A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a
parent. An exam reveals three avulsed front teeth. Radiologic studies are negative for
facial fractures. What is the recommended treatment?
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10 days.
B. Refer the child to a dentist for reimplantation of the avulsed teeth.
C. Refer the child to a dentist immediately for further examination
D. Remove th.e teeth, place them in saline, and refer the child to a dentist.
C. Refer the child to a dentist immediately for further examination
A 2-month-old infant will receive initial immunizations, and the parent asks about giving
medications to increase the infant’s comfort and minimize fever. What will the pediatric
nurse practitioner recommend?
A. Administering ibuprofen or acetaminophen as needed
B. Avoiding antipyretics if possible, to attain better immunity
C. Giving ibuprofen and acetaminophen only after the vaccines
D. Pretreating the infant with both ibuprofen and acetaminophen
A. Administering ibuprofen or acetaminophen as needed
,The primary care pediatric nurse practitioner is examining a 6-year-old
Child who attends first grade. The child reports "hating" school. The parent
states that the child pretends to be sick frequently in order to stay home from school. To
further assess this situation, the nurse practitioner will first ask the child
A. about school performance and grades.
B. why school is so distressing.
C. to name one or two friends.
D. whether bullying is taking place.
C. to name one or two friends
The parent of a 10-year-old boy tells the primary care pediatric nurse practitioner that
the child doesn't appear to have any interest in girls and spends most of his time with a
couple of other boys. The parent is worried about the child's sexual identity. The nurse
practitioner will tell the parent
A. children at this age who prefer interactions with same gender peers usually have a
homosexual orientation.
B. children experiment with sexuality at this age as a means of deciding later sexual
orientation.
C. this attachment to other same gender children is how the child learns to interact
with others.
D. to encourage mixed gender interactions in order to promote development of sexual
values.
,C. this attachment to other same gender children is how the child learns to interact
with others.
The parents of a 12-year-old
child are concerned that some of the child's older classmates may be a bad influence on
their child, who, they say, has been raised to believe in right and wrong. What will the
primary care pediatric nurse practitioner tell the parent?
A. Allowing the child to make poor choices and accept consequences is
important for learning values
B. Children at this age have a high regard for authority and social norms, so
this is not likely to happen
C. Moral values instilled in the early school age period will persist throughout childhood
D. The pressures from outside influences may supersede parental teachings and
should be confronted
D. The pressures from outside influences may supersede parental teachings and
should be confronted
During a well child exam of a school age child, the primary care pediatric nurse
practitioner learns that the child has been having angry episodes at school. The nurse
practitioner observes the child to appear withdrawn and sad. Which action is
appropriate?
, A. Ask the child and the parent about stressors at home
B. Make a referral to a child behavioral specialist
C. Provide information about anger management
D. Suggest consideration of a different classroom
A. Ask the child and the parent about stressors at home
The primary care pediatric nurse practitioner is preparing to conduct a well child
assessment of an 8-year-old child. How will the nurse practitioner begin the exam?
A. Ask the child about school, friends, home activities, and sports
B. Discuss the purpose of the visit and explain the procedures that will be performed
C. Offer age appropriate information about usual developmental tasks
D. Provide information about healthy nutrition and physical activities
A. Ask the child about school, friends, home activities, and sports
The parent of a 6-year-old child expresses concern that the child may have ADHD.
Which screening tool will the primary care pediatric nurse practitioner use to evaluate
this possibility?
A. Behavioral and Emotional Screening System for Children (BESS2)
B. Behavioral Assessment for Children – 2nd ed. (BASC2)