NU 665 REGIS FINAL EXAM WITH 600+ QUESTIONS &
CORRECT ANSWERS
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
CORRECT ANSWERS
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
