QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ The use of a continuous positive airway pump in the treatment of sleep
apnea will:a. reduce bronchospasm.b. force expansion of pleural
membranes.c. maintain an open airway.d. awaken the person and increase
respirations..
Answer: c. maintain an open airway.
◍ The primary care pediatric nurse practitioner is examining a young child
who has cerebral palsy. Which part of the family history raises concerns
about potential child maltreatment?a. Child attends day careb. Limited
financial resourcesc. Mother works outside the homed. No membership in a
church.
Answer: b. Limited financial resources
◍ A client diagnosed with chronic obstructive pulmonary disease is
experiencing pneumonia. Thenurse applies oxygen at 2 L/min via nasal
cannula. When the nurse leaves the room, a familymember increases the
oxygen to 5
L. Which complication may occur?a.Anginab.Apneac.Metabolic
acidosisd.Respiratory alkalosis.
Answer: b.Apnea
◍ Jason, age 62, has obstructive sleep apnea. What do you think is one of his
contributing factors?a. He is a recovering alcoholic of 6 years.b. His collar
size is 17 inches.c. He is the only person in his family who has this.d. He is
extremely thin..
Answer: b. His collar size is 17 inches.
,◍ The primary care pediatric nurse practitioner suspects that the parent of a
child who is doing poorly in school is being abused by a partner. What is a
priority response by the nurse practitioner?a. Notifying the child's school
counselor about this problemb. Referring the child and family to a social
workerc. Reporting this according to any mandated reporting laws d.
Suggesting that the parent avoid the abusive situation.
Answer: c. Reporting this according to any mandated reporting laws
◍ Which of the following is a possible consequence of sleep apnea?a.
Asthmab. Increased white blood cellsc. Insulin resistanced. Hyperactivity.
Answer: c. Insulin resistance
◍ The primary care pediatric nurse practitioner is examining a young child
who was brought in by a grandmother for evaluation of a partialthickness
burn on one arm. The PNP suspects that this is an intentional injury, but the
grandmother states that the parents are "just careless" and that the child is
now living with her. What will the PNP do?a. Flag this as a concerning
incident in the child's record.b. Reassure the grandmother that she is doing
the right thing.c. Refer the child's parents to a parenting resource center.d.
Report a suspicion of abuse to child protective services..
Answer: d. Report a suspicion of abuse to child protective services.
◍ The primary care pediatric nurse practitioner is evaluating a 12yearold girl
who reports penile penetration of her vagina by her mother's boyfriend the
day before yesterday. The PNP reports this to the local child abuse hotline.
What is the PNP's next action?a. Attaining a history of the abuse from the
childb. Obtaining urethral specimens for STI testingc. Performing a
colposcopic examination to evaluate for traumad. Referring the child to the
ED for forensic specimen collection.
Answer: d. Referring the child to the ED for forensic specimen collection
◍ What intervention should the primary care provider (PCP) encourage all
parents to implement to engage in the best management of potential serious
child related injuries?a. Being aware of the causes of common childhood
injuriesb. Actively engaging in attentive parenting practicesc. Actively
, supporting state and federal programs like Safe Kids USAd. Being
proficient in basic pediatric life support techniques.
Answer: d. Being proficient in basic pediatric life support techniques
◍ The nurse is reviewing clients for risk factors in the development of
pneumonia. Which of thefollowing clients would be at the highest risk for
developing this disorder?1. A 48-year-old client experiencing menopause2.
An 18-year-old client with abdominal pain3. A 23-year-old client diagnosed
with sickle-cell anemia and a cough4. A 3-year-old client with fever.
Answer: 3. A 23-year-old client diagnosed with sickle-cell anemia and a
cough
◍ 2.A client diagnosed with chronic obstructive pulmonary disease is
experiencing pneumonia. Thenurse applies oxygen at 2 L/min via nasal
cannula. When the nurse leaves the room, a familymember increases the
oxygen to 5
L. Which complication may occur?1. Angina2. Apnea3. Metabolic
acidosis4. Respiratory alkalosis.
Answer: 2. Apnea
◍ A 3-year-old child is recovering from injuries sustained in a motor vehicle
accident. How will the primary care pediatric nurse practitioner evaluate this
child's pain?a. Ask the child to rate pain intensity on a 4- to 5-item pain
discrimination scale.b. Have the child describe any pain as "no pain, a little
pain, or a lot of pain." c. Question the child about the intensity and specific
location of any pain.d. Rely on nonverbal responses such as facial
expressions and limb movements..
Answer: b. Have the child describe any pain as "no pain, a little pain, or a lot
of pain."
◍ A 4-year-old child has just been released from the hospital after orthopedic
surgery on one leg following a bicycle accident. The child is sitting quietly
on the exam table. When asked to rate pain, the child points to the "1" on a
faces rating pain scale. What will the primary care pediatric nurse
practitioner do next?a. Assess the child's vital signs and ability to walk
, without pain. b. Refill the prescription for a narcotic analgesic medication.c.
Suggest that the parents give acetaminophen for mild pain.d. Teach the
parent to give analgesics based on the child's report of pain..
Answer: a. Assess the child's vital signs and ability to walk without pain.
◍ The nurse has a positive PPD during the last testing cycle for tuberculosis.
Which of the followingis indicated for this nurse?1. Nothing2. Chest x-rays
every 2 months3.Pharmacological treatment4.Admission for inpatient
treatment.
Answer: 3.Pharmacological treatment
◍ The primary care pediatric nurse practitioner is preparing to perform a
painful procedure on a 4-month-old infant. Besides providing local
anesthesia, what other pain control method provides analgesic effects?a.
Providing toysb. Singing or musicc. Sucrose solutiond. Swaddling or
cuddling.
Answer: c. Sucrose solution
◍ An adolescent takes ibuprofen, acetaminophen, and a tricyclic
antidepressant (TCA) to treat phantom limb pain and reports that the
medications are no longer effective. What will the primary care pediatric
nurse practitioner do?a. Change the TCA to a selective serotonin reuptake
inhibitor.b. Evaluate the adolescent for drugseeking behavior.c. Increase the
TCA dose and reevaluate in 2 to 3 weeks.d. Refer the adolescent to a pain
management specialist..
Answer: d. Refer the adolescent to a pain management specialist.
◍ A client undergoes a purified protein derivative (PPD) test. The test should
be read:1.immediately after the test.2.24 to 48 hours after the test.3.48 to 72
hours after the test.4.anytime after 72 hours..
Answer: 3.48 to 72 hours after the test.
◍ The parent of a schoolage child with a chronic pain condition tells the
primary care pediatric nurse practitioner that the child has requested to stay
home from school more often in the past few months. The child's exam does
not reveal any significant change in pathology, and a review of the child's