NU 665 COMPRENSIVE TEST BANK EXAM 2026 -
2027\LATEST VERSION WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
\VERIFIED 100% \BRAND NEW ACTUAL FINAL
EXAM & MIDTERM PREP
Mrs. Allen is a 60-year-old woman who has been diagnosed with
osteoporosis. She is very concerned about the risk of breast cancer
associated with hormone replacement therapy and is wondering what
other treatments are available to
her. The clinician explains that bisphosphonates are another class of
drugs used in the prevention and treatment of osteoporosis. What
teaching should the
clinician give Mrs. Allen in regard to taking bisphosphonates?
There is potential for upper GI irritation, so these medications are
contraindicated in people with abnormalities of the esophagus or delayed
esophageal emptying.
Which stage of Paget's disease is characterized by elevated numbers of
osteoblasts, resulting in abnormal increases in bone remodeling and
leading to an irregular deposition of collagen fibers?
Mixed
,Which of the following statements concerning the treatment of
fibromyalgia syndrome is true?
There is currently no cure for the disorder; however, patients should be
made aware that symptom relief is possible. Treatment is directed
toward controlling discomfort, improving sleep, and maintaining
function. Fibromyalgia syndrome can be difficult to manage, requiring
a variety of approaches and multiple
medications.
One of the most frequent presenting signs/symptoms of osteoporosis is:
Bony fracture
Mrs. Thomas was seen in the office complaining of pain and point
tenderness in the area of her elbow. The pain has increased following a
day of gardening one week ago. A physical finding that differentiates
the diagnosis and is most consistent with lateral epicondylitis (tennis
elbow) is:
Pain at the elbow with resisted movements at the wrist and forearm
A 70-year-old female has fallen 2 weeks ago and developed immediate pain in
her left wrist. She thought she just bruised it but is worried because it has not
improved. She has used Tylenol® and ice at home, and that has helped slightly.
You examine her and find she has moderate swelling and ecchymosis but no
overtly obvious deformity. Her ROM is uncomfortable and severely diminished
due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is
strong; and capillary refill is less than 2 seconds. What should you do?
Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.
,A school-age child has a fractured wrist with a Salter Harris Type II
fracture, according to the radiologist. What is true about this type of
fracture?
There is a metaphyseal fragment on the compression side of fracture.
During a well child assessment of a preschool-age child, the parent
voices concerns that because the child has behavior problems at school,
the child may have a mental health disorder. Which initial approach will
provide the best
information? JJJJ. Ask the parent whether other caregivers have voiced
similar concerns.
Take time to actively listen to the parent's and child's perceptions of the
problem.
The primary care pediatric nurse practitioner attempts to learn more about
the emotional health of an 18-month-old child through which assessment
strategy?
Observation of the child with caretakers in structured and unstructured
situations
A middle school age child is skipping school frequently and getting poor
grades since the child's father was killed while deployed in the military.
How will the
primary care pediatric nurse practitioner manage this situation?
Refer the child to a mental health specialist for evaluation and treatment.
, The parent of a 4-year-old child reports that the child seems to be having
trouble adjusting to a new daycare and reportedly is always engaging in
solitary play when the parent arrives to pick up the child. What will the
primary care
pediatric nurse practitioner do?
Ask the parent if the child is slow to warm up to other new situations.
The parent of a preschool age child reports that the child often appears
anxious and nervous and that this is associated occasionally with a rapid
heart rate and
tremors. What is the best type of referral that the primary care pediatric
nurse practitioner could recommend?
Play therapy
A 9-year-old child exhibits school refusal and a reluctance to attend
sleepovers with classmates. The parent is concerned because the child has
recently begun sleeping in the parents' bed. Which initial action by the
primary care pediatric
nurse practitioner is appropriate?
Assess for environmental stress, parental dysfunction, and maternal
depression.
2027\LATEST VERSION WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
\VERIFIED 100% \BRAND NEW ACTUAL FINAL
EXAM & MIDTERM PREP
Mrs. Allen is a 60-year-old woman who has been diagnosed with
osteoporosis. She is very concerned about the risk of breast cancer
associated with hormone replacement therapy and is wondering what
other treatments are available to
her. The clinician explains that bisphosphonates are another class of
drugs used in the prevention and treatment of osteoporosis. What
teaching should the
clinician give Mrs. Allen in regard to taking bisphosphonates?
There is potential for upper GI irritation, so these medications are
contraindicated in people with abnormalities of the esophagus or delayed
esophageal emptying.
Which stage of Paget's disease is characterized by elevated numbers of
osteoblasts, resulting in abnormal increases in bone remodeling and
leading to an irregular deposition of collagen fibers?
Mixed
,Which of the following statements concerning the treatment of
fibromyalgia syndrome is true?
There is currently no cure for the disorder; however, patients should be
made aware that symptom relief is possible. Treatment is directed
toward controlling discomfort, improving sleep, and maintaining
function. Fibromyalgia syndrome can be difficult to manage, requiring
a variety of approaches and multiple
medications.
One of the most frequent presenting signs/symptoms of osteoporosis is:
Bony fracture
Mrs. Thomas was seen in the office complaining of pain and point
tenderness in the area of her elbow. The pain has increased following a
day of gardening one week ago. A physical finding that differentiates
the diagnosis and is most consistent with lateral epicondylitis (tennis
elbow) is:
Pain at the elbow with resisted movements at the wrist and forearm
A 70-year-old female has fallen 2 weeks ago and developed immediate pain in
her left wrist. She thought she just bruised it but is worried because it has not
improved. She has used Tylenol® and ice at home, and that has helped slightly.
You examine her and find she has moderate swelling and ecchymosis but no
overtly obvious deformity. Her ROM is uncomfortable and severely diminished
due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is
strong; and capillary refill is less than 2 seconds. What should you do?
Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.
,A school-age child has a fractured wrist with a Salter Harris Type II
fracture, according to the radiologist. What is true about this type of
fracture?
There is a metaphyseal fragment on the compression side of fracture.
During a well child assessment of a preschool-age child, the parent
voices concerns that because the child has behavior problems at school,
the child may have a mental health disorder. Which initial approach will
provide the best
information? JJJJ. Ask the parent whether other caregivers have voiced
similar concerns.
Take time to actively listen to the parent's and child's perceptions of the
problem.
The primary care pediatric nurse practitioner attempts to learn more about
the emotional health of an 18-month-old child through which assessment
strategy?
Observation of the child with caretakers in structured and unstructured
situations
A middle school age child is skipping school frequently and getting poor
grades since the child's father was killed while deployed in the military.
How will the
primary care pediatric nurse practitioner manage this situation?
Refer the child to a mental health specialist for evaluation and treatment.
, The parent of a 4-year-old child reports that the child seems to be having
trouble adjusting to a new daycare and reportedly is always engaging in
solitary play when the parent arrives to pick up the child. What will the
primary care
pediatric nurse practitioner do?
Ask the parent if the child is slow to warm up to other new situations.
The parent of a preschool age child reports that the child often appears
anxious and nervous and that this is associated occasionally with a rapid
heart rate and
tremors. What is the best type of referral that the primary care pediatric
nurse practitioner could recommend?
Play therapy
A 9-year-old child exhibits school refusal and a reluctance to attend
sleepovers with classmates. The parent is concerned because the child has
recently begun sleeping in the parents' bed. Which initial action by the
primary care pediatric
nurse practitioner is appropriate?
Assess for environmental stress, parental dysfunction, and maternal
depression.
