Adv Ped 59 Nursing Test 1 Review Quiz Questions With Answers
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Adv Ped 59 Nursing
Institution
Adv Ped 59 Nursing
A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric
nurse practitioner (PNP) notes that the child's last visit was for a pre-kindergarten physical
and observes that the child is extremely anxious. What will the nurse practitioner do initially? - ️️Revi...
Adv Ped 59 Nursing Test 1
A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric
nurse practitioner (PNP) notes that the child's last visit was for a pre-kindergarten physical
and observes that the child is extremely anxious. What will the nurse practitioner do initially? - ✔ ✔
Review the purpose of this visit and any anticipated procedures.
Explanation: The PNP should remember that young children are learning "scripts" for health care visits
and
may be stressed when recalling previous visits, especially if those involved immunizations.
The PNP should explain the purpose and any anticipated procedures for this visit to help put
the child at ease.
A child with Down syndrome who has sleep-disordered breathing with obstructive sleep
apnea continues to have symptoms in spite of tonsillectomy and adenoidectomy and treatment
with a leukotriene receptor antagonist medication and a nasal steroid spray. The primary care
pediatric nurse practitioner will refer the child to a sleep disorder clinic to discuss which
therapy? - ✔ ✔ Positive airway pressure therapy
Explanation: Positive airway pressure therapy can be used to treat sleep-disordered breathing in children
who have failed other therapies and even developmentally delayed children show
improvement in behaviors after this therapy. Craniofacial surgery may be used in the presence
of maxillofacial deformities that affect sleep-disordered breathing but is a last option. Oral
appliances may be used if deformities can be corrected in this manner. Supplemental oxygen
helps with oxygen saturations but not with disordered breathing patterns themselves.
A primary care pediatric nurse practitioner working in a community health center wishes to
,develop a program to assist impoverished children and families to have access to healthy
foods. Which strategy will the pediatric nurse practitioner employ to ensure the success of
such a program? - ✔ ✔ Asking community members to assist in researching and implementing a
program
A single mother of an infant worries that living in a household with only one parent will cause
her child to be maladjusted. To help address the mother's concerns, the primary care pediatric
nurse practitioner will suggest - ✔ ✔ developing consistent daily routines for the child.
Explanation: Providers can teach parents that providing predictable, consistent, and loving care helps an
infant to learn trust and help influence positive brain development. Involving extended family
members and going to play dates are good ways to socialize children but are not essential to
learning trust. It may not be possible for her to be a stay-at-home mother.
An adolescent exhibits mild depressive symptoms and tells the primary care pediatric nurse
practitioner that he is most concerned about difficulty falling and staying asleep. The
adolescent does not want to take medication to treat the depressive symptoms. What will the
nurse practitioner recommend? - ✔ ✔ A program of sleep hygiene and gradual sleep extension
Explanation: Depression is linked to sleep problems and both predict and are predicted by a diagnostic
cluster that includes ODD, GAD, and depression. One study found that gradual sleep extension combined
with sleep extension advice had a beneficial effect on depressive
symptoms of adolescents with chronic sleep reduction. Sedatives will not affect depression.
Cognitive therapy is useful for insomnia related to anxiety. Antidepressants do not necessarily
treat insomnia.
During a well child exam, the primary care pediatric nurse practitioner learns that the parents
of a young child fight frequently about finances. The parents state that they do not fight in
front of the child and feel that the situation is temporary and related to the father's job layoff.
, What will the nurse practitioner do? - ✔ ✔ Suggest counseling to learn ways to handle stress
Explanation: Marital problems can result in child behavior difficulties and anxieties, and conflict can be
picked up by the child. The parents should try to learn to modify unhealthy behaviors, such as
increased conflict during stressful situations. Even when children do not understand, they pick
up on cues from the parents about anxiety and stress and can internalize these feelings.
Avoiding arguments in front of the child does not alleviate the underlying conflict and stress.
The behavior of fighting during this stressful situation may indicate a pattern of response to
stress and will only recur with each subsequent stressful period.
During a well child examination, the primary care pediatric nurse practitioner learns that a
5-year-old child has had several episodes of walking out of the bedroom after falling asleep,
looking dazed, with open eyes, and saying things that don't make sense. What will the nurse
practitioner recommend? - ✔ ✔ Making sure that stairs are blocked and doors are locked
Explanation: Parents of children with sleep walking should be assured that this is relatively benign but
should make sure the house is secure so the child will not cause self-harm. Graduated
extinction and sleep hygiene are used for children who have difficulty initiating or
maintaining sleep. Referral to a sleep disorder clinic may be warranted if the child has an
episode of leaving the house or some other dangerous activity. The child should be guided
back to bed without awakening.
During an assessment of a 4-week-old infant, the primary care pediatric nurse practitioner
learns that a breastfed infant nurses every 2 hours during the day but is able to sleep for a
4-hour period during the night. The infant has gained 20 grams per day in the interval since
last seen in the clinic. What will the nurse practitioner recommend? - ✔ ✔ Continuing to nurse the
infant using the current pattern
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