Nur 2349 Reviewed Questions With Correct Answers
Graded A+
A 14-year-old boy who is overweight develops a unilateral limp with pain in the hip and knee on
the affected side. An exam reveals external rotation of the hip when flexed and pain associated
with attempts to internally rotate the hip. What is most important initially when managing this
child's condition?☑️Correct Ans-Place the child on crutches or in a wheelchair to prevent
weightbearing.
A parent is concerned that a 12-month-old child is "bowlegged." A physical examination reveals
internal tibial torsion bilaterally. A radiograph reveals asymmetric bowing of the legs with an
angle greater than 15 degrees. What is the correct action for the primary care pediatric nurse
practitioner?☑️Correct Ans-Refer to a pediatric orthopedic specialist for treatment.
A child who plays soccer is in the clinic reporting pain and swelling in both knees. A physical
examination reveals swelling and focal tenderness at the tibial tuberosities, with pain worsening
when asked to extend the knees against resistance. What is the treatment for this
condition?☑️Correct Ans-Apply ice packs to both knees and avoid activities that cause pain
During a well baby examination of a newborn, the primary care pediatric nurse practitioner notes
adduction of the right forefoot, with normal position of the mid and hind foot, along with a
convex shaped lateral border of the foot. What will the nurse practitioner do to evaluate this
deformity?☑️Correct Ans-Grasp the heel with one hand and abduct the forefoot with the other
hand
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a parent.
An exam reveals three avulsed front teeth. Radiologic studies are negative for facial fractures.
,What is the recommended treatment?☑️Correct Ans-Refer the child to the dentist immediately
for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for acute otitis media
is seen for follow-up. The primary care nurse practitioner notes dull-gray tympanic membranes
with a visible air-fluid level. The child is afebrile and without pain. What is the next course of
action?☑️Correct Ans-Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What will the
primary care nurse practitioner recommend to promote dental health in this child?☑️Correct
Ans-Daily chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient with which
finding?☑️Correct Ans-Asymmetric red reflex
A patient has chronically dry eyes, sometimes with a foreign body sensation, burning, and
itching. A Schirmer test is abnormal. What is the suspected cause of this patient's
symptoms?☑️Correct Ans-Aqueous Deficiency
A teen who has otitis externa has severe swelling of the external auditory canal that persists after
2 days of therapy with ototopical antibiotic/corticosteroid drops. What is the next step in
treatment for this child?☑️Correct Ans-Insert a wick into the external auditory canal
, A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with
erythema and edema of the surrounding tissues without discharge. Which is the initial course of
action by the provider?☑️Correct Ans-Prescribe amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell and diminished taste. What will be
included in teaching this patient about managing these symptoms?☑️Correct Ans-1. The
importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The primary nurse
practitioner will refer to a pediatric ophthalmologist to initiate which treatment?☑️Correct Ans-
Patching of the unaffected eye for 2 hours each day
An adolescent has localized bleeding of the gums when brushing the teeth. An exam of the
mouth reveals the presence of plaque and calculus on the teeth which are not loose. What will the
primary care nurse practitioner recommend?☑️Correct Ans-Consistently brushing and flossing
the teeth twice daily
A provider is recommending a cerumenolytic for a patient who has chronic cerumen buildup.
The provider notes that the patient has dry skin in the ear canal. Which preparation is FDA
approved for this use?☑️Correct Ans-Carbamide peroxide
A parent asks about ways to promote dental health in school-aged children while on family
vacation that are convenient while camping and picnicking. What will the primary care nurse
practitioner recommend?☑️Correct Ans-Offering gum containing xylitol after meals
Graded A+
A 14-year-old boy who is overweight develops a unilateral limp with pain in the hip and knee on
the affected side. An exam reveals external rotation of the hip when flexed and pain associated
with attempts to internally rotate the hip. What is most important initially when managing this
child's condition?☑️Correct Ans-Place the child on crutches or in a wheelchair to prevent
weightbearing.
A parent is concerned that a 12-month-old child is "bowlegged." A physical examination reveals
internal tibial torsion bilaterally. A radiograph reveals asymmetric bowing of the legs with an
angle greater than 15 degrees. What is the correct action for the primary care pediatric nurse
practitioner?☑️Correct Ans-Refer to a pediatric orthopedic specialist for treatment.
A child who plays soccer is in the clinic reporting pain and swelling in both knees. A physical
examination reveals swelling and focal tenderness at the tibial tuberosities, with pain worsening
when asked to extend the knees against resistance. What is the treatment for this
condition?☑️Correct Ans-Apply ice packs to both knees and avoid activities that cause pain
During a well baby examination of a newborn, the primary care pediatric nurse practitioner notes
adduction of the right forefoot, with normal position of the mid and hind foot, along with a
convex shaped lateral border of the foot. What will the nurse practitioner do to evaluate this
deformity?☑️Correct Ans-Grasp the heel with one hand and abduct the forefoot with the other
hand
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a parent.
An exam reveals three avulsed front teeth. Radiologic studies are negative for facial fractures.
,What is the recommended treatment?☑️Correct Ans-Refer the child to the dentist immediately
for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for acute otitis media
is seen for follow-up. The primary care nurse practitioner notes dull-gray tympanic membranes
with a visible air-fluid level. The child is afebrile and without pain. What is the next course of
action?☑️Correct Ans-Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What will the
primary care nurse practitioner recommend to promote dental health in this child?☑️Correct
Ans-Daily chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient with which
finding?☑️Correct Ans-Asymmetric red reflex
A patient has chronically dry eyes, sometimes with a foreign body sensation, burning, and
itching. A Schirmer test is abnormal. What is the suspected cause of this patient's
symptoms?☑️Correct Ans-Aqueous Deficiency
A teen who has otitis externa has severe swelling of the external auditory canal that persists after
2 days of therapy with ototopical antibiotic/corticosteroid drops. What is the next step in
treatment for this child?☑️Correct Ans-Insert a wick into the external auditory canal
, A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with
erythema and edema of the surrounding tissues without discharge. Which is the initial course of
action by the provider?☑️Correct Ans-Prescribe amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell and diminished taste. What will be
included in teaching this patient about managing these symptoms?☑️Correct Ans-1. The
importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The primary nurse
practitioner will refer to a pediatric ophthalmologist to initiate which treatment?☑️Correct Ans-
Patching of the unaffected eye for 2 hours each day
An adolescent has localized bleeding of the gums when brushing the teeth. An exam of the
mouth reveals the presence of plaque and calculus on the teeth which are not loose. What will the
primary care nurse practitioner recommend?☑️Correct Ans-Consistently brushing and flossing
the teeth twice daily
A provider is recommending a cerumenolytic for a patient who has chronic cerumen buildup.
The provider notes that the patient has dry skin in the ear canal. Which preparation is FDA
approved for this use?☑️Correct Ans-Carbamide peroxide
A parent asks about ways to promote dental health in school-aged children while on family
vacation that are convenient while camping and picnicking. What will the primary care nurse
practitioner recommend?☑️Correct Ans-Offering gum containing xylitol after meals
