Answers
1. What should a cultural assessment of the family and child include?
- an assessment of a patient's dominant culture including the accompanying health
beliefs, and beliefs about birth, illness, and deaths
2. What question should the provider ask to elicit information about the internal structure of
the family?
- has any family member recently moved in or out of the home? if so, how has this move
affected the family?
3. "culture is a social construction of the relationships within and among groups of human
beings..." which of the following is not a part of the products of culture?
- none of the above
4. the provider understands that children who show signs of aggressive behavior,
depression, anxiety, and poor school performance may have been exposed to which of the
following during childhood?
- domestic violence
5. which of the following best defines the role of the APN in health care?
- provides continuity of care for underserved populations
6. Which of the following is considered a development red flag?
- loss of milestones
7. what would be the most likely weight of a 1yr old child whose weight at birth was 7
pounds?
- 20-23 pounds
8. the pincer grasp is a fine motor skill the involves the ability to pick up a small object such
as cold cereal, with the thumb and forefinger. when is this usually mastered?
- 9 months
9. the nurse practitioner is completing an examination of an 11 yr old female. it is noted
during inspection that there is an appearance of breast buds. which of the following
would most likely occur in approximately 2 years?
- onset of menses
, 10. when reviewing immunization protocols at your clinic, the nurse practitioner should be
aware that the varicella vaccine can be administered at what age?
- 12 months
11. which of the following is the correct order for introduction of solid foods to an infant?
- cereal, vegetables, fruits, and meats
12. which of the following information is most important to ask about while performing a
sports physical?
- has the child fainted during exercise
13. the mother of a 16 month old child informs you that she feeds the baby skim milk. what
is the best rationale for not using skim milk?
- provides an inadequate amount of fatty acids
14. which adolescent would be at greater risk for developing anorexia nervosa?
- 14 yr old competitive gymnast
15. the NP is reviewing strategies to increase physical activity. the patient should also be
educated that which of the following are commonly associated with sports injuries?
- improper training
16. a pediatric patient has just been diagnosed with otitis external. which of the following
should the patient be instructed to do?
- keep ear dry until symptoms improve
17. the NP is performing a fluorescein staining of the eye. which of the following is this
intervention used to detect?
- corneal abrasion
18. the incidence of epiglottitis has decreased due to which of the following immunizations?
- Hib
19. you are examining a patient who you suspect has 5th disease. which of the following is
true regarding this disease?
- seen in children 5-14 yrs of age
20. which specific viral organism causes hand, foot, and mouth syndrome?
- coxsackie