The primary care pediatric nurse practitioner is performing a well child
examination on a 3-year-old. The child’s parent reports that the child has
recently begun masturbating. What will the nurse practitioner counsel this parent?
A. To allow the behavior whenever it occurs, since it is normal
B. To discuss sexuality with the child
C. To explore whether the child is being abused
D. To teach the child about privacy and hand hygiene
Give this one a try later!
D. To teach the child about privacy and hand hygiene
During a well child examination of a 6-year-old girl, the primary care pediatric nurse
practitioner notes that the child becomes embarrassed and resists taking off her
,underwear for the exam. What should the nurse practitioner infer from this
observation?
A. The child has been sexually molested.
B. The child is feeling violated by the examiner.
C. The parent is exhibiting regressive behavior.
D. This is a normal reaction in a child of this age.
Give this one a try later!
D. This is a normal reaction in a child of this age.
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?
A. Discuss posture and exercise and ask about backpacks and books.
B. Obtain radiographic studies of the entire spine and neck.
C. Reassure the child’s parent that functional scoliosis will self resolve.
D. Refer to an orthopedic specialist for evaluation and possible bracing.
Give this one a try later!
A. Discuss posture and exercise and ask about backpacks and books.
The primary care pediatric nurse practitioner is counseling the parents of
a 13-year-old female who has Down syndrome about sexual maturation. What will the
nurse practitioner tell these parents?
,A. It is important to discuss and support healthy sexuality.
B. Providing too much information about sexuality may be confusing given
the child’scognitive level of understanding.
C. Suppressing periods with contraceptives will lessen their daughter’s distress.
RR. They should give her information about periods but not about sexuality.
Give this one a try later!
A. It is important to discuss and support healthy sexuality.
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?
A. Initiate a short course of antibiotic therapy.
B. Perform diagnostic testing to rule out serious causes.
C. Prepare the parents for lifelong complications.
D. Prescribe oral prednisone 1 mg/kg/day initially.
Give this one a try later!
D. Prescribe oral prednisone 1 mg/kg/day initially.
A preschool age child with no previous history has mild flank pain and fever but no
abdominal pain or vomiting. A urinalysis is positive for leukocyte esterase and nitrites.
A culture is pending. Which is the correct course of treatment for this child?
A. Hospitalize for intravenous antibiotics.
, B. Order amoxicillin clavulanate.
C. Prescribe trimethoprim sulfamethoxazole.
D. Refer for a voiding cystourethrogram.
Give this one a try later!
B. Order amoxicillin clavulanate.
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?
A. Add acetaminophen and ondansetron to the naproxen regimen.
B. Consider prophylactic therapy with a betablocker or anticonvulsant drug.
C. Prescribe sumatriptan nasal spray at the onset of headache and every 2 hours.
D. Refer the adolescent to a pediatric neurologist for neuroimaging studies.
Give this one a try later!
C. Prescribe sumatriptan nasal spray at the onset of headache and every 2
hours.
A 4-year-old female who has had two urinary tract infections has persistent
dysuria and genital redness. The physical exam reveals a thin, flat membrane from the
posterior fourchette almost to the clitoris. Which treatment is indicated?
A. Application of A&D ointment
B. Counseling about hygiene
C. Reassurance and observation
examination on a 3-year-old. The child’s parent reports that the child has
recently begun masturbating. What will the nurse practitioner counsel this parent?
A. To allow the behavior whenever it occurs, since it is normal
B. To discuss sexuality with the child
C. To explore whether the child is being abused
D. To teach the child about privacy and hand hygiene
Give this one a try later!
D. To teach the child about privacy and hand hygiene
During a well child examination of a 6-year-old girl, the primary care pediatric nurse
practitioner notes that the child becomes embarrassed and resists taking off her
,underwear for the exam. What should the nurse practitioner infer from this
observation?
A. The child has been sexually molested.
B. The child is feeling violated by the examiner.
C. The parent is exhibiting regressive behavior.
D. This is a normal reaction in a child of this age.
Give this one a try later!
D. This is a normal reaction in a child of this age.
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?
A. Discuss posture and exercise and ask about backpacks and books.
B. Obtain radiographic studies of the entire spine and neck.
C. Reassure the child’s parent that functional scoliosis will self resolve.
D. Refer to an orthopedic specialist for evaluation and possible bracing.
Give this one a try later!
A. Discuss posture and exercise and ask about backpacks and books.
The primary care pediatric nurse practitioner is counseling the parents of
a 13-year-old female who has Down syndrome about sexual maturation. What will the
nurse practitioner tell these parents?
,A. It is important to discuss and support healthy sexuality.
B. Providing too much information about sexuality may be confusing given
the child’scognitive level of understanding.
C. Suppressing periods with contraceptives will lessen their daughter’s distress.
RR. They should give her information about periods but not about sexuality.
Give this one a try later!
A. It is important to discuss and support healthy sexuality.
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?
A. Initiate a short course of antibiotic therapy.
B. Perform diagnostic testing to rule out serious causes.
C. Prepare the parents for lifelong complications.
D. Prescribe oral prednisone 1 mg/kg/day initially.
Give this one a try later!
D. Prescribe oral prednisone 1 mg/kg/day initially.
A preschool age child with no previous history has mild flank pain and fever but no
abdominal pain or vomiting. A urinalysis is positive for leukocyte esterase and nitrites.
A culture is pending. Which is the correct course of treatment for this child?
A. Hospitalize for intravenous antibiotics.
, B. Order amoxicillin clavulanate.
C. Prescribe trimethoprim sulfamethoxazole.
D. Refer for a voiding cystourethrogram.
Give this one a try later!
B. Order amoxicillin clavulanate.
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?
A. Add acetaminophen and ondansetron to the naproxen regimen.
B. Consider prophylactic therapy with a betablocker or anticonvulsant drug.
C. Prescribe sumatriptan nasal spray at the onset of headache and every 2 hours.
D. Refer the adolescent to a pediatric neurologist for neuroimaging studies.
Give this one a try later!
C. Prescribe sumatriptan nasal spray at the onset of headache and every 2
hours.
A 4-year-old female who has had two urinary tract infections has persistent
dysuria and genital redness. The physical exam reveals a thin, flat membrane from the
posterior fourchette almost to the clitoris. Which treatment is indicated?
A. Application of A&D ointment
B. Counseling about hygiene
C. Reassurance and observation
