NRNP 6541 Week 11 Knowledge Check Quiz
Question 1 1 pts
What is the most traumatic, yet common form and of child abuse seen in pediatric primary care?
A) Fractures
B) Burns
C) Shaken baby syndrome
D) Soft tissue injuries
Question 2 1 pts
The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical findings are not usually associated with the diagnosis of school phobia?
A) Chronic medical illness
B) Vague physical symptoms
C) Sporadic school absence
D) Depression and anxiety
Question 3 1 pts
Which of the following characterizes middle adolescence (14 to 16 years old)?
A) Concrete thinking, present orientation, intense preoccupation with body image
B) Long-range planning, adult cognitive abilities, developed individual values
C) Intense peer group involvement, feelings of immortality, sexual experimentation
D) Need for privacy, increased conflicts with parents, financial independence
Question 4 1 pts
A) Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development?
B) Begin anticipatory guidance related to sexuality and normal pubertal development in the early school-age visits.
C) Inform parents about a child’s risky sexual behaviors.
D) Ask teenage girls if they have a boyfriend.
E) Assessing parental beliefs regarding sexual education.
Question 5 1 pts
A differential diagnosis for child abuse would include all of the following except.
A) Inadequate parenting
B) Prader-Wlli syndrome
C) Birth marks
D) Unintentional injury
Question 6 1 pts
A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents report that she is doing poorly in school and is disruptive in the classroom. They ask you what they can do. Your best response is:
A) “Use a consistent approach with behavioral cues both at home and at school.”
B) “Medications are the only intervention that can help with ADHD.”
C) “Children usually outgrow a high activity level.”
D) “You can have her tested for developmental delays.”
Question 7 1 pts
An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, tachycardia, and facial flushing. She says she can “see” sound and “hear” colors. The agent likely to be responsible is which of the following?
A) Alcohol
B) Amphetamines
C) Ecstasy
D) Lysergic acid diethylamide (LSD)
E) PCP
Question 8 1pts
A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential?
A) “I sometimes smoke Marijuana.”
B) “I want to get pregnant.”
C) “Sometimes I feel like ending my life.”
D) “I have been sexually active with three of my boyfriends.”
Question 9 1 pts
Tammy, age 3, is at the office for her well-child visit. She has trouble removing her own shirt as requested. Her mother yanks off her shirt after smacking her wrist and saying, “you must do as you’re told quickly.” Which action is indicated?
A) Report the mother to Child Protective Services.
B) Observe Tammy for signs of child abuse.
C) Ignore the behavior because Tammy and her mother are probably nervous.
D) Tell the mother that Tammy’s behavior is perfectly normal.
Question 10 1 pts
FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is:
A) Methylphenidate
B) Clonidine
C) Behavior therapy
D) Interpersonal therapy
Question 11 1pts
The most common substance used in middle school is
A) Cocaine
B) Marijuana
C) Heroine
D) Alcohol
Question 12 1pts
A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stabilization, the most important part of the management is:
A) Assessing the family supports available to the child.
B) Referring the case to social services.
C) Obtaining a psychiatric consultation.
D) Reviewing the history for signs of depression.
Question 13 1pts
Which of the following statements about bullying is true?
A) About 35% of second graders report having been bullied.
B) It occurs most commonly during unstructured times (lunch, recess, etc.).
C) Boys are more likely to indirectly bully while girls usually directly bully.
D) Victims rarely have physical symptoms.
Question 14 1pts
At what age would a child be expected to remember a string of numbers and repeat them backwards?
A) 4 years
B) 6 years
C) 10 years
D) 12 years
Question 15 1pts
You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall?
A) Recognize 5 colors and identify all letters in her name.
B) Empathize with others.
C) Counts to 4 and draws a person with three parts.
D) Accurately uses pronouns
Question 16 1 pts
Which of the following statements is true regarding lying and stealing by the school-age child?
A) They are highly correlated with later criminal behavior.
B) They are more likely to happen with parents use consistent and firm behavior modeling.
C) They represent a common, transient problem.
D) They are usually associated with serious psychological problems.
Question 17 1 pts
A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and disoriented. Many notice his abusive language. Which of the following agents is most likely responsible for his condition?
A) Alcohol
A) Amphetamines
B) Barbituates
C) Cocaine
D) Phencyclidine (PCP)
Question 18 1 pts
The parent of a 2-year-old tells you her daughter recently started having breath-holding spells. She tells you the older sibling “did the same thing” and asks you for help. You advise her that after a breath-holding event:
A) Act as if nothing abnormal happened.
B) Stand and watch, but do nothing while she is holding her breath.
C) Splash the child’s face to stimulate her breathing.
D) Place her in a timeout as soon as the breath-holding spell is over.
Question 19 1 pts
Which of the following statements regarding adolescent substance use is true?
A) A negative drug screen effectively rules out drug use.
B) Taking drug screen samples from adolescents without their consent is acceptable in pediatrics.
C) Most teen alcohol abusers are not “functional” alcoholics.
D) Tobacco is the most commonly abused substance during adolescence.
Question 20 1 pts
The father of a 3-year-old is concerned because the child stutters. What should your approach be?
A) Refer to a pediatric neurologist.
B) Refer to a speech clinic for further evaluation.
C) Explain that this can be normal until 4 years of age.
D) Perform an articulation test on the child.
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