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NU 665 final questions and answers || latest update 2024/2025 || verified answers graded A+
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NU 665 final questions and answers || latest update 2024/2025 || verified answers graded A+
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NU 665 final questions and answers || latest update2024/2025 || verified answers graded A+
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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? -
CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT 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? - CORRECT
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? - CORRECT 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? -
CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? -
CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? -
CORRECT 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? - CORRECT 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? - CORRECT 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? -
CORRECT 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? - CORRECT ANSWER
: Cognitive behavioral therapy
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