4/6/25, 8:29 NR602 Pediatric Midterm Study Set |
AM
NR602 PEDIATRIC MIDTERM STUDY SET EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (293)
The parent of a toddler is concerned that ANS: C
the child may have autism. The The M-CHAT is a screening tool and is useful for detecting behaviors that
primary may indicate autism. This instrument has been found to have acceptable
care pediatric nurse practitioner sensitivity, specificity, and significant positive predictive value. If these
completes a Modified Checklist for behaviors are
Autism in Toddlers (M-CHAT) tool, which detected, the PNP should refer the child to a specialist for further assessment,
indicates several areas of concern. What using more diagnostic tools. The CARS may be used but requires specialty
will the nurse practitioner do? training and proper credentials. Until the diagnosis is determined, strategies
Administer a Childhood Autism Rating for
Scale (CARS) in the clinic. intervention are not discussed. The M-CHAT is a screening tool and is not
Consult a specialist to determine diagnostic.
appropriate early intervention strategies.
Refer the child to a behavioral
specialist for further evaluation.
Tell the parent that this result indicates
that the child has autism.
The mother of a newborn tells the ANS: A
primary care pediatric nurse practitioner The three-generation pedigree is used to map out risks for genetic diseases in
that she is worried that her child will families, as well as conditions with modifiable risk factors. The review of systems is
develop allergies and asthma. Which tool used to evaluate the history of the child's body systems. The genogram is an
will the nurse practitioner use to approach to developing a family database to provide a graphic representation of
evaluate this risk? family structure, roles, and problems of recurring significance in a family. The
Three-generation pedigree ecomap is used to identify relationships in the family and community that
Review of systems are supportive or harmful.
Genogram
Ecomap
The primary care pediatric nurse ANS: A
practitioner is performing a well This child should be at a 19-month adjusted age for prematurity so, according to
child check-up on a 20-month-old the parent screen, is 4 months behind. The PNP should perform a more in-depth
child. The child was 4 weeks screen to evaluate this delay. Waiting to see if the child will "catch up" or assuring
premature and, the parent that this will happen will cause the delays to become more severe.
according to a parent-completed A referral to a specialty clinic should not be made solely on the basis of the
developmental questionnaire, has parent- completed questionnaire but only after further evaluation of possible
achieved milestones for a 15-month- delays.
old infant. Which action is correct?
Perform an in-depth developmental
assessment screen at this visit to
evaluate this child.
Reassure the parent that the child will
catch up to normal development by age 2
years.
Re-evaluate this child's development and
milestone achievements at the 2-year visit.
Refer the child to a specialty clinic for
evaluation and treatment of
developmental delay.
1/28
,4/6/25, 8:29 NR602 Pediatric Midterm Study Set |
AM
When formulating developmental ANS: A
diagnoses for pediatric patients, the The DC: 0-3R refers to the Diagnostic Classification of Mental Health and
primary care pediatric nurse practitioner Developmental Disorders of Infancy and Early Childhood and is useful for
may use which resource? developmental problem diagnosis. The ICD-10-CM is the International
DC: 0-3R Classification of Diseases-Tenth Revision, Clinical Modification and is useful for
ICD-10-CM identifying physiologic diseases. The ICSD-3 is the International Classification of
ICSD-3 Sleep Disorders - 3rd edition. NANDA International is used to label problems in
NANDA International the functional health domain.
The primary care pediatric nurse ANS: A
practitioner is evaluating health literacy in The "newest vital sign," or health literacy, can be determined quickly by asking
the mother of a new preschool-age child. the parent how many children's books are in the home. Greater than 10 books in
How will the nurse practitioner assess the home is an independent positive predictor of adequate parent health literacy.
this? The other questions may determine a specific level of literacy in general but are
Ask the child how many books he has at not as efficient.
home.
Ask the mother about her highest grade
in school.
Ask the mother to determine the correct
dose of a drug from a label.
Ask the mother to read a health
information handout aloud.
The primary care pediatric nurse ANS: D
practitioner learns that the mother of a Maternal depression in the first year of life has been associated with poorer
3- year-old child has been treated for language development at 3 years of age.
depression for over 5 years. Which aspect
of this child's development will be of
the most concern to the nurse
practitioner? Fine motor
Gross motor
Social/emotional
Speech and language
The primary care pediatric nurse ANS: C
practitioner sees a 3-year-old child who Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is recognized
chronically withholds stools, in spite of for reimbursement purposes. "Altered elimination pattern" and "Parenting
the parents' attempts to stop the alteration" are NANDA International diagnoses and are not recognized for
behavior, requiring frequent treatments reimbursement. "Elimination disorder" is a developmental diagnosis.
with laxative medications. Which
diagnosis will the nurse practitioner use to
facilitate third-party reimbursement?
Altered elimination pattern
Elimination disorder
Encopresis
Parenting alteration
A child is in the clinic for evaluation of ANS: D
an asthma action plan. The primary The PNP should remember that young children are learning "scripts" for health
care care visits and may be stressed when recalling previous visits, especially if those
pediatric nurse practitioner notes that involved immunizations. The PNP should explain the purpose and any anticipated
the child's last visit was for a pre- procedures for this visit to help put the child at ease.
kindergarten physical and observes
that the child is
extremely anxious. What will the nurse
practitioner do initially?
Ask the child's parent why the child is so
anxious.
Perform a physical assessment to rule
out shortness of breath.
2/28
, 4/6/25, 8:29 NR602 Pediatric Midterm Study Set |
AM
Reassure the child that there is nothing to
be afraid of.
Review the purpose of this visit and any
anticipated procedures.
When meeting with a new family, the ANS: C
primary care pediatric nurse practitioner The genogram is an approach to developing a family database to provide a
develops a database that identifies graphic representation of family structure, roles, and problems of recurring
family members and others living in significance in a family. The CRAFFT tool is used to assess substance abuse in
the adolescents. The ecomap is used to identify relationships in the family and
household, relationships with others community that are supportive or harmful. The pedigree is used to identify
outside the household, and significant potential genetic disorders.
behavioral and emotional problems.
Which tool will the nurse practitioner use
to record this information?
CRAFFT
Ecomap
Genogram
Pedigree
The primary care pediatric nurse ANS: C
practitioner evaluates a school-age child A problem should never be included on the problem list that is not supported
whose body mass index (BMI) is greater by subjective and objective data found and recorded in the database. This child
than the 97th percentile. The nurse has a BMI that suggests obesity, so this may be used as a diagnosis. Metabolic
practitioner is concerned about possible syndrome is a diagnosis that is determined by laboratory data, which has not
metabolic syndrome and orders been evaluated yet. Nutritional alteration is a NANDA diagnosis and not
laboratory tests to evaluate this. Which acceptable for reimbursement. "Rule out" should not be used as a diagnosis, but
diagnosis will the nurse practitioner may be
document for this considered part of a plan.
visit? Metabolic
syndrome
The primary care pediatric nurse ANS: B
practitioner performs a developmental Development should be monitored over time and within the context of the child's
assessment on a 3-year-old child and overall well-being, rather than at an isolated testing session. The child has normal
notes normal cognitive, fine-motor, and development in observed measures and appears to hear and understand well. By
gross-motor abilities. The child responds parental report, the child is able to speak. The PNP should continue to
appropriately to verbal commands during evaluate speech over time, since this refusal to speak may be associated with
the assessment but refuses to speak shyness or
when asked questions. The parent tells intimidation in the clinic. It is not necessary to tell the parent that the child has a
the possible speech delay. Unless an actual speech delay is observed, a referral is not
nurse practitioner that the child talks at indicated, nor is it necessary to implement a home therapy.
home and that most other adults can
understand what the child says. The
nurse practitioner will :
ask the parent to consider a possible
speech delay and report any
concerns. continue to evaluate the
child's speech at subsequent visits.
refer the child for a speech and hearing
evaluation.
tell the parent to spend more time in
interactive conversations with the child.
The primary care pediatric nurse ANS: A
practitioner is performing a well child The CRAFFT tool is a six-question tool used to screen for adolescent substance
assessment on an adolescent and is abuse. The HEEADSSS is used as a psychosocial screening tool. The PHQ-2 is a
concerned about possible alcohol and rapid screen for depression. The RAAPS is used to assess risk behaviors
tobacco use. Which assessment tool will that
the nurse practitioner use? contribute to most morbidity, mortality, and social problems in teens.
CRAFFT
HEEADSSS
PHQ-2
RAAPS
3/28
AM
NR602 PEDIATRIC MIDTERM STUDY SET EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (293)
The parent of a toddler is concerned that ANS: C
the child may have autism. The The M-CHAT is a screening tool and is useful for detecting behaviors that
primary may indicate autism. This instrument has been found to have acceptable
care pediatric nurse practitioner sensitivity, specificity, and significant positive predictive value. If these
completes a Modified Checklist for behaviors are
Autism in Toddlers (M-CHAT) tool, which detected, the PNP should refer the child to a specialist for further assessment,
indicates several areas of concern. What using more diagnostic tools. The CARS may be used but requires specialty
will the nurse practitioner do? training and proper credentials. Until the diagnosis is determined, strategies
Administer a Childhood Autism Rating for
Scale (CARS) in the clinic. intervention are not discussed. The M-CHAT is a screening tool and is not
Consult a specialist to determine diagnostic.
appropriate early intervention strategies.
Refer the child to a behavioral
specialist for further evaluation.
Tell the parent that this result indicates
that the child has autism.
The mother of a newborn tells the ANS: A
primary care pediatric nurse practitioner The three-generation pedigree is used to map out risks for genetic diseases in
that she is worried that her child will families, as well as conditions with modifiable risk factors. The review of systems is
develop allergies and asthma. Which tool used to evaluate the history of the child's body systems. The genogram is an
will the nurse practitioner use to approach to developing a family database to provide a graphic representation of
evaluate this risk? family structure, roles, and problems of recurring significance in a family. The
Three-generation pedigree ecomap is used to identify relationships in the family and community that
Review of systems are supportive or harmful.
Genogram
Ecomap
The primary care pediatric nurse ANS: A
practitioner is performing a well This child should be at a 19-month adjusted age for prematurity so, according to
child check-up on a 20-month-old the parent screen, is 4 months behind. The PNP should perform a more in-depth
child. The child was 4 weeks screen to evaluate this delay. Waiting to see if the child will "catch up" or assuring
premature and, the parent that this will happen will cause the delays to become more severe.
according to a parent-completed A referral to a specialty clinic should not be made solely on the basis of the
developmental questionnaire, has parent- completed questionnaire but only after further evaluation of possible
achieved milestones for a 15-month- delays.
old infant. Which action is correct?
Perform an in-depth developmental
assessment screen at this visit to
evaluate this child.
Reassure the parent that the child will
catch up to normal development by age 2
years.
Re-evaluate this child's development and
milestone achievements at the 2-year visit.
Refer the child to a specialty clinic for
evaluation and treatment of
developmental delay.
1/28
,4/6/25, 8:29 NR602 Pediatric Midterm Study Set |
AM
When formulating developmental ANS: A
diagnoses for pediatric patients, the The DC: 0-3R refers to the Diagnostic Classification of Mental Health and
primary care pediatric nurse practitioner Developmental Disorders of Infancy and Early Childhood and is useful for
may use which resource? developmental problem diagnosis. The ICD-10-CM is the International
DC: 0-3R Classification of Diseases-Tenth Revision, Clinical Modification and is useful for
ICD-10-CM identifying physiologic diseases. The ICSD-3 is the International Classification of
ICSD-3 Sleep Disorders - 3rd edition. NANDA International is used to label problems in
NANDA International the functional health domain.
The primary care pediatric nurse ANS: A
practitioner is evaluating health literacy in The "newest vital sign," or health literacy, can be determined quickly by asking
the mother of a new preschool-age child. the parent how many children's books are in the home. Greater than 10 books in
How will the nurse practitioner assess the home is an independent positive predictor of adequate parent health literacy.
this? The other questions may determine a specific level of literacy in general but are
Ask the child how many books he has at not as efficient.
home.
Ask the mother about her highest grade
in school.
Ask the mother to determine the correct
dose of a drug from a label.
Ask the mother to read a health
information handout aloud.
The primary care pediatric nurse ANS: D
practitioner learns that the mother of a Maternal depression in the first year of life has been associated with poorer
3- year-old child has been treated for language development at 3 years of age.
depression for over 5 years. Which aspect
of this child's development will be of
the most concern to the nurse
practitioner? Fine motor
Gross motor
Social/emotional
Speech and language
The primary care pediatric nurse ANS: C
practitioner sees a 3-year-old child who Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is recognized
chronically withholds stools, in spite of for reimbursement purposes. "Altered elimination pattern" and "Parenting
the parents' attempts to stop the alteration" are NANDA International diagnoses and are not recognized for
behavior, requiring frequent treatments reimbursement. "Elimination disorder" is a developmental diagnosis.
with laxative medications. Which
diagnosis will the nurse practitioner use to
facilitate third-party reimbursement?
Altered elimination pattern
Elimination disorder
Encopresis
Parenting alteration
A child is in the clinic for evaluation of ANS: D
an asthma action plan. The primary The PNP should remember that young children are learning "scripts" for health
care care visits and may be stressed when recalling previous visits, especially if those
pediatric nurse practitioner notes that involved immunizations. The PNP should explain the purpose and any anticipated
the child's last visit was for a pre- procedures for this visit to help put the child at ease.
kindergarten physical and observes
that the child is
extremely anxious. What will the nurse
practitioner do initially?
Ask the child's parent why the child is so
anxious.
Perform a physical assessment to rule
out shortness of breath.
2/28
, 4/6/25, 8:29 NR602 Pediatric Midterm Study Set |
AM
Reassure the child that there is nothing to
be afraid of.
Review the purpose of this visit and any
anticipated procedures.
When meeting with a new family, the ANS: C
primary care pediatric nurse practitioner The genogram is an approach to developing a family database to provide a
develops a database that identifies graphic representation of family structure, roles, and problems of recurring
family members and others living in significance in a family. The CRAFFT tool is used to assess substance abuse in
the adolescents. The ecomap is used to identify relationships in the family and
household, relationships with others community that are supportive or harmful. The pedigree is used to identify
outside the household, and significant potential genetic disorders.
behavioral and emotional problems.
Which tool will the nurse practitioner use
to record this information?
CRAFFT
Ecomap
Genogram
Pedigree
The primary care pediatric nurse ANS: C
practitioner evaluates a school-age child A problem should never be included on the problem list that is not supported
whose body mass index (BMI) is greater by subjective and objective data found and recorded in the database. This child
than the 97th percentile. The nurse has a BMI that suggests obesity, so this may be used as a diagnosis. Metabolic
practitioner is concerned about possible syndrome is a diagnosis that is determined by laboratory data, which has not
metabolic syndrome and orders been evaluated yet. Nutritional alteration is a NANDA diagnosis and not
laboratory tests to evaluate this. Which acceptable for reimbursement. "Rule out" should not be used as a diagnosis, but
diagnosis will the nurse practitioner may be
document for this considered part of a plan.
visit? Metabolic
syndrome
The primary care pediatric nurse ANS: B
practitioner performs a developmental Development should be monitored over time and within the context of the child's
assessment on a 3-year-old child and overall well-being, rather than at an isolated testing session. The child has normal
notes normal cognitive, fine-motor, and development in observed measures and appears to hear and understand well. By
gross-motor abilities. The child responds parental report, the child is able to speak. The PNP should continue to
appropriately to verbal commands during evaluate speech over time, since this refusal to speak may be associated with
the assessment but refuses to speak shyness or
when asked questions. The parent tells intimidation in the clinic. It is not necessary to tell the parent that the child has a
the possible speech delay. Unless an actual speech delay is observed, a referral is not
nurse practitioner that the child talks at indicated, nor is it necessary to implement a home therapy.
home and that most other adults can
understand what the child says. The
nurse practitioner will :
ask the parent to consider a possible
speech delay and report any
concerns. continue to evaluate the
child's speech at subsequent visits.
refer the child for a speech and hearing
evaluation.
tell the parent to spend more time in
interactive conversations with the child.
The primary care pediatric nurse ANS: A
practitioner is performing a well child The CRAFFT tool is a six-question tool used to screen for adolescent substance
assessment on an adolescent and is abuse. The HEEADSSS is used as a psychosocial screening tool. The PHQ-2 is a
concerned about possible alcohol and rapid screen for depression. The RAAPS is used to assess risk behaviors
tobacco use. Which assessment tool will that
the nurse practitioner use? contribute to most morbidity, mortality, and social problems in teens.
CRAFFT
HEEADSSS
PHQ-2
RAAPS
3/28
