650 ACTUAL QUESTIONS AND WELL ELABORATED
ANSWERS (COMPLETE VERIFIED ANSWERS)
LATEST UPDATED VERSION 2024-2025
|GUARANTEED PASS A+
A 12year old child is brought into the clinic for his well child
check. As a part of the risk assessment, substance abuse
screening is to be completed at this visit. Which screening tool
would the pediatric nurse practitioner use to specifically assess
for substance abuse disorder?
Answer- Brief screener for tobacco, alcohol and other drugs
(BSTAD)
A 16year old presents with father for a well child check. When
completing the risk assessment, the child admits to using
marijuana and then driving, and boasts that he has never been
hurt or hurt anyone. What is the best NP answer?
Answer- it is not recommended that you smoke Marijauna
The parent of an adolescent tells the primary care pediatric
nurse practitioner that the child may be the victim of cyber-
bullying at school but wont talk about it with her parents. What
should the nurse practitioners initial response be?
,Answer- interview the adolescent separate from parents
An adolescent is diagnosed with major depression and the
mental health specialist has prescribed fluoxetine. What is a
treatment to protect against suicide risk?
Answer- cognitive behavioral therapy
The primary care PNP is evaluating a school-age child who has
been diagnosed with ADHD. which plan will the nurse
practitioner recommend asking the child's school about to help
with academic performance?
Answer- the section 504 plan specifies reasonable
accommodations to help children with disabilities such as
physical or mental conditions, to benefit from their education
A 2-month-old infant has a staccato cough and fever. Which
aspect of the history is most important in determining
diagnosis.
Answer- immunization history
,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? -