NR602 PEDIATRIC MIDTERM STUDY SET ACTUAL EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED HIGHLY RECOMMENDED |NEW AND REVISED

NR602 PEDIATRIC MIDTERM STUDY
SET ACTUAL EXAM ALL QUESTIONS
AND WELL ELABORATED ANSWERS
TOP RATED VERSION FOR ALREADY
A+ GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
Themparentmofmamtoddlermismconcernedmthatmthemchildmmaymhavemautism.mThemprimarymcarempedia
tricmnursempractitionermcompletesmamModifiedmChecklistmformAutismminmToddlersm(M-
CHAT)mtool,mwhichmindicatesmseveralmareasmofmconcern.mWhatmwillmthemnursempractitionermdo?

AdministermamChildhoodmAutismmRatingmScalem(CARS)minmthemclinic.

Consultmamspecialistmtomdeterminemappropriatemearlyminterventionmstrategies.

Refermthemchildmtomambehavioralmspecialistmformfurthermevaluation.

Tellmthemparentmthatmthismresultmindicatesmthatmthemchildmhasmautism.m-
mCORRECTmANSWERmANS:mC



ThemM-
CHATmismamscreeningmtoolmandmismusefulmformdetectingmbehaviorsmthatmmaymindicatemautism.mThism
instrumentmhasmbeenmfoundmtomhavemacceptablemsensitivity,mspecificity,mandmsignificantmpositivem
predictivemvalue.mIfmthesembehaviorsmaremdetected,mthemPNPmshouldmrefermthemchildmtomamspeciali
stmformfurthermassessment,musingmmoremdiagnosticmtools.mThemCARSmmaymbemusedmbutmrequiresms
pecialtymtrainingmandmpropermcredentials.mUntilmthemdiagnosismismdetermined,mstrategiesmforminter
ventionmaremnotmdiscussed.mThemM-CHATmismamscreeningmtoolmandmismnotmdiagnostic.



Themmothermofmamnewbornmtellsmthemprimarymcarempediatricmnursempractitionermthatmshemismworri
edmthatmhermchildmwillmdevelopmallergiesmandmasthma.mWhichmtoolmwillmthemnursempractitionermus
emtomevaluatemthismrisk?

Three-generationmpedigree

Reviewmofmsystems

Genogram

Ecomapm-mCORRECTmANSWERmANS:mA

,Themthree-
generationmpedigreemismusedmtommapmoutmrisksmformgeneticmdiseasesminmfamilies,masmwellmasmcondi
tionsmwithmmodifiablemriskmfactors.mThemreviewmofmsystemsmismusedmtomevaluatemthemhistorymofmth
emchild'smbodymsystems.mThemgenogrammismanmapproachmtomdevelopingmamfamilymdatabasemtompro
videmamgraphicmrepresentationmofmfamilymstructure,mroles,mandmproblemsmofmrecurringmsignificanc
eminmamfamily.mThemecomapmismusedmtomidentifymrelationshipsminmthemfamilymandmcommunitymthatm
aremsupportivemormharmful.



Themprimarymcarempediatricmnursempractitionermismperformingmamwellmchildmcheck-upmonmam20-
month-oldmchild.mThemchildmwasm4mweeksmprematuremand,maccordingmtomamparent-
completedmdevelopmentalmquestionnaire,mhasmachievedmmilestonesmformam15-month-
oldminfant.mWhichmactionmismcorrect?

Performmanmin-depthmdevelopmentalmassessmentmscreenmatmthismvisitmtomevaluatemthismchild.

Reassuremthemparentmthatmthemchildmwillmcatchmupmtomnormalmdevelopmentmbymagem2myears.

Re-evaluatemthismchild'smdevelopmentmandmmilestonemachievementsmatmthem2-yearmvisit.

Refermthemchildmtomamspecialtymclinicmformevaluationmandmtreatmentmofmdevelopmentalmdelay.m-
mCORRECTmANSWERmANS:mA



Thismchildmshouldmbematmam19-
monthmadjustedmagemformprematuritymso,maccordingmtomthemparentmscreen,mism4mmonthsmbehind.m
ThemPNPmshouldmperformmammoremin-
depthmscreenmtomevaluatemthismdelay.mWaitingmtomseemifmthemchildmwillm"catchmup"mormassuringmth
emparentmthatmthismwillmhappenmwillmcausemthemdelaysmtombecomemmoremsevere.mAmreferralmtomams
pecialtymclinicmshouldmnotmbemmademsolelymonmthembasismofmthemparent-
completedmquestionnairembutmonlymaftermfurthermevaluationmofmpossiblemdelays.



Whenmformulatingmdevelopmentalmdiagnosesmformpediatricmpatients,mthemprimarymcarempediatric
mnursempractitionermmaymusemwhichmresource?



DC:m0-3R

ICD-10-CM

ICSD-3

NANDAmInternationalm-mCORRECTmANSWERmANS:mA

,ThemDC:m0-
3RmrefersmtomthemDiagnosticmClassificationmofmMentalmHealthmandmDevelopmentalmDisordersmofmIn
fancymandmEarlymChildhoodmandmismusefulmformdevelopmentalmproblemmdiagnosis.mThemICD-10-
CMmismthemInternationalmClassificationmofmDiseases-
TenthmRevision,mClinicalmModificationmandmismusefulmformidentifyingmphysiologicmdiseases.mThemICS
D-3mismthemInternationalmClassificationmofmSleepmDisordersm-
m3rdmedition.mNANDAmInternationalmismusedmtomlabelmproblemsminmthemfunctionalmhealthmdomain.




Themprimarymcarempediatricmnursempractitionermismevaluatingmhealthmliteracyminmthemmothermofmam
newmpreschool-agemchild.mHowmwillmthemnursempractitionermassessmthis?

Askmthemchildmhowmmanymbooksmhemhasmatmhome.

Askmthemmothermaboutmhermhighestmgrademinmschool.

Askmthemmothermtomdeterminemthemcorrectmdosemofmamdrugmfrommamlabel.

Askmthemmothermtomreadmamhealthminformationmhandoutmaloud.m-mCORRECTmANSWERmANS:mA

Them"newestmvitalmsign,"mormhealthmliteracy,mcanmbemdeterminedmquicklymbymaskingmthemparentmh
owmmanymchildren'smbooksmareminmthemhome.mGreatermthanm10mbooksminmthemhomemismanmindepe
ndentmpositivempredictormofmadequatemparentmhealthmliteracy.mThemothermquestionsmmaymdeterm
inemamspecificmlevelmofmliteracyminmgeneralmbutmaremnotmasmefficient.



Themprimarymcarempediatricmnursempractitionermlearnsmthatmthemmothermofmam3-year-
oldmchildmhasmbeenmtreatedmformdepressionmformoverm5myears.mWhichmaspectmofmthismchild'smdevel
opmentmwillmbemofmthemmostmconcernmtomthemnursempractitioner?

Finemmotor

Grossmmotor

Social/emotional

Speechmandmlanguagem-mCORRECTmANSWERmANS:mD

Maternalmdepressionminmthemfirstmyearmofmlifemhasmbeenmassociatedmwithmpoorermlanguagemdevel
opmentmatm3myearsmofmage.

, Themprimarymcarempediatricmnursempractitionermseesmam3-year-
oldmchildmwhomchronicallymwithholdsmstools,minmspitemofmthemparents'mattemptsmtomstopmthembeha
vior,mrequiringmfrequentmtreatmentsmwithmlaxativemmedications.mWhichmdiagnosismwillmthemnursem
practitionermusemtomfacilitatemthird-partymreimbursement?

Alteredmeliminationmpattern

Eliminationmdisorder

Encopresis

Parentingmalterationm-mCORRECTmANSWERmANS:mC

Encopresismismammedicalmdiagnosis,mclassifiedminmthemICD-10-
CM,mandmismrecognizedmformreimbursementmpurposes.m"Alteredmeliminationmpattern"mandm"Paren
tingmalteration"maremNANDAmInternationalmdiagnosesmandmaremnotmrecognizedmformreimbursemen
t.m"Eliminationmdisorder"mismamdevelopmentalmdiagnosis.



Amchildmisminmthemclinicmformevaluationmofmanmasthmamactionmplan.mThemprimarymcarempediatricmnu
rsempractitionermnotesmthatmthemchild'smlastmvisitmwasmformampre-
kindergartenmphysicalmandmobservesmthatmthemchildmismextremelymanxious.mWhatmwillmthemnursem
practitionermdominitially?

Askmthemchild'smparentmwhymthemchildmismsomanxious.

Performmamphysicalmassessmentmtomrulemoutmshortnessmofmbreath.

Reassuremthemchildmthatmtheremismnothingmtombemafraidmof.

Reviewmthempurposemofmthismvisitmandmanymanticipatedmprocedures.m-mCORRECTmANSWERmANS:mD

ThemPNPmshouldmremembermthatmyoungmchildrenmaremlearningm"scripts"mformhealthmcaremvisitsman
dmmaymbemstressedmwhenmrecallingmpreviousmvisits,mespeciallymifmthoseminvolvedmimmunizations.m
ThemPNPmshouldmexplainmthempurposemandmanymanticipatedmproceduresmformthismvisitmtomhelpmput
mthemchildmatmease.




Whenmmeetingmwithmamnewmfamily,mthemprimarymcarempediatricmnursempractitionermdevelopsmamd
atabasemthatmidentifiesmfamilymmembersmandmothersmlivingminmthemhousehold,mrelationshipsmwith
mothersmoutsidemthemhousehold,mandmsignificantmbehavioralmandmemotionalmproblems.mWhichmto


olmwillmthemnursempractitionermusemtomrecordmthisminformation?

CRAFFT