9. During a well child examination, the primary care pediatric nurse practitioner
learns that a 5yearold child has had several episodes of walking
... [Show More] out of the bedroom after
falling asleep, looking dazed, with open eyes, and saying things that don’t make sense. What
will the nurse practitioner recommend?
A. Establishing a graduated extinction program and good sleep hygiene
B. Making sure that stairs are blocked and doors are locked
Correct
C. Referral to a sleep disorder clinic for evaluation of a parasomnia
D. To awaken the child when these occur and asking about nightmares
10. The parent of a schoolage child tells the primary care pediatric nurse
practitioner that the child is restless most nights and complains often that bugs
are in the bed. After consultation with a sleep disorder specialist and
subsequent evaluation of a ferritin level of 30, the nurse practitioner may
expect to treat this child with
A. clonazepam.
B. ferrous sulfate. Correct
C. gabapentin.
D. sertraline.
11. An adolescent exhibits mild depressive symptoms and tells the primary care
pediatric nurse practitioner that he is most concerned about difficulty falling
and staying asleep. The adolescent does not want to take medication to treat
the depressive symptoms. What will the nurse practitioner recommend?
A. A program of sleep hygiene and gradual sleep extension Correct
B. A sedativenarcotic will help both sleep and depression
C. Cognitive therapy can help the adolescent to sleep better
D. Using an antidepressant will improve sleep patterns
12. A child with Down syndrome who has sleepdisordered breathing with
obstructive sleep apnea continues to have symptoms in spite of tonsillectomy and
adenoidectomy and treatment with a leukotriene receptor antagonist medication and a nasal
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steroid spray. The primary care pediatric nurse practitioner will refer the child to a sleep disorder
clinic to discuss which therapy?
A. Craniofacial surgery
B. Oral appliances
C. Positive airway pressure therapy Correct
D. Supplemental oxygen
Continue
Questions
1. The mother of a 3monthold male infant tells the primary care pediatric
nurse practitioner that she occasionally notices he has a penile erection just after nursing.
What will the nurse practitioner tell the mother?
A. Infants should be prevented from masturbating.
B. The infant is conscious of the pleasure associated with nursing.
C. This is a form of infantile priapism.
D. This is a normal, reflexive behavior at this age. Correct
2. The primary care pediatric nurse practitioner is performing a well child
examination on a 3yearold. The child’s parent reports that the child has recently begun
masturbating. What will the nurse practitioner counsel this parent?
A. To allow the behavior whenever it occurs, since it is normal
B. To discuss sexuality with the child
C. To explore whether the child is being abused
D. To teach the child about privacy and hand hygiene Correct
3. The parent of an 8yearold child tells the primary care pediatric nurse
practitioner that the child has begun to ask questions about why a schoolmate has “2 daddies”
and wonders how to talk to the child about this. What will the nurse practitioner recommend?
A. Beginning a discussion about different types of sexual relationships and samesex
partners
B. Discussing the issue with the child in terms of the parent’s religious values and
norms
C. Explaining that not all families are the same and what is most important is that they
love and care for their children Correct
D. Telling the child that some adult relationships are complicated and
will be understood when the child is older
4. The primary care pediatric nurse practitioner is performing a well child exam
on an 8yearold girl and notes the presence of breast buds. What will the nurse practitioner
include when initiating anticipatory guidance for this patient?
A. A discussion about the risks of pregnancy and sexually transmitted diseases
B. Information about sexual maturity and menstrual periods Correct
C. Material about the human papillomavirus vaccine
D. Sexual orientation and the nature of sexual relationships
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5. The primary care pediatric nurse practitioner is counseling the parents of a
13yearold female who has Down syndrome about sexual maturation. What will the nurse
practitioner tell these parents?
A. It is important to discuss and support healthy sexuality. Correct
B. Providing too much information about sexuality may be confusing given the child’s
cognitive level of understanding.
C. Suppressing periods with contraceptives will lessen their daughter’s distress.
D. They should give her information about periods but not about sexuality.
6. During a well child exam on a 13yearold female, the primary care pediatric
nurse practitioner notes that the child is at Tanner Stage 3. During the exam, when the nurse
practitioner initiates a conversation about healthy sexuality education, the parent states that this
topic is “off limits.” What will the nurse practitioner do?
A. Ask the adolescent whether she wishes to discuss these matters since she is
becoming an adult.
B. Separate the parent from the adolescent to discuss the adolescent’s concerns in
private.
C. Spend private time with the parent to discuss how sexuality education reduces the
risk of early sexual intercourse and risky sexual behaviors. Correct
D. Tell the parent that this information is a routine part of adolescent
well child examinations and must be included.
7. During a well child examination, a 15yearold female tells the primary care
pediatric nurse practitioner that some of her friends have begun having sex. She has a
boyfriend but denies engaging in sex with him. What will the nurse practitioner do initially?
A. Ask her for her definitions of “sex.” Correct
B. Discuss the risks of sexually transmitted diseases.
C. Find out if she is considering sexual relations.
D. Give her information about contraception.
8. During a well child examination of a 6yearold girl, the primary care pediatric
nurse practitioner notes that the child becomes embarrassed and resists taking off her
underwear for the exam. What should the nurse practitioner infer from this observation?
A. The child has been sexually molested.
B. The child is feeling violated by the examiner.
C. The parent is exhibiting regressive behavior.
D. This is a normal reaction in a child of this age. Correct
E.
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G.
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9. The primary care pediatric nurse practitioner is providing anticipatory
guidance to the parent of a schoolage boy. The parent expresses concerns that the child
prefers to play with dolls, is worried that the child will be a homosexual, and asks what can be
done to prevent this from happening. What will the nurse practitioner tell this parent?
A. Homosexual identity formation cannot be predicted by early childhood behavior.
B. Masculinizing boys from an early age helps to determine heterosexual orientation.
C. Sexual orientation identification begins late in adolescence and not in childhood.
D. The development of sexual orientation is generally a multifaceted process. Correct
Continue
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Questions
1. The primary care pediatric nurse is performing a well child examination on an
adolescent who was adopted as a toddler. The parent reports that the child had been removed from
an abusive home at age 3 years. What will the nurse practitioner evaluate in light of possible
longterm effects of this early situation?
A. Cognitive and psychosocial development
B. Mental health and suicide risk Correct
C. Moral development and conscience formation
D. Spirituality, faith, and religious affiliation
2. While the primary care pediatric nurse practitioner is discussing anticipatory
guidance with the mother of a 12 month old, the child repeatedly pulls objects out of the mother’s
purse. Each time, the mother slaps the child’s hands as she takes the objects away. What will the
nurse practitioner recommend to help the mother manage this child’s m [Show Less]