Final Exam Questions With Guaranteed
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When providing well child care for an infant in the first year of life, the primarycare pediatric
nurse practitioner is adhering to the most recent American Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines by - Answer
scheduling wellbaby visits to coincide with key developmental milestones.
The primary care pediatric nurse practitioner is performing a well child check up on a 20 month
old child. The child was 4 weeks premature and, according to a parent completed
developmental questionnaire, has achieved milestones for a 15 month old infant. Which action
is correct? - Answer Perform an indepth developmental assessment screen at this visit to
evaluate this child.
A head circumference is being measured at a 4 month olds well-baby checkup. It is noted that
thehead circumference has not grown since the previous assessment. The nurse should: -
Answer Re-measure the head circumference, check developmental milestones, assess the
nutritional status,and discuss the findings with the doctor.
A mother brings her 9 month infant in for a routine visit. What milestone would be appropriate
for the doctor to ask if the infant is meeting? - Answer Rolls back to stomach and stomach to
back
The primary care pediatric nurse practitioner is performing a well baby examination on a 2 week
old infant who was recently discharged home from the neonatal intensive care unit. The mother
reports that the infant was born at 26 weeks' gestation and states she was told that her baby
will probably have developmental delays. What is the most important aspect of
longtermmanagement for this infant? - Answer Careful monitoring of attainment of
developmental milestones
A female infant who was developing normally s tops meeting developmentalmilestones at age
12 months and then begins losing previously acquired skills. What will the primary care
pediatric nurse practitioner expect to tell the parents about this child's prognosis? - Answer
The child's intellectual development will not progress further.
A 4 year old child who has previously met developmental milestones is not toilet trained. The
primary care pediatric nurse practitioner notes decreased reflexes in the lower extremities and
observe a dimple above the gluteal cleft. Which diagnosis may be considered for this child? -
,The parent of a 24 month old child asks the primary care pediatric nurse practitioner when
toilet training should begin. How will the pediatric nurse practitioner respond? - Answer "Tell
me about your child's daily habits."
The primary care pediatric nurse practitioner is performing a well child exam on a 12 month old
infant. The parent tells the nurse practitioner that the infant has predictable bowel and bladder
habits and asks about toilet training. What will the nurse practitioner tell this parent? - Answer
Placing the child on a "potty" chair helps the child associate elimination cues with the toilet.
The primary care pediatric nurse practitioner is performing a well child exam on a 24 month old
child. The parent tells the nurse practitioner that the child is being toilet trained and expresses
frustration that on some days the child uses the toilet every time and on other days not at all.
What will the nurse practitioner do? - Answer Ask the parent about the child's toilet habits
and understanding of toilet
training.
The primary care pediatric nurse practitioner is discussing toileting issues with the parent of a
3yearoldtoddler who reports that the child has been toilet trained forseveral months but has
recently been refusing to have bowel movements and is becoming
constipated. What will the nurse practitioner do? - Answer Ask the parent about bathroom
facilities in the child's day care.
The primary care pediatric nurse practitioner is evaluating a 5 year old child who has frequent
soiling of stool associated with stomach aches and decreased appetite for the past 2 months.
The parent states that the child has two or fewer formed bowel movements each week and has
been toilet trained for about 2 years. Which initial assessment will the
nurse practitioner make? - Answer Recent illnesses, fluid intake, changes in diet
The primary care pediatric nurse practitioner is managing a 6 year old child who has chronic
constipation and encopresis. The nurse practitioner has ruled out neurogenic etiology. The
parents report that the child was difficult to toilet train as a toddler. What is key to managing
this child's condition? - Answer Encouraging use of maintenance medications for at least 2
months after resolution of constipation
The parent of a 5 year old child tells the primary care pediatric nurse practitioner that the child
has been using the toilet to urinate for since age 3 but continues to defecate in "pullups."The
nurse practitioner learns that the child has predictable bowel movements and a physical
examination is normal. What will the nurse practitioner recommend? - Answer Putting the
,A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric nurse
practitioner notes that the child's last visit was for a pre kindergarten physical and observes that
the child is extremely anxious. What will the nurse practitioner do initially? - Answer Review
the purpose of this visit and any anticipated procedures.
The mother of a newborn tells the primary care pediatric nurse practitioner that she is worried
that her child will develop allergies and asthma. Which tool will the nurse practitioner use to
evaluate this risk? - Answer Three generation pedigree
The primary care pediatric nurse practitioner prescribes a twice daily inhaled corticosteroid for
a 12 year old child. At a well child visit, the child reports not using the medication on a regular
basis. Which response by the pediatric nurse practitioner demonstrates an understanding of
client centered care? - Answer Asking the child to describe usual daily routines and schedules
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? - Answer Health
perception
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? - Answer Obtaining pre and post treatment spirometry
testing
The parent of a child who has asthma asks the primary care pediatric nurse practitioner about
whether the child may engage in strenuous exercise. What will the nurse practitioner tell the
parent? - Answer Children with asthma show improved aerobic and anaerobic fitness with
moderate to vigorous/physical activity.
The parent of a high school basketball player tells the primary care pediatric nurse practitioner
that the adolescent becomes short of breath only when exercising. What will the nurse
practitioner recommend? - Answer Evaluation for underlying cardiac causes of this symptom
A 4 year old child who has asthma has teeth with smooth, cupped out teeth on the chewing
, The primary care pediatric nurse practitioner diagnoses a 5 year old child with asthma and
prescribes an oral steroid and a short acting beta adrenergic medication via a metered dose
inhaler to manage acute symptoms. Along with education about the prescribed medications,
what information is important to give the child's family at this visit? - Answer Effects and side
effects of current medications
The primary care pediatric nurse practitioner orders a pulmonology consult for a child who has
severe asthma. The nurse practitioner writes "child with asthma refractory to conventional
treatments needs suggestions for alternative treatments." The nurse practitioner expects the
pulmonologist to - Answer make recommendations for disease management.
The primary care pediatric nurse practitioner is counseling an adolescent who was recently
hospitalized for an asthma exacerbation and learns that the child usually forgets to use twice
daily
inhaled corticosteroid medications that are supposed to be given at 0800 and 2000 each day.
Which strategy may be useful in this case to improve adherence? - Answer Ask the adolescent
to identify two times each day that may work better.
The parent of a school age child who has asthma tells the primary care pediatric nurse
practitioner that the child often comes home from school with severe wheezing after gym class
and needs to use his metered dose inhaler right away. What will the nursepractitioner do? -
Answer Write the prescription for two metered dose inhalers with spacers
The primary care pediatric nurse practitioner is evaluating an 11 month old infant who has had
three viral respiratory illnesses causing bronchiolitis. The child's parents both have seasonal
allergies and ask whether the infant may have asthma. What will the nurse practitioner tell the
parents? - Answer "Although it is likely, based on family history, it is too soon to tell."
A school age child who uses a SABA and an inhaled corticosteroid medication is seen in the
clinic for an acute asthma exacerbation. After 4 puffs of an inhaled short acting B2 agonist
(SABA) every 20 minutes for three treatments, spirometry testing shows an FEV1 of 60% of the
child's personal best. What will the primary care pediatric nurse practitioner do next? - Answer
Order an oral corticosteroid, continue the SABA every 3 to 4 hours, and Follow closely.
A child who has been diagnosed with asthma for several years has been using a short acting B2
agonist
(SABA) to control symptoms. The primary care pediatric nurse practitioner learns that the child
has recently begun using the SABA two or three times each week to treat wheezing and
Pass Solutions Rated A+.
When providing well child care for an infant in the first year of life, the primarycare pediatric
nurse practitioner is adhering to the most recent American Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines by - Answer
scheduling wellbaby visits to coincide with key developmental milestones.
The primary care pediatric nurse practitioner is performing a well child check up on a 20 month
old child. The child was 4 weeks premature and, according to a parent completed
developmental questionnaire, has achieved milestones for a 15 month old infant. Which action
is correct? - Answer Perform an indepth developmental assessment screen at this visit to
evaluate this child.
A head circumference is being measured at a 4 month olds well-baby checkup. It is noted that
thehead circumference has not grown since the previous assessment. The nurse should: -
Answer Re-measure the head circumference, check developmental milestones, assess the
nutritional status,and discuss the findings with the doctor.
A mother brings her 9 month infant in for a routine visit. What milestone would be appropriate
for the doctor to ask if the infant is meeting? - Answer Rolls back to stomach and stomach to
back
The primary care pediatric nurse practitioner is performing a well baby examination on a 2 week
old infant who was recently discharged home from the neonatal intensive care unit. The mother
reports that the infant was born at 26 weeks' gestation and states she was told that her baby
will probably have developmental delays. What is the most important aspect of
longtermmanagement for this infant? - Answer Careful monitoring of attainment of
developmental milestones
A female infant who was developing normally s tops meeting developmentalmilestones at age
12 months and then begins losing previously acquired skills. What will the primary care
pediatric nurse practitioner expect to tell the parents about this child's prognosis? - Answer
The child's intellectual development will not progress further.
A 4 year old child who has previously met developmental milestones is not toilet trained. The
primary care pediatric nurse practitioner notes decreased reflexes in the lower extremities and
observe a dimple above the gluteal cleft. Which diagnosis may be considered for this child? -
,The parent of a 24 month old child asks the primary care pediatric nurse practitioner when
toilet training should begin. How will the pediatric nurse practitioner respond? - Answer "Tell
me about your child's daily habits."
The primary care pediatric nurse practitioner is performing a well child exam on a 12 month old
infant. The parent tells the nurse practitioner that the infant has predictable bowel and bladder
habits and asks about toilet training. What will the nurse practitioner tell this parent? - Answer
Placing the child on a "potty" chair helps the child associate elimination cues with the toilet.
The primary care pediatric nurse practitioner is performing a well child exam on a 24 month old
child. The parent tells the nurse practitioner that the child is being toilet trained and expresses
frustration that on some days the child uses the toilet every time and on other days not at all.
What will the nurse practitioner do? - Answer Ask the parent about the child's toilet habits
and understanding of toilet
training.
The primary care pediatric nurse practitioner is discussing toileting issues with the parent of a
3yearoldtoddler who reports that the child has been toilet trained forseveral months but has
recently been refusing to have bowel movements and is becoming
constipated. What will the nurse practitioner do? - Answer Ask the parent about bathroom
facilities in the child's day care.
The primary care pediatric nurse practitioner is evaluating a 5 year old child who has frequent
soiling of stool associated with stomach aches and decreased appetite for the past 2 months.
The parent states that the child has two or fewer formed bowel movements each week and has
been toilet trained for about 2 years. Which initial assessment will the
nurse practitioner make? - Answer Recent illnesses, fluid intake, changes in diet
The primary care pediatric nurse practitioner is managing a 6 year old child who has chronic
constipation and encopresis. The nurse practitioner has ruled out neurogenic etiology. The
parents report that the child was difficult to toilet train as a toddler. What is key to managing
this child's condition? - Answer Encouraging use of maintenance medications for at least 2
months after resolution of constipation
The parent of a 5 year old child tells the primary care pediatric nurse practitioner that the child
has been using the toilet to urinate for since age 3 but continues to defecate in "pullups."The
nurse practitioner learns that the child has predictable bowel movements and a physical
examination is normal. What will the nurse practitioner recommend? - Answer Putting the
,A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric nurse
practitioner notes that the child's last visit was for a pre kindergarten physical and observes that
the child is extremely anxious. What will the nurse practitioner do initially? - Answer Review
the purpose of this visit and any anticipated procedures.
The mother of a newborn tells the primary care pediatric nurse practitioner that she is worried
that her child will develop allergies and asthma. Which tool will the nurse practitioner use to
evaluate this risk? - Answer Three generation pedigree
The primary care pediatric nurse practitioner prescribes a twice daily inhaled corticosteroid for
a 12 year old child. At a well child visit, the child reports not using the medication on a regular
basis. Which response by the pediatric nurse practitioner demonstrates an understanding of
client centered care? - Answer Asking the child to describe usual daily routines and schedules
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? - Answer Health
perception
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? - Answer Obtaining pre and post treatment spirometry
testing
The parent of a child who has asthma asks the primary care pediatric nurse practitioner about
whether the child may engage in strenuous exercise. What will the nurse practitioner tell the
parent? - Answer Children with asthma show improved aerobic and anaerobic fitness with
moderate to vigorous/physical activity.
The parent of a high school basketball player tells the primary care pediatric nurse practitioner
that the adolescent becomes short of breath only when exercising. What will the nurse
practitioner recommend? - Answer Evaluation for underlying cardiac causes of this symptom
A 4 year old child who has asthma has teeth with smooth, cupped out teeth on the chewing
, The primary care pediatric nurse practitioner diagnoses a 5 year old child with asthma and
prescribes an oral steroid and a short acting beta adrenergic medication via a metered dose
inhaler to manage acute symptoms. Along with education about the prescribed medications,
what information is important to give the child's family at this visit? - Answer Effects and side
effects of current medications
The primary care pediatric nurse practitioner orders a pulmonology consult for a child who has
severe asthma. The nurse practitioner writes "child with asthma refractory to conventional
treatments needs suggestions for alternative treatments." The nurse practitioner expects the
pulmonologist to - Answer make recommendations for disease management.
The primary care pediatric nurse practitioner is counseling an adolescent who was recently
hospitalized for an asthma exacerbation and learns that the child usually forgets to use twice
daily
inhaled corticosteroid medications that are supposed to be given at 0800 and 2000 each day.
Which strategy may be useful in this case to improve adherence? - Answer Ask the adolescent
to identify two times each day that may work better.
The parent of a school age child who has asthma tells the primary care pediatric nurse
practitioner that the child often comes home from school with severe wheezing after gym class
and needs to use his metered dose inhaler right away. What will the nursepractitioner do? -
Answer Write the prescription for two metered dose inhalers with spacers
The primary care pediatric nurse practitioner is evaluating an 11 month old infant who has had
three viral respiratory illnesses causing bronchiolitis. The child's parents both have seasonal
allergies and ask whether the infant may have asthma. What will the nurse practitioner tell the
parents? - Answer "Although it is likely, based on family history, it is too soon to tell."
A school age child who uses a SABA and an inhaled corticosteroid medication is seen in the
clinic for an acute asthma exacerbation. After 4 puffs of an inhaled short acting B2 agonist
(SABA) every 20 minutes for three treatments, spirometry testing shows an FEV1 of 60% of the
child's personal best. What will the primary care pediatric nurse practitioner do next? - Answer
Order an oral corticosteroid, continue the SABA every 3 to 4 hours, and Follow closely.
A child who has been diagnosed with asthma for several years has been using a short acting B2
agonist
(SABA) to control symptoms. The primary care pediatric nurse practitioner learns that the child
has recently begun using the SABA two or three times each week to treat wheezing and
