NEWEST ACTUAL EXAM COMPLETE
600 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
The parent of a 4 year old child reports that the child
seems to be having trouble adjusting to a new day care
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 that the primary
care pediatric nurse practitioner could recommend? -
....ANSWER...Play therapy
A 9 year old child exhibits school refusal and a reluctance
to attend sleepovers with classmates. The parent is
concerned because the child has recently begun sleeping in
the parents' bed. Which initial action by the primary care
pediatric nurse practitioner is appropriate? -
....ANSWER...Assess for environmental stress, parental
dysfunction, and maternal depression.
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? -
....ANSWER...Generalized anxiety disorder (GAD)
The parent of a school age girl reports that the child has
difficulty getting ready for school and is often late because
of a need to check and recheck whether her teeth are clean
and her room light has been turned off. What will the
primary care pediatric nurse practitioner recommend to
this parent? - ....ANSWER...Cognitive behavioral therapy
The parents of a 4 year old boy are concerned because he
has begun twisting and pulling out his hair, especially
when he is tired or stressed. What will the primary care
pediatric nurse practitioner recommend as part of an
initial approach to treat this behavior? -
....ANSWER...Cutting his hair so that it is too short to pull
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 primary care pediatric nurse
practitioner learns that the child refuses to play with usual
playmates and often spends time sitting quietly. What will
, the nurse practitioner do initially? - ....ANSWER...Ask the
mother about the child's relationship with the father.
An adolescent has recently begun doing poorly in school
and has stopped participating in sports and other
extracurricular activities. During the history interview,
the adolescent reports feeling tired, having difficulty
concentrating, and experiencing a loss of appetite for the
past few weeks but cannot attribute these changes to any
major life event. Which is an important next step in
managing this patient? - ....ANSWER...Determining
suicidal ideation and risk of suicide
An adolescent is diagnosed with major depression, and the
mental health specialist has prescribed fluoxetine. What
other treatment is important to protect against suicide
risk? - ....ANSWER...Cognitive behavioral therapy
A 13 year old child has exhibited symptoms of mild
depression for several weeks. The parent reports feeling
relieved that the symptoms have passed but concerned
that the child now seems to
have boundless energy and an inability to sit still. What
will the primary care pediatric nurse practitioner do? -