FNP 593 Test 1 Prep | Questions and answers | latest update
Terms in this set (201)
The primary care pediatric nurse practitioner is examining b. Limited financial
resources a young child who has cerebral palsy. Which part of the
family history raises concerns about potential child
maltreatment?
a.Child attends day care
b.Limited financial resources
c. Mother works outside the home
d.No membership in a church
The primary care pediatric nurse practitioner suspects c. Reporting this according to any mandated reporting
laws 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
problem
b.Referring the child and family to a social worker
c. Reporting this according to any mandated
reporting laws
d.Suggesting that the parent avoid the abusive situation
,The primary care pediatric nurse practitioner is examining d. Report a suspicion of abuse to child protective
services. 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.
The primary care pediatric nurse practitioner is evaluating d. Referring the child to the ED for forensic specimen
collection 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 child
b.Obtaining urethral specimens for STI testing
c. Performing a colposcopic examination to evaluate for
trauma
d.Referring the child to the ED for forensic
specimen collection
What intervention should the primary care provider (PCP) d. Being proficient in basic pediatric life support
techniques 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
injuries
b.Actively engaging in attentive parenting practices
c.Actively supporting state and federal programs like
Safe Kids USA
d.Being proficient in basic pediatric life
support techniques
A 3-year-old child is recovering from injuries sustained in b. Have the child describe any pain as "no pain, a little pain, or a lot
of pain." 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.
,The primary care pediatric nurse practitioner is preparing c. Sucrose
solution 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 toys
b.Singing or music
c. Sucrose solution
d.Swaddling or cuddling
An adolescent takes ibuprofen, acetaminophen, and a d. Refer the adolescent to a pain management
specialist. 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.
, The parent of a schoolage child with a chronic pain
c. Having the child do homework when staying home from school
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 medications
indicates appropriate dosing of analgesic
medications.
What will the nurse practitioner recommend?
a. Assessing the child's pain every day to
determine changes
b.Ensuring the child stays quiet in bed with videos
when having pain
c. Having the child do homework when staying home
from school
d.Requiring the child to go to school even during pain
episodes
The parent of a 2-week-old infant reports that the
c. recovery is usually complete with minimal intervention and treatments.
infant was diagnosed with transient tachypnea of the
newborn shortly after birth. The primary care
pediatric nurse practitioner understands that, in this
condition,
a.antibiotic therapy is generally necessary to
prevent severe infection.
b.home oxygen therapy is needed until the infant
grows out of the condition.
c. recovery is usually complete with minimal
intervention and treatments.
d.treatment with exogenous surfactant and
mechanical ventilation is needed.
The parent of a 4-week-old infant reports that the infant
b. Obtain serum electrolytes and hospitalize for surgical intervention.
began having forceful vomiting 1 week prior, which
has worsened over time. The infant continues to
nurse well but is losing weight. A physical examination
reveals a 90g weight loss over the past 2 weeks, dry
mucous membranes, and a sunken fontanel. What will
the primary care pediatric nurse practitioner do?
a.Encourage the mother to nurse the infant
more frequently for shorter duration.
b.Obtain serum electrolytes and hospitalize for surgical
intervention.
c. Recommend oral rehydration fluids for 24 to 48
hours to correct dehydration.
d.Suggest trying a soybased or hydrolyzed
protein formula until vomiting resolves.
Terms in this set (201)
The primary care pediatric nurse practitioner is examining b. Limited financial
resources a young child who has cerebral palsy. Which part of the
family history raises concerns about potential child
maltreatment?
a.Child attends day care
b.Limited financial resources
c. Mother works outside the home
d.No membership in a church
The primary care pediatric nurse practitioner suspects c. Reporting this according to any mandated reporting
laws 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
problem
b.Referring the child and family to a social worker
c. Reporting this according to any mandated
reporting laws
d.Suggesting that the parent avoid the abusive situation
,The primary care pediatric nurse practitioner is examining d. Report a suspicion of abuse to child protective
services. 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.
The primary care pediatric nurse practitioner is evaluating d. Referring the child to the ED for forensic specimen
collection 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 child
b.Obtaining urethral specimens for STI testing
c. Performing a colposcopic examination to evaluate for
trauma
d.Referring the child to the ED for forensic
specimen collection
What intervention should the primary care provider (PCP) d. Being proficient in basic pediatric life support
techniques 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
injuries
b.Actively engaging in attentive parenting practices
c.Actively supporting state and federal programs like
Safe Kids USA
d.Being proficient in basic pediatric life
support techniques
A 3-year-old child is recovering from injuries sustained in b. Have the child describe any pain as "no pain, a little pain, or a lot
of pain." 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.
,The primary care pediatric nurse practitioner is preparing c. Sucrose
solution 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 toys
b.Singing or music
c. Sucrose solution
d.Swaddling or cuddling
An adolescent takes ibuprofen, acetaminophen, and a d. Refer the adolescent to a pain management
specialist. 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.
, The parent of a schoolage child with a chronic pain
c. Having the child do homework when staying home from school
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 medications
indicates appropriate dosing of analgesic
medications.
What will the nurse practitioner recommend?
a. Assessing the child's pain every day to
determine changes
b.Ensuring the child stays quiet in bed with videos
when having pain
c. Having the child do homework when staying home
from school
d.Requiring the child to go to school even during pain
episodes
The parent of a 2-week-old infant reports that the
c. recovery is usually complete with minimal intervention and treatments.
infant was diagnosed with transient tachypnea of the
newborn shortly after birth. The primary care
pediatric nurse practitioner understands that, in this
condition,
a.antibiotic therapy is generally necessary to
prevent severe infection.
b.home oxygen therapy is needed until the infant
grows out of the condition.
c. recovery is usually complete with minimal
intervention and treatments.
d.treatment with exogenous surfactant and
mechanical ventilation is needed.
The parent of a 4-week-old infant reports that the infant
b. Obtain serum electrolytes and hospitalize for surgical intervention.
began having forceful vomiting 1 week prior, which
has worsened over time. The infant continues to
nurse well but is losing weight. A physical examination
reveals a 90g weight loss over the past 2 weeks, dry
mucous membranes, and a sunken fontanel. What will
the primary care pediatric nurse practitioner do?
a.Encourage the mother to nurse the infant
more frequently for shorter duration.
b.Obtain serum electrolytes and hospitalize for surgical
intervention.
c. Recommend oral rehydration fluids for 24 to 48
hours to correct dehydration.
d.Suggest trying a soybased or hydrolyzed
protein formula until vomiting resolves.
