NSG 5442 Final Exam Complete
Questions And Correct Answers| Updated
An adolescent female has heavy periods that are also irregular. The physical exam is normal. A complete
blood count reveals a hemoglobin of 8.9 g/dL. What test will the primary care pediatric nurse
practitioner order next?
A. Coagulation studies
B. C-reactive protein
C. Thyroid function
D. Ultrasound of pelvis
A. Coagulation studies
A 14-year-old female has menometrorrhagia with moderate increase in menstrual flow and irregular
periods. Her hemoglobin is 13.1 g/dL. How will this be managed?
A. Iron supplementation and prostaglandin inhibitors
B. One OCP twice daily for 3 to 4 days and then daily
C. Progestin every day for 10 to 14 days
D. Referral to a pediatric gynecologist for treatment
,A. Iron supplementation and prostaglandin inhibitors
A sexually active adolescent female tests positive for N. gonorrhoeae
and trachomatis. She tells the primary care pediatric nurse practitioner that she wants to be treated
today since she is moving out of town the next day. What will the nurse practitioner order?
A. Azithromycin 1 g PO in a single dose
B. Ceftriaxone 250 mg IM and azithromycin 1 g PO one time each
C. Doxycycline 100 mg PO bid for 7 days
D. Erythromycin base 500 mg PO qid for 7 days
B. Ceftriaxone 250 mg IM and azithromycin 1 g PO one time each
A 16-year-old sexually active female has a fever, bilateral lower abdominal
pain, and malaise. A speculum and bimanual exam reveals adnexal tenderness. The urinalysis is normal
and cervical cultures are pending. What medications will the primary care pediatric nurse practitioner
prescribe for this patient?
A. Azithromycin, doxycycline, and penicillin
B. Cefotaxime, azithromycin, and penicillin
,C. Ceftriaxone, doxycycline, and metronidazole
D. Doxycycline, penicillin, and metronidazole
C. Ceftriaxone, doxycycline, and metronidazole
A school age child has a fractured wrist with a SalterHarris Type II fracture,
according to the radiologist. What is true about this type of fracture?
A. Growth disturbance of the long bones of the arm is likely.
B. There is a metaphyseal fragment on the compression side of fracture.
C. There is usually a compression or crushing injury to the physis.
D. This will require anatomic reduction using an open approach.
B. There is a metaphyseal fragment on the compression side of fracture.
What will the primary care pediatric nurse practitioner elicit when
obtaining a positive Barlow maneuver when screening for developmental dysplasia of the hip?
A. Dislocation of an unstable hip
, B. Dropping of the iliac crest with a raised leg
C. Reduction of a dislocated hip
D. Unequal knee heights in a supine child
A. Dislocation of an unstable hip
A 3-year-old child is brought to the clinic by a parent who reports that the
child refuses to use the right arm after being swung by both arms while
playing. The child is sitting with the right arm held slightly flexed and close to the body. There is no
swelling or ecchymosis present. What will the primary care pediatric nurse practitioner do?
A. Consider maltreatment as a possible cause of injury.
B. Gently attempt a supination and flexion technique.
C. Immobilize the arm with a sling and refer to orthopedics.
D. Obtain a radiograph of the child’s right arm and elbow.
B. Gently attempt a supination and flexion technique.
A school age child falls off a swing and suffers a closed fracture of the right
Questions And Correct Answers| Updated
An adolescent female has heavy periods that are also irregular. The physical exam is normal. A complete
blood count reveals a hemoglobin of 8.9 g/dL. What test will the primary care pediatric nurse
practitioner order next?
A. Coagulation studies
B. C-reactive protein
C. Thyroid function
D. Ultrasound of pelvis
A. Coagulation studies
A 14-year-old female has menometrorrhagia with moderate increase in menstrual flow and irregular
periods. Her hemoglobin is 13.1 g/dL. How will this be managed?
A. Iron supplementation and prostaglandin inhibitors
B. One OCP twice daily for 3 to 4 days and then daily
C. Progestin every day for 10 to 14 days
D. Referral to a pediatric gynecologist for treatment
,A. Iron supplementation and prostaglandin inhibitors
A sexually active adolescent female tests positive for N. gonorrhoeae
and trachomatis. She tells the primary care pediatric nurse practitioner that she wants to be treated
today since she is moving out of town the next day. What will the nurse practitioner order?
A. Azithromycin 1 g PO in a single dose
B. Ceftriaxone 250 mg IM and azithromycin 1 g PO one time each
C. Doxycycline 100 mg PO bid for 7 days
D. Erythromycin base 500 mg PO qid for 7 days
B. Ceftriaxone 250 mg IM and azithromycin 1 g PO one time each
A 16-year-old sexually active female has a fever, bilateral lower abdominal
pain, and malaise. A speculum and bimanual exam reveals adnexal tenderness. The urinalysis is normal
and cervical cultures are pending. What medications will the primary care pediatric nurse practitioner
prescribe for this patient?
A. Azithromycin, doxycycline, and penicillin
B. Cefotaxime, azithromycin, and penicillin
,C. Ceftriaxone, doxycycline, and metronidazole
D. Doxycycline, penicillin, and metronidazole
C. Ceftriaxone, doxycycline, and metronidazole
A school age child has a fractured wrist with a SalterHarris Type II fracture,
according to the radiologist. What is true about this type of fracture?
A. Growth disturbance of the long bones of the arm is likely.
B. There is a metaphyseal fragment on the compression side of fracture.
C. There is usually a compression or crushing injury to the physis.
D. This will require anatomic reduction using an open approach.
B. There is a metaphyseal fragment on the compression side of fracture.
What will the primary care pediatric nurse practitioner elicit when
obtaining a positive Barlow maneuver when screening for developmental dysplasia of the hip?
A. Dislocation of an unstable hip
, B. Dropping of the iliac crest with a raised leg
C. Reduction of a dislocated hip
D. Unequal knee heights in a supine child
A. Dislocation of an unstable hip
A 3-year-old child is brought to the clinic by a parent who reports that the
child refuses to use the right arm after being swung by both arms while
playing. The child is sitting with the right arm held slightly flexed and close to the body. There is no
swelling or ecchymosis present. What will the primary care pediatric nurse practitioner do?
A. Consider maltreatment as a possible cause of injury.
B. Gently attempt a supination and flexion technique.
C. Immobilize the arm with a sling and refer to orthopedics.
D. Obtain a radiograph of the child’s right arm and elbow.
B. Gently attempt a supination and flexion technique.
A school age child falls off a swing and suffers a closed fracture of the right
