MN 580 EXAM STUDY GUIDE | QUESTIONS
AND CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST VERSION |
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A child who plays soccer is in the clinic reporting pain 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?
a. Apply ice packs to both knees and avoid activities that cause pain.
B. Begin quadriceps-stretching exercises now to prevent further injury.
C. Obtain radiographic studies to rule out fractures or ligament tears.
D. Refer to a pediatric orthopedic specialist to evaluate the need for
surgery. ---------CORRECT ANSWER-----------------a. Apply ice packs to
both knees and avoid activities that cause pain.
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 hind-foot, along with a convex-shaped lateral border of the
foot. What will the nurse practitioner do to evaluate this deformity?
A. Grasp the heel with one hand and abduct the forefoot with the other
hand.
B. Observe both legs for medial and lateral rotations.
C. Order anterior-posterior and lateral radiographs of both feet.
D. Refer the infant immediately to a pediatric orthopedic specialist. ---------
CORRECT ANSWER-----------------A. Grasp the heel with one hand and
abduct the forefoot with the other hand.
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?
A. Obtain a chest radiograph to evaluate possible causes for these
symptoms.
B. Order an electrocardiogram to rule out potential cardiovascular disease.
C. Recommend NSAIDs, stretching exercises, and ice packs to the area.
D. Refer the child to a pediatric orthopedist for evaluation and treatment. ---
------CORRECT ANSWER-----------------C. Recommend NSAIDs, stretching
exercises, and ice packs to the area.
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?
A. Discuss posture and exercise and ask about backpacks and books.
B. Obtain radiographic studies of the entire spine and neck.
C. Reassure the child's parent that functional scoliosis will self-resolve.
D. Refer to an orthopedic specialist for evaluation and possible bracing. ----
-----CORRECT ANSWER-----------------A. Discuss posture and exercise and
ask about backpacks and books.
The primary care pediatric nurse practitioner reviews a child's complete
blood count with differential white blood cell values and recognizes a "left
shift" because of what event?
A. A decreased eosinophil count.
B. A decreased lymphocyte count.
C. An elevated monocyte count.
D. An elevated neutrophil count. ---------CORRECT ANSWER-----------------
D. An elevated neutrophil count.
A complete blood count on a 12-month-old infant reveals microcytic,
hypochromic anemia with a hemoglobin of 9.5 g/dL. The infant has mild
,pallor with no hepatosplenomegaly. The primary care pediatric nurse
practitioner suspects what disorder?
A. hereditary spherocytosis
B. iron-deficiency anemia
C. lead intoxication
D. sickle-cell anemia ---------CORRECT ANSWER-----------------B. iron-
deficiency anemia
The primary care pediatric nurse practitioner evaluates a 5-year-old child
who presents with pallor and obtains labs revealing a hemoglobin of 8.5
g/dL and a hematocrit of 31%. How will the nurse practitioner manage this
patient?
A. Prescribe elemental iron and recheck labs in 1 month.
B. Reassure the parent that this represents mild anemia.
C. Recommend a diet high in iron-rich foods.
D. Refer to a hematologist for further evaluation. ---------CORRECT
ANSWER-----------------A. Prescribe elemental iron and recheck labs in 1
month.
The primary care pediatric nurse practitioner is managing care for a child
diagnosed with iron-deficiency anemia who had an initial hemoglobin of 8.8
g/dL and hematocrit of 32% who has been receiving ferrous sulfate as 3
mg/kg/day of elemental iron for 4 weeks. The child's current lab work
reveals elevations in Hgb/Hct and reticulocytes with a hemoglobin of 10.5
g/dL and a hematocrit of 36%. What is the next step in management of this
patient?
A. Continue the current dose of ferrous sulfate and recheck labs in 1 to 2
months.
B. Discontinue the supplemental iron and encourage an iron-enriched diet.
C. Increase the ferrous sulfate dose to 4 to 6 mg/kg/day of elemental iron.
D. Refer the child to a pediatric hematologist to further evaluate the
anemia. ---------CORRECT ANSWER-----------------A. Continue the current
dose of ferrous sulfate and recheck labs in 1 to 2 months.
, The primary care pediatric nurse practitioner performs a well baby
examination on a 4-month-old infant who is exclusively breastfed and
whose mother plans to introduce only small amounts of fruits and
vegetables in addition to breastfeeding. To ensure that the infant gets
adequate amounts of iron, what will the nurse practitioner recommend?
A. Elemental iron supplementation of 1 mg/kg/day until cereals are added
B. Elemental iron supplementation of 3 mg/kg/day for the duration of
breastfeeding
C. Monitoring the infant's hemoglobin and hematocrit at every well-baby
checkup
D. Offering iron-fortified formula to ensure adequate iron intake ---------
CORRECT ANSWER-----------------A. Elemental iron supplementation of 1
mg/kg/day until cereals are added
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?
A. An asthma action plan
B. Effects and side effects of current medications
C. Information about spirometry testing
D. Instructions for medications at school ---------CORRECT ANSWER--------
---------B. Effects and side effects of current medications
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?
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.
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