Answer✅
Quiz_________________?
1. 1. A child has a 1-cm laceration on the forehead proximal to the hairline after
running into a pole while playing sports. To minimize the risk of infection, the primary care
pediatric nurse practitioner will irrigate the wound and
a. a. allow the wound to heal by secondary intention.
b. b. delay closure of the wound for several days.
c. c. refer the child to a plastic surgeon for wound closure.
d. d. suture the wound within 6 hours. -
Answer✅
ANS: D
Children are less likely than adults to get wound infections, with an infection rate from
sutured
lacerations at 2%. The PNP should clean and suture the wound. Wounds from animal bites
are
often left to heal by secondary intention to prevent infection. Referral to a plastic surgeon is
necessary for cosmetic reasons. Delaying closure for several days is recommended for
heavily
contaminated wounds and those caused by high-velocity missile injuries, crush injuries, and
explosion injuries.
1
, Quiz_________________?
1. 1. According to the 2007 NHIS analysis of the use of CAM therapy, use was higher
among :
a. a. families whose parent or parents had a college education.
b. b. Hispanic and African-American populations.
c. c. persons who had not recently taken prescription medications.
d. d. those living in households earning less than $65,000. -
Answer✅
ANS: A
The NHIS review showed that CAM use was higher in households with at least one college-
educated parent. CAM use was also higher in non-Hispanic Caucasians, persons who had
taken prescription drugs within the past 3 months, and those living in households with
incomes
higher than $65,000.
Quiz_________________?
1. 1. The mother of a 15-year-old female expresses concerns that her daughter may be
sexually active because she's had a steady boyfriend for over a year. The primary care
pediatric nurse practitioner learns that the family is Catholic and that the mother had an
abortion when she was 16 years old. What will the nurse practitioner do initially?
a. a. Explore the mother's feelings about her own past experience.
b. b. Offer to prescribe contraception to prevent pregnancy.
c. c. Recommend that the mother discuss this with her daughter.
d. d. Suggest that the mother talk to a priest about her daughter. -
Answer✅
ANS: A
An initial step when assisting families to manage ethical and behavioral issues is to assist
2
, parents and children in values clarification. Before offering other suggestions, the PNP
should
help the mother to clarify her own feelings. The other options may be necessary after values
are
clarified.
Quiz_________________?
1. 1. The parent of a 4-year-old points to a picture and says, "That's your sister." The
child responds by saying, "No! It's my baby!" This is an example of which type of thinking in
preschool-age children?
a. a. Animism
b. b. Artificialism
c. c. Egocentrism
d. d. Realism -
Answer✅
ANS: D
Children at this age are developing their ability to establish causality. Nominal realism occurs
when children think that one type of thing can only be called by one name. All dogs are dogs
and not various breeds. Animism refers to the belief that objects possess person-like
qualities.
Artificialism occurs when children think things are caused by a controlling force.
Egocentrism is
when children see things only as they relate to themselves.
Quiz_________________?
1. 1. The parent of a school-age child reports that the child usually has allergic rhinitis
symptoms beginning each fall and that non-sedating antihistamines are only marginally
effective, especially for nasal obstruction symptoms. What will the primary care pediatric
nurse practitioner do?
a. a. Order an intranasal corticosteroid to begin 1 to 2 weeks prior to pollen season.
3
, b. b. Prescribe a decongestant medication as adjunct therapy during pollen season.
c. c. Recommend adding diphenhydramine to the child's regimen for additional
relief.
d. d. Suggest using an over-the-counter intranasal decongestant. -
Answer✅
ANS: A
Intranasal corticosteroids are a key component in long-term therapy to manage symptoms
associated with AR. These should be begun 1 to 2 weeks prior to the beginning of pollen
season. Decongestants are not recommended for long-term use because of side effects.
Diphenhydramine causes daytime drowsiness.
Quiz_________________?
1. 1. The primary care pediatric nurse practitioner is evaluating a school-age child who,
after removal of a pituitary tumor, has altered hypothalamic control over hunger and satiety.
The child is morbidly obese and expresses feeling depressed because of the obesity. What
will the nurse practitioner recommend?
a. a. Developing a system to reward compliance with a dietary regimen
b. b. Restricting all access to food in the house and at school
c. c. Suggesting an after-school exercise program to help with weight loss
d. d. Using a food diary to track all calories and food intake -
Answer✅
ANS: B
Children with brain dysfunction affecting hypothalamic control may need rigid restrictions of
access to all foods in refrigerators, cupboards, and even garbage cans
Quiz_________________?
1. 1. The primary care pediatric nurse practitioner is examining a newborn who is
breastfeeding and notes the presence of an ankyloglossia. What will the nurse practitioner
do next?
4
Quiz_________________?
1. 1. A child has a 1-cm laceration on the forehead proximal to the hairline after
running into a pole while playing sports. To minimize the risk of infection, the primary care
pediatric nurse practitioner will irrigate the wound and
a. a. allow the wound to heal by secondary intention.
b. b. delay closure of the wound for several days.
c. c. refer the child to a plastic surgeon for wound closure.
d. d. suture the wound within 6 hours. -
Answer✅
ANS: D
Children are less likely than adults to get wound infections, with an infection rate from
sutured
lacerations at 2%. The PNP should clean and suture the wound. Wounds from animal bites
are
often left to heal by secondary intention to prevent infection. Referral to a plastic surgeon is
necessary for cosmetic reasons. Delaying closure for several days is recommended for
heavily
contaminated wounds and those caused by high-velocity missile injuries, crush injuries, and
explosion injuries.
1
, Quiz_________________?
1. 1. According to the 2007 NHIS analysis of the use of CAM therapy, use was higher
among :
a. a. families whose parent or parents had a college education.
b. b. Hispanic and African-American populations.
c. c. persons who had not recently taken prescription medications.
d. d. those living in households earning less than $65,000. -
Answer✅
ANS: A
The NHIS review showed that CAM use was higher in households with at least one college-
educated parent. CAM use was also higher in non-Hispanic Caucasians, persons who had
taken prescription drugs within the past 3 months, and those living in households with
incomes
higher than $65,000.
Quiz_________________?
1. 1. The mother of a 15-year-old female expresses concerns that her daughter may be
sexually active because she's had a steady boyfriend for over a year. The primary care
pediatric nurse practitioner learns that the family is Catholic and that the mother had an
abortion when she was 16 years old. What will the nurse practitioner do initially?
a. a. Explore the mother's feelings about her own past experience.
b. b. Offer to prescribe contraception to prevent pregnancy.
c. c. Recommend that the mother discuss this with her daughter.
d. d. Suggest that the mother talk to a priest about her daughter. -
Answer✅
ANS: A
An initial step when assisting families to manage ethical and behavioral issues is to assist
2
, parents and children in values clarification. Before offering other suggestions, the PNP
should
help the mother to clarify her own feelings. The other options may be necessary after values
are
clarified.
Quiz_________________?
1. 1. The parent of a 4-year-old points to a picture and says, "That's your sister." The
child responds by saying, "No! It's my baby!" This is an example of which type of thinking in
preschool-age children?
a. a. Animism
b. b. Artificialism
c. c. Egocentrism
d. d. Realism -
Answer✅
ANS: D
Children at this age are developing their ability to establish causality. Nominal realism occurs
when children think that one type of thing can only be called by one name. All dogs are dogs
and not various breeds. Animism refers to the belief that objects possess person-like
qualities.
Artificialism occurs when children think things are caused by a controlling force.
Egocentrism is
when children see things only as they relate to themselves.
Quiz_________________?
1. 1. The parent of a school-age child reports that the child usually has allergic rhinitis
symptoms beginning each fall and that non-sedating antihistamines are only marginally
effective, especially for nasal obstruction symptoms. What will the primary care pediatric
nurse practitioner do?
a. a. Order an intranasal corticosteroid to begin 1 to 2 weeks prior to pollen season.
3
, b. b. Prescribe a decongestant medication as adjunct therapy during pollen season.
c. c. Recommend adding diphenhydramine to the child's regimen for additional
relief.
d. d. Suggest using an over-the-counter intranasal decongestant. -
Answer✅
ANS: A
Intranasal corticosteroids are a key component in long-term therapy to manage symptoms
associated with AR. These should be begun 1 to 2 weeks prior to the beginning of pollen
season. Decongestants are not recommended for long-term use because of side effects.
Diphenhydramine causes daytime drowsiness.
Quiz_________________?
1. 1. The primary care pediatric nurse practitioner is evaluating a school-age child who,
after removal of a pituitary tumor, has altered hypothalamic control over hunger and satiety.
The child is morbidly obese and expresses feeling depressed because of the obesity. What
will the nurse practitioner recommend?
a. a. Developing a system to reward compliance with a dietary regimen
b. b. Restricting all access to food in the house and at school
c. c. Suggesting an after-school exercise program to help with weight loss
d. d. Using a food diary to track all calories and food intake -
Answer✅
ANS: B
Children with brain dysfunction affecting hypothalamic control may need rigid restrictions of
access to all foods in refrigerators, cupboards, and even garbage cans
Quiz_________________?
1. 1. The primary care pediatric nurse practitioner is examining a newborn who is
breastfeeding and notes the presence of an ankyloglossia. What will the nurse practitioner
do next?
4
