NSG 5442 EXAM 3 VERIFIED COMPLETE STUDY QUESTIONS WITH ACCURATE
SOLUTIONS
A parent brings a toddler to the pediatric clinic. The nurse observes a number of bruises on
the child in various stages of healing. The parent claims the toddler bruises easily. The best
action on the part of the pediatrician and the nurse would be to:
A. believe the parents and schedule an appointment in 2 weeks
B. report this to child and family services and order a screening battery of bleeding and
clotting blood work
C. check with the other parent or another caregiver to see what he or she
might be able to add to this history
D. tell the parent that it is clear that he or she is lying and to tell the truth
B. report this to child and family services and order a screening battery of bleeding and
clotting blood work
Common injuries to pediatric and adolescent female genital tract include
straddle injuries. These injuries result from a fall on a:
,A. Bicycle.
B. Wagon.
C. Sidewalk.
D. Step.
A. Bicycle.
An 8-year-old child is diagnosed with systemic lupus erythematosus (SLE), and the child’s
parent asks if there is a cure. What will the primary care pediatric nurse practitioner tell the
parent?
A. Complete remission occurs in some children at the age of puberty.
B. Periods of remission may occur but there is no permanent cure.
C. SLE can be cured with effective medication and treatment.
D. The disease is always progressive with no cure and no remissions.
B. Periods of remission may occur but there is no permanent cure.
,The primary care pediatric nurse practitioner examines a child who has had stiffness and
warmth in the right knee and left ankle for 7 or 8 months but no back pain. The nurse
practitioner will refer the child to a rheumatology specialist to evaluate for
A. enthesitis related JIA.
B. oligoarticular JIA.
C. polyarticular JIA.
D. systemic JIA.
B. oligoarticular JIA.
The primary care pediatric nurse practitioner is managing care for a child who has JIA who
has a positive ANA. Which specialty referral is critical for this child?
A. Cardiology
B. Ophthalmology
C. Orthopedics
D. Pain management
B. Ophthalmology
, The primary care pediatric nurse practitioner is prescribing ibuprofen for a 25 kg child with
JIA who has oligoarthitis. If the child will take 4 doses per day, what is the maximum
amount the child will receive per dose?
A. 200 mg
B. 250 mg
C. 400 mg
D. 450 mg
B. 250 mg
The parent of a school age child who is diagnosed with oligoarticular JIA asks the primary
care pediatric nurse practitioner what exercises the child may do to help reduce
symptoms. What will the nurse practitioner recommend?
A. Running
B. Swimming
C. Weights
SOLUTIONS
A parent brings a toddler to the pediatric clinic. The nurse observes a number of bruises on
the child in various stages of healing. The parent claims the toddler bruises easily. The best
action on the part of the pediatrician and the nurse would be to:
A. believe the parents and schedule an appointment in 2 weeks
B. report this to child and family services and order a screening battery of bleeding and
clotting blood work
C. check with the other parent or another caregiver to see what he or she
might be able to add to this history
D. tell the parent that it is clear that he or she is lying and to tell the truth
B. report this to child and family services and order a screening battery of bleeding and
clotting blood work
Common injuries to pediatric and adolescent female genital tract include
straddle injuries. These injuries result from a fall on a:
,A. Bicycle.
B. Wagon.
C. Sidewalk.
D. Step.
A. Bicycle.
An 8-year-old child is diagnosed with systemic lupus erythematosus (SLE), and the child’s
parent asks if there is a cure. What will the primary care pediatric nurse practitioner tell the
parent?
A. Complete remission occurs in some children at the age of puberty.
B. Periods of remission may occur but there is no permanent cure.
C. SLE can be cured with effective medication and treatment.
D. The disease is always progressive with no cure and no remissions.
B. Periods of remission may occur but there is no permanent cure.
,The primary care pediatric nurse practitioner examines a child who has had stiffness and
warmth in the right knee and left ankle for 7 or 8 months but no back pain. The nurse
practitioner will refer the child to a rheumatology specialist to evaluate for
A. enthesitis related JIA.
B. oligoarticular JIA.
C. polyarticular JIA.
D. systemic JIA.
B. oligoarticular JIA.
The primary care pediatric nurse practitioner is managing care for a child who has JIA who
has a positive ANA. Which specialty referral is critical for this child?
A. Cardiology
B. Ophthalmology
C. Orthopedics
D. Pain management
B. Ophthalmology
, The primary care pediatric nurse practitioner is prescribing ibuprofen for a 25 kg child with
JIA who has oligoarthitis. If the child will take 4 doses per day, what is the maximum
amount the child will receive per dose?
A. 200 mg
B. 250 mg
C. 400 mg
D. 450 mg
B. 250 mg
The parent of a school age child who is diagnosed with oligoarticular JIA asks the primary
care pediatric nurse practitioner what exercises the child may do to help reduce
symptoms. What will the nurse practitioner recommend?
A. Running
B. Swimming
C. Weights