REGIS NU665 WEEK 15 FINAL EXAM NEWEST 2024 /
2025 ALL 50 COMPLETE ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS (REVISED EXAM) A NEW
UPDATED VERSION|GUARANTEED PASS A+ (BRAND
NEW!!)
A school-age child has a fractured wrist with a Salter Harris Type II fracture,
according to the radiologist. What is true about this type of fracture? - ANSWER:
There is a metaphyseal fragment on the compression side of fracture.
What will the primary care pediatric nurse practitioner elicit when obtaining a
positive Barlow maneuver when screening for developmental dysplasia of the hip? -
ANSWER: Dislocation of an unstable hip
A 3-year-old child is brought to the clinic by a parent who reports that the child
refuses to use the right arm after being swung by both arms while playing. The child
is sitting with the right arm held slightly flexed and close to the body. There is no
swelling or ecchymosis present. What will the primary care pediatric nurse
practitioner do? - ANSWER: Gently attempt a supination and flexion technique.
A school-age child falls off a swing and suffers a closed fracture of the right clavicle.
How will this be managed? - ANSWER: Immobilization with a sling to support the
affected extremity
A young adolescent reports chest pain associated with coughing and lifting. Physical
examination reveals tenderness over several ribs, radiating to the back. Auscultation
of the heart, lungs, and abdomen are normal. There is no history of injury. What will
the primary care pediatric nurse practitioner do? - ANSWER: Recommend NSAIDs,
stretching exercises, and ice packs to the area.
A young adolescent female is observed to have mild unequal scapula prominences
on gross examination while standing. In the Adams forward bending position, this
inequality disappears. What will the primary care pediatric nurse practitioner do? -
ANSWER: Discuss posture and exercise and ask about backpacks and books.
The primary care pediatric nurse practitioner elicits positive Ortolani and Barlow
signs in a 6-month-old infant not previously noted in the medical record. What is the
correct treatment? - ANSWER: Surgical intervention
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? - ANSWER: Place the child
on crutches or in a wheelchair to prevent weight-bearing.
,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? - ANSWER: Refer to
a pediatric orthopedic specialist for treatment.
A child who plays soccer is in the clinic reporting pa in 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? - ANSWER: 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 hindfoot, along with a convex shaped lateral border of the foot. What will the
nurse practitioner do to evaluate this deformity? - ANSWER: Grasp the heel with one
hand and abduct the forefoot with the other hand.
During a well child examination on a 4-month-old infant, the primary care pediatric
nurse practitioner evaluates mental health issues. Which statement by the parent
indicates a potential problem with the parent-infant relationship? - ANSWER: "I let
my baby cry a while to learn to be patient."
A child has a difficult temperament. What will the primary care pediatric nurse
practitioner tell the parent about managing this child's behavior? - ANSWER: It is
important for the parent to learn to manage criticism and power struggles.
During a well child assessment of a preschool-age child, the parent voices concerns
that because the child has behavior problems at school, the child may have a mental
health disorder. Which initial approach will provide the best information? JJJJ. Ask
the parent whether other caregivers have voiced similar concerns. - ANSWER: Take
time to actively listen to the parent's and child's perceptions of the problem.
The primary care pediatric nurse practitioner attempts to learn more about the
emotional health of an 18-month-old child through which assessment strategy? -
ANSWER: Observation of the child with caretakers in structured and unstructured
situations
A middle school age child is skipping school frequently and getting poor grades since
the child's father was killed while deployed in the military. How will the primary care
pediatric nurse practitioner manage this situation? - ANSWER: Refer the child to a
mental health specialist for evaluation and treatment.
The parent of a 4-year-old child reports that the child seems to be having trouble
adjusting to a new daycare and reportedly is always engaging in solitary play when
the parent arrives to pick up the child. What will the primary care pediatric nurse
,practitioner do? - ANSWER: Ask the parent if the child is slow to warm up to other
new situations.
The parent of a school-age child is concerned because the child has started to
express anger about a grandparent's death even though this occurred when the child
was a toddler. What will the primary care pediatric nurse practitioner tell the
parent? - ANSWER: The significance of this loss must be reworked at each
developmental level.
The parent of a school-age child reports that the child doesn't like being alone in
rooms because of a fear of aliens hiding in closets. What will the primary care
pediatric nurse practitioner tell the parent? - ANSWER: "Fear of imaginary creatures
does not usually occur at this age."
The parent of a preschool age child reports that the child often appears anxious and
nervous and that this is associated occasionally with a rapid heart rate and tremors.
What is the best type of referral that the primary care pediatric nurse practitioner
could recommend? - ANSWER: Play therapy
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with
classmates. The parent is concerned because the child has recently begun sleeping in
the parents' bed. Which initial action by the primary care pediatric nurse practitioner
is appropriate? - ANSWER: Assess for environmental stress, parental dysfunction,
and maternal depression.
The parent of a school-age child reports that the child becomes frustrated when
unable to perform tasks well and often has temper tantrums and difficulty sleeping.
Which disorder may be considered in this child? - ANSWER: Generalized anxiety
disorder (GAD)
The parent of a school-age girl reports that the child has difficulty getting ready for
school and is often late because of a need to check and recheck whether her teeth
are clean and her room light has been turned off. What will the primary care
pediatric nurse practitioner recommend to this parent? - ANSWER: Cognitive
behavioral therapy
The parents of a 4-year-old boy are concerned because he has begun twisting and
pulling out his hair, especially when he is tired or stressed. What will the primary
care pediatric nurse practitioner recommend as part of an initial approach to treat
this behavior? - ANSWER: Cutting his hair so that it is too short to pull
A newly divorced mother of a toddler reports that the child began having difficulty
sleeping and nightmares along with exhibiting angry outbursts and tantrums 2
months prior. The primary care pediatric nurse practitioner learns that the child
refuses to play with usual playmates and often spends time sitting quietly. What will
the nurse practitioner do initially? - ANSWER: Ask the mother about the child's
relationship with the father.
, An adolescent has recently begun doing poorly in school and has stopped
participating in sports and other extracurricular activities. During the history
interview, the adolescent reports feeling tired, having difficulty concentrating, and
experiencing a loss of appetite for the past few weeks but cannot attribute these
changes to any major life event. Which is an important next step in managing this
patient? - ANSWER: Determining suicidal ideation and risk of suicide
An adolescent is diagnosed with major depression, and the mental health specialist
has prescribed fluoxetine. What other treatment is important to protect against
suicide risk? - ANSWER: Cognitive behavioral therapy
A 13-year-old child has exhibited symptoms of mild depression for several weeks.
The parent reports feeling relieved that the symptoms have passed but concerned
that the child now seems to have boundless energy and an inability to sit still. What
will the primary care pediatric nurse practitioner do? - ANSWER: Refer the child to a
child psychiatrist for evaluation of bipolar disorder.
A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that
these behaviors began shortly after a sibling was born. What will the primary care
pediatric nurse practitioner do? - ANSWER: Engage the parent in positive parenting
strategies to facilitate appropriate child coping.
A 14-year-old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative. The adolescent's body weight is at 82% of expected for
height and age. The mother reports that her daughter often throws up and refuses
to eat most foods. Which condition does the primary care pediatric nurse
practitioner suspect? - ANSWER: Anorexia nervosa
Which type of heat-related illness involves a core body temperature of at least
104.9°F, acute mental status changes, absent sweat, and tachypnea? - ANSWER:
Heat stroke
What percentage of burns is involved using the rule of nines if both front legs are
burned? - ANSWER: 18%
Which drug commonly prescribed for burns is active against a wide spectrum of
microbial pathogens and is the most frequently used agent for partial- and full-
thickness thermal injuries? - ANSWER: Silver sulfadiazine (Silvadene)
A sunscreen with a sun-protection factor of at least what number will block most
harmful ultraviolet radiation? - ANSWER: 15
Which clinical feature is the first to be affected in increased intracranial pressure? -
ANSWER: Decrease in level of consciousness
2025 ALL 50 COMPLETE ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS (REVISED EXAM) A NEW
UPDATED VERSION|GUARANTEED PASS A+ (BRAND
NEW!!)
A school-age child has a fractured wrist with a Salter Harris Type II fracture,
according to the radiologist. What is true about this type of fracture? - ANSWER:
There is a metaphyseal fragment on the compression side of fracture.
What will the primary care pediatric nurse practitioner elicit when obtaining a
positive Barlow maneuver when screening for developmental dysplasia of the hip? -
ANSWER: Dislocation of an unstable hip
A 3-year-old child is brought to the clinic by a parent who reports that the child
refuses to use the right arm after being swung by both arms while playing. The child
is sitting with the right arm held slightly flexed and close to the body. There is no
swelling or ecchymosis present. What will the primary care pediatric nurse
practitioner do? - ANSWER: Gently attempt a supination and flexion technique.
A school-age child falls off a swing and suffers a closed fracture of the right clavicle.
How will this be managed? - ANSWER: Immobilization with a sling to support the
affected extremity
A young adolescent reports chest pain associated with coughing and lifting. Physical
examination reveals tenderness over several ribs, radiating to the back. Auscultation
of the heart, lungs, and abdomen are normal. There is no history of injury. What will
the primary care pediatric nurse practitioner do? - ANSWER: Recommend NSAIDs,
stretching exercises, and ice packs to the area.
A young adolescent female is observed to have mild unequal scapula prominences
on gross examination while standing. In the Adams forward bending position, this
inequality disappears. What will the primary care pediatric nurse practitioner do? -
ANSWER: Discuss posture and exercise and ask about backpacks and books.
The primary care pediatric nurse practitioner elicits positive Ortolani and Barlow
signs in a 6-month-old infant not previously noted in the medical record. What is the
correct treatment? - ANSWER: Surgical intervention
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? - ANSWER: Place the child
on crutches or in a wheelchair to prevent weight-bearing.
,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? - ANSWER: Refer to
a pediatric orthopedic specialist for treatment.
A child who plays soccer is in the clinic reporting pa in 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? - ANSWER: 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 hindfoot, along with a convex shaped lateral border of the foot. What will the
nurse practitioner do to evaluate this deformity? - ANSWER: Grasp the heel with one
hand and abduct the forefoot with the other hand.
During a well child examination on a 4-month-old infant, the primary care pediatric
nurse practitioner evaluates mental health issues. Which statement by the parent
indicates a potential problem with the parent-infant relationship? - ANSWER: "I let
my baby cry a while to learn to be patient."
A child has a difficult temperament. What will the primary care pediatric nurse
practitioner tell the parent about managing this child's behavior? - ANSWER: It is
important for the parent to learn to manage criticism and power struggles.
During a well child assessment of a preschool-age child, the parent voices concerns
that because the child has behavior problems at school, the child may have a mental
health disorder. Which initial approach will provide the best information? JJJJ. Ask
the parent whether other caregivers have voiced similar concerns. - ANSWER: Take
time to actively listen to the parent's and child's perceptions of the problem.
The primary care pediatric nurse practitioner attempts to learn more about the
emotional health of an 18-month-old child through which assessment strategy? -
ANSWER: Observation of the child with caretakers in structured and unstructured
situations
A middle school age child is skipping school frequently and getting poor grades since
the child's father was killed while deployed in the military. How will the primary care
pediatric nurse practitioner manage this situation? - ANSWER: Refer the child to a
mental health specialist for evaluation and treatment.
The parent of a 4-year-old child reports that the child seems to be having trouble
adjusting to a new daycare and reportedly is always engaging in solitary play when
the parent arrives to pick up the child. What will the primary care pediatric nurse
,practitioner do? - ANSWER: Ask the parent if the child is slow to warm up to other
new situations.
The parent of a school-age child is concerned because the child has started to
express anger about a grandparent's death even though this occurred when the child
was a toddler. What will the primary care pediatric nurse practitioner tell the
parent? - ANSWER: The significance of this loss must be reworked at each
developmental level.
The parent of a school-age child reports that the child doesn't like being alone in
rooms because of a fear of aliens hiding in closets. What will the primary care
pediatric nurse practitioner tell the parent? - ANSWER: "Fear of imaginary creatures
does not usually occur at this age."
The parent of a preschool age child reports that the child often appears anxious and
nervous and that this is associated occasionally with a rapid heart rate and tremors.
What is the best type of referral that the primary care pediatric nurse practitioner
could recommend? - ANSWER: Play therapy
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with
classmates. The parent is concerned because the child has recently begun sleeping in
the parents' bed. Which initial action by the primary care pediatric nurse practitioner
is appropriate? - ANSWER: Assess for environmental stress, parental dysfunction,
and maternal depression.
The parent of a school-age child reports that the child becomes frustrated when
unable to perform tasks well and often has temper tantrums and difficulty sleeping.
Which disorder may be considered in this child? - ANSWER: Generalized anxiety
disorder (GAD)
The parent of a school-age girl reports that the child has difficulty getting ready for
school and is often late because of a need to check and recheck whether her teeth
are clean and her room light has been turned off. What will the primary care
pediatric nurse practitioner recommend to this parent? - ANSWER: Cognitive
behavioral therapy
The parents of a 4-year-old boy are concerned because he has begun twisting and
pulling out his hair, especially when he is tired or stressed. What will the primary
care pediatric nurse practitioner recommend as part of an initial approach to treat
this behavior? - ANSWER: Cutting his hair so that it is too short to pull
A newly divorced mother of a toddler reports that the child began having difficulty
sleeping and nightmares along with exhibiting angry outbursts and tantrums 2
months prior. The primary care pediatric nurse practitioner learns that the child
refuses to play with usual playmates and often spends time sitting quietly. What will
the nurse practitioner do initially? - ANSWER: Ask the mother about the child's
relationship with the father.
, An adolescent has recently begun doing poorly in school and has stopped
participating in sports and other extracurricular activities. During the history
interview, the adolescent reports feeling tired, having difficulty concentrating, and
experiencing a loss of appetite for the past few weeks but cannot attribute these
changes to any major life event. Which is an important next step in managing this
patient? - ANSWER: Determining suicidal ideation and risk of suicide
An adolescent is diagnosed with major depression, and the mental health specialist
has prescribed fluoxetine. What other treatment is important to protect against
suicide risk? - ANSWER: Cognitive behavioral therapy
A 13-year-old child has exhibited symptoms of mild depression for several weeks.
The parent reports feeling relieved that the symptoms have passed but concerned
that the child now seems to have boundless energy and an inability to sit still. What
will the primary care pediatric nurse practitioner do? - ANSWER: Refer the child to a
child psychiatrist for evaluation of bipolar disorder.
A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that
these behaviors began shortly after a sibling was born. What will the primary care
pediatric nurse practitioner do? - ANSWER: Engage the parent in positive parenting
strategies to facilitate appropriate child coping.
A 14-year-old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative. The adolescent's body weight is at 82% of expected for
height and age. The mother reports that her daughter often throws up and refuses
to eat most foods. Which condition does the primary care pediatric nurse
practitioner suspect? - ANSWER: Anorexia nervosa
Which type of heat-related illness involves a core body temperature of at least
104.9°F, acute mental status changes, absent sweat, and tachypnea? - ANSWER:
Heat stroke
What percentage of burns is involved using the rule of nines if both front legs are
burned? - ANSWER: 18%
Which drug commonly prescribed for burns is active against a wide spectrum of
microbial pathogens and is the most frequently used agent for partial- and full-
thickness thermal injuries? - ANSWER: Silver sulfadiazine (Silvadene)
A sunscreen with a sun-protection factor of at least what number will block most
harmful ultraviolet radiation? - ANSWER: 15
Which clinical feature is the first to be affected in increased intracranial pressure? -
ANSWER: Decrease in level of consciousness
