Test Bank for Pediatric Primary Care 6th Edition Burns, Dunn, Brady (Complete Guide)

Test Bank for Pediatric Primary Care 6th Edition Burns, Dunn, Brady (Complete Guide) The primary care pediatric nurse practitioner is preparing to perform a well child ID: 90 examination on a 5yearold child who has multiple developmental and cognitive delays. The child’s mother is angry and tells the nurse practitioner that her friends’ children are all preparing for kindergarten. The nurse practitioner will A. allow the mother to express her feelings, understanding that she is experiencing grief. Correct B. reassure the mother that special educational opportunities are available for her child. C. suggest that the mother find a support group with other children with special needs. D. tell her that most schools provide services for children with special health care needs. 7. The parent of a toddler who has special health care needs is resistant to a ID: 66 suggestion that her child needs a gastrostomy tube for nutrition. The toddler has fallen from the 10th percentile to the 5th percentile in the past few months and resists taking in appropriate amounts of food by mouth even with assistance from occupational therapy. What will the primary care pediatric nurse practitioner do? A. Inform the mother that, since other options have failed, the gastrostomy tube is the only option. B. Refer the child to a dietician to teach the mother the importance of adequate nutrition. C. Set weight gain and food intake goals with the mother and schedule regular visits to monitor weight. Correct D. Suggest that the gastrostomy tube may be tried temporarily and removed once the child gains weight. 8. What is the most important role of the primary care pediatric nurse practitioner ID: 92 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 NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 B. Coordinating services to ensure continuity of care Correct C. Monitoring the family’s adherence to the health care plan NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 D. Ordering medications and other prescribed treatments 9. A toddler swallowed a coin several days prior. The child’s parent has not found ID: 76 the coin in the child’s stool. Which imaging test will the primary care pediatric nurse practitioner employ to evaluate this ingestion? A. Abdominal ultrasound B. Computed tomography C. Conventional radiograph Correct D. Magnetic resonance imaging 10. The primary care pediatric nurse practitioner is assessing an ill 2-month-old infant ID: 72 who is febrile and refusing most fluids. The preliminary blood work indicates a viral infection and shows that the infant is hydrated. The infant is alert. The infant’s parents are attentive and live close by. What will the nurse practitioner do? A. Administer a parenteral antibiotic and antipyretic and send the infant home. B. Admit the infant to an inpatient hospital unit for overnight monitoring. C. Give the parents sick care instructions and follow up in the clinic in the morning. Correct D. Send the infant to the urgent care center for intravenous fluids. 11. A toddler is prescribed a liquid oral medication. The parent tells the primary care ID: 84 pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do? A. Demonstrate oral medication administration with the toddler in the office. rrect B. Instruct the parent to hide the medication in a favorite food or beverage. C. Order the medication to be given via another route if possible. D. Tell the parent to offer the child a reward each time the medication is taken. 12. The primary care pediatric nurse practitioner orders a pulmonology consult for a ID: 88 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 A. confirm the medical diagnosis for the child’s parents. B. make recommendations for disease management. Correct C. stress the importance of adherence to the medication regimen. NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 D. take over management of this child’s chronic illness. NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 13. The primary care pediatric nurse practitioner cares for several families with K. L. ID: chronically ill children who text status updates about their children to a mobile device that has an encryption- protection platform installed. If the nurse practitioner misplaces the mobile device, it is important to A. disconnect the user from the system to avoid a data breach. Correct B. notify the families that their messages may be read by others. C. obtain a new device as soon as possible to resume communication. D. upload the messages from another remote device. 14. The parent of an 18-month-old child calls the clinic to report that the child has a I. J. ID: rectal temperature of 100.4°F (38°C). The child is playing normally, taking fluids well, and has a slightly reduced appetite. What will the primary care pediatric nurse practitioner recommend? G. A. Administering an antipyretic medication B. Bringing the child to the clinic for evaluation C. Offering extra fluids and calling if symptoms change orrect D. Ordering outpatient lab work such as a CBC 15. The parent of a preschool-age child calls the clinic to report that the child has H. ID: 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. Correct 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.. 16. A parent brings a 4-month-old infant to the clinic who has had a low-grade fever E. F. ID: for 24 hours. The primary care nurse practitioner notes that the infant has a weak cry, slightly dry oral mucosa, mottled skin, and a respiratory rate of 65 breaths per minute and sleeps unless stimulated by the examiner,. What will the nurse practitioner do? A. Administer oral fluids in the clinic. B. Admit the infant to the hospital. Correct C. Order outpatient laboratory tests. D. Send the infant home with close follow-up. NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 Questions 1. A pharmaceutical company has developed a new drug that was tested only ID: 05 on adults. The FDA has declared this drug to have potential benefits for ill children. According to the Pediatric Research Equity Act (PREA), what may the pharmaceutical company be required to do? A. Conduct pediatric drug studies to determine whether the drug is safe and effective in children. Correct B. Provide labeling stating that the safety and efficacy of the drug is not established for children. C. Receive a patent extension for conducting pediatric studies to determine use in children. D. Survey existing data about the drug to determine potential use in the pediatric population. 2. The primary care pediatric nurse practitioner prescribes a new medication for ID: 09 a child who develops a previously unknown adverse reaction. To report this, the nurse practitioner will A. access the BPCA website. B. call the PREA hotline. C. log onto the FDA Medwatch website. Correct D. use the AAP online PediaLink program. 3. The primary care pediatric nurse practitioner is considering use of a relatively ID: 01 new drug for a 15-month-old child. The drug is metabolized by the liver, so the nurse practitioner will consult a pharmacologist to discuss giving the drug: A. less often or at a lower dose. Correct B. more often or at a higher dose. C. via a parenteral route. D. via the oral route. 4. The primary care pediatric nurse practitioner is considering using a drug for ID: 07 an “offlabel” use in a child. The nurse practitioner has used the drug in a similar situation previously, has consulted a pharmacology resource and the FDA website, and has determined that there are no significant contraindications and warnings for this child. What else must the nurse practitioner do when prescribing this drug? A. Discuss recommendations with the parents and document their consent. Correct NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 B. Document anecdotal reports of previous use of the drug by other providers. NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 C. Follow up daily with the parents to determine safe administration of the drug. I. D. Report this use to the FDA Medwatch website for tracking purposes. 5. The primary care pediatric nurse practitioner is counseling an adolescent J. ID: 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? A. Ask the adolescent to identify two times each day that may work better. Correct B. Consider having the school nurse supervise medication administration. G. C. Prescribing a daily oral corticosteroid medication instead. D. Suggest that the parent enforce the medication regimen each day. 6. The primary care pediatric nurse practitioner is treating a toddler who has a H. ID: lower respiratory tract illness with a low-grade fever. The child is eating and taking fluids well and has normal oxygen saturations in the clinic. The nurse practitioner suspects that the child has a viral pneumonia and will A. order an anti-viral medication and schedule a follow-up appointment. B. prescribe a broad-spectrum antibiotic until the lab results are received. C. teach the parents symptomatic care and order labs to help with the diagnosis. Correct D. write a prescription for an antibiotic to be given if the child’s condition worsens. E. 7. The single mother of a 4-year-old who attends day care tells the primary care F. ID: pediatric nurse practitioner that she had difficulty giving her child a twice-daily amoxicillin for 10 days to treat otitis media during a previous episode several months earlier because she works two jobs and is too busy. The child has an ear infection in the clinic today. What will the nurse practitioner do? C. A. Administer an intramuscular antibiotic. B. Order twice-daily amoxicillin for 5 days. C. Prescribe azithromycin once daily for 5 days. Correct D. Reinforce the need to adhere to the plan of care. 8. The parent of a school-age child who has asthma tells the primary care D. ID: 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 nurse practitioner do? NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 A. Recommend that the child go to the school nurse when symptoms start. B. Review the child’s asthma action plan and possibly increase his steroid dose. NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 Continue C. Suggest asking the school to excuse the child from gym class. D. Write the prescription for two metered-dose inhalers with spacers. Correct NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 Questions 1. The primary care pediatric nurse practitioner is evaluating a 10-year-old child ID: 17 who is describing shooting pain in both legs associated with aching, tingling, and burning. The child is unable to pinpoint specific locations for this pain. Which type of pain does the nurse practitioner suspect? A. Chronic pain B. Neuropathic pain Correct C. Somatic pain D. Visceral pain 2. A 3-year-old child is recovering from injuries sustained in a motor vehicle ID: 21 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.” Correct 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. 3. A 4-year-old child has just been released from the hospital after orthopedic ID: 25 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. Correct 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. 4. A developmentally and cognitively disabled 10-year-old child who is unable to ID: 27 communicate must undergo a series of surgeries, and the child’s parent asks how to know if the child is in pain and when to give pain medication. What will the primary care pediatric nurse practitioner teach this parent to use to assess this child’s pain? A. Comfort scale B. FLACC scale C. NCCPC-R Correct D. Non-verbal observations NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 Correct 5. The primary care pediatric nurse practitioner is preparing to perform a painful ID: 23 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 Correct D. Swaddling or cuddling 6. An adolescent female reports moderate dysmenorrhea with periods and tells the primary care pediatric nurse practitioner that 400 mg ibuprofen every 6 to 8 completely control her pain. What will the nurse practitioner recommend? A. Increasing the ibuprofen dose to 600 to 800 mg every 6 to 8 hours B. Taking extra-strength acetaminophen 1000 mg every 4 to 6 hours C. Taking naproxen 500 mg initially and then 250 mg every 6 to 8 hours D. Using extended-release naproxen 500 mg every 12 hours 7. What is the most important dose-limiting factor when prescribing acetaminophen with hydrocodone? A. Acetaminophen dose Correct B. Gastrointestinal side effects C. Pruritis symptoms D. Urinary retention 8. An adolescent takes ibuprofen, acetaminophen, and a tricyclic antidepressant ID: 33 hours doesn’t ID: 31 ID: 19 (TCA) to treat phantom limb pain and reports that the medications are no longer effective. What will the primary care pediatric nurse practitioner do? A. Change the TCA to a selective serotonin reuptake inhibitor. B. Evaluate the adolescent for drug-seeking behavior. C. Increase the TCA dose and reevaluate in 2 to 3 weeks. D. Refer the adolescent to a pain management specialist. Correct 9. The parent of a school-age child with a chronic pain condition tells the ID: 29 primary care pediatric nurse practitioner that the child has requested to stay home from school more often in the past few months. The child’s exam does not reveal any significant change in pathology, and a review of the child’s medications indicates appropriate dosing of analgesic NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 medications. What will the nurse practitioner recommend? A. Assessing the child’s pain every day to determine changes NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 Continue B. Ensuring the child stays quiet in bed with videos when having pain C. Having the child do homework when staying home from school Correct D. Requiring the child to go to school even during pain episodes NR 602 final Test Bank Pediatric Primary Care 6th Edition Burns, Dunn, Brady. 2021 Questions 1. 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 Correct C. Medication history D. Past medical history 2. When reviewing a white blood cell (WBC) count, the primary care pediatric nurse practitioner suspects a viral infection when which WBC element is elevated? A. Bands B. Leukocytes C. Lymphocytes D. Neutrophils 3. Which lab value is most concerning in an infant with fever and a suspected bacterial infection? A. C-reactive protein of 11.5 mg/L Correct B. Lymphocyte count of 8.7 C. Platelet count of 475 D. White blood cell count of 14 4. A toddler is receiving long-term antibiotics to treat osteomyelitis. Which laboratory ID: 47 ID: 99 ID: 51 ID: 93 test will the primary care pediatric nurse practitioner order to monitor response to therapy in this child? A. Blood cultures B. Erythrocyte sedimentation rate (ESR) Correct C. Serum procalcitonin (Pro-CT) D. White blood count (WBC) 5. According to recent research, which populations may have higher rates of under- ID: 79 immunization than others? A. Those with higher rates of Asians