Download PEDIATRIC PRIMARY CARE-NR 602 EXAM Q & A/2023.Qualified.DOWNLOAD TO SCORE A+ and more Exams Nursing in PDF only on Docsity!
PEDIATRIC PRIMARY CARE-NR
602 EXAM Q &
A/2023.Qualified.DOWNLOAD
TO SCORE A+
Neurologic Disorders Questions
- When performing a neurologic exam to assess for meningeal signs in an infant, the primary care pediatric nurse practitioner will attempt to elicit the Kernig sign by KKKKKK. bending the infant at the waist to touch fingers to toes.
LLLLLL. extending the leg at the knee with the infant supine. Correct MMMMMM. flexing the infant’s neck to touch chin to chest. NNNNNN. turning the infant’s head from side to side.
- To evaluate brain tissue disorders in infants, which test is useful? FFFFFF. Computerized tomography GGGGGG. Head radiographs HHHHHH. Magnetic resonance imaging D. Ultrasonography Correct
- A female infant who was developing normally s tops meeting developmental milestones at age 12 months and then begins losing previously acquired skills. What will the primary care pediatric nurse practitioner expect to tell the parents about this child’s prognosis? GGGGGG. Cognitive development will be normal but motor skills will be lost. HHHHHH. Physical and speech therapy will help the infant regain lost skills. IIIIII. The child’s intellectual development will not progress further. Correct JJJJJJ. This is a temporary condition with full recovery expected.
- A 14yearold child has a headache, unilateral weakness, and blurred vision preceded by fever and nausea. The child’s parent reports a similar episode several months prior. The primary care pediatric nurse practitioner will consult with a pediatric neurologist to order BBBBBBBB. a lumbar puncture. CCCCCCCC. an electroencephalogram (EEG). DDDDDDDD. neuroimaging with magnetic resonance imaging (MRI). Correct EEEEEEEE. positron emission tomography (PET) scan.
- During a well baby exam on a 9monthold infant, the parent reports that the baby always uses the left hand to pick up objects and asks if the baby will be lefthanded. What will the primary care pediatric nurse practitioner do? ZZZZZ. Explain that it is too soon to tell which hand the infant will
- Because of their inability to ambulate, children with cerebral palsy should be evaluated for which nutrients? A. Calcium and vitamin D Correct VI. Fatsoluble vitamins JJJJJJ. Iron and zinc KKKKKK. Sodium and potassium
- A child with a recent history of URI reports tingling and pain in one ear followed by sagging of one side of the face. The primary care pediatric nurse practitioner observes that the child cannot close the eye or mouth on the affected side but does not elicit limb weakness on that side. What will the nurse practitioner do? DDDDDDD. Initiate a short course of antibiotic therapy. EEEEEEE. Perform diagnostic testing to rule out serious causes. FFFFFFF. Prepare the parents for lifelong complications. GGGGGGG. Prescribe oral prednisone 1 mg/kg/day initially. Correct
- A child who has had a single nonfebrile seizure has a normal neurologic exam. Which diagnostic test is indicated? A. Computerized tomography (CT) B. Electroencephalogram (EEG) Correct NNNNN. Magnetic resonance imaging (MRI) OOOOO. Polysomnography BBBBBB. CCCCCC.. DDDDDD. EEEEEE.. FFFFFF. GGGGGG.. .
- The parents of an 18monthold child bring the child to the clinic after observing a. brief seizure of less than 2 minutes in their child. In the clinic, the child has a temperature of
103.1°F, and the primary care pediatric nurse practitioner notes a left otitis media. The child is alert and responding normally. What will the nurse practitioner do? UUUU. Order a lumbar puncture, complete blood count, and urinalysis. VVVV. Prescribe an antibiotic for the ear infection and reassure the parents. Correct WWWW. Refer to a pediatric neurologist for anticonvulsant and antipyretic prophylaxis. XXXX. Send the child to the emergency department for EEG and possible MRI.
- An adolescent female reports unilateral headache pain associated with abdominal pain and nausea occurring just prior to periods each month. The adolescent has been using naproxen sodium for 6 months but reports little relief from symptoms. What will the primary care pediatric nurse practitioner do? ZZZ. Add acetaminophen and ondansetron to the naproxen regimen. AAAA. Consider prophylactic therapy with a betablocker or anticonvulsant drug. BBBB. Prescribe sumatriptan nasal spray at the onset of headache and every 2 hours. Correct CCCC. Refer the adolescent to a pediatric neurologist for neuroimaging studies.
- A child who has sustained a head injury after falling on the playground is brought to the clinic. The parents report that the child cried immediately and was able to walk around after falling. The primary care pediatric nurse practitioner notes slight slurring of the child’s speech and the child has vomited twice in the exam room. Which course of action is warranted? BBBB. Admit the child to the hospital for a neurology consult. Correct CCCC. Observe the child in the clinic for several hours. DDDD. Order a head CT and observe the child at home. EEEE. Send the child home with
C. SubSaharan Africa Correct D. Syria
- The primary care pediatric nurse practitioner understands that, to achieve the greatest worldwide reduction in child mortality from pneumonia and diarrhea, which intervention is most effective? A. Antibiotics B. Optimal nutrition C. Vaccinations Correct D. Water purification
- Which is true about the health status of children in the United States? . 133484138 56 A. Globalism has relatively little impact on child health measures in the U.S. B. Obesity rates among 2to5yearolds have shown a recent significant decrease. Correct . C. The rate of household poverty is lower than in other economically developed nations. D. Young children who attend preschool or day care have higher food insecurity.
- The primary care pediatric nurse practitioner understands that a major child health outcome associated with worldwide climate change is A. cost of living. B. education. C. nutrition. Correct D. pollution.
- When providing well child care for an infant in the first year of life, the primary care pediatric nurse practitioner is adhering to the most recent American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care guidelines by
A. focusing less on development and more on illness prevention and nutrition. B. following guidelines established by the Bright Futures publication. C. scheduling wellbaby visits to coincide with key developmental milestones. Correct D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. Chapter 2. Unique Issues in Pediatrics
- A nurse is explaining the therapeutic milieu to a new nurse. The best explanation of this term would be:
- The place where the child is receiving care.
- An 18-year-old male has called the crisis line for help. The crisis nurse recognizes the intervention needs may consist of all of the following except:
- Discussing the individuals everyday activities.
- Recognizing that the patient may be in a catharsis state.
- Expressing empathy toward the caller.
- Avoiding entropy. ANS: 1
- An 8-year-old boy with a history of hallucinations and violent behavior has been place in a seclusion room at the hospital because he has been hurting others. The nurse checks on the patient and realizes she must take him out of the seclusion room when:
- He is crying to be released.
- He states, I will be a good boy now. .
- He starts headbutting the window.
- He complains that his parents will file a lawsuit. ANS: 3
- A child has been exhibiting the MacDonald Triad. These behaviors include:
- Enuresis, pushing others, and pyromania.
- Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the trash can.
- Playing with other children, laughing, and conversing with adults.
- Playing with a campfire, watching television, and seeking adult attention. ANS: 2
- A teenager diagnosed with borderline personality disorder should have discharge planning instructions of:
- A consistent caregiver.
- Monitoring of media, such as the Internet, television, and video games.
- Obtaining support from family and friends.
- Seeking medical attention when the teenager feels good. ANS: 3
- A mental health nurse is teaching the mother of a child with executive functioning issues ways to help her child. Interventions the mother should use include:
- Placing visual aids on the bathroom mirror so that the child will follow the morning routine.
- Give the child a choice in foods to eat.
- Allowing the child to ask for help when needed.
- Reminding the child to be nice to others. ANS: 1 .
- Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of severe neglect by her birth family. The adoptive family has been reporting that Ellie is angry a lot, manipulative with her teachers, and does not seek positive attention. The nurse working with Ellie will need to:
- Provide education on decreasing stimuli in the home environment that triggers the anger.
- Realize Ellie may have attachment issues related to her previous history and will need to encourage the
- A father reports that his adolescent daughter has gotten good grades up until the last quarter of school. She has been hanging out by herself and does not want to talk to him anymore. The mental health nurse should:
- Realize that this is a natural part of growing up.
- Perform a mental health screening to check for depression.
- Attempt to get the adolescent to discuss why she does not like her father anymore.
- Let the adolescent talk when she is ready. ANS: 2
- A teen should be checked for depression at physician visit(s).
- Every .
- One
- Monthly
- Bi- yearly ANS: 1
- When using the SAD FACES depression screen, it is important to assess:
- Anhedonia.
- Suicidal ideations.
- Sleep patterns.
- All of the above ANS: 4
- A school nurse is giving an in-service to teachers on bullycide. The main reason for the teaching is so that:
- Teachers are aware bullying occurs.
- Teachers are able to identify students who are risk.
- Teachers can be aware of the fact that suicides can happen due to bullying by others.
- Teachers are aware of their role in causing bullycide. ANS: 3
- An adolescent with a known history of bipolar disorder is in the school nurses office because a teacher reported that she was talking fast and acting like she was God. The school nurse assesses the girl and notes
that:
- She is probably in a manic phase and needs to be treated professionally.
- She has had too much sleep and is now hyperactive.
- She forgot to take her medications today.
- She requires some food and rest before going back to class. ANS: 1 Chapter 3. Genetics and Child Health Questions
- What is true about haploid cells? . 133484076 44 C. Each contains 23 paired chromosomes. D. Each one contains 23 chromosomes. Correct E. Replication produces two identical cells.
couple about genetic risks and learns that one parent has neurofibromatosis, an autosomal dominant disorder, and the other parent does not. What will the nurse practitioner include when discussing this disorder and its transmission? C. Children must inherit a gene from both parents to develop the disease. D. Each child born to this couple will have a 50% risk of having the disease. Correct E. This type of disorder characteristically skips generations. F. Unaffected offspring may still pass on the disease to their offspring.
- A family medical history conducted during a well baby exam for a newborn girl reveals that hemophilia A, an Xlinked
recessive disorder, is present in males in three previous generations in the mother’s family, whose father had the disease. What will the primary care pediatric nurse practitioner tell the parents about the risk of this disease in their children? E. All of their sons will be affected by the disease. F. Any sons they have will not be affected by the disease. G. Daughters have a 50% chance of being carriers of the disease. Correct H. Their daughter has a 25% chance of having the disease.
- What is an important responsibility of the primary care pediatric nurse practitioner. to help determine genetic risk factors in families? E. Assessing physical characteristics of genetic disorders F. Knowing which genetic screening tests to perform G. Making appropriate referrals to pediatric geneticists D. Obtaining a threegeneration pedigree for each family Correct
- Which diagnostic study may be ordered when the provider wishes to detect the . presence of additional genetic material on a chromosome? A. Chromosomal microarray B. FISH Correct D. Karyotype E. Molecular testing
- Which type of testing will the primary care pediatric nurse practitioner recommend. for a couple concerned about the potential for having children with cystic fibrosis? A. Biochemical testing B. Carrier testing Correct C. FISH testing D. Karyotype testing
environment. Correct H. Corporations may be exempt from testing if their costs in doing so are too high. I. Regulators must demonstrate risk to the public before banning a chemical. J. Without a strong risk, corporations need not release data about their products.
- During a clinic visit, a child’s rapid capillary screening test for lead reveals a level of 11 mcg/dL. What will the primary care pediatric nurse practitioner do next? I. Institute lead abatement measures in the child’s home. J. Monitor lead levels monthly until decreased. K. Order a venous sample to test for lead levels. Correct L. Test the child’s siblings and parents for lead.
- A child has a lead level of 25 mcg/dL. Once lead abatement measures are instituted, what is an important intervention to help prevent permanent damage H. Chelation therapy I. Dietary changes C. Followup testing Correct . D. Testing family members
- A child whose parent works in a factory pr esents with swelling of the extremities, pain and weakness in the pelvis, and an erythematous maculopapular rash. Which industrial toxin will the primary care pediatric nurse practitioner suspect in this child? A. Lead B. Mercury C. Organophosphates Correct D. Phthalates
- When counseling a mother who smokes about preventing exposure to smokingrelated risks to her nursing newborn, what will the primary care pediatric nurse practitioner tell her? F. If she quits now, her child will not have longterm effects from exposure. G. Prenatal smoke exposure does not cause respiratory effects after the infant is born.
H. Smoking outdoors or near an open window prevents exposure to tobacco smoke. I. Thirdhandsmoke exposure risks may last for years even if the mother quits now. Correct
- A child who has been playing in a public park is brought to the clinic with wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low heart rate and diaphoresis. What will the primary care pediatric nurse practitioner suspect as a cause for these symptoms? B. Arsenic consumption C. Lead poisoning C. Organophosphate exposure Correct D. Phthalate ingestion
- A parent asks about ways to limit exposure to risks associated with plastics.
