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N588 Quiz 8 and 9 with complete questions and correct answers.docx

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N588 Quiz 8 and 9 with complete questions and correct

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N588
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N588

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N588 Quiz 8 and 9 with complete
questions and correct answers
When conducting a well child check up for a 10 year-old child, what anticipatory guidance should the
family nurse practitioner provide when addressing the leading cause of unintentional injury-related
death in this age group?

Store firearms in a locked safe with ammunition stored separately.

Review car seat safety guidelines

Wear life jacket when near open water.

Check all smoke detectors every 6 months. - Correct Answer: Review car seat safety guidelines



The parents of a 7-year-old ask about how long the child needs to stay in a booster seat. What is the
most appropriate response?

The child needs to stay in a booster seat until the seat belt fits properly, or around the time the child is 4
feet 9 inches tall

Only a lap belt is needed at this age

A booster seat is no longer needed

The child needs to stay in a booster seat until they are 13 - Correct Answer: The child needs to stay in a
booster seat until the seat belt fits properly, or around the time the child is 4 feet 9 inches tall



The parent of a toddler is concerned the child swallowed something. Which item, if swallowed, would
warrant immediate intervention?

Over-the-counter gummy multivitamin

Piece of bubble gum

Disc battery

Small plastic craft bead - Correct Answer: Disc battery



What anticipatory guidance is most appropriate to discuss regarding prevention of gun violence? (Select
all that apply.)

Encourage the parent to teach the child how to shoot a gun safely

The safest homes are free of firearms

,Encourage parents to register all guns as required by their state

If guns are in the home, they should be unloaded and store separately from ammunition - Correct
Answer: The safest homes are free of firearms

If guns are in the home, they should be unloaded and store separately from ammunition



Which child is at most risk for a fatal unintentional injury?

A toddler with a swimming pool in the family's yard.

A 10-year-old exposed to secondhand cigarette smoke.

A 6-year-old riding a bicycle without a helmet.

A 7-year-old who lives in a household with guns locked in gun cabinet. - Correct Answer: A toddler with a
swimming pool in the family's yard.



What is the leading cause of unintentional injury causing death in the infant population?

Drowning

Suffocation

Fall

Motor vehicle accident - Correct Answer: Suffocation



Which part of a family history is a risk factor for potential child maltreatment?

Child attends day care

Mother works outside the home

No membership in a church

Limited financial resources - Correct Answer: Limited financial resources



Which of the following is most likely to be the victim of intentional injury?

A 9-month-old who had an unwitnessed fall at daycare.

A 12-month-old with bruising to the shins.

A 6-month-old who fell off the bed and mom brought the infant immediately to the ED.

A 2-week-old who rolled off the changing table. - Correct Answer: A 2-week-old who rolled off the
changing table.

, The primary care family nurse practitioner is evaluating a 12-year-old girl who reports penile penetration
of her vagina by her mother's boyfriend the day before yesterday. The FNP reports this to the local child
abuse hotline. What is the FNP's next action?

Attaining a history of the abuse from the child

Referring the child to the ED for evaluation by child abuse specialist

Obtaining urethral specimens for STI testing

Performing a colposcopic examination to evaluate for trauma - Correct Answer: Referring the child to
the ED for evaluation by child abuse specialist



A 3-month old presents with signs of abusive head trauma. What additional findings may be present?
(Select all that apply.)

Rib fractures from excessive squeezing of the torso

Cervical injury secondary to hypoflexion

Skull fracture from blunt force trauma

Lower extremity ligament tears - Correct Answer: Rib fractures from excessive squeezing of the torso

Skull fracture from blunt force trauma



Which type of abuse is most common in the pediatric population?

Sexual abuse

Sexual trafficking

Physical abuse

Neglect - Correct Answer: Neglect



Who is the most common perpetrator to abuse a child?

A step parent

A sibling

A biological parent

A stranger - Correct Answer: A biological parent

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