FNP 593 Test 1 – Comprehensive Study
& Practice Prep
The primary care pediatric nurse practitioner is examining a young child who has cerebral palsy.
Which part of the family history raises concerns about potential child maltreatment?
a. Child attends day care
b. Limited financial resources
c. Mother works outside the home
d. No membership in a church
b. Limited financial resources
The primary care pediatric nurse practitioner suspects that the parent of a child who is doing poorly in
school is being abused by a partner. What is a priority response by the nurse practitioner?
a. Notifying the child's school counselor about this problem
b. Referring the child and family to a social worker
c. Reporting this according to any mandated reporting laws
d. Suggesting that the parent avoid the abusive situation
c. Reporting this according to any mandated reporting laws
The primary care pediatric nurse practitioner is examining a young child who was brought in by a
grandmother for evaluation of a partialthickness burn on one arm. The PNP suspects that this is an
intentional injury, but the grandmother states that the parents are "just careless" and that the child is
now living with her. What will the PNP do?
a. Flag this as a concerning incident in the child's record.
b. Reassure the grandmother that she is doing the right thing.
c. Refer the child's parents to a parenting resource center.
d. Report a suspicion of abuse to child protective services.
d. Report a suspicion of abuse to child protective services.
The primary care pediatric nurse practitioner is evaluating a 12yearold girl who reports penile
penetration of her vagina by her mother's boyfriend the day before yesterday. The PNP reports this to
the local child abuse hotline. What is the PNP's next action?
, a. Attaining a history of the abuse from the child
b. Obtaining urethral specimens for STI testing
c. Performing a colposcopic examination to evaluate for trauma
d. Referring the child to the ED for forensic specimen collection
d. Referring the child to the ED for forensic specimen collection
What intervention should the primary care provider (PCP) encourage all parents to implement to
engage in the best management of potential serious child related injuries?
a. Being aware of the causes of common childhood injuries
b. Actively engaging in attentive parenting practices
c. Actively supporting state and federal programs like Safe Kids USA
d. Being proficient in basic pediatric life support techniques
d. Being proficient in basic pediatric life support techniques
A 3-year-old child is recovering from injuries sustained in a motor vehicle accident. How will the
primary care pediatric nurse practitioner evaluate this child's pain?
a. Ask the child to rate pain intensity on a 4- to 5-item pain discrimination scale.
b. Have the child describe any pain as "no pain, a little pain, or a lot of pain."
c. Question the child about the intensity and specific location of any pain.
d. Rely on nonverbal responses such as facial expressions and limb movements.
b. Have the child describe any pain as "no pain, a little pain, or a lot of pain."
A 4-year-old child has just been released from the hospital after orthopedic surgery on one leg
following a bicycle accident. The child is sitting quietly on the exam table. When asked to rate pain,
the child points to the "1" on a faces rating pain scale. What will the primary care pediatric nurse
practitioner do next?
a. Assess the child's vital signs and ability to walk without pain.
b. Refill the prescription for a narcotic analgesic medication.
c. Suggest that the parents give acetaminophen for mild pain.
d. Teach the parent to give analgesics based on the child's report of pain.
a. Assess the child's vital signs and ability to walk without pain.
The primary care pediatric nurse practitioner is preparing to perform a painful procedure on a 4-
month-old infant. Besides providing local anesthesia, what other pain control method provides
analgesic effects?
a. Providing toys
b. Singing or music
c. Sucrose solution
d. Swaddling or cuddling
& Practice Prep
The primary care pediatric nurse practitioner is examining a young child who has cerebral palsy.
Which part of the family history raises concerns about potential child maltreatment?
a. Child attends day care
b. Limited financial resources
c. Mother works outside the home
d. No membership in a church
b. Limited financial resources
The primary care pediatric nurse practitioner suspects that the parent of a child who is doing poorly in
school is being abused by a partner. What is a priority response by the nurse practitioner?
a. Notifying the child's school counselor about this problem
b. Referring the child and family to a social worker
c. Reporting this according to any mandated reporting laws
d. Suggesting that the parent avoid the abusive situation
c. Reporting this according to any mandated reporting laws
The primary care pediatric nurse practitioner is examining a young child who was brought in by a
grandmother for evaluation of a partialthickness burn on one arm. The PNP suspects that this is an
intentional injury, but the grandmother states that the parents are "just careless" and that the child is
now living with her. What will the PNP do?
a. Flag this as a concerning incident in the child's record.
b. Reassure the grandmother that she is doing the right thing.
c. Refer the child's parents to a parenting resource center.
d. Report a suspicion of abuse to child protective services.
d. Report a suspicion of abuse to child protective services.
The primary care pediatric nurse practitioner is evaluating a 12yearold girl who reports penile
penetration of her vagina by her mother's boyfriend the day before yesterday. The PNP reports this to
the local child abuse hotline. What is the PNP's next action?
, a. Attaining a history of the abuse from the child
b. Obtaining urethral specimens for STI testing
c. Performing a colposcopic examination to evaluate for trauma
d. Referring the child to the ED for forensic specimen collection
d. Referring the child to the ED for forensic specimen collection
What intervention should the primary care provider (PCP) encourage all parents to implement to
engage in the best management of potential serious child related injuries?
a. Being aware of the causes of common childhood injuries
b. Actively engaging in attentive parenting practices
c. Actively supporting state and federal programs like Safe Kids USA
d. Being proficient in basic pediatric life support techniques
d. Being proficient in basic pediatric life support techniques
A 3-year-old child is recovering from injuries sustained in a motor vehicle accident. How will the
primary care pediatric nurse practitioner evaluate this child's pain?
a. Ask the child to rate pain intensity on a 4- to 5-item pain discrimination scale.
b. Have the child describe any pain as "no pain, a little pain, or a lot of pain."
c. Question the child about the intensity and specific location of any pain.
d. Rely on nonverbal responses such as facial expressions and limb movements.
b. Have the child describe any pain as "no pain, a little pain, or a lot of pain."
A 4-year-old child has just been released from the hospital after orthopedic surgery on one leg
following a bicycle accident. The child is sitting quietly on the exam table. When asked to rate pain,
the child points to the "1" on a faces rating pain scale. What will the primary care pediatric nurse
practitioner do next?
a. Assess the child's vital signs and ability to walk without pain.
b. Refill the prescription for a narcotic analgesic medication.
c. Suggest that the parents give acetaminophen for mild pain.
d. Teach the parent to give analgesics based on the child's report of pain.
a. Assess the child's vital signs and ability to walk without pain.
The primary care pediatric nurse practitioner is preparing to perform a painful procedure on a 4-
month-old infant. Besides providing local anesthesia, what other pain control method provides
analgesic effects?
a. Providing toys
b. Singing or music
c. Sucrose solution
d. Swaddling or cuddling
