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1. A child who has attention deficit/ hyperactivity disor- B. flexibility.
der (ADHD) has difficulty stopping activities to begin
other activities at school. The primary care pediatric
nurse practitioner understands that this is due to dif-
ficulty with the self-regulation component of
A. emotional control.
B. flexibility.
C. Inhibition.
D. problem-solving.
2. The primary care pediatric nurse practitioner cares A. executive function
for a preschool-age child who was exposed to drugs
prenatally. The child bites other children and has
tantrums when asked to stop, but is able to state later
why this behavior is wrong. This child most likely has
a disorder of
A. executive function.
B. information processing.
C. sensory processing.
D. social cognition.
3. The primary care pediatric nurse practitioner uses the A. about friends and activ-
Neurodevelopmental Learning Framework to assess ities at school
cognition and learning in an adolescent. When evalu-
ating social cognition, the nurse practitioner will ask
the adolescent
A. about friends and activities at school.
B. if balancing sports and homework is difficult.
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C. to interpret material from a pie chart.
D. to restate the content of something just read.
4. The primary care pediatric nurse practitioner is eval- A. 504
uating a school-age child who has been diagnosed
with ADHD. Which plan will the nurse practitioner rec-
ommend asking the child's school about to help with
academic performance?
A. 504
B. FAPE
C. IDEA
D. IEP
5. The parent of a child diagnosed with ADHD tells A. Activation
the primary care pediatric nurse practitioner that the
child gets overwhelmed by homework assignments,
doesn't seem to know which ones to do first, and then
doesn't do any assignments. The nurse practitioner
tells the parent that this represents impairment in
which executive function?
A. Activation
B. Effort
C. Emotion
DJ. Focus
6. The primary care pediatric nurse practitioner is con- B. Moderate dose stimu-
sidering medication options for a school-age child lant
recently diagnosed with ADHD who has a primarily
hyperactive presentation. Which medication will the
nurse practitioner select initially?
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A. Low dose
stimulant
B. Moderate dose stimulant
C. Low dose nonstimulant
D. Moderate dose nonstimulant
7. The parent of a 4-year-old child reports that the child B. Over responder
gets upset when the hall light is left on at night and
won't leave the house unless both shoes are tied
equally tight. The primary care pediatric nurse prac-
titioner recognizes that this child likely has which type
of sensory processing disorder?
A. Dyspraxia
B. Over-responder
C. Sensory seeker
D. Under-responder
8. The parent of a preschooler child who is diagnosed C. Maintaining pre-
with a sensory processing disorder (SPD) asks the pri- dictable routines as much
mary care pediatric nurse practitioner how to help as possible
the child manage the symptoms. What will the nurse
practitioner recommend?
A. Establishing a reward system for acceptable behav-
iors
B. Introducing the child to a variety of new experi-
ences
C. Maintaining predictable routines as much as possi-
ble
D. Providing frequent contact, such as hugs and cud-
dling
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9. The primary care pediatric nurse practitioner is per- B. Ask the parent to de-
forming an examination on a 5-year-old child who ex- scribe the child's earli-
hibits ritualistic behaviors, avoids contact with other er behaviors from infancy
children, and has limited speech. The parent reports through preschool.
having had concerns more than 2 years ago about
autism, but was told that it was too early to diagnose.
What will the nurse practitioner do first?
A. Administer an MCHAT screen to screen the child for
communication and socialization delays.
B. Ask the parent to describe the child's earlier behav-
iors from infancy through preschool.
C. Reassure the parent that if symptoms weren't pre-
sent earlier, the likelihood of autism is low.
D. Refer the child to a pediatric behavioral specialist to
develop a plan of treatment and Management.
10. The primary care pediatric nurse practitioner is ex- B. Autism spectrum disor-
amining a 3-year-old child who speaks loudly, in a der
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?
A. Attention-deficit/hyperactivity disorder
B. Autism spectrum disorder
C. Executive function disorder
D. Sensory processing disorder
11. The primary care pediatric nurse practitioner is select- C. Cardiovascular pre-
ing a medication for a 12-year-old child who is newly screening
diagnosed with ADHD. The child is overweight, has a