NSG 5442 Exam 2 Questions With Correct
Answers
A |5-year-old |child |is |hit |in |the |face |with |a |baseball |bat |and |is |brought |to |the |clinic |by |a |
parent. |An |exam |reveals |three |avulsed |front |teeth. |Radiologic |studies |are |negative |for |facial |
fractures. |What |is |the |recommended |treatment?
C. |Refer |the |child |to |a |dentist |immediately |for |further |examination
The |parents |of |a |12-year-old
child |are |concerned |that |some |of |the |child’s |older |classmates |may |be |a |bad |influence |on |
their |child, |who, |they |say, |has |been |raised |to |believe |in |right |and |wrong. |What |will |the |
primary |care |pediatric |nurse |practitioner |tell |the |parent?
D. |The |pressures |from |outside |influences |may |supersede |parental |teachings |and |should |be |
confronted
The |primary |care |pediatric |nurse |practitioner |is |preparing |to |conduct |a |well |child |
assessment |of |an |8-year-old |child. |How |will |the |nurse |practitioner |begin |the |exam?
A. |Ask |the |child |about |school, |friends, |home |activities, |and |sports
The |parent |of |a |5-year-old |child |who |has |just |begun |kindergarten |expresses |concern |that |
the |child |will |have |difficulty |adjusting |to |the |birth |of |a |sibling. |What |will |the |primary |care |
pediatric |nurse |practitioner |recommend?
C. |Having |snack |time |with |the |child |each |day |to |discuss |the |school |day
During |a |well |child |exam |on |a |5-year-old |child, |the |primary |care |pediatric |nurse |practitioner |
assesses |the |child |for |school |readiness. |Which |finding |may |be |a |factor |in |limiting |school |
readiness |for |this |child?
C. |Parental |concerns |about |bullying |in |the |school
The |primary |care |pediatric |nurse |practitioner |is |examining |a |school |age
child |who |complains |of |frequent |stomach |pain |and |headaches. |The |parent |reports |that |the |
child |misses |several |days |of |school |each |month. |The |child |has |a |normal |exam. |Before |
,proceeding |with |further |diagnostic |tests, |what |will |the |nurse |practitioner |initially |ask |the |
parent?
A. |About |the |timing |of |the |symptoms |each |day |and |during |the |week
The |primary |care |pediatric |nurse |practitioner |is |evaluating |recurrent
stomach |pain |in |a |school |age |child. |The |child’s |exam |is |normal. |The |nurse |practitioner |learns
|that |the |child |reports |pain |most |evenings |after |school |and |refuses |to |participate |in |sports |
but |does |not |have |nausea |or |vomiting. |The |child’s |grandmother |recently |had |gallbladder |
surgery. |Which |action |is |correct?
A. |Encourage |the |child |to |keep |a |log |of |pain, |stool |patterns, |and |dietary |intake
The |primary |care |pediatric |nurse |practitioner |is |performing |a |well |child
assessment |on |a |13-year-old |female |whose |mother |asks |when |her |daughter’s |periods |may |
start. |Which |information |will |the |nurse |practitioner |use |to |help |estimate |the |onset |of |
periods?
B. |The |patient's |age |at |thelarche
The |primary |care |pediatric |nurse |practitioner |is |examining |a |15-year-old
female |who |reports |having |her |first |period |at |age |13. |She |states |that |she |has
had |five |periods |in |the |last |year, |with |the |last |one |2 |months |prior. |She |participates |in |
basketball |at |school. |Which |action |is |correct?
A. |Perform |biometric |screening |to |determine |lean |body |mass.
During |a |well |child |assessment |of |a |13-year-old |male, |the |primary |care |pediatric |nurse |
practitioner |notes |small |testicles |and |pubic |and |axillary |hair.
To |further |evaluate |these |findings, |the |nurse |practitioner |will |ask |the |patient |about
D. |participation |in |sports.
The |mother |of |a |16-year-old |male |was |recently |divorced |after |several |years
of |an |abusive |relationship |and |tells |the |primary |care |pediatric |nurse |practitioner |that |the |
adolescent |has |begun |skipping |school |and |hanging |out |with |friends |at |the |local |shopping |
mall. |When |she |confronts |her |child, |he |responds |by |saying |that |he |hates |her. |What |will |the |
nurse |practitioner |tell |this |mother?
D. |Adolescents |often |need |counseling |to |help |them |cope |with |life |events.
, The |primary |care |pediatric |nurse |practitioner |is |performing |a |well |child |exam |on |a |12-year-
old |female |who |has |achieved |early |sexual |maturation. |The |mother |reports |that |she |spends |
more |time |with |her |older |sister’s |friends |instead |of |her |own |classmates. |What |will |the |
nurse |practitioner |tell |this |parent?
B. |Girls |who |join |an |older |group |of |peers |may |become |sexually |active |at |an |earlier |age.
The |mother |of |a |15-year-old |adolescent |female |tells |the |primary |care
pediatric |nurse |practitioner |that |her |daughter |has |extreme |mood |swings
prior |to |her |periods, |which |the |adolescent |vehemently |denies. |When |asked |if |she |notices |
anything |different |just |before |her |periods, |the |adolescent |points |to |her |mother |and |says,
|“She |gets |really |hard |to |live |with.” |This |demonstrates |which |characteristic |of |adolescent |
thinking?
A. |Apparent |hypocrisy
The |primary |care |pediatric |nurse |practitioner |is |performing |an |exam |on |an
adolescent |male |who |asks |about |sexual |identity |because |of |concern |that |a |friend |is |worried |
about |being |gay. |Which |response |will |the |nurse |practitioner |make |in |this |situation?
D. |Tell |the |adolescent |that, |unless |he |is |at |risk, |what |he |says |will |be |confidential.
The |parent |of |a |14yearold |child |tells |the |primary |care |pediatric |nurse |practitioner |that |the |
child |skips |classes |frequently |in |spite |of |various |disciplinary |measures, |such |as |grounding |
and |extra |homework |and |is |earning |Cs |and |Ds |in |most |classes. |What |will |the |nurse |
practitioner |recommend?
C. |Evaluation |for |possible |learning |disorders
The |parent |of |a |16-year-old |tells |the |primary |care |pediatric |nurse |practitioner |that |the |teen |
was |recently |caught |smoking |an |electronic |cigarette |(e-cigarette). |What |will |the |nurse |
practitioner |tell |this |parent?
A. |E-cigarette |use |may |be |a |risk |factor |for |later |substance |abuse.
The |parent |of |an |adolescent |reports |noting |cutting |marks |on |the |teen’s |arms |and |asks |the |
primary |care |pediatric |nurse |practitioner |what |it |means. |What |will |the |nurse |practitioner |
tell |this |parent?
A. |Cutting |is |a |way |of |dealing |with |emotional |distress.
The |parent |of |a |child |who |has |asthma |asks |the |primary |care |pediatric
Answers
A |5-year-old |child |is |hit |in |the |face |with |a |baseball |bat |and |is |brought |to |the |clinic |by |a |
parent. |An |exam |reveals |three |avulsed |front |teeth. |Radiologic |studies |are |negative |for |facial |
fractures. |What |is |the |recommended |treatment?
C. |Refer |the |child |to |a |dentist |immediately |for |further |examination
The |parents |of |a |12-year-old
child |are |concerned |that |some |of |the |child’s |older |classmates |may |be |a |bad |influence |on |
their |child, |who, |they |say, |has |been |raised |to |believe |in |right |and |wrong. |What |will |the |
primary |care |pediatric |nurse |practitioner |tell |the |parent?
D. |The |pressures |from |outside |influences |may |supersede |parental |teachings |and |should |be |
confronted
The |primary |care |pediatric |nurse |practitioner |is |preparing |to |conduct |a |well |child |
assessment |of |an |8-year-old |child. |How |will |the |nurse |practitioner |begin |the |exam?
A. |Ask |the |child |about |school, |friends, |home |activities, |and |sports
The |parent |of |a |5-year-old |child |who |has |just |begun |kindergarten |expresses |concern |that |
the |child |will |have |difficulty |adjusting |to |the |birth |of |a |sibling. |What |will |the |primary |care |
pediatric |nurse |practitioner |recommend?
C. |Having |snack |time |with |the |child |each |day |to |discuss |the |school |day
During |a |well |child |exam |on |a |5-year-old |child, |the |primary |care |pediatric |nurse |practitioner |
assesses |the |child |for |school |readiness. |Which |finding |may |be |a |factor |in |limiting |school |
readiness |for |this |child?
C. |Parental |concerns |about |bullying |in |the |school
The |primary |care |pediatric |nurse |practitioner |is |examining |a |school |age
child |who |complains |of |frequent |stomach |pain |and |headaches. |The |parent |reports |that |the |
child |misses |several |days |of |school |each |month. |The |child |has |a |normal |exam. |Before |
,proceeding |with |further |diagnostic |tests, |what |will |the |nurse |practitioner |initially |ask |the |
parent?
A. |About |the |timing |of |the |symptoms |each |day |and |during |the |week
The |primary |care |pediatric |nurse |practitioner |is |evaluating |recurrent
stomach |pain |in |a |school |age |child. |The |child’s |exam |is |normal. |The |nurse |practitioner |learns
|that |the |child |reports |pain |most |evenings |after |school |and |refuses |to |participate |in |sports |
but |does |not |have |nausea |or |vomiting. |The |child’s |grandmother |recently |had |gallbladder |
surgery. |Which |action |is |correct?
A. |Encourage |the |child |to |keep |a |log |of |pain, |stool |patterns, |and |dietary |intake
The |primary |care |pediatric |nurse |practitioner |is |performing |a |well |child
assessment |on |a |13-year-old |female |whose |mother |asks |when |her |daughter’s |periods |may |
start. |Which |information |will |the |nurse |practitioner |use |to |help |estimate |the |onset |of |
periods?
B. |The |patient's |age |at |thelarche
The |primary |care |pediatric |nurse |practitioner |is |examining |a |15-year-old
female |who |reports |having |her |first |period |at |age |13. |She |states |that |she |has
had |five |periods |in |the |last |year, |with |the |last |one |2 |months |prior. |She |participates |in |
basketball |at |school. |Which |action |is |correct?
A. |Perform |biometric |screening |to |determine |lean |body |mass.
During |a |well |child |assessment |of |a |13-year-old |male, |the |primary |care |pediatric |nurse |
practitioner |notes |small |testicles |and |pubic |and |axillary |hair.
To |further |evaluate |these |findings, |the |nurse |practitioner |will |ask |the |patient |about
D. |participation |in |sports.
The |mother |of |a |16-year-old |male |was |recently |divorced |after |several |years
of |an |abusive |relationship |and |tells |the |primary |care |pediatric |nurse |practitioner |that |the |
adolescent |has |begun |skipping |school |and |hanging |out |with |friends |at |the |local |shopping |
mall. |When |she |confronts |her |child, |he |responds |by |saying |that |he |hates |her. |What |will |the |
nurse |practitioner |tell |this |mother?
D. |Adolescents |often |need |counseling |to |help |them |cope |with |life |events.
, The |primary |care |pediatric |nurse |practitioner |is |performing |a |well |child |exam |on |a |12-year-
old |female |who |has |achieved |early |sexual |maturation. |The |mother |reports |that |she |spends |
more |time |with |her |older |sister’s |friends |instead |of |her |own |classmates. |What |will |the |
nurse |practitioner |tell |this |parent?
B. |Girls |who |join |an |older |group |of |peers |may |become |sexually |active |at |an |earlier |age.
The |mother |of |a |15-year-old |adolescent |female |tells |the |primary |care
pediatric |nurse |practitioner |that |her |daughter |has |extreme |mood |swings
prior |to |her |periods, |which |the |adolescent |vehemently |denies. |When |asked |if |she |notices |
anything |different |just |before |her |periods, |the |adolescent |points |to |her |mother |and |says,
|“She |gets |really |hard |to |live |with.” |This |demonstrates |which |characteristic |of |adolescent |
thinking?
A. |Apparent |hypocrisy
The |primary |care |pediatric |nurse |practitioner |is |performing |an |exam |on |an
adolescent |male |who |asks |about |sexual |identity |because |of |concern |that |a |friend |is |worried |
about |being |gay. |Which |response |will |the |nurse |practitioner |make |in |this |situation?
D. |Tell |the |adolescent |that, |unless |he |is |at |risk, |what |he |says |will |be |confidential.
The |parent |of |a |14yearold |child |tells |the |primary |care |pediatric |nurse |practitioner |that |the |
child |skips |classes |frequently |in |spite |of |various |disciplinary |measures, |such |as |grounding |
and |extra |homework |and |is |earning |Cs |and |Ds |in |most |classes. |What |will |the |nurse |
practitioner |recommend?
C. |Evaluation |for |possible |learning |disorders
The |parent |of |a |16-year-old |tells |the |primary |care |pediatric |nurse |practitioner |that |the |teen |
was |recently |caught |smoking |an |electronic |cigarette |(e-cigarette). |What |will |the |nurse |
practitioner |tell |this |parent?
A. |E-cigarette |use |may |be |a |risk |factor |for |later |substance |abuse.
The |parent |of |an |adolescent |reports |noting |cutting |marks |on |the |teen’s |arms |and |asks |the |
primary |care |pediatric |nurse |practitioner |what |it |means. |What |will |the |nurse |practitioner |
tell |this |parent?
A. |Cutting |is |a |way |of |dealing |with |emotional |distress.
The |parent |of |a |child |who |has |asthma |asks |the |primary |care |pediatric
