NR 602 Midterm Exam Prep Test Bank with a
Strategic Review of Pediatrics Nursing Topics
Questions and Answers/ NR 602 Midterm
Exam Prep Test Bank
Week 1
Chapter 14 Introduction to Health Promotion and Health Protection,
1. The primary care pediatric nurse practitioner is performing a focused
problem assessment on a child who has asthma and learns that one of the
child's parents smokes around the child in spite of being advised against this.
The nurse practitioner recognizes this as a possible alteration in which
functional health pattern?
A. Cognitive perceptual
B. Health Perception
C. Role relationship
D. Values beliefs
2. The primary care pediatric nurse practitioner examines an infant whose
weight is below the 3rd percentile and whose mother does not comply with
the feeding regimen. When attempting to enlist the help of the infant's
grandmother, the grandmother says, "My daughter was like this when she
was a baby, and she turned out all right." Which approach will the nurse
practitioner take to improve the outcome for this infant?
A. Ask the grandmother about her daughter's health during
childhood.
B. Explain that the condition is potentially serious if not treated.
C. Give the grandmother and mother information about normal growth.
D. Refer the family to a social worker to investigate possible neglect.
3. The primary care pediatric nurse practitioner provides patient teaching for
children newly diagnosed with irritable bowel syndrome (IBS). At which stage
of development will children be able to understand the link between stress
and the symptoms of the disease?
A. Concrete operational stage
B. Formal operational stage
C. Preconceptual stage
1
,D. Sensorimotor stage
4. The primary care pediatric nurse practitioner is counseling an obese
adolescent whose parents both have type 2 diabetes mellitus. Which health
behavior prediction model is useful when the nurse practitioner discusses
lifestyle changes with this client?
A. Behavioral change model
B. Health belief model
C. Health promotion model
D. Transtheoretical model
5. The primary care pediatric nurse practitioner is counseling a school-age
child about asthma management strategies. The child states that it is "too
much trouble" to remember to use an inhaled corticosteroid medication
twice daily and reports feeling fine in spite of exhibiting expiratory wheezes.
Which action uses the health belief and self-efficacy model to teach this child
about asthma management?
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre and post-treatment spirometry testing
D. Providing written information about inhaled corticosteroids.
6. An adolescent who is overweight expresses a desire to lose weight in order
to participate in sports but tells the primary care pediatric nurse practitioner
that he doesn't want to give up sweets and soft drinks because he enjoys
them too much. Which stage of change does this represent?
A. Action
B. Contemplation
C. Precontemplation
D. Preparation
7. The primary care pediatric nurse practitioner sees a 17-year-old client who
quit smoking almost a year prior but who reports having renewed cravings
when around friends who smoke. Using knowledge of the maintenance stage
of change, the primary care pediatric nurse practitioner will
2
,A. go over with the adolescent about the health risks associated with
smoking.
B. recommend avoiding friends who smoke and making new friends.
C. remind the adolescent about the struggles associated with quitting
smoking.
D. suggest that the teen consider taking up a sport or other physical
activity.
8. The primary care pediatric nurse practitioner is working with a 12-year-old
female who has poor diabetes control. The child tells the nurse practitioner
that the parent forgets to remind her to check her blood sugars. Which action
is correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental
prompts.
C. Refer to a social worker to help the family overcome obstacles to care.
D. Remind the child's parent about the importance of good diabetes control.
9. The primary care pediatric nurse practitioner is counseling an obese 16-
year-old client about weight management. The adolescent says, "I know I
need to lose weight, but I don't want to give up all my favorite foods." When
using motivational interviewing techniques, how will the nurse practitioner
respond?
A. "Do you think there are any foods you could limit or do without
for a while?"
B. "I hear you telling me that you really don't have a desire to lose weight."
C. "If you can't give up these foods, you won't see the benefits of weight
loss."
D. "In the long run, the sacrifices you make today will improve your health."
10. The parent of a newborn has quit smoking cigarettes within the past
month and reports feeling fidgety. Using a "reframing" technique, how will
the primary care pediatric nurse practitioner respond?
A. Explore ways that the parent can use this extra energy to do
things for the baby.
3
, B. Remind the parent that this is a normal, temporary part of nicotine
withdrawal.
C. Suggest that the parent take up exercise to enjoy the benefits of not
smoking.
D. Tell the parent that, over time, these symptoms of withdrawal will subside.
11. The primary care pediatric nurse practitioner is assessing the health
literacy of the parent of a toddler. Which tool will the nurse practitioner use
to estimate reading level?
A. FleschKincaid Readability Test
B. Gunning Fog Index
C. Number of children's books in the home
D. SMOG
12. The pediatric nurse practitioner provides primary care for a special needs
infant whose parent takes an active role in the infant's care. The parent has a
high school diploma and asks many questions about her infant's treatments.
Which approach will the nurse practitioner take to ensure health literacy for
this parent?
A. Ask the parent to read back all information given.
B. Encourage the parent to ask questions when confused.
C. Provide written materials presented at an 8th grade level.
D. Reinforce written information with verbal instructions.
Chapter 20 Sleep
1. The primary care pediatric nurse practitioner is performing a well child
examination on a 4-year-old child. The parent reports that the child snores
frequently, often awakens during the night, and seems cranky during the
day. What will the nurse practitioner tell this parent?
A. Most sleep disorders are benign and will be outgrown.
B. Sleep disorders are symptomatic of underlying behavior problems.
C. Sleep disorders at this age can have long-term impacts on
learning.
D. The child will need longer daytime naps to compensate for lost sleep.
4
Strategic Review of Pediatrics Nursing Topics
Questions and Answers/ NR 602 Midterm
Exam Prep Test Bank
Week 1
Chapter 14 Introduction to Health Promotion and Health Protection,
1. The primary care pediatric nurse practitioner is performing a focused
problem assessment on a child who has asthma and learns that one of the
child's parents smokes around the child in spite of being advised against this.
The nurse practitioner recognizes this as a possible alteration in which
functional health pattern?
A. Cognitive perceptual
B. Health Perception
C. Role relationship
D. Values beliefs
2. The primary care pediatric nurse practitioner examines an infant whose
weight is below the 3rd percentile and whose mother does not comply with
the feeding regimen. When attempting to enlist the help of the infant's
grandmother, the grandmother says, "My daughter was like this when she
was a baby, and she turned out all right." Which approach will the nurse
practitioner take to improve the outcome for this infant?
A. Ask the grandmother about her daughter's health during
childhood.
B. Explain that the condition is potentially serious if not treated.
C. Give the grandmother and mother information about normal growth.
D. Refer the family to a social worker to investigate possible neglect.
3. The primary care pediatric nurse practitioner provides patient teaching for
children newly diagnosed with irritable bowel syndrome (IBS). At which stage
of development will children be able to understand the link between stress
and the symptoms of the disease?
A. Concrete operational stage
B. Formal operational stage
C. Preconceptual stage
1
,D. Sensorimotor stage
4. The primary care pediatric nurse practitioner is counseling an obese
adolescent whose parents both have type 2 diabetes mellitus. Which health
behavior prediction model is useful when the nurse practitioner discusses
lifestyle changes with this client?
A. Behavioral change model
B. Health belief model
C. Health promotion model
D. Transtheoretical model
5. The primary care pediatric nurse practitioner is counseling a school-age
child about asthma management strategies. The child states that it is "too
much trouble" to remember to use an inhaled corticosteroid medication
twice daily and reports feeling fine in spite of exhibiting expiratory wheezes.
Which action uses the health belief and self-efficacy model to teach this child
about asthma management?
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre and post-treatment spirometry testing
D. Providing written information about inhaled corticosteroids.
6. An adolescent who is overweight expresses a desire to lose weight in order
to participate in sports but tells the primary care pediatric nurse practitioner
that he doesn't want to give up sweets and soft drinks because he enjoys
them too much. Which stage of change does this represent?
A. Action
B. Contemplation
C. Precontemplation
D. Preparation
7. The primary care pediatric nurse practitioner sees a 17-year-old client who
quit smoking almost a year prior but who reports having renewed cravings
when around friends who smoke. Using knowledge of the maintenance stage
of change, the primary care pediatric nurse practitioner will
2
,A. go over with the adolescent about the health risks associated with
smoking.
B. recommend avoiding friends who smoke and making new friends.
C. remind the adolescent about the struggles associated with quitting
smoking.
D. suggest that the teen consider taking up a sport or other physical
activity.
8. The primary care pediatric nurse practitioner is working with a 12-year-old
female who has poor diabetes control. The child tells the nurse practitioner
that the parent forgets to remind her to check her blood sugars. Which action
is correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental
prompts.
C. Refer to a social worker to help the family overcome obstacles to care.
D. Remind the child's parent about the importance of good diabetes control.
9. The primary care pediatric nurse practitioner is counseling an obese 16-
year-old client about weight management. The adolescent says, "I know I
need to lose weight, but I don't want to give up all my favorite foods." When
using motivational interviewing techniques, how will the nurse practitioner
respond?
A. "Do you think there are any foods you could limit or do without
for a while?"
B. "I hear you telling me that you really don't have a desire to lose weight."
C. "If you can't give up these foods, you won't see the benefits of weight
loss."
D. "In the long run, the sacrifices you make today will improve your health."
10. The parent of a newborn has quit smoking cigarettes within the past
month and reports feeling fidgety. Using a "reframing" technique, how will
the primary care pediatric nurse practitioner respond?
A. Explore ways that the parent can use this extra energy to do
things for the baby.
3
, B. Remind the parent that this is a normal, temporary part of nicotine
withdrawal.
C. Suggest that the parent take up exercise to enjoy the benefits of not
smoking.
D. Tell the parent that, over time, these symptoms of withdrawal will subside.
11. The primary care pediatric nurse practitioner is assessing the health
literacy of the parent of a toddler. Which tool will the nurse practitioner use
to estimate reading level?
A. FleschKincaid Readability Test
B. Gunning Fog Index
C. Number of children's books in the home
D. SMOG
12. The pediatric nurse practitioner provides primary care for a special needs
infant whose parent takes an active role in the infant's care. The parent has a
high school diploma and asks many questions about her infant's treatments.
Which approach will the nurse practitioner take to ensure health literacy for
this parent?
A. Ask the parent to read back all information given.
B. Encourage the parent to ask questions when confused.
C. Provide written materials presented at an 8th grade level.
D. Reinforce written information with verbal instructions.
Chapter 20 Sleep
1. The primary care pediatric nurse practitioner is performing a well child
examination on a 4-year-old child. The parent reports that the child snores
frequently, often awakens during the night, and seems cranky during the
day. What will the nurse practitioner tell this parent?
A. Most sleep disorders are benign and will be outgrown.
B. Sleep disorders are symptomatic of underlying behavior problems.
C. Sleep disorders at this age can have long-term impacts on
learning.
D. The child will need longer daytime naps to compensate for lost sleep.
4
