Answers
1. The primary care pediatric nurse practitioner sees a 10-year-old child whose parent
describes as a "class clown." The child denies having problems at school, but
acknowledges poor grades by saying, "I'm not very smart, I guess." When counseling
the parent about helping this child deal with this self-perception issue, the nurse
practitioner will recommend which strategy? Select one--CORRECT ANSWER--
A. Empower the child to make decisions and assume more responsibilities.
B. Help the child identify skills and activities that he is good at.
C. Spend time each evening helping the child with homework to improve grades.
D. Work with the teacher to set appropriate limits on school behavior--CORRECT
ANSWER-- B. Help the child identify skills and activities that he is good at.
2. The primary care pediatric nurse practitioner suspects that the parent of a child who
is doing poorly in school is being abused by a partner. What is a priority response by
the nurse practitioner?
Select one--CORRECT ANSWER--
a. Notifying the child's school counselor about this problem
b. Referring the child and family to a social worker
c. Reporting this according to any mandated reporting laws
d. Suggesting that the parent avoid the abusive situation--CORRECT
ANSWER-- c. Reporting this according to any mandated reporting laws
3. The parent of a 4-week-old infant reports that the infant began having forceful
,2026 PEDS Exam 5 – Accurate Questions with 100% Correct
Answers
vomiting 1 week prior, which has worsened over time. The infant continues to nurse
well but is losing weight. A physical examination reveals a 90-g weight loss over the
past 2 weeks, dry mucous membranes, and a sunken fontanel. What will the primary
care pediatric nurse practitioner do?
Select one--CORRECT ANSWER--
a. Encourage the mother to nurse the infant more frequently for shorter duration.
b. Obtain serum electrolytes and hospitalize for surgical intervention.
c. Recommend oral rehydration fluids for 24 to 48 hours to correct dehydra- tion.
d. Suggest trying a soy-based or hydrolyzed protein formula until vomiting
resolves--CORRECT ANSWER-- b. Obtain serum electrolytes and
hospitalize for surgical intervention.
4. An adolescent will begin taking the combination oral contraceptive pill (OCP).
Which supplement will the primary care pediatric nurse practitioner caution the
adolescent to avoid while taking OCPs?
Select one--CORRECT ANSWER--
a. Ginkgo
,2026 PEDS Exam 5 – Accurate Questions with 100% Correct
Answers
b. Kava
c. St. John's wort
d. Valerian--CORRECT ANSWER-- c. St. John's wort
5. The mother of a 15-year-old female expresses concerns that her daughter may be
sexually active because she's had a steady boyfriend for over a year. The primary care
pediatric nurse practitioner learns that the family is Catholic and that the mother had an
abortion when she was 16 years old. What will the nurse practitioner do initially?
Select one--CORRECT ANSWER--
a. Explore the mother's feelings about her own past experience.
b. Offer to prescribe contraception to prevent pregnancy.
c. Recommend that the mother discuss this with her daughter.
d. Suggest that the mother talk to a priest about her daughter--CORRECT
ANSWER-- a. Explore the mother's feelings about her own past
experience.
6. A child who has attention-deficit/hyperactivity disorder (ADHD) has diffi- culty
stopping activities to begin other activities at school. The primary care pediatric nurse
practitioner understands that this is due to difficulty with the self-regulation
component of
Select one--CORRECT ANSWER--
a. emotional control.
b. flexibility.
, 2026 PEDS Exam 5 – Accurate Questions with 100% Correct
Answers
c. inhibition.
d. problem-solving--CORRECT ANSWER-- b. flexibility.
7. Many European nations use the "precautionary principle" to help regulate
potentially toxic chemicals. What does this mean?
Select one--CORRECT ANSWER--
a. Chemicals must be proven to be safe before being introduced into the
environment.
b. Corporations may be exempt from testing if their costs in doing so are too high.
c. Regulators must demonstrate risk to the public before banning a chemical.
d. Without a strong risk, corporations need not release data about their prod- ucts--
CORRECT ANSWER--
a. Chemicals must be proven to be safe before being introduced into the
environment.
8. The primary care pediatric nurse practitioner attempts to learn more about the
emotional health of an 18-month-old child through which assessment strategy?
Select one--CORRECT ANSWER--
a. Asking the child to tell a story using dolls and other props