NURS 629 PED EXAM 4
QUESTIONS & ANSWERS 100%
CORRECT (FULLY SOLVED)
1. The primary care pediatric nurse practitioner counseling the
parent of an
overweight schoolage child about improving overall fitness.
What will the nurse practitioner
include? - correct answer- Encourage the child to begin
by engaging in swimming or cycling.
10. A 12yearold child has a recent history of increased thirst and
frequent urination. ID: 13348407688 The
child's weight has been in the 95th percentile for several years.
A dipstick UA is positive for glucose,
and random plasma glucose is 350 mg/dL. Which test will the
primary care pediatric nurse practitioner
order to determine the type of diabetes in this child? - correct
answer- Pancreatic antibodies
10. A 9yearold 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? - correct answer- Assess for environmental
stress, parental dysfunction, and maternal
depression
10. A child who plays soccer is in the clinic reporting pain and
swelling in both knees. A physical examination reveals swelling
and focal tenderness at the tibial tuberosities, with pain
worsening when asked to extend the knees against resistance.
What is the treatment for this condition? - correct answer-
Apply ice packs to both knees and avoid activities that cause
pain.
10. An adolescent has 2+ proteinuria in a random dipstick
urinalysis. A subsequent first morning voided specimen is
negative. What will the primary care pediatric nurse practitioner
do to manage this condition? - correct answer- Monitor
for proteinuria at each annual well child examination.
10. During a well child exam on a 5yearold 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? - correct answer-
Parental concerns about bullying in the school
10. The primary care pediatric nurse practitioner is assessing an
ill 2monthold infant
who is febrile and refusing most fluids. The preliminary blood
work indicates a viral infection and
shows that the infant is hydrated. The infant is alert. The infant's
parents are attentive and live
close by. What will the nurse practitioner do? - correct
answer- Give the parents sick care instructions and follow
up in the clinic in the morning.
10. The primary care pediatric nurse practitioner is evaluating a
4yearold
female child for enuresis. The parents reports that the child has
never been dry at night and has
recently begun having daytime incontinence, usually when at
preschool. The nurse practitioner
learns that the child does not appear to have an abnormal urine
stream. What will the nurse
, practitioner do next? - correct answer- Examine the
urethral meatus and labia and obtain a dipstick clean catch
urinalysis.
10. The primary care pediatric nurse practitioner is evaluating a
schoolage child who,
after removal of a pituitary tumor, has altered hypothalamic
control over hunger and satiety.
The child is morbidly obese and expresses feeling depressed
because of the obesity. What
will the nurse practitioner recommend? - correct answer-
Restricting all access to food in the house and at school
10. The primary care pediatric nurse practitioner is examining a
3yearold child
who speaks loudly, in a monotone, does not make eye contact,
and prefers to sit on the exam
room floor moving a toy truck back and forth in a repetitive
manner. Which disorder does the
nurse practitioner suspect? - correct answer- Autism
spectrum disorder
QUESTIONS & ANSWERS 100%
CORRECT (FULLY SOLVED)
1. The primary care pediatric nurse practitioner counseling the
parent of an
overweight schoolage child about improving overall fitness.
What will the nurse practitioner
include? - correct answer- Encourage the child to begin
by engaging in swimming or cycling.
10. A 12yearold child has a recent history of increased thirst and
frequent urination. ID: 13348407688 The
child's weight has been in the 95th percentile for several years.
A dipstick UA is positive for glucose,
and random plasma glucose is 350 mg/dL. Which test will the
primary care pediatric nurse practitioner
order to determine the type of diabetes in this child? - correct
answer- Pancreatic antibodies
10. A 9yearold 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? - correct answer- Assess for environmental
stress, parental dysfunction, and maternal
depression
10. A child who plays soccer is in the clinic reporting pain and
swelling in both knees. A physical examination reveals swelling
and focal tenderness at the tibial tuberosities, with pain
worsening when asked to extend the knees against resistance.
What is the treatment for this condition? - correct answer-
Apply ice packs to both knees and avoid activities that cause
pain.
10. An adolescent has 2+ proteinuria in a random dipstick
urinalysis. A subsequent first morning voided specimen is
negative. What will the primary care pediatric nurse practitioner
do to manage this condition? - correct answer- Monitor
for proteinuria at each annual well child examination.
10. During a well child exam on a 5yearold 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? - correct answer-
Parental concerns about bullying in the school
10. The primary care pediatric nurse practitioner is assessing an
ill 2monthold infant
who is febrile and refusing most fluids. The preliminary blood
work indicates a viral infection and
shows that the infant is hydrated. The infant is alert. The infant's
parents are attentive and live
close by. What will the nurse practitioner do? - correct
answer- Give the parents sick care instructions and follow
up in the clinic in the morning.
10. The primary care pediatric nurse practitioner is evaluating a
4yearold
female child for enuresis. The parents reports that the child has
never been dry at night and has
recently begun having daytime incontinence, usually when at
preschool. The nurse practitioner
learns that the child does not appear to have an abnormal urine
stream. What will the nurse
, practitioner do next? - correct answer- Examine the
urethral meatus and labia and obtain a dipstick clean catch
urinalysis.
10. The primary care pediatric nurse practitioner is evaluating a
schoolage child who,
after removal of a pituitary tumor, has altered hypothalamic
control over hunger and satiety.
The child is morbidly obese and expresses feeling depressed
because of the obesity. What
will the nurse practitioner recommend? - correct answer-
Restricting all access to food in the house and at school
10. The primary care pediatric nurse practitioner is examining a
3yearold child
who speaks loudly, in a monotone, does not make eye contact,
and prefers to sit on the exam
room floor moving a toy truck back and forth in a repetitive
manner. Which disorder does the
nurse practitioner suspect? - correct answer- Autism
spectrum disorder
