Question 1

The primary care pediatric nurse practitioner is preparing to perform a well child examination on a 5-year-old child who has multiple developmental and cognitive delays. The child's mother is angry and tells the nurse practitioner that her friends' children are all preparing for kindergarten. What will the nurse practitioner do:

Accepted Answer

A)   allow the mother to express her feelings, understanding that she is experiencing grief.
B)   reassure the mother that special educational opportunities are available for her child.
C)   suggest that the mother find a support group with other children with special needs.
D)   tell her that most schools provide services for children with special health care needs.E) A) and B)
F) A) and C)

Question 2

The primary care pediatric nurse practitioner diagnoses a 5-year-old child with asthma and prescribes an oral steroid and a short-acting beta-adrenergic medication via a metered-dose inhaler to manage acute symptoms. Along with education about the prescribed medications, what information is important to give the child's family at this visit?

Accepted Answer

A)   An asthma action plan
B)   Effects and side effects of current medications
C)   Information about spirometry testing
D)   Instructions for medications at schoolE) A) and B)
F) None of the above

Question 3

The primary care pediatric nurse practitioner cares for several families with chronically ill children who text status updates about their children to a mobile device that has an encryption- protection platform installed. If the nurse practitioner misplaces the mobile device, it is important to do what?

Accepted Answer

A)   Disconnect the user from the system to avoid a data breach.
B)   Notify the families that their messages may be read by others.
C)   Obtain a new device as soon as possible to resume communication.
D)   Upload the messages from another remote device.E) B) and D)
F) A) and C) A

Question 4

The primary care pediatric nurse practitioner uses a shared decision-making (SDM)  model when working with families of children with chronic health conditions. When using this model, the nurse practitioner can expect:

Accepted Answer

A)   considerably more time in each encounter.
B)   improved patient health outcomes.
C)   less PNP involvement in health care decisions.
D)   lower provider and higher patient satisfaction.E) A) and C)
F) None of the above

Question 5

The parent of a child with complex health care needs tells the primary care pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can't articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate with clear breath sounds. What will the nurse practitioner do?

Accepted Answer

A)   Admit the child to the hospital for close observation and monitoring of respiratory status.
B)   Encourage the parent to call when concerned and schedule a follow-up appointment the next day.
C)   Perform a complete blood count, blood cultures, and a chest radiograph to evaluate symptoms.
D)   Reassure the parent that the child has a normal exam and is most likely not ill.E) None of the above
F) A) and C) B

Question 6

A toddler is prescribed a liquid oral medication. The parent tells the primary care pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do?

Accepted Answer

A)   Demonstrate oral medication administration with the toddler in the office.
B)   Instruct the parent to hide the medication in a favorite food or beverage.
C)   Order the medication to be given via another route if possible.
D)   Tell the parent to offer the child a reward each time the medication is taken.E) A) and B)
F) None of the above

Question 7

What is the most important role of the primary care pediatric nurse practitioner who provides care for a child with special health care needs who sees several specialists and receives community and school-based services?

Accepted Answer

A)   Assessing the parent's ability to perform home care tasks
B)   Coordinating services to ensure continuity of care
C)   Monitoring the family's adherence to the health care plan
D)   Ordering medications and other prescribed treatmentsE) All of the above
F) A) and C) B

Question 8

A toddler swallowed a coin several days prior. The child's parent has not found the coin in the child's stool. Which imaging test will the primary care pediatric nurse practitioner employ to evaluate this ingestion?

Accepted Answer

A)   Abdominal ultrasound
B)   Computed tomography
C)   Conventional radiograph
D)   Magnetic resonance imagingE) None of the above
F) All of the above

Question 9

The primary care pediatric nurse practitioner is assessing an ill 2-month-old infant who is febrile and refusing most fluids. The preliminary blood work indicates a viral infection and shows that the infant is hydrated. The infant is alert. The infant's parents are attentive and live close by. What will the nurse practitioner do?

Accepted Answer

A)   Administer a parenteral antibiotic and antipyretic and send the infant home.
B)   Admit the infant to an inpatient hospital unit for overnight monitoring.
C)   Give the parents sick care instructions and follow up in the clinic in the morning.
D)   Send the infant to the urgent care center for intravenous fluids.E) All of the above
F) A) and C)

Question 10

The primary care pediatric nurse practitioner orders a pulmonology consult for a child who has severe asthma. The nurse practitioner writes "child with asthma refractory to conventional treatments needs suggestions for alternative treatments." What does the nurse practitioner expects the pulmonologist to do?

Accepted Answer

A)   Confirm the medical diagnosis for the child's parents.
B)   Make recommendations for disease management.
C)   Stress the importance of adherence to the medication regimen.
D)   Take over management of this child's chronic illness.E) None of the above
F) A) and B)

Exam 25: Introduction to Disease Management

Correct Answer
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Correct Answer
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Correct Answer
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A

The primary care pediatric nurse practitioner uses a shared decision-making (SDM) model when working with families of children with chronic health conditions. When using this model, the nurse practitioner can expect:

Correct Answer
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Correct Answer
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B

A toddler is prescribed a liquid oral medication. The parent tells the primary care pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do?

Correct Answer
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What is the most important role of the primary care pediatric nurse practitioner who provides care for a child with special health care needs who sees several specialists and receives community and school-based services?

Correct Answer
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B

A toddler swallowed a coin several days prior. The child's parent has not found the coin in the child's stool. Which imaging test will the primary care pediatric nurse practitioner employ to evaluate this ingestion?

Correct Answer
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Correct Answer
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Correct Answer
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Exam 25: Introduction to Disease Management

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct AnswerverifiedA

The primary care pediatric nurse practitioner uses a shared decision-making (SDM) model when working with families of children with chronic health conditions. When using this model, the nurse practitioner can expect:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedB

A toddler is prescribed a liquid oral medication. The parent tells the primary care pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do?

Correct AnswerverifiedShow Answer

What is the most important role of the primary care pediatric nurse practitioner who provides care for a child with special health care needs who sees several specialists and receives community and school-based services?

Correct AnswerverifiedB

A toddler swallowed a coin several days prior. The child's parent has not found the coin in the child's stool. Which imaging test will the primary care pediatric nurse practitioner employ to evaluate this ingestion?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
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A

Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
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