pg. 1 NUR 665 Final Exam 2024 -2025 Test Bank/ Complete 550 Actual Exam Questions with 100% Correct Verified Answers/ Graded A+
The primary care pediatric nurse practitioner attempts to learn more about the emotional health of an 18-month-old child through which assessment strategy?✓ Observation of the child with caretakers in structured and unstructured situations
A middle school age child is skipping school frequently and getting poor grades since the child's father was killed while deployed in the military. How will the primary care pediatric nurse practitioner manage this situation?✓ Refer the child to a mental health specialist for evaluation and treatment.
The parent of a 4-year-old child reports that the child seems to be having trouble adjusting to a new daycare and reportedly is always engaging in solitary play when the parent arrives to pick up the child. What will the primary care pediatric nurse practitioner do?✓ Ask the parent if the child is slow to warm up to other new situations.
The parent of a school-age child is concerned because the child has started to express anger about a grandparent's death even though this occurred when the child was a toddler. What will the primary care pediatric nurse practitioner tell the parent? 1 / 4
pg. 2 ✓ The significance of this loss must be reworked at each developmental level.
The parent of a school-age child reports that the child doesn't like being alone in rooms because of a fear of aliens hiding in closets. What will the primary care pediatric nurse practitioner tell the parent?✓ "Fear of imaginary creatures does not usually occur at this age."
The parent of a preschool age child reports that the child often appears anxious and nervous and that this is associated occasionally with a rapid heart rate and tremors. What is the best type of referral that the primary care pediatric nurse practitioner could recommend?✓ Play therapy
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with classmates. The parent is concerned because the child has recently begun sleeping in the parents' bed. Which initial action by the primary care pediatric nurse practitioner is appropriate?✓ Assess for environmental stress, parental dysfunction, and maternal depression.
The parent of a school-age child reports that the child becomes frustrated when unable to perform tasks well and often has temper tantrums and difficulty sleeping. Which disorder may be considered in this child?✓ Generalized anxiety disorder (GAD)
The parent of a school-age girl reports that the child has difficulty getting ready for school and is often late because of a need to check and recheck whether her teeth are clean and her room light has been turned off. What will the primary care pediatric nurse practitioner recommend to this parent? 2 / 4
pg. 3 ✓ Cognitive behavioral therapy
The parents of a 4-year-old boy are concerned because he has begun twisting and pulling out his hair, especially when he is tired or stressed.What will the primary care pediatric nurse practitioner recommend as part of an initial approach to treat this behavior?✓ Cutting his hair so that it is too short to pull
A newly divorced mother of a toddler reports that the child began having difficulty sleeping and nightmares along with exhibiting angry outbursts and tantrums 2 months prior. The primary care pediatric nurse practitioner learns that the child refuses to play with usual playmates and often spends time sitting quietly. What will the nurse practitioner do initially?✓ Ask the mother about the child's relationship with the father.
A patient sustained injuries in a motor vehicle accident and is in the Emergency Department. A CT scan of the head and neck have been ordered. What part of the survey is this?✓ Secondary
A patient who is in the Emergency Department was attacked in a parking lot and suffered several stab wounds to various areas on the chest and abdomen; BP 100/60, heart rate 108, respiratory rate 20, pulse oximetry 98%. In order to counteract the blood loss and restore circulating volume for this patient, what priority intervention will the nurse perform?✓ Start lactated ringers at 150 mL/hr
The nurse is assigned to a patient in the Emergency Department who exhibits paradoxical chest movement. What intervention by the nurse can help improve oxygenation in this patient? 3 / 4
pg. 4 ✓ Turn the patient with the injured side down
A patient has been involved in a motor vehicle accident. The patient, who was driving, was unrestrained by a seat belt when hitting the car in front of him. The patient is complaining of midsternal pain, restlessness, and difficulty breathing. What is the priority nursing diagnosis for this patient?✓ Impaired gas exchange
A patient has suffered a mild pulmonary contusion from a jet ski accident.What nursing interventions are appropriate for this patient?✓ Frequent pulse oximetry monitoring, assessment of lung sounds every 2 hours, continuous epidural analgesia
A patient sustained an injury to the right arm after falling off a motorcycle.The patient is complaining of severe pain and is unable to feel the fingers of the right hand. Radial pulse is absent. What is the priority intervention by the nurse?✓ Notify the physician
The nurse is caring for a patient with deep vein thrombosis of the left lower extremity. The patient exhibits a decrease in pulse oximetry readings from 98% to 86%, shortness of breath with a respiratory rate of 34, and is now disoriented to place. The nurse recognizes that these findings are caused by what complication?✓ Pulmonary embolus
The nurse is assigned to care for a patient who was admitted 2 days previous after a four- wheeler accident. The patient sustained a closed fracture to the left femur and had an open reduction with internal fixation the same day. What is a priority for the nurse to assess for this patient?
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