NSG 5442 Exam 1 Chapter 1-11; 16; 26; 29 Questions With
Complete Solutions
During a well child exam, the primary care pediatric nurse
practitioner learns that the parents of a young child fight
frequently about finances. The parents state that they do not
fight in front of the child and feel that the situation is
temporary and related to the father’s job layoff. What will
the nurse practitioner do?
A. Reassure them that the child is too young to understand.
B. Recommend that they continue to not argue in front of the
child.
C. Suggest counseling to learn ways to handle stress.
D. Tell them that the conflict will resolve when the situation
changes.
C. Suggest counseling to learn ways to handle stress.
During a well child assessment of an 18-month-old
child, the primary care pediatric nurse practitioner observes
the child becoming irritable and uncooperative. The parent
tells the child to stop fussing. What will the nurse
practitioner do?
A. Allow the parent to put the child in a “timeout.”
B. Ask the parent about usual discipline practices.
C. Offer the child a book or a toy to look at.
,D. Stop the exam since the child has reached a “meltdown.”
C. Offer the child a book or a toy to look at.
Which recommendation will a primary care pediatric nurse
practitioner make when parents ask about ways to discipline
their 3-year-old child who draws on the walls with crayons?
A. Give the child washable markers so the drawings can be
removed easily.
B. Provide a roll of paper for drawing and teach the child to use
this.
C. Put the child in “timeout” each time the child draws on the
walls.
D. Take the crayons away from the child to prevent the
behavior.
B. Provide a roll of paper for drawing and teach the child to use
this.
The primary care pediatric nurse practitioner conducts a
well baby exam on an infant and notes mild gross motor
delays but no delays in other areas. Which initial course of
action will the nurse practitioner recommend?
A. Consult a developmental specialist for a more complete
evaluation.
B. Prepare the parents for a potentially serious developmental
disorder.
C. Refer the infant to an early intervention program for physical
therapy.
,D. Teach the parents to provide exercises to encourage motor
development.
D. Teach the parents to provide exercises to encourage motor
development.
The primary care pediatric nurse practitioner is examining a
newborn infant recently discharged from the neonatal
intensive care unit after a premature birth. The parent is
upset and expresses worry about whether the infant will be
normal. What will the nurse practitioner do in this
situation?
L. Explain to the parent that developmental delays often do not
manifest at first.
M. Perform a developmental assessment and tell the parent
which delays are evident.
N. Point out the tasks that the infant can perform while
conducting the assessment.
D. Refer the infant to a developmental specialist for a complete
evaluation.
N. Point out the tasks that the infant can perform while
conducting the assessment.
, The primary care pediatric nurse practitioner sees a
developmentally delayed toddler for an initial visit. The
family has just moved to the area and asks the nurse
practitioner about community services and resources for
their child. What should the nurse practitioner do initially?
A. Ask the parents if they have an individualized family service
plan (IFSP).
B. Consult with a physician to ensure the child gets appropriate
care.
C. Inform the family that services are provided when the child
begins school.
D. Refer the family to a social worker for assistance with
referrals and services.
A. Ask the parents if they have an individualized family service
plan (IFSP).
The primary care pediatric nurse practitioner has a cohort
of patients who have special health care needs. Which is an
important role of the nurse practitioner when caring for
these children?
A. Care coordination and collaboration
B. Developing protocols for parents to follow
C. Monitoring individual education plans (IEPs)
D. Providing lists of resources for families
A. Care coordination and collaboration
Complete Solutions
During a well child exam, the primary care pediatric nurse
practitioner learns that the parents of a young child fight
frequently about finances. The parents state that they do not
fight in front of the child and feel that the situation is
temporary and related to the father’s job layoff. What will
the nurse practitioner do?
A. Reassure them that the child is too young to understand.
B. Recommend that they continue to not argue in front of the
child.
C. Suggest counseling to learn ways to handle stress.
D. Tell them that the conflict will resolve when the situation
changes.
C. Suggest counseling to learn ways to handle stress.
During a well child assessment of an 18-month-old
child, the primary care pediatric nurse practitioner observes
the child becoming irritable and uncooperative. The parent
tells the child to stop fussing. What will the nurse
practitioner do?
A. Allow the parent to put the child in a “timeout.”
B. Ask the parent about usual discipline practices.
C. Offer the child a book or a toy to look at.
,D. Stop the exam since the child has reached a “meltdown.”
C. Offer the child a book or a toy to look at.
Which recommendation will a primary care pediatric nurse
practitioner make when parents ask about ways to discipline
their 3-year-old child who draws on the walls with crayons?
A. Give the child washable markers so the drawings can be
removed easily.
B. Provide a roll of paper for drawing and teach the child to use
this.
C. Put the child in “timeout” each time the child draws on the
walls.
D. Take the crayons away from the child to prevent the
behavior.
B. Provide a roll of paper for drawing and teach the child to use
this.
The primary care pediatric nurse practitioner conducts a
well baby exam on an infant and notes mild gross motor
delays but no delays in other areas. Which initial course of
action will the nurse practitioner recommend?
A. Consult a developmental specialist for a more complete
evaluation.
B. Prepare the parents for a potentially serious developmental
disorder.
C. Refer the infant to an early intervention program for physical
therapy.
,D. Teach the parents to provide exercises to encourage motor
development.
D. Teach the parents to provide exercises to encourage motor
development.
The primary care pediatric nurse practitioner is examining a
newborn infant recently discharged from the neonatal
intensive care unit after a premature birth. The parent is
upset and expresses worry about whether the infant will be
normal. What will the nurse practitioner do in this
situation?
L. Explain to the parent that developmental delays often do not
manifest at first.
M. Perform a developmental assessment and tell the parent
which delays are evident.
N. Point out the tasks that the infant can perform while
conducting the assessment.
D. Refer the infant to a developmental specialist for a complete
evaluation.
N. Point out the tasks that the infant can perform while
conducting the assessment.
, The primary care pediatric nurse practitioner sees a
developmentally delayed toddler for an initial visit. The
family has just moved to the area and asks the nurse
practitioner about community services and resources for
their child. What should the nurse practitioner do initially?
A. Ask the parents if they have an individualized family service
plan (IFSP).
B. Consult with a physician to ensure the child gets appropriate
care.
C. Inform the family that services are provided when the child
begins school.
D. Refer the family to a social worker for assistance with
referrals and services.
A. Ask the parents if they have an individualized family service
plan (IFSP).
The primary care pediatric nurse practitioner has a cohort
of patients who have special health care needs. Which is an
important role of the nurse practitioner when caring for
these children?
A. Care coordination and collaboration
B. Developing protocols for parents to follow
C. Monitoring individual education plans (IEPs)
D. Providing lists of resources for families
A. Care coordination and collaboration
