The parent of a 5-year-old child who has just begun kindergarten expresses concern
that the child will have difficulty adjusting to the birth of a sibling. What will the
primary care pediatric nurse practitioner recommend?
A. Allowing the child opportunities to discuss feelings about the baby
B. Giving the child specific baby care tasks to promote sibling bonding
C. Having snack time with the child each day to discuss the school day
D. Providing reassurance that the sibling will not replace the child
Give this one a try later!
C. Having snack time with the child each day to discuss the school day
,A child with cerebral palsy receives all nutrition via gastrostomy tube. What will the
primary care pediatric nurse practitioner recommend to promote dental health in this
child?
A. Applying topical iodine every month
B. Daily chlorhexidine gluconate rinses
C. Ordering medications to prevent drooling
D. Prescribing prophylactic antibiotics
Give this one a try later!
B. Daily chlorhexidine gluconate rinses
The parent of a preschool age child calls the clinic to report that the child has clear,
watery drainage from both eyes, mild erythema of the conjunctiva, and no fever or
other symptoms. What will the primary care pediatric nurse practitioner recommend?
A. Allow the child to go to preschool.
B. Bring the child to the clinic for a culture.
C. Keep the child home for 2 days.
D. Use antibiotic eyedrops for 3 days.
Give this one a try later!
A. Allow the child to go to preschool.
A toddler exhibits exotropia of the right eye during a cover uncover screen. The
primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to
,initiate which treatment?
A. Botulinum toxin injection
B. Corrective lenses
C. Occluding the affected eye for 6 hours per day
D. Patching of the unaffected eye for 2 hours each day
Give this one a try later!
D. Patching of the unaffected eye for 2 hours each day
The primary care pediatric nurse practitioner is performing an initial well
child exam on a 3-year-old child recently adopted from Africa. The adoptive parent
has a record of immunizations indicating that the child is fully vaccinated. What will the
nurse practitioner do?
A. Administer a booster dose of each vaccine to ensure immunity.
B. Find out whether the vaccines were provided by reliable suppliers.
C. Perform antibody titers and reimmunize the child.
D. Record the vaccines in the child’s electronic medical record.
Give this one a try later!
C. Perform antibody titers and reimmunize the child.
A 2-month-old infant has a staccato cough and fever. Which aspect of the history is
most important in determining the diagnosis?
A. Day care attendance
B. Immunization history
, C. Medication history
D. Past medical history
Give this one a try later!
B. Immunization history
A child with Down syndrome who has sleep disordered breathing with
obstructive sleep apnea continues to have symptoms in spite of tonsillectomy and
adenoidectomy and treatment with a leukotriene receptor antagonist medication and
a nasal steroid spray. The primary care pediatric nurse practitioner will refer the child
to a sleep disorder clinic to discuss which therapy?
A. Craniofacial surgery
B. Oral appliances
C. Positive airway pressure therapy
D. Supplemental oxygen
Give this one a try later!
C. Positive airway pressure therapy
What is the most important role of the primary care pediatric nurse practitioner who
provides care for a child with special health care needs who sees several specialists
and receives community and school based services?
A. Assessing the parent’s ability to perform home care tasks
B. Coordinating services to ensure continuity of care
C. Monitoring the family’s adherence to the health care plan
D. Ordering medications and other prescribed treatments
that the child will have difficulty adjusting to the birth of a sibling. What will the
primary care pediatric nurse practitioner recommend?
A. Allowing the child opportunities to discuss feelings about the baby
B. Giving the child specific baby care tasks to promote sibling bonding
C. Having snack time with the child each day to discuss the school day
D. Providing reassurance that the sibling will not replace the child
Give this one a try later!
C. Having snack time with the child each day to discuss the school day
,A child with cerebral palsy receives all nutrition via gastrostomy tube. What will the
primary care pediatric nurse practitioner recommend to promote dental health in this
child?
A. Applying topical iodine every month
B. Daily chlorhexidine gluconate rinses
C. Ordering medications to prevent drooling
D. Prescribing prophylactic antibiotics
Give this one a try later!
B. Daily chlorhexidine gluconate rinses
The parent of a preschool age child calls the clinic to report that the child has clear,
watery drainage from both eyes, mild erythema of the conjunctiva, and no fever or
other symptoms. What will the primary care pediatric nurse practitioner recommend?
A. Allow the child to go to preschool.
B. Bring the child to the clinic for a culture.
C. Keep the child home for 2 days.
D. Use antibiotic eyedrops for 3 days.
Give this one a try later!
A. Allow the child to go to preschool.
A toddler exhibits exotropia of the right eye during a cover uncover screen. The
primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to
,initiate which treatment?
A. Botulinum toxin injection
B. Corrective lenses
C. Occluding the affected eye for 6 hours per day
D. Patching of the unaffected eye for 2 hours each day
Give this one a try later!
D. Patching of the unaffected eye for 2 hours each day
The primary care pediatric nurse practitioner is performing an initial well
child exam on a 3-year-old child recently adopted from Africa. The adoptive parent
has a record of immunizations indicating that the child is fully vaccinated. What will the
nurse practitioner do?
A. Administer a booster dose of each vaccine to ensure immunity.
B. Find out whether the vaccines were provided by reliable suppliers.
C. Perform antibody titers and reimmunize the child.
D. Record the vaccines in the child’s electronic medical record.
Give this one a try later!
C. Perform antibody titers and reimmunize the child.
A 2-month-old infant has a staccato cough and fever. Which aspect of the history is
most important in determining the diagnosis?
A. Day care attendance
B. Immunization history
, C. Medication history
D. Past medical history
Give this one a try later!
B. Immunization history
A child with Down syndrome who has sleep disordered breathing with
obstructive sleep apnea continues to have symptoms in spite of tonsillectomy and
adenoidectomy and treatment with a leukotriene receptor antagonist medication and
a nasal steroid spray. The primary care pediatric nurse practitioner will refer the child
to a sleep disorder clinic to discuss which therapy?
A. Craniofacial surgery
B. Oral appliances
C. Positive airway pressure therapy
D. Supplemental oxygen
Give this one a try later!
C. Positive airway pressure therapy
What is the most important role of the primary care pediatric nurse practitioner who
provides care for a child with special health care needs who sees several specialists
and receives community and school based services?
A. Assessing the parent’s ability to perform home care tasks
B. Coordinating services to ensure continuity of care
C. Monitoring the family’s adherence to the health care plan
D. Ordering medications and other prescribed treatments
