The primary care pediatric nurse practitioner is performing a well child
examination on a 4-year-old child. The parent reports that the child snores frequently,
often awakens during the night, and seems cranky during the day. What will the nurse
practitioner tell this parent?
Give this one a try later!
C. Sleep disorders at this age can have long term impacts on learning.
The primary care pediatric nurse practitioner is treating an infant with lacrimal duct
obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment
with topical antibiotics along with massage and frequent cleansing of secretions, the
infant’s symptoms have not improved. Which action is correct?
,Give this one a try later!
D. Refer to an ophthalmologist.
The primary care pediatric nurse practitioner is performing a well child exam on a 12-
year-old 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?
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B. Girls who join an older group of peers may become sexually active at an
earlier age.
A 4-year-old child who has had extensive dental surgery to treat dental caries has
white spot lesions on the primary teeth. How often should this child receive fluoride
varnish applications?
Give this one a try later!
C. Every 3 to 6 months
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?
Give this one a try later!
, C. Refer the child to a dentist immediately for further examination.
A child who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is
the next step in treatment for this child?
Give this one a try later!
A. Insert a wick into the external auditory canal.
An adolescent has suspected infectious mononucleosis after exposure to the virus in
the past week. The primary care pediatric nurse practitioner examines the adolescent
and notes exudate on the tonsils, soft palate petechiae, and diffuse adenopathy.
Which test will the primary care pediatric nurse practitioner perform to confirm the
diagnosis?
Give this one a try later!
B. EBV specific antibody testing
Which characteristic is the key criterion that identifies a child has having special
needs?
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, C. Health service requirements
The primary care pediatric nurse practitioner is performing an exam on an
adolescent male who asks about sexual identity because of concern that a friend is
worried about being gay. Which response will the nurse practitioner make in this
situation?
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D. Tell the adolescent that, unless he is at risk, what he says will be
confidential.
The primary care pediatric nurse practitioner is teaching a parent of a child with dry
skin about hydrating the skin with bathing. What will the nurse practitioner include in
teaching?
Give this one a try later!
B. Have the child soak in a lukewarm water bath.
A child has several shallow mucosal lesions on the buccal mucosa and tongue that are
surrounded with an erythematous halo and covered by yellow plaques. What will the
primary care pediatric nurse practitioner recommend?
Give this one a try later!
examination on a 4-year-old child. The parent reports that the child snores frequently,
often awakens during the night, and seems cranky during the day. What will the nurse
practitioner tell this parent?
Give this one a try later!
C. Sleep disorders at this age can have long term impacts on learning.
The primary care pediatric nurse practitioner is treating an infant with lacrimal duct
obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment
with topical antibiotics along with massage and frequent cleansing of secretions, the
infant’s symptoms have not improved. Which action is correct?
,Give this one a try later!
D. Refer to an ophthalmologist.
The primary care pediatric nurse practitioner is performing a well child exam on a 12-
year-old 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?
Give this one a try later!
B. Girls who join an older group of peers may become sexually active at an
earlier age.
A 4-year-old child who has had extensive dental surgery to treat dental caries has
white spot lesions on the primary teeth. How often should this child receive fluoride
varnish applications?
Give this one a try later!
C. Every 3 to 6 months
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?
Give this one a try later!
, C. Refer the child to a dentist immediately for further examination.
A child who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is
the next step in treatment for this child?
Give this one a try later!
A. Insert a wick into the external auditory canal.
An adolescent has suspected infectious mononucleosis after exposure to the virus in
the past week. The primary care pediatric nurse practitioner examines the adolescent
and notes exudate on the tonsils, soft palate petechiae, and diffuse adenopathy.
Which test will the primary care pediatric nurse practitioner perform to confirm the
diagnosis?
Give this one a try later!
B. EBV specific antibody testing
Which characteristic is the key criterion that identifies a child has having special
needs?
Give this one a try later!
, C. Health service requirements
The primary care pediatric nurse practitioner is performing an exam on an
adolescent male who asks about sexual identity because of concern that a friend is
worried about being gay. Which response will the nurse practitioner make in this
situation?
Give this one a try later!
D. Tell the adolescent that, unless he is at risk, what he says will be
confidential.
The primary care pediatric nurse practitioner is teaching a parent of a child with dry
skin about hydrating the skin with bathing. What will the nurse practitioner include in
teaching?
Give this one a try later!
B. Have the child soak in a lukewarm water bath.
A child has several shallow mucosal lesions on the buccal mucosa and tongue that are
surrounded with an erythematous halo and covered by yellow plaques. What will the
primary care pediatric nurse practitioner recommend?
Give this one a try later!
