Author Archives: Anonymous
The primary care pediatric nurse practitioner (PNP) is exami…
The primary care pediatric nurse practitioner (PNP) is examining a 2-year-old infant and auscultates a wide fixed split S. What condition may this finding represent? Atrial septal defect (ASD) Correct Coarctation of the aorta (COA) Patent ductus arteriosus (PDA) Ventricular septal defect (VSD)
Read DetailsA school-age child has frequent nosebleeds. Nasal visualizat…
A school-age child has frequent nosebleeds. Nasal visualization reveals fresh clots and excoriated nasal mucosa but no visible site of bleeding. Coagulation studies are normal. In spite of symptomatic measures, the child continues to have nosebleeds. What is the next course of action? Recommend use of dehumidifier. Order a topical vasoconstrictor medication. Prescribe a barrier agent such as petrolatum jelly. Refer to an otolaryngologist for further evaluation. Correct
Read DetailsA 12-year-old child whose weight and body mass index (BMI) a…
A 12-year-old child whose weight and body mass index (BMI) are in the 75th percentile has a diastolic blood pressure that is between the 95th and 99th percentiles for age, sex, and height on three separate occasions. Which test will be prescribed for this child initially? Complete blood count Erythrocyte sedimentation rate Renal function Correct Urinalysis and electrolytes
Read DetailsA child who has been diagnosed with asthma for several years…
A child who has been diagnosed with asthma for several years has been using a short-acting B2-agonist (SABA) to control symptoms. The primary care pediatric nurse practitioner learns that the child has recently begun using the SABA two or three times each week to treat wheezing and shortness of breath. The child currently has clear breath sounds and an FEV1 of 75% of personal best. What will the nurse practitioner do next? Add a daily inhaled corticosteroid. Correct Administer 3 SABA treatments. Continue the current treatment. Order an oral corticosteroid.
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