QUESTIONS AND CORRECT VERIFIED ANSWERS /NR 507
EXAM 3 ALREADY GRADED A+
The parent of a child newly diagnosed with epilepsy asks the primary
care pediatric nurse practitioner if the child will ever be able to
participate in gym or sports What will the nurse practitioner
recommend?
A. Bicycle riding is not safe for children with seizures.
B. Contact sports should be avoided
C. Direct supervision of some activities is necessary.
D. Underwater sports are not recommended.
C. Direct supervision of some activities is necessary.
The primary care pediatric nurse practitioner is counselling a parent
about bicycle helmet use. The parent reports having a helmet used a
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?
A. "As long as the helmet does not have cracks, you may use it."
B. "If the helmet is free from marks, you may use it."
C. "You may continue to use a helmet up to 10 years."
D. "You should always purchase a new helmet for each child."
B. "If the helmet is free from marks, you may use it."
The primary care pediatric nurse practitioner is performing a pre-
participation sports physical examination on a 14-year-old male who
will be on the wresting team at school. What will the nurse
practitioner include when discussing healthy practices with this
adolescent?
A. Risks associated with repeatedly losing and gaining weight
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,B. The need for an electrocardiogram or echocardiogram prior to
participation
C. The need to consume 20 to 30 grams of protein after exercise
D. To consume water with CHO prior to activity lasting up to an hour
A. Risks associated with repeatedly losing and gaining weight
During a well child examination of a 6-year-old girl, the primary care
pediatric nurse practitioner notes that the child becomes embarrassed
and resists taking of their underwear for the exam. What should the
nurse practitioner infer from this observation?
a. The child has been sexually molested.
b. The child is feeling violated by the examiner.
c. The parent is exhibiting regressive behavior.
d. This is a normal reaction in a child of this age.
d. This is a normal reaction in a child of this age.
The primary care pediatric nurse practitioner is performing a well
child exam on an 8-year-old and notes the presence of breast buds.
What will the nurse practitioner include when initiating anticipatory
guidance for this patient?
a. A discussion about the risks of pregnancy and sexually transmitted
diseases
b. Information about sexual maturity and menstrual periods
c. Material about the human papillomavirus vaccine
d. Sexual orientation and the nature of sexual relationships
b. Information about sexual maturity and menstrual periods
The primary care pediatric nurse practitioner is performing a well
child examination on a 3-year-old. The child's parent reports that the
child has recently begun masturbating. What will the nurse
practitioner counsel this parent?
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, a. To allow the behavior whenever it occurs, since it is normal
b. To discuss sexuality with the child
c. To explore whether the child is being abused
d. To teach the child about privacy and hand hygiene
d. To teach the child about privacy and hand hygiene
The primary care pediatric nurse practitioner is providing anticipatory
guidance to the parent of a school age boy. The parent expresses
concerns that the child prefers to play with dolls, is worried that the
child will be a homosexual, and auks what can we done to prevent
this from happening. What will the nurse practitioner tell this parent?
a. Homosexual identity formation cannot be predicted by early
childhood behavior.
b. Masculinizing boys from an early age helps to determine
heterosexual orientation.
c. Sexual orientation identification begins late in adolescence and not
in childhood.
d. The development of sexual orientation is generally a multifaceted
process.
d. The development of sexual orientation is generally a multifaceted
process.
The parents of a 4-year-old boy are concerned because he has begun
twisting and pumping out his hair, especially when he is tired or
stressed. What will the primary care nurse practitioner recommend as
part of the initial approach to treat this behavior.
a. Consultation with a pediatric behavioral specialist
b. Cutting his hair so that it is too short to pull
c. Longterm antistreptococcal prophylaxis
d. Medication with risperidol or clonidine
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