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NU 665 final Questions and Answers
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?
Ans: There is a metaphyseal fragment on the compression side of
fracture.
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?
Ans: 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?
Ans: Dislocation of an unstable hip
What will the primary care pediatric nurse practitioner elicit when
obtaining a positive Barlow maneuver when screening for
developmental dysplasia of the hip?
Ans: 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?
Ans: Gently attempt a supination and flexion technique.
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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?
Ans: 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?
Ans: Immobilization with a sling to support the affected extremity
A school-age child falls off a swing and suffers a closed fracture
of the right clavicle. How will this be managed?
Ans: 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?
Ans: Recommend NSAIDs, stretching exercises, and ice packs to the area.
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?
Ans: 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?
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Ans: Discuss posture and exercise and ask about backpacks and books.
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?
Ans: 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?
Ans: Surgical intervention
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?
Ans: 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?
Ans: Place the child on crutches or in a wheelchair to prevent weight-
bearing.
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?
Ans: 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
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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?
Ans: Refer to a pediatric orthopedic specialist for treatment.
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?
Ans: 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?
Ans: Apply ice packs to both knees and avoid activities that cause pain.
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?
Ans: 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?
Ans: Grasp the heel with one hand and abduct the forefoot with the
other hand.
© 2025 All rights reserved
NU 665 final Questions and Answers
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?
Ans: There is a metaphyseal fragment on the compression side of
fracture.
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?
Ans: 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?
Ans: Dislocation of an unstable hip
What will the primary care pediatric nurse practitioner elicit when
obtaining a positive Barlow maneuver when screening for
developmental dysplasia of the hip?
Ans: 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?
Ans: Gently attempt a supination and flexion technique.
© 2025 All rights reserved
, 2 | Page
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?
Ans: 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?
Ans: Immobilization with a sling to support the affected extremity
A school-age child falls off a swing and suffers a closed fracture
of the right clavicle. How will this be managed?
Ans: 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?
Ans: Recommend NSAIDs, stretching exercises, and ice packs to the area.
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?
Ans: 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?
© 2025 All rights reserved
, 3 | Page
Ans: Discuss posture and exercise and ask about backpacks and books.
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?
Ans: 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?
Ans: Surgical intervention
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?
Ans: 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?
Ans: Place the child on crutches or in a wheelchair to prevent weight-
bearing.
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?
Ans: 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
© 2025 All rights reserved
, 4 | Page
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?
Ans: Refer to a pediatric orthopedic specialist for treatment.
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?
Ans: 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?
Ans: Apply ice packs to both knees and avoid activities that cause pain.
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?
Ans: 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?
Ans: Grasp the heel with one hand and abduct the forefoot with the
other hand.
© 2025 All rights reserved
