the lab results are received. c. teaches the parents symptomatic care and order labs to help with the diagnosis. Correct d. write a prescription for an antibiotic to be given if the child’s condition worsens.
  1. The parent of a school age child who has asthma tells the primary care pediatric nurse practitioner that the child often comes home from school with severe wheezing after gym class and needs to use his metered dose inhaler right away. What will the nurse practitioner do? a. Recommend that the child go to the school nurse when symptoms start. b. Review the child’s asthma action plan and possibly increase his steroid dose. c. Suggest asking the school to excuse the child from gym class. d. Write the prescription for two metered dose inhalers with the spacers. Correct. Dev mgt/ Adolescent
  2. The primary care pediatric nurse practitioner is performing a well child assessment on a 13yearold female whose mother asks when her daughter’s periods may start. Which information will the nurse practitioner use to help estimate the onset of periods? a. The age of the mother’s menarche b. The patient’s age at thelarche Correct II. c. When adrenarche occurred d. Whether linear growth has stopped.
  3. During a well child assessment of a 13yearold male, the primary care pediatric nurse practitioner notes small testicles and pubic and axillary hair. To further evaluate these findings, the nurse practitioner will ask the patient about. a. alcohol and tobacco use. b. changes in voice. c. increase in height and weight. d. participation in sports. Correct.
  4. The primary care pediatric nurse practitioner is performing a well child exam on a 12yearold female who has achieved early sexual maturation. The mother reports that she spends more time with her older sister’s friends instead of her own classmates. What will the nurse practitioner tell this parent? a. Early maturing girls need to identify with older adolescents to feel a sense of belonging. b. Girls who join an older group of peers may become sexually active at an earlier age. Correct c. Spending time with older adolescents indicates a healthy adjustment to her maturing body. d. The association with older adolescents will help her daughter to gain social maturity.
  5. The parent of a 14yearold child tells the primary care pediatric nurse practitioner that the child skips classes frequently in spite of various disciplinary measures, such as grounding and

c. Offer age-appropriate information about usual developmental tasks d. Provide information about healthy nutrition and physical activities.

  1. A school age child has begun refusing all cooked vegetables. What will the primary care pediatric nurse practitioner recommend to the parent? a. Allow the child to make food choices since this is usually a phase. b. Ensure that the child has three nutritious meals and two nutritious snacks each day Correct c. Prepare vegetables separately for the child to encourage adequate intake. d. Teach the child how important it is to eat h healthy fruits and vegetables.
  2. The primary care pediatric nurse practitioner performs a physical examination on a 12yearold child and notes poor hygiene and inappropriate clothes for the weather. The child’s mother appears clean and well dressed. The child reports getting 6 to 7 hours of sleep each night because of texting with friends late each evening. What action by the nurse practitioner will help promote healthy practices? a. Discuss setting clear expectations about selfcare with the mother Correct b. Give the child information about sleep and selfcare c. Reassure the mother that this “noncompliance” is temporary d. Tell the mother that experimenting with selfcare behaviors is normal
  3. During a well child exam on a 5yearold child, the primary care pediatric nurse practitioner assesses the child for school readiness. Which finding may be a factor in limiting school readiness for this child? a. Adherence to daily family routines and regular activities b. Having two older siblings who attend the same school c. Parental concerns about bullying in the school Correct d. The child’s ability to recognize four different colors
  4. The primary care pediatric nurse practitioner is examining a school age child who complains of frequent stomach pain and headaches. The parent reports that the child misses several days of school each month. The child has a normal exam. Before proceeding with further diagnostic tests, what will the nurse practitioner initially ask the parent? a. About the timing of the symptoms each day and during the week Correct b. How well the child performs in school and in extracurricular activities c. If the parent feels a strong need to protect the child from problems d. Whether there are any unusual stressors or circumstances at home
  1. The primary care pediatric nurse practitioner is evaluating recurrent stomach pain in a school age child. The child’s exam is normal. The nurse practitioner learns that the child reports pain most evenings after school and refuses to participate in sports but does not have nausea or vomiting. The child’s grandmother recently had gallbladder surgery. Which action is correct? a. Encourage the child to keep a log of pain, stool patterns, and dietary intake Correct b. Order radiologic studies and laboratory tests to rule out systemic causes c. Reassure the child and encourage resuming sports when symptoms subside d. Refer the child to a counselor to discuss anxiety about health problems.
  2. The parent of a newborn infant asks the primary care pediatric nurse practitioner when to intervene to help the infant’s future intellectual growth. What will the nurse practitioner tell the parent? a. Cognitive learning begins during the toddler years. b. Intellectual growth begin when speech develops. c. Language and literacy skills begin at birth. Correct d. Preschool is an optimal time to begin general learning.
  3. The primary care pediatric nurse practitioner is performing a well-baby examination on a 2monthold infant who has gained 25 grams per day in the last interval. The mother is nursing and tells the nurse practitioner that her infant seems fussy and wants to nurse more often. What will the nurse practitioner tell her? a. She may not be making as much breastmilk as before. b. She should keep a log of the frequency and duration of each feeding. c. The infant may be going through an expected growth spurt correct. d. The infant should stay on the previously established nursing schedule.
  4. The mother of a 6weekold breastfeeding infant tells the primary care pediatric nurse practitioner that her baby, who previously had bowel movements with each feeding, now has a bowel movement once every third day. What will the nurse practitioner tell her? a. Her baby is probably constipated. b. It may be related to her dietary intake. c. She should consume more water. d. This may be normal for breastfed babies. Correct 6.