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NU 665 FINAL QUESTIONS AND
ANSWERS 2025
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? - correct answer- 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? - correct answer-
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? - correct answer- 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? - correct
answer- Immobilization with a sling to support the affected
extremity
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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? - correct answer- 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? -
correct answer- 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? -
correct answer- 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? -
correct answer- Place the child on crutches or in a wheelchair
to prevent weight-bearing.
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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? - correct answer-
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? - correct answer- 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? - correct answer-
Grasp the heel with one hand and abduct the forefoot with the
other hand.
During a well child examination on a 4-month-old infant, the
primary care pediatric nurse practitioner evaluates mental
health issues. Which statement by the parent indicates a
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potential problem with the parent-infant relationship? - correct
answer- "I let my baby cry a while to learn to be patient."
A child has a difficult temperament. What will the primary care
pediatric nurse practitioner tell the parent about managing this
child's behavior? - correct answer- It is important for the parent
to learn to manage criticism and power struggles.
During a well child assessment of a preschool-age child, the
parent voices concerns that because the child has behavior
problems at school, the child may have a mental health
disorder. Which initial approach will provide the best
information? JJJJ. Ask the parent whether other caregivers
have voiced similar concerns. - correct answer- Take time to
actively listen to the parent's and child's perceptions of the
problem.
The primary care pediatric nurse practitioner attempts to learn
more about the emotional health of an 18-month-old child
through which assessment strategy? - correct answer-
Observation of the child with caretakers in structured and
unstructured situations
A middle school age child is skipping school frequently and
getting poor grades since the child's father was killed while
deployed in the military. How will the primary care pediatric
NU 665 FINAL QUESTIONS AND
ANSWERS 2025
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? - correct answer- 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? - correct answer-
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? - correct answer- 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? - correct
answer- Immobilization with a sling to support the affected
extremity
,2 | Page
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? - correct answer- 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? -
correct answer- 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? -
correct answer- 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? -
correct answer- Place the child on crutches or in a wheelchair
to prevent weight-bearing.
,3 | Page
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? - correct answer-
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? - correct answer- 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? - correct answer-
Grasp the heel with one hand and abduct the forefoot with the
other hand.
During a well child examination on a 4-month-old infant, the
primary care pediatric nurse practitioner evaluates mental
health issues. Which statement by the parent indicates a
, 4 | Page
potential problem with the parent-infant relationship? - correct
answer- "I let my baby cry a while to learn to be patient."
A child has a difficult temperament. What will the primary care
pediatric nurse practitioner tell the parent about managing this
child's behavior? - correct answer- It is important for the parent
to learn to manage criticism and power struggles.
During a well child assessment of a preschool-age child, the
parent voices concerns that because the child has behavior
problems at school, the child may have a mental health
disorder. Which initial approach will provide the best
information? JJJJ. Ask the parent whether other caregivers
have voiced similar concerns. - correct answer- Take time to
actively listen to the parent's and child's perceptions of the
problem.
The primary care pediatric nurse practitioner attempts to learn
more about the emotional health of an 18-month-old child
through which assessment strategy? - correct answer-
Observation of the child with caretakers in structured and
unstructured situations
A middle school age child is skipping school frequently and
getting poor grades since the child's father was killed while
deployed in the military. How will the primary care pediatric
