NR 602: PEDIATRIC PRIMARY CARE
EXAM Q & A
Neurologic Disorders Questions
1. When performing a neurologic exam to assess for meningeal signs in an
infant, the
primary care pediatric nurse practitioner will attempt to elicit the Kernig sign
by
KKKKKK. bending the infant at the waist to touch fingers to toes.
,LLLLLL. extending the leg at the knee with the infant supine.
Correct
MMMMMM. flexing the infant’s neck to touch chin to chest.
NNNNNN. turning the infant’s head from side to side.
2. To evaluate brain tissue disorders in infants, which test is useful?
FFFFFF. Computerized tomography
GGGGGG. Head radiographs
HHHHHH. Magnetic resonance imaging
D. Ultrasonography Correct
3. A female infant who was developing normally s tops meeting
developmental
milestones at age 12 months and then begins losing previously acquired
skills. What will the
primary care pediatric nurse practitioner expect to tell the parents about this
child’s prognosis?
GGGGGG. Cognitive development will be normal but motor skills will be lost.
HHHHHH. Physical and speech therapy will help the infant regain lost skills.
IIIIII. The child’s intellectual development will not progress further.
Correct
JJJJJJ. This is a temporary condition with full recovery expected.
4. A 14yearold
child has a headache, unilateral weakness, and blurred vision
preceded by fever and nausea. The child’s parent reports a similar episode
several months prior. The
primary care pediatric nurse practitioner will consult with a pediatric
neurologist to order
BBBBBBBB. a lumbar puncture.
CCCCCCCC. an electroencephalogram (EEG).
DDDDDDDD. neuroimaging with magnetic resonance imaging (MRI).
Correct
EEEEEEEE. positron emission tomography (PET) scan.
5. During a well baby exam on a 9monthold
infant, the parent reports that the baby
,skills. Correct
HHHHH. Teach the parent to encourage the infant to use both hands.
V. Tell the parent that a hand preference usually develops between 6 and
12
months.
6. The pediatric nurse practitioner provides primary care for a 5yearold
child who
has cerebral palsy who exhibits athetosis and poor weight gain in spite of
receiving highcalorie
formula to supplement intake. The child has had several episodes of
pneumonia in the
past year. Which specialty consultation is a priority for this child?
LLLLL. Feeding clinic to manage caloric intake
MMMMM. Neurology to assess medication needs
NNNNN. Pulmonology for possible tracheotomy
D. Surgery for possible fundoplication and gastrostomy Correct
, 7. Because of their inability to ambulate, children with cerebral palsy should
be
evaluated for which nutrients?
A. Calcium and vitamin D Correct
VI. Fatsoluble vitamins
JJJJJJ. Iron and zinc
KKKKKK. Sodium and potassium
8. A child with a recent history of URI reports tingling and pain in one ear
followed by
sagging of one side of the face. The primary care pediatric nurse practitioner
observes that the child
cannot close the eye or mouth on the affected side but does not elicit limb
weakness on that side.
What will the nurse practitioner do?
DDDDDDD. Initiate a short course of antibiotic therapy.
EEEEEEE. Perform diagnostic testing to rule out serious causes.
FFFFFFF. Prepare the parents for lifelong complications.
GGGGGGG. Prescribe oral prednisone 1 mg/kg/day initially. Correct
9. A child who has had a single nonfebrile
seizure has a normal neurologic exam.
Which diagnostic test is indicated?
A. Computerized tomography (CT)
B. Electroencephalogram (EEG) Correct
NNNNN. Magnetic resonance imaging (MRI)
OOOOO. Polysomnography
BBBBBB.
CCCCCC. .
DDDDDD.
EEEEEE. .
FFFFFF.
GGGGGG. .
.
10. The parents of an 18monthold
child bring the child to the clinic after observing a .
EXAM Q & A
Neurologic Disorders Questions
1. When performing a neurologic exam to assess for meningeal signs in an
infant, the
primary care pediatric nurse practitioner will attempt to elicit the Kernig sign
by
KKKKKK. bending the infant at the waist to touch fingers to toes.
,LLLLLL. extending the leg at the knee with the infant supine.
Correct
MMMMMM. flexing the infant’s neck to touch chin to chest.
NNNNNN. turning the infant’s head from side to side.
2. To evaluate brain tissue disorders in infants, which test is useful?
FFFFFF. Computerized tomography
GGGGGG. Head radiographs
HHHHHH. Magnetic resonance imaging
D. Ultrasonography Correct
3. A female infant who was developing normally s tops meeting
developmental
milestones at age 12 months and then begins losing previously acquired
skills. What will the
primary care pediatric nurse practitioner expect to tell the parents about this
child’s prognosis?
GGGGGG. Cognitive development will be normal but motor skills will be lost.
HHHHHH. Physical and speech therapy will help the infant regain lost skills.
IIIIII. The child’s intellectual development will not progress further.
Correct
JJJJJJ. This is a temporary condition with full recovery expected.
4. A 14yearold
child has a headache, unilateral weakness, and blurred vision
preceded by fever and nausea. The child’s parent reports a similar episode
several months prior. The
primary care pediatric nurse practitioner will consult with a pediatric
neurologist to order
BBBBBBBB. a lumbar puncture.
CCCCCCCC. an electroencephalogram (EEG).
DDDDDDDD. neuroimaging with magnetic resonance imaging (MRI).
Correct
EEEEEEEE. positron emission tomography (PET) scan.
5. During a well baby exam on a 9monthold
infant, the parent reports that the baby
,skills. Correct
HHHHH. Teach the parent to encourage the infant to use both hands.
V. Tell the parent that a hand preference usually develops between 6 and
12
months.
6. The pediatric nurse practitioner provides primary care for a 5yearold
child who
has cerebral palsy who exhibits athetosis and poor weight gain in spite of
receiving highcalorie
formula to supplement intake. The child has had several episodes of
pneumonia in the
past year. Which specialty consultation is a priority for this child?
LLLLL. Feeding clinic to manage caloric intake
MMMMM. Neurology to assess medication needs
NNNNN. Pulmonology for possible tracheotomy
D. Surgery for possible fundoplication and gastrostomy Correct
, 7. Because of their inability to ambulate, children with cerebral palsy should
be
evaluated for which nutrients?
A. Calcium and vitamin D Correct
VI. Fatsoluble vitamins
JJJJJJ. Iron and zinc
KKKKKK. Sodium and potassium
8. A child with a recent history of URI reports tingling and pain in one ear
followed by
sagging of one side of the face. The primary care pediatric nurse practitioner
observes that the child
cannot close the eye or mouth on the affected side but does not elicit limb
weakness on that side.
What will the nurse practitioner do?
DDDDDDD. Initiate a short course of antibiotic therapy.
EEEEEEE. Perform diagnostic testing to rule out serious causes.
FFFFFFF. Prepare the parents for lifelong complications.
GGGGGGG. Prescribe oral prednisone 1 mg/kg/day initially. Correct
9. A child who has had a single nonfebrile
seizure has a normal neurologic exam.
Which diagnostic test is indicated?
A. Computerized tomography (CT)
B. Electroencephalogram (EEG) Correct
NNNNN. Magnetic resonance imaging (MRI)
OOOOO. Polysomnography
BBBBBB.
CCCCCC. .
DDDDDD.
EEEEEE. .
FFFFFF.
GGGGGG. .
.
10. The parents of an 18monthold
child bring the child to the clinic after observing a .
