Final Exam: NU665A/ NU 665A (New 2024/
2025 Update) Primary Care of Child II
Review| Qs & As | Grade A| 100% Correct
(Verified Answers)- Regis
QUESTION
A child who had GABHS two weeks prior is in the clinic with periorbital edema, dyspnea, and
elevated blood pressure. A urinalysis reveals tea-colored urine with hematuria and mild
proteinuria. What will the PNP do to manage this condition?
Answer:
Refer the child to a pediatric nephrologist for hospitalization
QUESTION
symptoms of post streptococcal glomerulonephritis
Answer:
dark urine with hematuria and mild proteinuria
QUESTION
§An adolescent male comes to the clinic reporting unilateral scrotal pain, nausea, and vomiting
that began this morning. The PNP palpates a painful, swollen testis and elicits increased pain
with slight elevation of the testis. What will the NP do?
Answer:
Refer the adolescent immediately to a pediatric urologist or surgeon
,QUESTION
testicular torsion
Answer:
causes a sudden onset of unilateral pain and elevation of the scrotum causes an increase in pain
QUESTION
A school-age child has recurrent diarrhea with foul-smelling stools, excessive flatus, abdominal
distension, and failure to thrive. He has not eliminated anything from his diet yet. What is the
next step in diagnosing this condition?
Answer:
A two-week lactose free trial failed to reduce symptoms
QUESTION
celiac disease symptoms
Answer:
-Malabsorptive diarrhea
-Flatulence
-Steatorrhea (greasy, bulky stool), foul smelling
-Weight loss (FTT)
-Abd distention
-Weakness and growth retardation
-Iron deficiency
-Bone pain or Bone weakness
-Amenorrhea
-Fertility problems
-Dermatitis herpetiformis (blisters on extensor surface)
QUESTION
,The parent of a school-age child reports that the child is on a gluten-free diet. When questioned
about the reason for this diet, the parent states that the child has fewer stomach aches since
beginning the diet but has never been diagnosed with celiac disease. The parent reports using
gluten-free grain products for all family members. The nurse practitioner will tell this parent that
gluten-free diets:
Answer:
May be deficient in essential nutrients
QUESTION
Gluten-free grain products
Answer:
Highly processed and not enriched with iron or folate
Many are very low in protein
They often have sugar and fat added to them to improve taste
QUESTION
An eight-year-old child is present with his mother with a report of "something in my left eye."
The child reports that he was playing baseball as the catcher, and someone slid into home plate.
After this, he felt something in his eye. The coach rinsed the eye out, but he still feels like
something is in there. There is no report of change in vision or photophobia. The nurse
practitioner decides that a fluorescein examination is appropriate. What should the NP do next?
Answer:
Pull down the lower lid, and with a moistened fluorescein strip, allow drops into the affected eye.
QUESTION
A three-year-old child is presented with her mother with complaint of purulent rhinorrhea from
left nostril with a strong odor. The mother reports that the child states she put a piece of corn in
her nose and remembers the last time they had corn was two weeks ago. What would be the best
intervention the nurse practitioner would do next?
, Answer:
After examination and identification that there is a kernel of corn in the left nares, the nurse
practitioner will use an alligator forceps and remove the foreign body.
QUESTION
A preschool-age child with no previous history has mild flank pain and fever but no abdominal
pain or vomiting. A urinalysis is positive for leukocyte esterase and nitrites. A culture is pending.
Which is the correct course of treatment for this child?
Answer:
Prescribe amoxicillin clavulanate
QUESTION
The PNP notes a musty odor when examining a newborn at a two-week checkup. What will the
NP suspect?
Answer:
Phenylketonuria
QUESTION
A 13yo Native American female has a BMI at the 90th percentile for age. The PNP notes the
presence of hyperpigmented velvet-like rash in skin folds. The child denies polydipsia,
polyphagia, and polyuria. What will the NP do?
Answer:
Order a fasting blood sample for a metabolic screen for type 2 diabetes
QUESTION
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