2026 UPDATE | WITH COMPLETE SOLUTION
1 of 42
Term
The primary care pediatric nurse practitioner is counseling a parent
about bicyclehelmet use. The parent reports having a helmet used a
year previously by an older child and wonders about using it for a
younger child since they are so expensive. What will the nurse
practitioner tell the parent?
Q. "As long as the helmet does not have cracks, you may use it."
R. "If the helmet is free from marks, you may use it."
S. "You may continue to use a helmet up to 10 years."
T."You should always purchase a new helmet for each child."
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, R. "If the helmet is free from C. Their child should have a cervical
marks, you may use it." spine evaluation before
participation in sports.
H. to stop breastfeeding C. Sleep disorders at this age can
immediately. have long-term impacts on learning.
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2 of 42
Term
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 antagonistmedication and anasal steroid spray. The primary
care pediatric nurse practitioner will refer the child to a sleep
disorder clinic to discuss which therapy?
R. Craniofacial surgery
S. R. Oral appliances
T. Positive airway pressure therapy
U. Supplemental oxygen
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ZZ. To work with a dietician C. That she can express breast milk
to improve healthy weight and feed that to her infant
gain
, T. Positive airway M. The child may continue to
pressure therapy participate in soccer.
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3 of 42
Term
The primary care pediatric nurse practitioner is counseling a new
parent about ways to reduce the risk of sudden infant death
syndrome (SIDS). What will the nurse practitioner include when
discussing SIDS?
M. Bedsharing with infants greatly increases the risk of SIDS.
N. Breastfeeding does not appear to have any influence on SIDS
risk.
O. Infants who attend day care have a higher than usual incidence of
SIDS.
P.There is no difference in SIDS rates in immunized versus
non immunized infants.
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T. Understanding that sleep M. Bedsharing with infants
disturbance is a common greatly increases the risk
developmental problem of SIDS.
Y. Risks associated with R. Waking the infant up at
repeatedly losing and gaining least every 3 hours to nurse
weight
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4 of 42
, Term
The primary care pediatric nurse practitioner counseling the parent
of an overweight school age child about improving overall
fitness. What will the nurse practitioner include?
A. Encourage the child to begin by engaging in swimming or cycling.
B.Exercise will help lower total cholesterol and low density
lipoproteins.
C. School age children need 60 minutes of moderate exercise daily.
D.Strength training exercises are not safe for school age children.
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B. A murmur that is quieter when A. Encourage the child to
squatting and louder with a begin by engaging in
Valsalva maneuver swimming or cycling.
R. Waking the infant up at Y. Risks associated with
least every 3 hours to nurse repeatedly losing and gaining
weight
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5 of 42
Term
The parent of a 4yearold who has difficulty initiating and maintaining
sleep has tried several nonpharmacological methods with variable
success and asks about medications. What will the primary care
pediatric nurse practitioner recommend?
X. Diphenhydramine .