NUR 507 Exam 3 Test Bank 2026 | Latest Update | Graded A+
1. If the nurse practitioner learns that the patient has a limited understanding of
what constitutes 'sex,' how should she proceed in the conversation?
Immediately refer her to a sexual health clinic.
Encourage her to talk to her friends about their experiences.
Provide education on the different aspects of sexual activity and its
implications.
Focus solely on discussing contraception options.
2. The parent of a school-age child reports that the child becomes frustrated
when unable to perform tasks well and often has temper tantrums and
difficulty sleeping. Which disorder may be considered in this child?
Pediatric autoimmune neuropsychiatric disorder associated with
streptococcal infection (PANDAS)
Separation anxiety disorder (SAD)
Generalized anxiety disorder (GAD)
Obsessive-compulsive disorder (OCD)
3. An 8-year-old girl is brought to the clinic due to refusal to speak in school for
the last 5 months. The patient's teacher has complained that she does not
answer her questions at all and that her grades are declining due to this.
Previously, her well-child examinations have been normal. Her mother
reports that she speaks at home with her family. She normally responds to the
commands of the doctor but does not answer his questions directly; instead,
she uses her mother as a medium to converse with the doctor. Which of the
following is the most appropriate next step in the management of this
patient?
, Reassurance
Dialectical behavioral therapy
Supportive psychotherapy
Psychodynamic psychotherapy
Cognitive behavioral therapy
4. In a scenario where a parent expresses concerns about their child's behavior,
what would be the next step after actively listening to both the parent and
child?
Immediately refer the child to a mental health specialist.
Utilize appropriate assessment tools to evaluate the child's behavior
further.
Discuss the parent's concerns with the child's teacher without consent.
Focus solely on the child's physical health during the next visit.
5. What is the most effective way to reduce sport-related injuries in
adolescents?
Spend more time practicing sport-specific movements
Eliminate sports under the age of 12, or the onset of puberty
Always remember to stretch before activities commence
Participate in 6-8 weeks of conditioning before sports begins
6. A middleschoolage child is skipping school frequently and getting poor
grades since the child's father was killed while deployed in the military. How
will the primary care pediatric nurse practitioner manage this situation?
Prescribe shortterm antidepressants for this situational depression.
, Schedule extended appointments for counseling and mental health
interventio.
Suggest that the child have close followup by a school counselor.
Refer the child to a mental health specialist for evaluation and
treatment.
7. Why is it important to check a bicycle helmet for marks before using it for a
younger child?
Marks show that the helmet is well-used and safe.
Marks may indicate damage that compromises safety.
Marks are irrelevant to the helmet's safety.
Marks indicate the helmet is too small.
8. What condition is the adolescent in the scenario experiencing that prompts
the nurse practitioner to question dietary supplements?
Dehydration
Hypercalciuria
Anemia
Obesity
9. Why is preseason conditioning considered the most beneficial
recommendation for injury prevention in young athletes?
Stretching before practices is important but does not prepare the
body for intense activity.
Protective knee braces are only necessary for those with prior injuries.
Preseason conditioning helps improve strength and endurance,
reducing the risk of injuries during sports activities.
, Proper footwear provides support but does not enhance physical
readiness.
10. Why might protein supplements be a concern for an adolescent with
hypercalciuria?
Protein supplements can increase calcium levels in the urine,
worsening hypercalciuria.
Protein supplements help in reducing dehydration during sports.
Protein supplements are essential for muscle recovery after exercise.
Protein supplements are necessary for overall growth in adolescents.
11. A newly divorced mother of a toddler reports that the child began having
difficulty sleeping and nightmares along with exhibiting angry outbursts and
tantrums 2 months prior. The PCP learns that the child refused to play with
usual playmates and often spends time sitting quietly. What will the PCP do
initially?
Refer the family to a child behavioral specialist for counseling
Consult with child psych to prescribe meds
Ask the mother about the child's relationship with the father
Recommend CBT
12. If a pediatric nurse encounters a parent who frequently allows their 4-
month-old infant to cry without responding, what intervention might be
appropriate to support the parent-infant relationship?
Provide education on the importance of responsive caregiving.
Advise the parent to seek therapy for the infant's crying.
Suggest the parent implement a strict feeding schedule.
1. If the nurse practitioner learns that the patient has a limited understanding of
what constitutes 'sex,' how should she proceed in the conversation?
Immediately refer her to a sexual health clinic.
Encourage her to talk to her friends about their experiences.
Provide education on the different aspects of sexual activity and its
implications.
Focus solely on discussing contraception options.
2. The parent of a school-age child reports that the child becomes frustrated
when unable to perform tasks well and often has temper tantrums and
difficulty sleeping. Which disorder may be considered in this child?
Pediatric autoimmune neuropsychiatric disorder associated with
streptococcal infection (PANDAS)
Separation anxiety disorder (SAD)
Generalized anxiety disorder (GAD)
Obsessive-compulsive disorder (OCD)
3. An 8-year-old girl is brought to the clinic due to refusal to speak in school for
the last 5 months. The patient's teacher has complained that she does not
answer her questions at all and that her grades are declining due to this.
Previously, her well-child examinations have been normal. Her mother
reports that she speaks at home with her family. She normally responds to the
commands of the doctor but does not answer his questions directly; instead,
she uses her mother as a medium to converse with the doctor. Which of the
following is the most appropriate next step in the management of this
patient?
, Reassurance
Dialectical behavioral therapy
Supportive psychotherapy
Psychodynamic psychotherapy
Cognitive behavioral therapy
4. In a scenario where a parent expresses concerns about their child's behavior,
what would be the next step after actively listening to both the parent and
child?
Immediately refer the child to a mental health specialist.
Utilize appropriate assessment tools to evaluate the child's behavior
further.
Discuss the parent's concerns with the child's teacher without consent.
Focus solely on the child's physical health during the next visit.
5. What is the most effective way to reduce sport-related injuries in
adolescents?
Spend more time practicing sport-specific movements
Eliminate sports under the age of 12, or the onset of puberty
Always remember to stretch before activities commence
Participate in 6-8 weeks of conditioning before sports begins
6. A middleschoolage child is skipping school frequently and getting poor
grades since the child's father was killed while deployed in the military. How
will the primary care pediatric nurse practitioner manage this situation?
Prescribe shortterm antidepressants for this situational depression.
, Schedule extended appointments for counseling and mental health
interventio.
Suggest that the child have close followup by a school counselor.
Refer the child to a mental health specialist for evaluation and
treatment.
7. Why is it important to check a bicycle helmet for marks before using it for a
younger child?
Marks show that the helmet is well-used and safe.
Marks may indicate damage that compromises safety.
Marks are irrelevant to the helmet's safety.
Marks indicate the helmet is too small.
8. What condition is the adolescent in the scenario experiencing that prompts
the nurse practitioner to question dietary supplements?
Dehydration
Hypercalciuria
Anemia
Obesity
9. Why is preseason conditioning considered the most beneficial
recommendation for injury prevention in young athletes?
Stretching before practices is important but does not prepare the
body for intense activity.
Protective knee braces are only necessary for those with prior injuries.
Preseason conditioning helps improve strength and endurance,
reducing the risk of injuries during sports activities.
, Proper footwear provides support but does not enhance physical
readiness.
10. Why might protein supplements be a concern for an adolescent with
hypercalciuria?
Protein supplements can increase calcium levels in the urine,
worsening hypercalciuria.
Protein supplements help in reducing dehydration during sports.
Protein supplements are essential for muscle recovery after exercise.
Protein supplements are necessary for overall growth in adolescents.
11. A newly divorced mother of a toddler reports that the child began having
difficulty sleeping and nightmares along with exhibiting angry outbursts and
tantrums 2 months prior. The PCP learns that the child refused to play with
usual playmates and often spends time sitting quietly. What will the PCP do
initially?
Refer the family to a child behavioral specialist for counseling
Consult with child psych to prescribe meds
Ask the mother about the child's relationship with the father
Recommend CBT
12. If a pediatric nurse encounters a parent who frequently allows their 4-
month-old infant to cry without responding, what intervention might be
appropriate to support the parent-infant relationship?
Provide education on the importance of responsive caregiving.
Advise the parent to seek therapy for the infant's crying.
Suggest the parent implement a strict feeding schedule.
