1. The primary care pediatric nurse practitioner is obtaining a medical history
about a child. To integrate both nursing and medical aspects of primary ca... [Show More] re, 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
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.
C. Reevaluate this child’s development and milestone achievements at the 2year visit.
D. Refer the child to a specialty clinic for evaluation and treatment of developmental
delay.
6. The primary care pediatric nurse practitioner performs a developmental
assessment on a 3yearold child and notes normal cognitive, finemotor, and grossmotor
abilities. The child responds appropriately to verbal commands during the assessment but
refuses to speak when asked questions. The parent tells the nurse practitioner that the child
talks at home and that most other adults can understand what the child says. The nurse
practitioner will
A. ask the parent to consider a possible speech delay and report any concerns.
B. continue to evaluate the child’s speech at subsequent visits. Correct
C. refer the child for a speech and hearing evaluation.
D. tell the parent to spend more time in interactive conversations with the child.
7. The parent of a toddler is concerned that the child may have autism. The
primary care pediatric nurse practitioner completes a Modified Checklist for Autism in Toddlers
(MCHAT) tool, which indicates several areas of concern. What will the nurse practitioner do?
A. Administer a Childhood Autism Rating Scale (CARS) in the clinic.
B. Consult a specialist to determine appropriate early intervention strategies.
C. Refer the child to a behavioral specialist for further evaluation. Correct
D. Tell the parent that this result indicates that the child has autism.
8. The primary care pediatric nurse practitioner learns that the mother of a 3
yearold child has been treated for depression for over 5 years. Which aspect of this child’s
development will be of the most concern to the nurse practitioner?
A. Fine motor
B. Gross motor
C. Social/emotional
D. Speech and language Correct
9. When meeting with a new family, the primary care pediatric nurse practitioner
develops a database that identifies family members and others living in the household,
relationships with others outside the household, and significant behavioral and emotional
problems. Which tool will the nurse practitioner use to record this information?
A. CRAFFT
B. Ecomap
C. Genogram Correct
D. Pedigree
10. A child is in the clinic for evaluation of an asthma action plan. The primary
care pediatric nurse practitioner notes that the child’s last visit was for a prekindergarten
physical and observes that the child is extremely anxious. What will the nurse practitioner do
initially?
A. Ask the child’s parent why the child is so anxious.
B. Perform a physical assessment to rule out shortness of breath.
C. Reassure the child that there is nothing to be afraid of.
D. Review the purpose of this visit and any anticipated procedures. Correct
11. The primary care pediatric nurse practitioner is evaluating health literacy in the
mother of a new preschoolage child. How will the nurse practitioner assess
A. Ask the child how many books he has at home. Correct
B. Ask the mother about her highest grade in school.
C. Ask the mother to determine the correct dose of a drug from a label.
D. Ask the mother to read a health information handout aloud.
12. The mother of a newborn tells the primary care pediatric nurse practitioner
that she is worried that her child will develop allergies and asthma. Which tool will the nurse
practitioner use to evaluate this risk?
A. Threegeneration pedigree Correct
B. Review of systems
C. Genogram
D. Ecomap
13. The primary care pediatric nurse practitioner is performing a well child
assessment on an adolescent and is concerned about possible alcohol and tobacco use.
Which assessment tool will the nurse practitioner use?
A. CRAFFT Correct
B. HEEADSSS
C. PHQ2
D. RAAPS
14. The primary care pediatric nurse practitioner evaluates a schoolage child
whose body mass index (BMI) is greater than the 97th percentile. The nurse practitioner is
concerned about possible metabolic syndrome and orders laboratory tests to evaluate this.
Which diagnosis will the nurse practitioner document for this visit?
A. Metabolic syndrome
B. Nutritional alteration: more than required
C. Obesity Correct
D. Rule out type 2 diabetes mellitus
Questions
1. 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
E. developing consistent daily routines for the child. Correct
F. exposing her child to extended family members when possible.
G. not working outside the home during the first few years.
H. taking her child to regular play date activities with other children.
2. 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?
E. Reassure them that the child is too young to understand.
F. Recommend that they continue to not argue in front of the child.
G. Suggest counseling to learn ways to handle stress. Correct
H. Tell them that the conflict will resolve when the situation changes.
3. During a well child assessment of an 18monthold child, the primary care
pediatric nurse practitioner observes the child becoming irritable and uncooperative. The
parent tells the child to stop fussing. What will the nurse practitioner do?
C. Allow the parent to put the child in a “timeout.”
D. Ask the parent about usual discipline practices.
E. Offer the child a book or a toy to look at. Correct
F. Stop the exam since the child has reached a “meltdown.”
4. Which recommendation will a primary care pediatric nurse practitioner make
when parents ask about ways to discipline their 3yearold child who draws on the walls with
crayons?
D. Give the child washable markers so the drawings can be removed easily.
E. Provide a roll of paper for drawing and teach the child to use this. Correct
F. Put the child in “timeout” each time the child draws on the walls.
G. Take the crayons away from the child to prevent the behavior.
5. The primary care pediatric nurse practitioner conducts a well baby exam onan infant and notes
mild gross motor delays but no delays in other areas. Which initial course ofaction will the nurse
practitioner recommend?
E. Consult a developmental specialist for a more complete evaluation.
F. Prepare the parents for a potentially serious developmental disorder.
G. Refer the infant to an early intervention program for physical therapy.
H. Teach the parents to provide exercises to encourage motor development. Correct
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6. The primary care pediatric nurse practitioner is examining a newborn infant
recently discharged from the neonatal intensive care unit after a premature birth. The parent is
upset and expresses worry about whether the infant will be normal. What will the nurse
practitioner do in this situation?
E. Explain to the parent that developmental delays often do not manifest at first.
F. Perform a developmental assessment and tell the parent which delays are evident.
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G. Point out the tasks that the infant can perform while conducting the
assessment. Correct
D. Refer the infant to a developmental specialist for a complete evaluation.
7. The primary care pediatric nurse practitioner sees a developmentally delayed
toddler for an initial visit. The family has just moved to the area and asks the nurse practitioner
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about community services and resources for their child. What should the nurse practitioner do
initially?
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Continue
E. Ask the parents if they have an individualized family service plan (IFSP). Correct
F. Consult with a physician to ensure the child gets appropriate care.
G. Inform the family that services are provided when the child begins school.
H. Refer the family to a social worker for assistance with referrals and services.
8. The primary care pediatric nurse practitioner has a cohort of patients who
have special health care needs. Which is an important role of the nurse practitioner when
caring for these children?
A. Care coordination and collaboration Correct
D. Developing protocols for parents to follow
E. Monitoring individual education plans (IEPs)
F. Providing lists of resources for families
9. The primary care pediatric nurse practitioner performs a physical examination
on a 9monthold infant and notes two central incisors on the lower gums. The parent states that
the infant nurses, takes solid foods three times daily, and occasionally takes water from a cup.
What will the pediatric nurse practitioner counsel the parent to promote optimum dental
health?
C. To begin brushing the infant’s teeth with toothpaste
D. To consider weaning the infant from breastfeeding
E. To discontinue giving fluoride supplements
D. To make an appointment for an initial dental examination
10. The primary care pediatric nurse practitioner enters an exam room and finds
a 2monthold infant in a car seat on the exam table. The infant’s mother is playing a game on
her smart phone. The nurse practitioner interprets this behavior as
E. a sign that the mother has postpartum depression.
F. extremely concerning for potential parental neglect.
G. of moderate concern for parenting problems. Correct
H. within the normal range of behavior in early parenthood. [Show Less]
