FREE Pediatric Nurse Practitioner Questions and Answers

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When a child is being treated for refractory epilepsy with a strict ketogenic diet, the following should be present in the diet:

Correct! Wrong!

Explanation:
If a child has been put on a rigorous ketogenic diet to treat their refractory epilepsy, their food should be high in fat, low in carbs, and contain enough protein. The body uses fat as its main energy source when following a low-carb diet, which raises the blood ketone level. Some kids whose anticonvulsants do not work as well as they should experience a reduction in seizure frequency when their blood ketone levels are elevated.

A 12-year-old boy cracked ribs 7 and 8 on the left side in a bicycle-motor vehicle collision. The site of these injuries raises the possibility of:

Correct! Wrong!

Explanation:
The location of these injuries—rib fractures 7 and 8 on the left side of a 12-year-old child—increases the risk of pneumothorax or hemothorax because the broken ribs may pierce the lung tissue. There is a higher chance of tracheal or bronchial injury with injuries to ribs 1 through 4, as well as liver, kidney, and/or spleen trauma with fractures to ribs 10 through 12.

When a pediatric nurse conducts continuing nursing education on child safety and fall prevention for other nurses, she is acting in the capacity of:

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Explanation:
The pediatric nurse is acting in the capacity of a clinical content expert when she conducts in-service training for other nurses on topics like child safety and fall prevention. The pediatric nurse may perform formal training in this capacity (such as in-service training), but she may also be relied upon to offer professional guidance in clinical practice and advise modifications to policies or procedures in light of current knowledge and best practices.

Which of the following situations is most likely to present a challenge for a child seeking medical attention?

Correct! Wrong!

Explanation:
Being homeless is likely to present the biggest obstacle to a child receiving medical care. Homeless people frequently switch between shelters or other temporary housing arrangements, and they frequently receive their medical care in emergency rooms or free clinics, thus there is little consistency in care or follow-up. Children who are homeless are frequently exposed to sick people and may not have access to proper sanitary facilities.

A male patient, age 6, who is highly active and frequently disturbs the pediatric unit by banging on the bed, calling out, tearing things apart, and causing commotion. The ideal answer is probably:

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Explanation:
Children who are active may find hospitalization particularly challenging. The best course of action is probably to schedule regular intervals of active play throughout the day if a 6-year-old kid is extremely active and constantly bangs on the bed, calls out, takes things apart and disrupts the pediatric unit. If the youngster is confined to bed, playing with toy vehicles, creating something with Legos, or throwing and catching a softball or stuffed animal can all help the child release some energy.

The pediatric nurse should hold and move a piece of yarn when conducting the Denver II assessment of the child's capacity to follow an object with the eyes to and past midline:

Correct! Wrong!

Explanation:
For infants aged 0 to 6 years, the Denver Developmental Screening Test II (Denver II) is used to assess language, gross motor skills, personal/social skills, and fine motor/adaptive skills. The pediatric nurse assesses the child's ability to follow the movement of a piece of yarn with the eyes as part of fine motor/adaptive abilities. The yarn is moved in a 180-degree arc while being held 8 inches above the child's face. At around 2.5 to 5 months, the child should be able to follow the entire arc.

For respiratory infections and fecal impactions, a 12-year-old female patient with cystic fibrosis has had numerous hospital stays. The patient's parents acknowledge that they are negligent about ensuring that chest physical therapy is completed, keeping follow-up appointments, and keeping track of the patient's nutrition and medical care. The following are possible outcomes of using a(services )'s for the patient and family:

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Explanation:
Patients who repeatedly end up in the hospital, like the 12-year-old female patient with cystic fibrosis, are most likely to benefit from the help of a case manager who can more closely monitor the patient's ongoing treatment, coordinate services with other healthcare providers, and figure out what community services, like transportation, may be available to help in some situations.

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