p
_PEDIATRIC P p
RIMARY 6THE
p p
DITION
,Questions
1. Apchildpwhophaspattention-
deficit/hyperactivitypdisorderp(ADHD)phaspdifficultypID:p13348413834pstoppingpactivitiesptopbeginpothe
rpactivitiespatpschool.pThepprimarypcareppediatricpnurseppractitionerpunderstandspthatpthispispdueptopd
ifficultypwithpthepself-regulationpcomponentpofpA.p emotional
ppppcontrol.
B.pflexibility.pCorrect
pppp
C.pinhibition.
pppp
D.pproblem-solving.
pppp
2. Thepprimarypcareppediatricpnurseppractitionerpcarespforpappreschool-agepchild
ID:p13348413832pwhopwaspexposedptopdrugspprenatally.pThepchildpbitespotherpchildrenpandphasptan
trumspwhenpaskedptopstoppbutpispableptopstateplaterpwhypthispbehaviorpispwrong.pThispchildpmostpli
kelyphaspapdisorderpof
, pppp A.pexecutivepfunction.pCorrect
pppp B.pinformationpprocessing.
pppp C.psensorypprocessing.
D.psocialpcognition.
3. ThepprimarypcareppediatricpnurseppractitionerpusespthepNeurodevelopmental
ID:p13348413842pLearningpFrameworkptopassesspcognitionpandplearningpinpanpadolescent.pWhenpe
valuatingpsocialpcognition,pthepnurseppractitionerpwillpaskpthepadolescentpA.p aboutpfriendspandpacti
vitiespatpschool.
pppp Correct
pppp B.pifpbalancingpsportspandphomeworkpispdifficult.
pppp C.ptopinterpretpmaterialpfrompappiepchart.
pppp D.ptoprestatepthepcontentpofpsomethingpjustpread.
4. Thepprimarypcareppediatricpnurseppractitionerpispevaluatingpapschool-
agepchildpID:p13348413838pwhophaspbeenpdiagnosedpwithpADHD.pWhichpplanpwillpthepnurseppractitio
nerprecommendpaskingpthepchild’spschoolpaboutptophelppwithpacademicpperformance?
pppppA.p504 Correct
pppp B.pFAPE
pppp C.pIDEA
pppp D.pIEP
5. ThepparentpofpapchildpdiagnosedpwithpADHDptellspthepprimarypcareppediatric
ID:p13348413844pnurseppractitionerpthatpthepchildpgetspoverwhelmedpbyphomeworkpassignments,pd
oesn’tpseemptopknowpwhichponesptopdopfirst,pandpthenpdoesn’tpdopanypassignments.pThepnurseppr
actitionerptellspthepparentpthatpthisprepresentspimpairmentpinpwhichpexecutivepfunction?pA.
p ActivationpCorrect
B.p pEffort
C.p p Emotion
D.p p Focus
6. ThepprimarypcareppediatricpnurseppractitionerpispconsideringpmedicationpID:p13348413826poptionspforp
apschool-
agepchildprecentlypdiagnosedpwithpADHDpwhophaspapprimarilyphyperactiveppresentation.pWhichpme
dicationpwillpthepnurseppractitionerpselectpinitially?
, pppppp A.pLow-dosepstimulant
ppppp B.pModerate-dosepstimulant Correct
pppp C.pLow-dosepnon-stimulant
pppp D.pModerate-dosepnon-stimulant
7. Thepparentpofpap4-year-oldpchildpreportspthatpthepchildpgetspupsetpwhenpthe
ID:p13348413824phallplightpispleftponpatpnightpandpwon’tpleavepthephousepunlesspbothpshoespareptiedpeq
uallyptight.pThepprimarypcareppediatricpnurseppractitionerprecognizespthatpthispchildplikelyphaspwhichpt
ypepofpsensorypprocessingpdisorder?
pppppp A.pDyspraxia
ppppp B.pOver-responder Correct
pppp C.pSensorypseeker
pppp D.pUnder-responder
8. Thepparentpofpappreschool-agepchildpwhopispdiagnosedpwithpapsensory
ID:p13348413828pprocessingpdisorderp(SPD)paskspthepprimarypcareppediatricpnurseppractitionerp
howptophelppthepchildpmanagepthepsymptoms.pWhatpwillpthepnurseppractitionerprecommend?
pppp A.pEstablishingpaprewardpsystempforpacceptablepbehaviors
pppp B.pIntroducingpthepchildptopapvarietypofpnewpexperiences
pppppp C.pMaintainingppredictableproutinespaspmuchpasppossiblepCorrectpD.p
pProvidingpfrequentpcontact,psuchpasphugspandpcuddling
9. ThepprimarypcareppediatricpnurseppractitionerpispperformingpanpexaminationponpID:p13348413846pap5-
year-
p
oldpchildpwhopexhibitspritualisticpbehaviors,pavoidspcontactpwithpotherpchildren,pandphasplimitedpspe
ech.pThepparentpreportsphavingphadpconcernspmorepthanp2pyearspagopaboutpautism,pbutpwasptoldpth
atpitpwasptoopearlyptopdiagnose.pWhatpwillpthepnurseppractitionerpdopfirst?
A. pAdministerpanpM-
CHATpscreenptopscreenpthepchildpforpcommunicationpandpsocializationpdelays.
B.p Askpthepparentptopdescribepthepchild’spearlierpbehaviorspfrompinfancypthroughppreschool.
pp
Correct
C. Reassurepthepparentpthatpifpsymptomspweren’tppresentpearlier,ptheplikelihoodpofpautismpispl
ow.
D. Referpthepchildptopappediatricpbehavioralpspecialistptopdeveloppapplanpofptreatmentpandp
management.
10. Thepprimarypcareppediatricpnurseppractitionerpispexaminingpap3-year-oldpchild ID:p13348413830
whopspeaksploudly,pinpapmonotone,pdoespnotpmakepeyepcontact,pandpprefersptopsitponpthepexam