TESTBANK FOR PRIMARY CARE
FOR INFANTS CHILDREN AND
ADOLESCENTS WITH OVER 200
QUESTIONS AND CORRECT
ANSWERS.
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules. What will the PCP do?
a. administer varicella immune globulin
b. hospitalize the child for IV acyclovir
c. order IV immunoglobulins an outpatient
d. prescribe oral acyclovir for the duration of the illness
b. hospitalize the child for IV acyclovir
An adolescent who has exercise-induced asthma (EIA) is on the high school
track team and has recently begun to practice daily during the school week.
The adolescent uses 2 puffs of albuterol via a metered-dose inhaler 20
minutes before exercise but reports decreased effectiveness since beginning
daily practice. What will the primary care pediatric nurse practitioner do?
a. Counsel the adolescent to decrease the number of practices each week.
b. Increase the albuterol to 4 puffs 20 minutes prior to exercise.
c. Order a daily inhaled corticosteroid medication.
d. Prescribe cromolyn sodium in addition to the albuterol.
c. Order a daily inhaled corticosteroid medication.
,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?
a. Generalized anxiety disorder (GAD)
b. Obsessive-compulsive disorder (OCD)
c. Pediatric autoimmune neuropsychiatric disorder associated with
streptococcal infection (PANDAS)
d. Separation anxiety disorder (SAD)
a. Generalized anxiety disorder (GAD)
C-reactive protein of 11.5 mg/L
C-reactive protein of 11.5 mg/L
The parent of a school-age child who is diagnosed with oligoarticular juvenile
idiopathic arthritis (JIA) asks the primary care pediatric nurse practitioner
what exercises the child may do to help reduce symptoms. What will the
nurse practitioner recommend?
a. Running
b. Swimming
c. Weights
d. Yoga
b. Swimming
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 ?
a. Administering a diagnostic rating scale for depression
b. Considering a short-term trial of an antidepressant medication
c. Determining suicidal ideation and risk of suicide
d. Referring the adolescent to a mental health specialist
c. Determining suicidal ideation and risk of suicide
A 14-year old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative, The adolescent's body weight is at 82% of
expected for height and age. The mother reports that her daughter often
throws up and refuses to eat most foods. Which condition does the NP
suspect?
a. Anorexia nervosa
b. Bulimia nervosa
c. Depression
d. Substance abuse
a. Anorexia nervosa
A school-age child with asthma is seen for a well child checkup and, in spite
of "feeling fine," has pronounced expiratory wheezes, decreased breath
sounds, and an FEV1 less than 70% of personal best. The primary care
pediatric nurse practitioner learns that the child's parent administers the
daily medium-dose ICS but that the child is responsible for using the short-
acting beta2-agonist (SABA). A treatment of 4 puffs of a SABA in clinic results
in marked improvement in the child's status. What will the nurse practitioner
do?
a. Have the parent administer all of the child's medications.
b. Increase the ICS medication to a high-dose preparation.
, c. Reinforce teaching about the importance of using the SABA.
d. Teach the child and parent how to use home PEF monitoring.
d. Teach the child and parent how to use home PEF monitoring.
An adolescent female reports poor sleep, fatigue, muscle, and joint pain, and
anxiety lasting for several months. The primary care pediatric nurse
practitioner notes point tenderness at several sites. What will the nurse
practitioner do next?
a. Evaluate the adolescent's pain using a numeric pain scale.
b. Obtain ANA, CBC, liver function, and muscle enzymes tests.
c. Reassure the adolescent that this condition is not life-threatening.
d. Refer the adolescent to a rheumatologist for further evaluation.
d. Refer the adolescent to a rheumatologist for further evaluation.
The primary care pediatric nurse practitioner is evaluating an 11-month-old
infant who has had three viral respiratory illnesses causing bronchiolitis. The
child's parents both have seasonal allergies and ask whether the infant may
have asthma. What will the nurse practitioner tell the parents?
a. "Although it is likely, based on family history, it is too soon to tell."
b. "There is little reason to suspect that your infant has asthma."
c. "With your infant's history of bronchiolitis, asthma is very likely."
d. "Your infant has definitive symptoms consistent with a diagnosis of
asthma."
a. "Although it is likely, based on family history, it is too soon to tell."
FOR INFANTS CHILDREN AND
ADOLESCENTS WITH OVER 200
QUESTIONS AND CORRECT
ANSWERS.
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules. What will the PCP do?
a. administer varicella immune globulin
b. hospitalize the child for IV acyclovir
c. order IV immunoglobulins an outpatient
d. prescribe oral acyclovir for the duration of the illness
b. hospitalize the child for IV acyclovir
An adolescent who has exercise-induced asthma (EIA) is on the high school
track team and has recently begun to practice daily during the school week.
The adolescent uses 2 puffs of albuterol via a metered-dose inhaler 20
minutes before exercise but reports decreased effectiveness since beginning
daily practice. What will the primary care pediatric nurse practitioner do?
a. Counsel the adolescent to decrease the number of practices each week.
b. Increase the albuterol to 4 puffs 20 minutes prior to exercise.
c. Order a daily inhaled corticosteroid medication.
d. Prescribe cromolyn sodium in addition to the albuterol.
c. Order a daily inhaled corticosteroid medication.
,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?
a. Generalized anxiety disorder (GAD)
b. Obsessive-compulsive disorder (OCD)
c. Pediatric autoimmune neuropsychiatric disorder associated with
streptococcal infection (PANDAS)
d. Separation anxiety disorder (SAD)
a. Generalized anxiety disorder (GAD)
C-reactive protein of 11.5 mg/L
C-reactive protein of 11.5 mg/L
The parent of a school-age child who is diagnosed with oligoarticular juvenile
idiopathic arthritis (JIA) asks the primary care pediatric nurse practitioner
what exercises the child may do to help reduce symptoms. What will the
nurse practitioner recommend?
a. Running
b. Swimming
c. Weights
d. Yoga
b. Swimming
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 ?
a. Administering a diagnostic rating scale for depression
b. Considering a short-term trial of an antidepressant medication
c. Determining suicidal ideation and risk of suicide
d. Referring the adolescent to a mental health specialist
c. Determining suicidal ideation and risk of suicide
A 14-year old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative, The adolescent's body weight is at 82% of
expected for height and age. The mother reports that her daughter often
throws up and refuses to eat most foods. Which condition does the NP
suspect?
a. Anorexia nervosa
b. Bulimia nervosa
c. Depression
d. Substance abuse
a. Anorexia nervosa
A school-age child with asthma is seen for a well child checkup and, in spite
of "feeling fine," has pronounced expiratory wheezes, decreased breath
sounds, and an FEV1 less than 70% of personal best. The primary care
pediatric nurse practitioner learns that the child's parent administers the
daily medium-dose ICS but that the child is responsible for using the short-
acting beta2-agonist (SABA). A treatment of 4 puffs of a SABA in clinic results
in marked improvement in the child's status. What will the nurse practitioner
do?
a. Have the parent administer all of the child's medications.
b. Increase the ICS medication to a high-dose preparation.
, c. Reinforce teaching about the importance of using the SABA.
d. Teach the child and parent how to use home PEF monitoring.
d. Teach the child and parent how to use home PEF monitoring.
An adolescent female reports poor sleep, fatigue, muscle, and joint pain, and
anxiety lasting for several months. The primary care pediatric nurse
practitioner notes point tenderness at several sites. What will the nurse
practitioner do next?
a. Evaluate the adolescent's pain using a numeric pain scale.
b. Obtain ANA, CBC, liver function, and muscle enzymes tests.
c. Reassure the adolescent that this condition is not life-threatening.
d. Refer the adolescent to a rheumatologist for further evaluation.
d. Refer the adolescent to a rheumatologist for further evaluation.
The primary care pediatric nurse practitioner is evaluating an 11-month-old
infant who has had three viral respiratory illnesses causing bronchiolitis. The
child's parents both have seasonal allergies and ask whether the infant may
have asthma. What will the nurse practitioner tell the parents?
a. "Although it is likely, based on family history, it is too soon to tell."
b. "There is little reason to suspect that your infant has asthma."
c. "With your infant's history of bronchiolitis, asthma is very likely."
d. "Your infant has definitive symptoms consistent with a diagnosis of
asthma."
a. "Although it is likely, based on family history, it is too soon to tell."
