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NR 501 PEDS (NR501)

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Exam (elaborations) NR 501 PEDS (NR501) An NP examines a screaming 2-year-old. A common finding is: pink tympanic membranes. pink tympanic membranes. Correct A 6-month-old male has a palpable cystic mass in his scrotum. His mother states that sometimes the size of his scrotum varies. What should the nurse practitioner do next? Referral to urology if this has not resolved in 6 more months Referral to urology if this has not resolved in 6 more months Correct A congenital heart abnormality often discovered during the newborn period is coarctation of the aorta. How is this assessed? By comparing upper and lower extremity blood pressures By comparing upper and lower extremity blood pressures Correct According to the Tanner stages of development (Sexual Maturity Rating), breast development in Stage 4 in females includes the: projection of areola and nipple to form a secondary mound above the level of the breast. projection of areola and nipple to form a secondary mound above the level of the breast. Correct The most common cause of pneumonia in an otherwise healthy 3-year-old child is: a viral infection. S. pneumonia. Incorrec t What is the earliest age that an average child would be able to copy a triangle, know his colors, and count on his fingers? 5 years 5 years Correct A nurse practitioner is assessing the head of a 3- day-old infant. What would be a normal observation in a healthy 3-day-old infant who is crying? There are palpable pulsations over the anterior fontanel. There are palpable pulsations over the anterior fontanel. Correct NR 501 PEDS

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An NP examines a
NR 501 PEDS
screaming 2-year-old. A pink tympanic membranes. pink tympanic membranes. Correct
common finding is:

A 6-month-old male has a
palpable cystic mass in his
scrotum. His mother states Referral to urology if this Referral to urology if this
that sometimes the size of has not resolved in 6 more has not resolved in 6 more Correct
his scrotum varies. What months months
should the nurse practitioner
do next?

A congenital heart
abnormality often discovered By comparing upper and By comparing upper and
during the newborn period is lower extremity blood lower extremity blood Correct
coarctation of the aorta. How pressures pressures
is this assessed?

According to the Tanner
projection of areola and projection of areola and
stages of development
nipple to form a secondary nipple to form a secondary
(Sexual Maturity Rating), Correct
mound above the level of mound above the level of
breast development in Stage
the breast. the breast.
4 in females includes the:

The most common cause of
Incorrec
pneumonia in an otherwise a viral infection. S. pneumonia.
t
healthy 3-year-old child is:

What is the earliest age that
an average child would be
able to copy a triangle, know 5 years 5 years Correct
his colors, and count on his
fingers?

A nurse practitioner is
assessing the head of a 3-
There are palpable There are palpable
day-old infant. What would
pulsations over the anterior pulsations over the anterior Correct
be a normal observation in a
fontanel. fontanel.
healthy 3-day-old infant who
is crying?

,A pregnant mother in her
first trimester has a 5-year-
There is a risk of fetal death There is a risk of fetal death
old who has Fifth Disease. Correct
if she becomes infected. if she becomes infected.
What implication does this
have for the mother?

What Tanner stage Stage 1 Stage 1 Correct
corresponds to an average 8-
year-old male?

A young female has breast II II Correct
buds bilaterally. This
represents Tanner Stage:

A 2-year-old has a sudden
onset of high fever while at
daycare. The daycare
attendant describes a
seizure in the child. The child
is brought to the clinic; Treat the otitis media and Treat the otitis media and
neurologically he appears give education about fever give education about fever Correct
normal. His body management management
temperature is 99.9° F after
receiving ibuprofen. He is
diagnosed with otitis media.
How should the nurse
practitioner manage this?

Which of the following is an
appropriate initial
intervention for Small, frequent thickened Small, frequent thickened
Correct
gastroesophageal reflux feedings feedings
disease (GERD) in an 8-
week-old?

shifted the pathogenesis to shifted the pathogenesis to Correct
The pneumococcal
fewer cases of S. fewer cases of S.
immunization in infants has:
pneumoniae. pneumoniae.

A mother presents with her Provide education, parental Provide education, parental Correct
1-month-old infant. She reassurance, and reassurance, and

, reports that he cries
inconsolably every evening
after his first evening encouragement. encouragement.
feeding. She asks for help.
What should be done?

Pharmacologic treatment for
children who have
diabetics with hypertension. diabetics with hypertension. Correct
hypertension should be
initiated for:

A 2-month-old infant has an
The infant could have a The infant could have a
asymmetric Moro reflex. Correct
birth injury. birth injury.
Which statement is true?

An infant is diagnosed with
diaper dermatitis. Satellite
topical antifungal agent. topical antifungal agent. Correct
lesions are visible. This
should be treated with a:

A 5-year-old female’s
playmate has been
Perform the “scotch tape” Perform the “scotch tape”
diagnosed with pinworms.
test and look at the test and look at the
The mother brings her child Correct
collection under the collection under the
in for an exam. The 5 year-
microscope. microscope.
old denies rectal itching.
How should the NP proceed?

A positive Trendelenburg’s
slipped capital femoral slipped capital femoral
test could be used to identify Correct
epiphysis. epiphysis.
a child with:

The initial step in the
management of encopresis client and family education. client and family education. Correct
is:

A mother reports that her None are contraindicated None are contraindicated Correct
child is not allergic to
chickens but is allergic to
ducks and duck feathers. The
child is 4 years old today.

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