PEDIATRIC NURSE
PRACTITIONER PRIMARY
CARE
EXAM 2
VERSIONS
2023/2024
,1. When teaching a preschool child how to pet-form coughing and deep-breathing exercises
before corrective surgery of Tetralogy of Fallot, which of the following teaching
principles should Nurse Aubrey address first? Building the teaching on the child’s
current level of knowledge
2. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient
and family? Staff is concerned about the nurse’s actions with the patient and family
3. A 72 year old female presents with a medical history unremarkable except for the
occasional headache. She enjoyed emotional health throughout marriage and
childrearing, although her family history is significant for strokes and nervous
breakdowns. Since her husband died a year ago, however, she has been waking every
morning at 3am, is reluctant to go out although she has family member living nearby, and
feels a continual urge to sleep. She cannot discuss her late husband without crying.
Differential diagnoses would include Depression, Unresolved grief, and hypothyroidism
4. While teaching a parenting class to new parents the nurse describes the needs of infants
and toddlers regarding discipline and limit setting. What is the most important reason for
implementing such parenting behaviors? They provide the child with a sense of security
, 5. An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2
days with a fever of 102.9 (F). Which important eye assessment do you need to consider?
Ocular mobility
6. An incident report is a warning to the legal department to be prepared for potential legal
action; it is not a part of the clients chart or nurse documentation. DIF: Cognitive Level:
Knowledge REF: p. 14 OBJ: Nursing Process Step: Implementation MSC: Safe and
Effective Care Environment. Which client situation fails to meet the first requirement of
informed consent? No parent is available and the physician asks the adolescent to sign
the consent form
7. The mother of a hospitalized child diagnosed with TOF tells the nurse that the child’s 3-
year-old sibling has become quiet and shy and demonstrates more than usual amount of
sexual curiosity since her other child has been hospitalized. Nurse Aubrey responds to
the mother based on the interpretation that these behaviors reflect: usual behavior of a 3
year old
8. Which is most descriptive of clinical reasoning? Purposeful and goal-directed
PRACTITIONER PRIMARY
CARE
EXAM 2
VERSIONS
2023/2024
,1. When teaching a preschool child how to pet-form coughing and deep-breathing exercises
before corrective surgery of Tetralogy of Fallot, which of the following teaching
principles should Nurse Aubrey address first? Building the teaching on the child’s
current level of knowledge
2. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient
and family? Staff is concerned about the nurse’s actions with the patient and family
3. A 72 year old female presents with a medical history unremarkable except for the
occasional headache. She enjoyed emotional health throughout marriage and
childrearing, although her family history is significant for strokes and nervous
breakdowns. Since her husband died a year ago, however, she has been waking every
morning at 3am, is reluctant to go out although she has family member living nearby, and
feels a continual urge to sleep. She cannot discuss her late husband without crying.
Differential diagnoses would include Depression, Unresolved grief, and hypothyroidism
4. While teaching a parenting class to new parents the nurse describes the needs of infants
and toddlers regarding discipline and limit setting. What is the most important reason for
implementing such parenting behaviors? They provide the child with a sense of security
, 5. An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2
days with a fever of 102.9 (F). Which important eye assessment do you need to consider?
Ocular mobility
6. An incident report is a warning to the legal department to be prepared for potential legal
action; it is not a part of the clients chart or nurse documentation. DIF: Cognitive Level:
Knowledge REF: p. 14 OBJ: Nursing Process Step: Implementation MSC: Safe and
Effective Care Environment. Which client situation fails to meet the first requirement of
informed consent? No parent is available and the physician asks the adolescent to sign
the consent form
7. The mother of a hospitalized child diagnosed with TOF tells the nurse that the child’s 3-
year-old sibling has become quiet and shy and demonstrates more than usual amount of
sexual curiosity since her other child has been hospitalized. Nurse Aubrey responds to
the mother based on the interpretation that these behaviors reflect: usual behavior of a 3
year old
8. Which is most descriptive of clinical reasoning? Purposeful and goal-directed
