NR 602 Midterm test bank
CODE: 7rBT4xhJF545
Week 1
Chapter 14 Introduction to Health Promotion and Health Protection,
1. The primary care pediatric nurse practitioner is performing a focused problem assessment on
a child who has asthma and learns that one of the child's parents smokes around the child in
spite of being advised against this. The nurse practitioner recognizes this as a possible
alteration in which functional health pattern? A. Cognitive perceptual
B. Health Perception
C. Role relationship
D. Values beliefs
2. The primary care pediatric nurse practitioner examines an infant whose weight is below the
3rd percentile and whose mother does not comply with the feeding regimen. When attempting
to enlist the help of the infant's grandmother, the grandmother says, "My daughter was like
this when she was a baby, and she turned out all right." Which approach will the nurse
practitioner take to improve the outcome for this infant?
A. Ask the grandmother about her daughter's health during childhood.
B. Explain that the condition is potentially serious if not treated.
C. Give the grandmother and mother information about normal growth.
D. Refer the family to a social worker to investigate possible neglect.
3. The primary care pediatric nurse practitioner provides patient teaching for children newly
diagnosed with irritable bowel syndrome (IBS). At which stage of development will children be
able to understand the link between stress and the symptoms of the disease? A. Concrete
operational stage
B. Formal operational stage
C. Preconceptual stage
D. Sensorimotor stage
4. The primary care pediatric nurse practitioner is counseling an obese adolescent whose
parents both have type 2 diabetes mellitus. Which health behavior prediction model is useful
when the nurse practitioner discusses lifestyle changes with this client?
pg. 1
,A. Behavioral change model
B. Health belief model
C. Health promotion model
D. Transtheoretical model
5. The primary care pediatric nurse practitioner is counseling a school-age child about asthma
management strategies. The child states that it is "too much trouble" to remember to use an
inhaled corticosteroid medication twice daily and reports feeling fine in spite of exhibiting
expiratory wheezes. Which action uses the health belief and self-efficacy model to teach this
child about asthma management?
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre and post-treatment spirometry testing
D. Providing written information about inhaled corticosteroids.
6. An adolescent who is overweight expresses a desire to lose weight in order to participate in
sports but tells the primary care pediatric nurse practitioner that he doesn't want to give up
sweets and soft drinks because he enjoys them too much. Which stage of change does this
represent?
A. Action
B. Contemplation
C. Precontemplation
D. Preparation
7. The primary care pediatric nurse practitioner sees a 17-year-old client who quit smoking
almost a year prior but who reports having renewed cravings when around friends who smoke.
Using knowledge of the maintenance stage of change, the primary care pediatric nurse
practitioner will
A. go over with the adolescent about the health risks associated with smoking.
B. recommend avoiding friends who smoke and making new friends.
C. remind the adolescent about the struggles associated with quitting smoking.
D. suggest that the teen consider taking up a sport or other physicalactivity.
pg. 2
,8. The primary care pediatric nurse practitioner is working with a 12-year-old female who has
poor diabetes control. The child tells the nurse practitioner that the parent forgets to remind
her to check her blood sugars. Which action is correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental prompts.
C. Refer to a social worker to help the family overcome obstacles to care.
D. Remind the child's parent about the importance of good diabetes control.
9. The primary care pediatric nurse practitioner is counseling an obese 16year-old client about
weight management. The adolescent says, "I know I need to lose weight, but I don't want to
give up all my favorite foods." When using motivational interviewing techniques, how will the
nurse practitioner respond?
A. "Do you think there are any foods you could limit or do without for a while?"
B. "I hear you telling me that you really don't have a desire to lose weight."
C. "If you can't give up these foods, you won't see the benefits of weight loss."
D. "In the long run, the sacrifices you make today will improve your health."
10. The parent of a newborn has quit smoking cigarettes within the past month and reports
feeling fidgety. Using a "reframing" technique, how will the primary care pediatric nurse
practitioner respond?
A. Explore ways that the parent can use this extra energy to do things for the baby.
B. Remind the parent that this is a normal, temporary part of nicotine withdrawal.
C. Suggest that the parent take up exercise to enjoy the benefits of not smoking.
D. Tell the parent that, over time, these symptoms of withdrawal will subside.
11. The primary care pediatric nurse practitioner is assessing the health literacy of the parent of
a toddler. Which tool will the nurse practitioner use to estimate reading level?
A. FleschKincaid Readability Test
B. Gunning Fog Index
C. Number of children's books in the home
D. SMOG
pg. 3
, 12. The pediatric nurse practitioner provides primary care for a special needs infant whose
parent takes an active role in the infant's care. The parent has a high school diploma and asks
many questions about her infant's treatments. Which approach will the nurse practitioner take
to ensure health literacy for this parent?
A. Ask the parent to read back all information given.
B. Encourage the parent to ask questions when confused.
C. Provide written materials presented at an 8th grade level.
D. Reinforce written information with verbal instructions.
Chapter 20 Sleep
1. The primary care pediatric nurse practitioner is performing a well child examination on a 4-
year-old child. The parent reports that the child snores frequently, often awakens during the
night, and seems cranky during the day. What will the nurse practitioner tell this parent?
A. Most sleep disorders are benign and will be outgrown.
B. Sleep disorders are symptomatic of underlying behavior problems.
C. Sleep disorders at this age can have long-term impacts on learning.
D. The child will need longer daytime naps to compensate for lost sleep.
2. The parent of a school age child who is overweight tells the primary care pediatric nurse
practitioner that the child seems to crave high calorie, high carbohydrate foods, even when full.
The nurse practitioner learns that the child is often irritable and sleepy at school in spite of
sleeping 9 or 10 hours each night. What will the nurse practitioner recommend?
A. Assessment of leptin and ghrelin hormone levels
B. Consultation with a dietician to develop an appropriate diet.
C. Referral to a sleep disorder clinic for a sleep study
D. Taking one or two naps each day to increase the amount of sleep.
3. The primary care pediatric nurse practitioner is performing a well-baby examination on a
2weekold infant. The parent is concerned that the infant sleeps too much. The nurse
practitioner asks the parent to keep a sleep log and will teach the parent that which amount of
sleep per day is optimal for this infant?
A.10 to 12 hours
B. 12 to 15 hours
pg. 4
CODE: 7rBT4xhJF545
Week 1
Chapter 14 Introduction to Health Promotion and Health Protection,
1. The primary care pediatric nurse practitioner is performing a focused problem assessment on
a child who has asthma and learns that one of the child's parents smokes around the child in
spite of being advised against this. The nurse practitioner recognizes this as a possible
alteration in which functional health pattern? A. Cognitive perceptual
B. Health Perception
C. Role relationship
D. Values beliefs
2. The primary care pediatric nurse practitioner examines an infant whose weight is below the
3rd percentile and whose mother does not comply with the feeding regimen. When attempting
to enlist the help of the infant's grandmother, the grandmother says, "My daughter was like
this when she was a baby, and she turned out all right." Which approach will the nurse
practitioner take to improve the outcome for this infant?
A. Ask the grandmother about her daughter's health during childhood.
B. Explain that the condition is potentially serious if not treated.
C. Give the grandmother and mother information about normal growth.
D. Refer the family to a social worker to investigate possible neglect.
3. The primary care pediatric nurse practitioner provides patient teaching for children newly
diagnosed with irritable bowel syndrome (IBS). At which stage of development will children be
able to understand the link between stress and the symptoms of the disease? A. Concrete
operational stage
B. Formal operational stage
C. Preconceptual stage
D. Sensorimotor stage
4. The primary care pediatric nurse practitioner is counseling an obese adolescent whose
parents both have type 2 diabetes mellitus. Which health behavior prediction model is useful
when the nurse practitioner discusses lifestyle changes with this client?
pg. 1
,A. Behavioral change model
B. Health belief model
C. Health promotion model
D. Transtheoretical model
5. The primary care pediatric nurse practitioner is counseling a school-age child about asthma
management strategies. The child states that it is "too much trouble" to remember to use an
inhaled corticosteroid medication twice daily and reports feeling fine in spite of exhibiting
expiratory wheezes. Which action uses the health belief and self-efficacy model to teach this
child about asthma management?
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre and post-treatment spirometry testing
D. Providing written information about inhaled corticosteroids.
6. An adolescent who is overweight expresses a desire to lose weight in order to participate in
sports but tells the primary care pediatric nurse practitioner that he doesn't want to give up
sweets and soft drinks because he enjoys them too much. Which stage of change does this
represent?
A. Action
B. Contemplation
C. Precontemplation
D. Preparation
7. The primary care pediatric nurse practitioner sees a 17-year-old client who quit smoking
almost a year prior but who reports having renewed cravings when around friends who smoke.
Using knowledge of the maintenance stage of change, the primary care pediatric nurse
practitioner will
A. go over with the adolescent about the health risks associated with smoking.
B. recommend avoiding friends who smoke and making new friends.
C. remind the adolescent about the struggles associated with quitting smoking.
D. suggest that the teen consider taking up a sport or other physicalactivity.
pg. 2
,8. The primary care pediatric nurse practitioner is working with a 12-year-old female who has
poor diabetes control. The child tells the nurse practitioner that the parent forgets to remind
her to check her blood sugars. Which action is correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental prompts.
C. Refer to a social worker to help the family overcome obstacles to care.
D. Remind the child's parent about the importance of good diabetes control.
9. The primary care pediatric nurse practitioner is counseling an obese 16year-old client about
weight management. The adolescent says, "I know I need to lose weight, but I don't want to
give up all my favorite foods." When using motivational interviewing techniques, how will the
nurse practitioner respond?
A. "Do you think there are any foods you could limit or do without for a while?"
B. "I hear you telling me that you really don't have a desire to lose weight."
C. "If you can't give up these foods, you won't see the benefits of weight loss."
D. "In the long run, the sacrifices you make today will improve your health."
10. The parent of a newborn has quit smoking cigarettes within the past month and reports
feeling fidgety. Using a "reframing" technique, how will the primary care pediatric nurse
practitioner respond?
A. Explore ways that the parent can use this extra energy to do things for the baby.
B. Remind the parent that this is a normal, temporary part of nicotine withdrawal.
C. Suggest that the parent take up exercise to enjoy the benefits of not smoking.
D. Tell the parent that, over time, these symptoms of withdrawal will subside.
11. The primary care pediatric nurse practitioner is assessing the health literacy of the parent of
a toddler. Which tool will the nurse practitioner use to estimate reading level?
A. FleschKincaid Readability Test
B. Gunning Fog Index
C. Number of children's books in the home
D. SMOG
pg. 3
, 12. The pediatric nurse practitioner provides primary care for a special needs infant whose
parent takes an active role in the infant's care. The parent has a high school diploma and asks
many questions about her infant's treatments. Which approach will the nurse practitioner take
to ensure health literacy for this parent?
A. Ask the parent to read back all information given.
B. Encourage the parent to ask questions when confused.
C. Provide written materials presented at an 8th grade level.
D. Reinforce written information with verbal instructions.
Chapter 20 Sleep
1. The primary care pediatric nurse practitioner is performing a well child examination on a 4-
year-old child. The parent reports that the child snores frequently, often awakens during the
night, and seems cranky during the day. What will the nurse practitioner tell this parent?
A. Most sleep disorders are benign and will be outgrown.
B. Sleep disorders are symptomatic of underlying behavior problems.
C. Sleep disorders at this age can have long-term impacts on learning.
D. The child will need longer daytime naps to compensate for lost sleep.
2. The parent of a school age child who is overweight tells the primary care pediatric nurse
practitioner that the child seems to crave high calorie, high carbohydrate foods, even when full.
The nurse practitioner learns that the child is often irritable and sleepy at school in spite of
sleeping 9 or 10 hours each night. What will the nurse practitioner recommend?
A. Assessment of leptin and ghrelin hormone levels
B. Consultation with a dietician to develop an appropriate diet.
C. Referral to a sleep disorder clinic for a sleep study
D. Taking one or two naps each day to increase the amount of sleep.
3. The primary care pediatric nurse practitioner is performing a well-baby examination on a
2weekold infant. The parent is concerned that the infant sleeps too much. The nurse
practitioner asks the parent to keep a sleep log and will teach the parent that which amount of
sleep per day is optimal for this infant?
A.10 to 12 hours
B. 12 to 15 hours
pg. 4
