Final Exam: NR602/ NR 602 Primary Care of the Childbearing and Childrearing
Family Practicum Final Exam| Questions and Verified Answers| LATEST 2023/
... [Show More] 2024 - Chamberlain
QUESTION
A 3-year-old child has just completed a 7-day course of amoxicillin for a second febrile UTI and currently has a neg urine cx. What is the next course of action?
A. Obtain a renal and bladder US
B. Prescribe prophylactic antibiotics to prevent recurrence
C. Refer the child for a voiding cystourethrogram
D. Scree urine regularly for leukocyte esterase and nitrites
Answer:
A. Obtain a renal and bladder US
QUESTION
The parent of a toddler diagnosed with grade V vesicoureteral reflux asks the primary care pediatric NP how the disease will be tx. What will the NP tell this patient?
A. The long-term antibiotic prophylaxis will prevent scarring
B. That surgery to correct the condition is possible
C. That the child will most likely require kidney transplant
D. That the condition will probably resolve spontaneously
Answer:
B. That surgery to correct the condition is possible
QUESTION
A healthy 14-year-old female has a dipstick urinalysis that is positive for 5-6 RBCs per hpf but otherwise normal. What is the first question the primary care pediatric nurse practitioner will ask this patient?
a. "Are you sexually active?"
b. "Are you taking any medications?"
c. "Have you had a recent fever?"
d. "When was your last menstrual period (LMP)?"
Answer:
d. "When was your last menstrual period (LMP)?"
QUESTION
A child has gross hematuria, abdominal pain, and arthralgia as well as a rash. What diagnosis is most likely?
A. Henoch-Schonlein purpura
B. Rhabdomyosarcoma
C. Sickle cell disease
D. Systemic lupus erythematosus
Answer:
A. Henoch-Schonlein purpura
QUESTION
An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent first-morning voided specimen is negative. What will the primary care pediatric NP do to manage this condition?
A. Monitor for proteinuria at each annual well child exam
B. Order a 24-hour timed urine collection for creatinine and protein exrection.
C. Reassure the parents that this is benign condition with no follow-up needed.
D. Refer the child to a pediatric nephrologist for further evaluation.
Answer:
A. Monitor for proteinuria at each annual well child exam
QUESTION
A child is diagnosed with nephrotic syndrome, and the pediatric nurse practitioner provides primary care in a consultation with pediatric nephrologist. The child was treated with steroids and responded well to this treatment. What will the nurse practitioner tell the child's parents about this disease?
A. "Future episodes are likely to have worse outcomes"
B. "Steroids will be used when relapses occur"
C. "This represents a cure from this disease."
D. "Your child will need to take steroid indefinitely"
Answer:
B. "Steroids will be used when relapses occur"
QUESTION
A child who has nephrotic syndrome is on a steroids and a salt-restricted diet for a relapse of sx. A dipstick urinalysis shows 1+ protein down from 3+ at the beginning of the episode. In consultation with the child's nephrologist, what is the correct course of tx considering this finding?
A. Begin a taper of the steroid medication while continuing salt restrictions.
B. Continue with steroids and salt restrictions until the urine is negative for protein
C. DC steroids and salt restrictions now that improvement has occurred.
D. Relax salt restrictions and continue admin of steroids until proteinuria is gone.
Answer:
B. Continue with steroids and salt restrictions until the urine is negative for protein
QUESTION
A child diagnosed with Group A beta-hemolytic streptococci (GABHS) 2 wks prior is in the clinic w/periorbital edema, dyspnea, & elevated BP. A UA reveals tea-colored urine w/hematuria & mild proteinuria. What will the NP do to mange this condition?
A. Prescribe a 10-14 day course of high-dose amoxicillin
B. Prescribe high-dose steroids in consultation w/a nephrologist
C. Reassure the parents that this condition will resolve spontaneously
D. Refer the child to a pediatric nephrologist for hospitalization
Answer:
D. Refer the child to a pediatric nephrologist for hospitalization
QUESTION
An adolescent has right-sided flank pain without fever. A dipstick UA reveals gross hematuria w/o signs of infection or bacteriuria, and the NP dx possible nephrolithiasis. What is the initial tx for this condition?
A. extracorporeal shockwave lithotripsy (ESWL)
B. Increase fluid intake up to 2L daily
C. Percutaneous removal of renal calculi
D. Referral to a pediatric nephrologist
Answer:
B. Increase fluid intake up to 2L daily
QUESTION
During a well child exam of a 2-year-old child, this NP palpates a unilateral, smooth, firm abdominal mass which does not cross the midline. What is the next course of action?
A. Order CT of CAP
B. Perform UA, CBC, renal function test
C. Reevaluate mass in 1-2 weeks
D. Refer child to a oncologist immediately
Answer:
D. Refer child to a oncologist immediately
QUESTION
A 6-month-old infant has a retractile testis that was noted at the 2-month well baby exam. What will the NP do to manage this condition?
A. Reassure the parent that the testis will most likely descend into place on its own
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
C. Teach the parent to manipulate the testis into the scrotum during diaper changes
D. Tell the parent that hormonal therapy may be needed to correct the condition
Answer:
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
QUESTION
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness. The NP notes a tender mass in the affected scrotum that is difficult to reduce. What is the correct action? [Show Less]