NU 665 Actual Exam 2024 | Nu 665 Exam
Update Latest 2024 Questions and
Correct Answers Rated A+
A school-age child has a fractured wrist with a Salter Harris Type II
fracture, according to the radiologist. What is true about this type of
fracture? -ANSWER-There is a metaphyseal fragment on the
compression side of fracture.
What will the primary care pediatric nurse practitioner elicit when
obtaining a positive Barlow maneuver when screening for
developmental dysplasia of the hip? -ANSWER-Dislocation of an
unstable hip
A 3-year-old child is brought to the clinic by a parent who reports that
the child refuses to use the right arm after being swung by both arms
while playing. The child is sitting with the right arm held slightly flexed
and close to the body. There is no swelling or ecchymosis present.
What will the primary care pediatric nurse practitioner do? -ANSWER-
Gently attempt a supination and flexion technique.
A school-age child falls off a swing and suffers a closed fracture of the
right clavicle. How will this be managed? -ANSWER-Immobilization
with a sling to support the affected extremity
A young adolescent reports chest pain associated with coughing and
lifting. Physical examination reveals tenderness over several ribs,
radiating to the back. Auscultation of the heart, lungs, and abdomen
are normal. There is no history of injury. What will the primary care
,pediatric nurse practitioner do? -ANSWER-Recommend NSAIDs,
stretching exercises, and ice packs to the area.
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? -ANSWER-Discuss
posture and exercise and ask about backpacks and books.
The primary care pediatric nurse practitioner elicits positive Ortolani
and Barlow signs in a 6-month-old infant not previously noted in the
medical record. What is the correct treatment? -ANSWER-Surgical
intervention
A 14-year-old boy who is overweight develops a unilateral limp with
pain in the hip and knee on the affected side. An exam reveals
external rotation of the hip when flexed and pain associated with
attempts to internally rotate the hip. What is most important initially
when managing this child's condition? -ANSWER-Place the child on
crutches or in a wheelchair to prevent weight-bearing.
A parent is concerned that a 12-month-old child is "bowlegged." A
physical examination reveals internal tibial torsion bilaterally. A
radiograph reveals asymmetric bowing of the legs with an angle
greater than 15 degrees. What is the correct action for the primary
care pediatric nurse practitioner? -ANSWER-Refer to a pediatric
orthopedic specialist for treatment.
A child who plays soccer is in the clinic reporting pa in and swelling in
both knees. A physical examination reveals swelling and focal
tenderness at the tibial tuberosities, with pain worsening when asked
to extend the knees against resistance. What is the treatment for this
,condition? -ANSWER-Apply ice packs to both knees and avoid
activities that cause pain.
During a well baby examination of a newborn, the primary care
pediatric nurse practitioner notes adduction of the right forefoot, with
normal position of the mid and hindfoot, along with a convex shaped
lateral border of the foot. What will the nurse practitioner do to
evaluate this deformity? -ANSWER-Grasp the heel with one hand and
abduct the forefoot with the other hand.
During a well child examination on a 4-month-old infant, the primary
care pediatric nurse practitioner evaluates mental health issues.
Which statement by the parent indicates a potential problem with the
parent-infant relationship? -ANSWER-"I let my baby cry a while to
learn to be patient."
A child has a difficult temperament. What will the primary care
pediatric nurse practitioner tell the parent about managing this child's
behavior? -ANSWER-It is important for the parent to learn to manage
criticism and power struggles.
During a well child assessment of a preschool-age child, the parent
voices concerns that because the child has behavior problems at
school, the child may have a mental health disorder. Which initial
approach will provide the best information? JJJJ. Ask the parent
whether other caregivers have voiced similar concerns. -ANSWER-
Take time to actively listen to the parent's and child's perceptions of
the problem.
The primary care pediatric nurse practitioner attempts to learn more
about the emotional health of an 18-month-old child through which
, assessment strategy? -ANSWER-Observation of the child with
caretakers in structured and unstructured situations
A middle school age 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? -ANSWER-Refer the child to a mental health specialist
for evaluation and treatment.
The parent of a 4-year-old child reports that the child seems to be
having trouble adjusting to a new daycare and reportedly is always
engaging in solitary play when the parent arrives to pick up the child.
What will the primary care pediatric nurse practitioner do? -ANSWER-
Ask the parent if the child is slow to warm up to other new situations.
The parent of a school-age child is concerned because the child has
started to express anger about a grandparent's death even though this
occurred when the child was a toddler. What will the primary care
pediatric nurse practitioner tell the parent? -ANSWER-The
significance of this loss must be reworked at each developmental
level.
The parent of a school-age child reports that the child doesn't like
being alone in rooms because of a fear of aliens hiding in closets.
What will the primary care pediatric nurse practitioner tell the parent? -
ANSWER-"Fear of imaginary creatures does not usually occur at this
age."
The parent of a preschool age child reports that the child often
appears anxious and nervous and that this is associated occasionally
with a rapid heart rate and tremors. What is the best type of referral
Update Latest 2024 Questions and
Correct Answers Rated A+
A school-age child has a fractured wrist with a Salter Harris Type II
fracture, according to the radiologist. What is true about this type of
fracture? -ANSWER-There is a metaphyseal fragment on the
compression side of fracture.
What will the primary care pediatric nurse practitioner elicit when
obtaining a positive Barlow maneuver when screening for
developmental dysplasia of the hip? -ANSWER-Dislocation of an
unstable hip
A 3-year-old child is brought to the clinic by a parent who reports that
the child refuses to use the right arm after being swung by both arms
while playing. The child is sitting with the right arm held slightly flexed
and close to the body. There is no swelling or ecchymosis present.
What will the primary care pediatric nurse practitioner do? -ANSWER-
Gently attempt a supination and flexion technique.
A school-age child falls off a swing and suffers a closed fracture of the
right clavicle. How will this be managed? -ANSWER-Immobilization
with a sling to support the affected extremity
A young adolescent reports chest pain associated with coughing and
lifting. Physical examination reveals tenderness over several ribs,
radiating to the back. Auscultation of the heart, lungs, and abdomen
are normal. There is no history of injury. What will the primary care
,pediatric nurse practitioner do? -ANSWER-Recommend NSAIDs,
stretching exercises, and ice packs to the area.
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? -ANSWER-Discuss
posture and exercise and ask about backpacks and books.
The primary care pediatric nurse practitioner elicits positive Ortolani
and Barlow signs in a 6-month-old infant not previously noted in the
medical record. What is the correct treatment? -ANSWER-Surgical
intervention
A 14-year-old boy who is overweight develops a unilateral limp with
pain in the hip and knee on the affected side. An exam reveals
external rotation of the hip when flexed and pain associated with
attempts to internally rotate the hip. What is most important initially
when managing this child's condition? -ANSWER-Place the child on
crutches or in a wheelchair to prevent weight-bearing.
A parent is concerned that a 12-month-old child is "bowlegged." A
physical examination reveals internal tibial torsion bilaterally. A
radiograph reveals asymmetric bowing of the legs with an angle
greater than 15 degrees. What is the correct action for the primary
care pediatric nurse practitioner? -ANSWER-Refer to a pediatric
orthopedic specialist for treatment.
A child who plays soccer is in the clinic reporting pa in and swelling in
both knees. A physical examination reveals swelling and focal
tenderness at the tibial tuberosities, with pain worsening when asked
to extend the knees against resistance. What is the treatment for this
,condition? -ANSWER-Apply ice packs to both knees and avoid
activities that cause pain.
During a well baby examination of a newborn, the primary care
pediatric nurse practitioner notes adduction of the right forefoot, with
normal position of the mid and hindfoot, along with a convex shaped
lateral border of the foot. What will the nurse practitioner do to
evaluate this deformity? -ANSWER-Grasp the heel with one hand and
abduct the forefoot with the other hand.
During a well child examination on a 4-month-old infant, the primary
care pediatric nurse practitioner evaluates mental health issues.
Which statement by the parent indicates a potential problem with the
parent-infant relationship? -ANSWER-"I let my baby cry a while to
learn to be patient."
A child has a difficult temperament. What will the primary care
pediatric nurse practitioner tell the parent about managing this child's
behavior? -ANSWER-It is important for the parent to learn to manage
criticism and power struggles.
During a well child assessment of a preschool-age child, the parent
voices concerns that because the child has behavior problems at
school, the child may have a mental health disorder. Which initial
approach will provide the best information? JJJJ. Ask the parent
whether other caregivers have voiced similar concerns. -ANSWER-
Take time to actively listen to the parent's and child's perceptions of
the problem.
The primary care pediatric nurse practitioner attempts to learn more
about the emotional health of an 18-month-old child through which
, assessment strategy? -ANSWER-Observation of the child with
caretakers in structured and unstructured situations
A middle school age 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? -ANSWER-Refer the child to a mental health specialist
for evaluation and treatment.
The parent of a 4-year-old child reports that the child seems to be
having trouble adjusting to a new daycare and reportedly is always
engaging in solitary play when the parent arrives to pick up the child.
What will the primary care pediatric nurse practitioner do? -ANSWER-
Ask the parent if the child is slow to warm up to other new situations.
The parent of a school-age child is concerned because the child has
started to express anger about a grandparent's death even though this
occurred when the child was a toddler. What will the primary care
pediatric nurse practitioner tell the parent? -ANSWER-The
significance of this loss must be reworked at each developmental
level.
The parent of a school-age child reports that the child doesn't like
being alone in rooms because of a fear of aliens hiding in closets.
What will the primary care pediatric nurse practitioner tell the parent? -
ANSWER-"Fear of imaginary creatures does not usually occur at this
age."
The parent of a preschool age child reports that the child often
appears anxious and nervous and that this is associated occasionally
with a rapid heart rate and tremors. What is the best type of referral
