1. The primary care pediatric nurse practitioner is obtaining a medical history
about a child. To integrate both nursing and medical aspects of primary care, which will be
included in the medical history?
A. Complementary medications, alternative health practices, and chief complaint
B. Developmental delays, nutritional status, and linear growth patterns
C. Medication currently taking, allergy information, and family medical history
D. Speech and language development, beliefs about health, and previous
illnesses Correct
,2. When formulating developmental diagnoses for pediatric patients, the primary
care pediatric nurse practitioner may use which resource?
A. DC: 03R Correct
B. ICD10CM
C. ICSD3
D. NANDA International
3. The primary care pediatric nurse practitioner sees a 3yearold child who
chronically withholds stools, in spite of the parents’ attempts to stop the behavior, requiring
frequent treatments with laxative medications. Which diagnosis will the nurse practitioner use to
facilitate thirdparty reimbursement?
A. Altered elimination pattern
B. Elimination disorder
C. Encopresis Correct
D. Parenting alteration
4. The primary care pediatric nurse practitioner is assessing a toddler whose
weight and body mass index (BMI) are below the 3rd percentile for age. The nurse practitioner
learns that the child does not have regular mealtimes and is allowed to carry a bottle of juice
around at all times. The nurse practitioner plans to work with this family to develop improved meal
patterns. Which diagnosis will the nurse practitioner use for this problem?
A. Failure to thrive
B. Home care resources inadequate
C. Nutrition alteration – less than required
D. Parenting alteration Correct
, 5. The primary care pediatric nurse practitioner is performing a well child check 11176
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up on a 20monthold child. The child was 4 weeks premature and, according to a parent
completed developmental questionnaire, has achieved milestones for a 15monthold infant.
Which action is correct?
A. Perform an indepth developmental assessment screen at this visit to evaluate this
child. Correct
B. Reassure the parent that the child will catch up to normal development by age 2
years.
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