NU 665 FINAL EXAM 2025 QUESTIONS
AND ANSWERS
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? - ANS There is a metaphyseal fragment
on the compression side of fracture.
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? - ANS 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? - ANS Dislocation of an
unstable hip
What will the primary care pediatric nurse practitioner elicit when obtaining a positive Barlow
maneuver when screening for developmental dysplasia of the hip? - ANS 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? - ANS Gently attempt a supination and
flexion technique.
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@COPYRIGHT SIRJOEL 2025/2026
, 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? - ANS 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? - ANS Immobilization with a sling to support the affected extremity
A school-age child falls off a swing and suffers a closed fracture of the right clavicle. How will
this be managed? - ANS Immobilization with a sling to support the affected extremity
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? - ANS Recommend NSAIDs, stretching exercises, and ice
packs to the area.
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? - ANS 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? - ANS Discuss posture and
exercise and ask about backpacks and books.
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.
2
Page
@COPYRIGHT SIRJOEL 2025/2026
, What will the primary care pediatric nurse practitioner do? - ANS 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? -
ANS Surgical intervention
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? -
ANS 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? - ANS Place the child on crutches or in a wheelchair to prevent weight-
bearing.
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? - ANS Place the child on crutches or in a wheelchair to prevent weight-
bearing.
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? - ANS Refer to a pediatric orthopedic specialist for treatment.
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
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Page
practitioner? - ANS Refer to a pediatric orthopedic specialist for treatment.
@COPYRIGHT SIRJOEL 2025/2026
, 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? - ANS Apply ice packs to both knees and avoid activities that cause pain.
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? - ANS 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? - ANS Grasp the heel with one hand and abduct the forefoot with the other hand.
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? - ANS 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
potential problem with the parent-infant relationship? - ANS "I let my baby cry a while to
learn to be patient."
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
potential problem with the parent-infant relationship? - ANS "I let my baby cry a while to
learn to be patient."
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Page
@COPYRIGHT SIRJOEL 2025/2026
AND ANSWERS
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? - ANS There is a metaphyseal fragment
on the compression side of fracture.
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? - ANS 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? - ANS Dislocation of an
unstable hip
What will the primary care pediatric nurse practitioner elicit when obtaining a positive Barlow
maneuver when screening for developmental dysplasia of the hip? - ANS 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? - ANS Gently attempt a supination and
flexion technique.
1
Page
@COPYRIGHT SIRJOEL 2025/2026
, 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? - ANS 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? - ANS Immobilization with a sling to support the affected extremity
A school-age child falls off a swing and suffers a closed fracture of the right clavicle. How will
this be managed? - ANS Immobilization with a sling to support the affected extremity
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? - ANS Recommend NSAIDs, stretching exercises, and ice
packs to the area.
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? - ANS 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? - ANS Discuss posture and
exercise and ask about backpacks and books.
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.
2
Page
@COPYRIGHT SIRJOEL 2025/2026
, What will the primary care pediatric nurse practitioner do? - ANS 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? -
ANS Surgical intervention
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? -
ANS 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? - ANS Place the child on crutches or in a wheelchair to prevent weight-
bearing.
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? - ANS Place the child on crutches or in a wheelchair to prevent weight-
bearing.
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? - ANS Refer to a pediatric orthopedic specialist for treatment.
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
3
Page
practitioner? - ANS Refer to a pediatric orthopedic specialist for treatment.
@COPYRIGHT SIRJOEL 2025/2026
, 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? - ANS Apply ice packs to both knees and avoid activities that cause pain.
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? - ANS 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? - ANS Grasp the heel with one hand and abduct the forefoot with the other hand.
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? - ANS 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
potential problem with the parent-infant relationship? - ANS "I let my baby cry a while to
learn to be patient."
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
potential problem with the parent-infant relationship? - ANS "I let my baby cry a while to
learn to be patient."
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Page
@COPYRIGHT SIRJOEL 2025/2026
