PRIMARY CARE I EXAM | QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT | RATED A+
| 2026/2027 GUIDE | GCU
A young adolescent reports chest pain associated with coughing and
lifting. Physical examination reveals tenderness over several ribs,
radiating to the back. Auscultation of the heart, lungs, and abdomen are
normal. There is no history of injury. What will the primary care pediatric
nurse practitioner do?
- Correct Answer - Recommend NSAIDs, stretching exercises, and ice
packs to the area
A young adolescent female is observed to have mild unequal scapula
prominences on gross examination while standing. In the Adams forward
bending position, this inequality disappears. What will the primary care
pediatric nurse practitioner do?
- Correct Answer - Discuss posture and exercise and ask about
backpacks and books.
The primary care pediatric nurse practitioner elicits positive Ortolani and
Barlow signs in a 6-month-old infant not previously noted in the medical
record. What is the correct treatment?
- Correct Answer - Surgical intervention
,A 14-year-old boy who is overweight develops a unilateral limp with pain
in the hip and knee on the affected side. An exam reveals external
rotation of the hip when flexed and pain associated with attempts to
internally rotate the hip. What is most important initially when managing
this child's condition?
- Correct Answer - Place the child on crutches or in a wheelchair to
prevent weightbearing.
A parent is concerned that a 12-month-old child is "bowlegged." A
physical examination reveals internal tibial torsion bilaterally. A
radiograph reveals asymmetric bowing of the legs with an angle greater
than 15 degrees. What is the correct action for the primary care pediatric
nurse practitioner?
- Correct Answer - Refer to a pediatric orthopedic specialist for
treatment.
A child who plays soccer is in the clinic reporting pain and swelling in
both knees. A physical examination reveals swelling and focal
tenderness at the tibial tuberosities, with pain worsening when asked to
extend the knees against resistance. What is the treatment for this
condition?
- Correct Answer - Apply ice packs to both knees and avoid activities
that cause pain
,During a well baby examination of a newborn, the primary care pediatric
nurse practitioner notes adduction of the right forefoot, with normal
position of the mid and hind foot, along with a convex shaped lateral
border of the foot. What will the nurse practitioner do to evaluate this
deformity?
- Correct Answer - Grasp the heel with one hand and abduct the forefoot
with the other hand
A school-age child has a fractured wrist with a SalterHarris Type II
fracture, according to the radiologist. What is true about this type of
fracture?
- Correct Answer - There is a metaphyseal fragment on the compression
side of fracture
First-line treatment options for bursitis usually include:
- Correct Answer - non steroidal anti-inflammatory drugs (NSAIDS)
heat to area?
Patients with subscapular bursitis typically present with
- Correct Answer - localized tenderness under the superomedial angle of
the scapula
Likely sequelae of intrabursal corticosteroid injection include
, - Correct Answer - soreness at the injection site
Risk factors for lateral epicondylitis include all of the following except:
A. repetitive lifting
B. playing tennis
C. hammering
D. gout
- Correct Answer - gout
Up to what percent of patients with medial epicondylitis recover without
surgery?
- Correct Answer - 95%
The use of all of the following medications can trigger gout except:
A. Aspirin
B. Diuretics
C. Statins
D. Niacin
- Correct Answer - statins
First-line therapy for treating patients with acute gouty arthritis usually
includes:
- Correct Answer - naproxen sodium