WITH OVER 141 QUESTIONS AND
CORRECT ANSWERS
What is the greatest barrier to securing adequate home health care for the
child with complex medical needs?
A) Parent resistance to accepting such services
B) Shortage of trained service providers
C) Reimbursement for needed skilled nursing services
D) Acquiring the necessary service related referral
C) Reimbursement for needed skilled nursing services
The parent of a child with complex health care needs tells the primary care
pediatric nurse practitioner that the child has had difficulty breathing the
past two nights but can't articulate specific symptoms. The child has normal
oxygen saturations and a normal respiratory rate with clear breath sounds.
What will the nurse practitioner do?
A) Encourage the parent to call when concerned and schedule a follow-up
appointment the next day
B) Reassure the parent that the child has a normal exam and is most likely
not ill
C) Perform a complete blood count, blood cultures, and a chest radiograph to
evaluate symptoms.
,D) Admit the child to the hospital for close observation and monitoring of
respiratory status.
A) Encourage the parent to call when concerned and schedule a follow-up
appointment the next day
What interventions does the primary care provider provide for a child
diagnosed with several complex health conditions? (Select all that apply.)
A) Providing an explanation regarding the use and care of the client's
respiratory support equipment
B) Referring the child to a respiratory specialist to deal with exacerbation of
asthma symptomology
C) Maintaining the child's routine vaccinations as well as a yearly flu shot
D) Discussing the expected physical implications of puberty with the
patient's parents
E) Providing diagnosis and treatment for the child's acute onset of ear
fullness and pain
B) Referring the child to a respiratory specialist to deal with exacerbation of
asthma symptomology
C) Maintaining the child's routine vaccinations as well as a yearly flu shot
D) Discussing the expected physical implications of puberty with the
patient's parents
E) Providing diagnosis and treatment for the child's acute onset of ear
fullness and pain
The primary care pediatric nurse practitioner (PNP) prescribes a twice daily
inhaled corticosteroid for a 12-year-old child. At a well child visit, the child
reports not using the medication on a regular basis. Which response by the
,pediatric nurse practitioner demonstrates an understanding of client-
centered care?
A) Teaching the child how the medication will help to control asthma
symptoms
B) Asking the child to describe usual daily routines and schedules
D) Reviewing the asthma action plan with the parent and the child
E) Referring the family to a social worker to help with medication compliance
B) Asking the child to describe usual daily routines and schedules
What is the criteria for Supplemental Security Income (SSI) approval?
A) The family is unable to cover health care costs
B) The impairment is life threatening
C) The existing impairment is chronic
D) The child is a ward of the state
B) The impairment is life threatening
The primary care pediatric nurse practitioner works with families from a
variety of cultures and socioeconomic classes. Which is an example of
cultural humility in practice?
A) Respecting other cultures while maintaining the views of one's own
B) Giving health care advice that takes cultural differences into account
C) Identification of other cultures that may be superior to one's own culture
D) Receptivity to learning about the perspectives of other cultures
, D) Receptivity to learning about the perspectives of other cultures
Which assessment question best demonstrates the primary care provider's
understanding of effectively dealing with the greatest challenge to providing
dual patient care?
A) To the parent: "What are your feelings about going to family therapy to
help with this transition?"
B) To the parent: "Do you feel comfortable providing in-home care for your
child?"
C) To the child: "When would you like your physical therapy sessions to be
scheduled?"
D) To the child: "When did you first notice the pain in your knees?"
C) To the child: "When would you like your physical therapy sessions to be
scheduled?"
Support for a child with complex health issues may require the use of what
high level tech equipment?
A) Urinary catherer
B) A handheld magnifier
C) Enteral feeding pump
D) Crutches
C) Enteral feeding pump
Medicaid provides health insurance coverage to: