Peds CE PNP-PC Exam with Questions and Answers

Peds CE PNP-PC Exam with Questions and Answers An eight-year-old child comes to the clinic with a history of hard, painful bowel movements. The child's physical examination yields normal findings and an x-ray confirms constipation. The pediatric primary care nurse practitioner instructs the parent to increase fiber-rich foods for the child and to: a. Increase cheese intake to two slices per day b. Limit milk consumption to 16 oz per day c. Limit the child to one candy bar per day d. Offer 24 oz of a sports drink per day ANSWER b. Limit milk consumption to 16 oz per day Rationale: Milk containing products and those high in carbohydrates tend to worsen constipation. The recommendations for children for milk consumption should be 16 oz per day. Increasing the cheese intake could worsen constipation. Candy bars should not be offered daily but only occasionally as a treat. Sport drinks are high in carbohydrates which adds unnecessary calories to the child's diet. Children should consume water and 2 glasses a milk daily with avoidance of sugary beverages (Burns, Bright Future) A pediatric primary care nurse practitioner notes seven café-au-lait spots of 0.5cm to 1cm in diameter on a six-year-old child. The nurse practitioner's next action is to: a. Prescribe hyrdrocortisone valerate (Westcort) cream b. Prescribe ketoconazole (Nizoral) cream c. Provide genetic counseling to the family d. Refer the patient to a neurologist ANSWER d. Refer the patient to a neurologist