NSG 5442 Exam 2 QUESTIONS WITH
|\ |\ |\ |\ |\ |\
ANSWERS
A 5-year-old child is hit in the face with a baseball
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bat and is brought to the clinic by a parent. An
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
exam reveals three avulsed front teeth. Radiologic
|\ |\ |\ |\ |\ |\ |\
studies are negative for facial fractures. What is
|\ |\ |\ |\ |\ |\ |\ |\
the recommended treatment?
|\ |\
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
days.
B. Refer the child to a dentist for reimplantation of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
avulsed teeth. |\
C. Refer the child to a dentist immediately for further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
examination
D. Remove th.e teeth, place them in saline, and refer the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
child to a dentist.
|\ |\ |\
C. Refer the child to a dentist immediately for further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
examination
A 2-month-old infant will receive initial
|\ |\ |\ |\ |\ |\
immunizations, and the parent asks about giving |\ |\ |\ |\ |\ |\ |\
medications to increase the infant’s comfort and |\ |\ |\ |\ |\ |\ |\
minimize fever. What will the pediatric nurse |\ |\ |\ |\ |\ |\ |\
practitioner recommend? |\
A. Administering ibuprofen or acetaminophen as needed
|\ |\ |\ |\ |\ |\ |\
,B. Avoiding antipyretics if possible, to attain better
|\ |\ |\ |\ |\ |\ |\ |\
immunity
C. Giving ibuprofen and acetaminophen only after the
|\ |\ |\ |\ |\ |\ |\ |\
vaccines
D. Pretreating the infant with both ibuprofen and
|\ |\ |\ |\ |\ |\ |\ |\
acetaminophen
A. Administering ibuprofen or acetaminophen as needed
|\ |\ |\ |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
examining a 6-year-old |\ |\
Child who attends first grade. The child reports
|\ |\ |\ |\ |\ |\ |\
“hating” school. The parent
|\ |\ |\ |\
states that the child pretends to be sick frequently
|\ |\ |\ |\ |\ |\ |\ |\ |\
in order to stay home from school. To further
|\ |\ |\ |\ |\ |\ |\ |\ |\
assess this situation, the nurse practitioner will
|\ |\ |\ |\ |\ |\ |\
first ask the child
|\ |\ |\
A. about school performance and grades.
|\ |\ |\ |\ |\
B. why school is so distressing.
|\ |\ |\ |\ |\
C. to name one or two friends.
|\ |\ |\ |\ |\ |\
D. whether bullying is taking place.
|\ |\ |\ |\ |\
C. to name one or two friends
|\ |\ |\ |\ |\ |\
The parent of a 10-year-old boy tells the primary
|\ |\ |\ |\ |\ |\ |\ |\ |\
care pediatric nurse practitioner that the child
|\ |\ |\ |\ |\ |\ |\
doesn’t appear to have any interest in girls and
|\ |\ |\ |\ |\ |\ |\ |\ |\
spends most of his time with a couple of other
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
boys. The parent is worried about the child’s
|\ |\ |\ |\ |\ |\ |\ |\
,sexual identity. The nurse practitioner will tell the
|\ |\ |\ |\ |\ |\ |\ |\
parent
A. children at this age who prefer interactions with same
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gender peers usually have a homosexual orientation.
|\ |\ |\ |\ |\ |\
B. children experiment with sexuality at this age as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
means of deciding later sexual orientation.
|\ |\ |\ |\ |\
C. this attachment to other same gender children is how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the child learns to interact with others.
|\ |\ |\ |\ |\ |\ |\
D. to encourage mixed gender interactions in order to
|\ |\ |\ |\ |\ |\ |\ |\ |\
promote development of sexual values. |\ |\ |\ |\
C. this attachment to other same gender children is how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the child learns to interact with others.
|\ |\ |\ |\ |\ |\
The parents of a 12-year-old
|\ |\ |\ |\
child are concerned that some of the child’s older
|\ |\ |\ |\ |\ |\ |\ |\ |\
classmates may be a bad influence on their child, |\ |\ |\ |\ |\ |\ |\ |\ |\
who, they say, has been raised to believe in right
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and wrong. What will the primary care pediatric
|\ |\ |\ |\ |\ |\ |\ |\
nurse practitioner tell the parent?
|\ |\ |\ |\
A. Allowing the child to make poor choices and accept
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
consequences is |\
important for learning values |\ |\ |\
B. Children at this age have a high regard for authority
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and social norms, so
|\ |\ |\
this is not likely to happen
|\ |\ |\ |\ |\
, C. Moral values instilled in the early school age period will
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
persist throughout childhood
|\ |\ |\
D. The pressures from outside influences may supersede
|\ |\ |\ |\ |\ |\ |\ |\
parental teachings and should be confronted
|\ |\ |\ |\ |\
D. The pressures from outside influences may supersede
|\ |\ |\ |\ |\ |\ |\ |\
parental teachings and should be confronted
|\ |\ |\ |\ |\
During a well child exam of a school age child, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
primary care pediatric nurse practitioner learns
|\ |\ |\ |\ |\ |\
that the child has been having angry episodes at
|\ |\ |\ |\ |\ |\ |\ |\ |\
school. The nurse practitioner observes the child to
|\ |\ |\ |\ |\ |\ |\
appear withdrawn and sad. Which action is
|\ |\ |\ |\ |\ |\ |\ |\
appropriate?
A. Ask the child and the parent about stressors at home
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B. Make a referral to a child behavioral specialist
|\ |\ |\ |\ |\ |\ |\ |\
C. Provide information about anger management
|\ |\ |\ |\ |\
D. Suggest consideration of a different classroom
|\ |\ |\ |\ |\ |\
A. Ask the child and the parent about stressors at home
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
preparing to conduct a well child assessment of an |\ |\ |\ |\ |\ |\ |\ |\ |\
8-year-old child. How will the nurse practitioner |\ |\ |\ |\ |\ |\ |\
begin the exam? |\ |\
A. Ask the child about school, friends, home activities,
|\ |\ |\ |\ |\ |\ |\ |\ |\
and sports|\
B. Discuss the purpose of the visit and explain the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedures that will be performed |\ |\ |\ |\
|\ |\ |\ |\ |\ |\
ANSWERS
A 5-year-old child is hit in the face with a baseball
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bat and is brought to the clinic by a parent. An
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
exam reveals three avulsed front teeth. Radiologic
|\ |\ |\ |\ |\ |\ |\
studies are negative for facial fractures. What is
|\ |\ |\ |\ |\ |\ |\ |\
the recommended treatment?
|\ |\
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
days.
B. Refer the child to a dentist for reimplantation of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
avulsed teeth. |\
C. Refer the child to a dentist immediately for further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
examination
D. Remove th.e teeth, place them in saline, and refer the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
child to a dentist.
|\ |\ |\
C. Refer the child to a dentist immediately for further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
examination
A 2-month-old infant will receive initial
|\ |\ |\ |\ |\ |\
immunizations, and the parent asks about giving |\ |\ |\ |\ |\ |\ |\
medications to increase the infant’s comfort and |\ |\ |\ |\ |\ |\ |\
minimize fever. What will the pediatric nurse |\ |\ |\ |\ |\ |\ |\
practitioner recommend? |\
A. Administering ibuprofen or acetaminophen as needed
|\ |\ |\ |\ |\ |\ |\
,B. Avoiding antipyretics if possible, to attain better
|\ |\ |\ |\ |\ |\ |\ |\
immunity
C. Giving ibuprofen and acetaminophen only after the
|\ |\ |\ |\ |\ |\ |\ |\
vaccines
D. Pretreating the infant with both ibuprofen and
|\ |\ |\ |\ |\ |\ |\ |\
acetaminophen
A. Administering ibuprofen or acetaminophen as needed
|\ |\ |\ |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
examining a 6-year-old |\ |\
Child who attends first grade. The child reports
|\ |\ |\ |\ |\ |\ |\
“hating” school. The parent
|\ |\ |\ |\
states that the child pretends to be sick frequently
|\ |\ |\ |\ |\ |\ |\ |\ |\
in order to stay home from school. To further
|\ |\ |\ |\ |\ |\ |\ |\ |\
assess this situation, the nurse practitioner will
|\ |\ |\ |\ |\ |\ |\
first ask the child
|\ |\ |\
A. about school performance and grades.
|\ |\ |\ |\ |\
B. why school is so distressing.
|\ |\ |\ |\ |\
C. to name one or two friends.
|\ |\ |\ |\ |\ |\
D. whether bullying is taking place.
|\ |\ |\ |\ |\
C. to name one or two friends
|\ |\ |\ |\ |\ |\
The parent of a 10-year-old boy tells the primary
|\ |\ |\ |\ |\ |\ |\ |\ |\
care pediatric nurse practitioner that the child
|\ |\ |\ |\ |\ |\ |\
doesn’t appear to have any interest in girls and
|\ |\ |\ |\ |\ |\ |\ |\ |\
spends most of his time with a couple of other
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
boys. The parent is worried about the child’s
|\ |\ |\ |\ |\ |\ |\ |\
,sexual identity. The nurse practitioner will tell the
|\ |\ |\ |\ |\ |\ |\ |\
parent
A. children at this age who prefer interactions with same
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gender peers usually have a homosexual orientation.
|\ |\ |\ |\ |\ |\
B. children experiment with sexuality at this age as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
means of deciding later sexual orientation.
|\ |\ |\ |\ |\
C. this attachment to other same gender children is how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the child learns to interact with others.
|\ |\ |\ |\ |\ |\ |\
D. to encourage mixed gender interactions in order to
|\ |\ |\ |\ |\ |\ |\ |\ |\
promote development of sexual values. |\ |\ |\ |\
C. this attachment to other same gender children is how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the child learns to interact with others.
|\ |\ |\ |\ |\ |\
The parents of a 12-year-old
|\ |\ |\ |\
child are concerned that some of the child’s older
|\ |\ |\ |\ |\ |\ |\ |\ |\
classmates may be a bad influence on their child, |\ |\ |\ |\ |\ |\ |\ |\ |\
who, they say, has been raised to believe in right
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and wrong. What will the primary care pediatric
|\ |\ |\ |\ |\ |\ |\ |\
nurse practitioner tell the parent?
|\ |\ |\ |\
A. Allowing the child to make poor choices and accept
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
consequences is |\
important for learning values |\ |\ |\
B. Children at this age have a high regard for authority
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and social norms, so
|\ |\ |\
this is not likely to happen
|\ |\ |\ |\ |\
, C. Moral values instilled in the early school age period will
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
persist throughout childhood
|\ |\ |\
D. The pressures from outside influences may supersede
|\ |\ |\ |\ |\ |\ |\ |\
parental teachings and should be confronted
|\ |\ |\ |\ |\
D. The pressures from outside influences may supersede
|\ |\ |\ |\ |\ |\ |\ |\
parental teachings and should be confronted
|\ |\ |\ |\ |\
During a well child exam of a school age child, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
primary care pediatric nurse practitioner learns
|\ |\ |\ |\ |\ |\
that the child has been having angry episodes at
|\ |\ |\ |\ |\ |\ |\ |\ |\
school. The nurse practitioner observes the child to
|\ |\ |\ |\ |\ |\ |\
appear withdrawn and sad. Which action is
|\ |\ |\ |\ |\ |\ |\ |\
appropriate?
A. Ask the child and the parent about stressors at home
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B. Make a referral to a child behavioral specialist
|\ |\ |\ |\ |\ |\ |\ |\
C. Provide information about anger management
|\ |\ |\ |\ |\
D. Suggest consideration of a different classroom
|\ |\ |\ |\ |\ |\
A. Ask the child and the parent about stressors at home
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The primary care pediatric nurse practitioner is
|\ |\ |\ |\ |\ |\ |\
preparing to conduct a well child assessment of an |\ |\ |\ |\ |\ |\ |\ |\ |\
8-year-old child. How will the nurse practitioner |\ |\ |\ |\ |\ |\ |\
begin the exam? |\ |\
A. Ask the child about school, friends, home activities,
|\ |\ |\ |\ |\ |\ |\ |\ |\
and sports|\
B. Discuss the purpose of the visit and explain the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedures that will be performed |\ |\ |\ |\
