REGIS NU665|NU 665 ACTUAL FINAL EXAM REGIS COLLEGE|QUESTIONS AND 100% CORRECT ANSWERS A GRADE| NEWEST NU665 FINAL EXAM
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REGIS NU665|NU 665
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REGIS NU665|NU 665
REGIS NU665|NU 665 ACTUAL FINAL EXAM REGIS COLLEGE|QUESTIONS AND 100% CORRECT ANSWERS A GRADE| NEWEST NU665 FINAL EXAM
1. 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...
REGIS NU665|NU 665 ACTUAL FINAL EXAM
2024-2025 REGIS COLLEGE|QUESTIONS
AND 100% CORRECT ANSWERS A GRADE|
NEWEST NU665 FINAL EXAM
1. 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? -
ANSWER-Apply ice packs to both knees and avoid activities that cause
pain.
2. 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? - ANSWER-Grasp the heel with one hand and abduct the
forefoot with the other hand.
3. 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? - ANSWER-"I let my baby cry a while to learn to be
patient."
4. A child has a difficult temperament. What will the primary care pediatric
nurse practitioner tell the parent about managing this child's behavior? -
ANSWER-It is important for the parent to learn to manage criticism and
power struggles.
5. 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. - ANSWER-Take time to actively listen to the
parent's and child's perceptions of the problem.
6. The primary care pediatric nurse practitioner attempts to learn more about
the emotional health of an 18-month-old child through which assessment
strategy? - ANSWER-Observation of the child with caretakers in
structured and unstructured situations
7. 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? - ANSWER-Refer the child to a mental health specialist for
evaluation and treatment.
8. 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? - ANSWER-Ask the parent
if the child is slow to warm up to other new situations.
9. 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? - ANSWER-The significance
of this loss must be reworked at each developmental level.
10.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? - ANSWER-There is a metaphyseal fragment on the
compression side of fracture.
11.What will the primary care pediatric nurse practitioner elicit when
obtaining a positive Barlow maneuver when screening for developmental
dysplasia of the hip? - ANSWER-Dislocation of an unstable hip
,12.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? - ANSWER-Gently
attempt a supination and flexion technique.
13.A school-age child falls off a swing and suffers a closed fracture of the
right clavicle. How will this be managed? - ANSWER-Immobilization
with a sling to support the affected extremity
14.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? - ANSWER-Recommend NSAIDs, stretching
exercises, and ice packs to the area.
15.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? - ANSWER-Discuss posture and exercise
and ask about backpacks and books.
16.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? - ANSWER-Surgical intervention
17.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? - ANSWER-Place the child on crutches or in a wheelchair to
prevent weight-bearing.
, 18.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? - ANSWER-Refer to a pediatric orthopedic specialist
for treatment.
19.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? - ANSWER-
"Fear of imaginary creatures does not usually occur at this age."
20.A 14-year-old female comes to the clinic with amenorrhea for 3 months.
A pregnancy test is negative. The adolescent's body weight is at 82% of
expected for height and age. The mother reports that her daughter often
throws up and refuses to eat most foods. Which condition does the
primary care pediatric nurse practitioner suspect? - ANSWER-Anorexia
nervosa
21.Which type of heat-related illness involves a core body temperature of at
least 104.9°F, acute mental status changes, absent sweat, and tachypnea? -
ANSWER-Heat stroke
22.What percentage of burns is involved using the rule of nines if both front
legs are burned? - ANSWER-18%
23.Which drug commonly prescribed for burns is active against a wide
spectrum of microbial pathogens and is the most frequently used agent
for partial- and full-thickness thermal injuries? - ANSWER-Silver
sulfadiazine (Silvadene)
24.A sunscreen with a sun-protection factor of at least what number will
block most harmful ultraviolet radiation? - ANSWER-15
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