Health Care > EXAM > NR 602 WEEK 5 QUESTIONS V2 2023 (Answered) (All)

NR 602 WEEK 5 QUESTIONS V2 2023 (Answered)

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NR 602 WEEK 5 QUESTIONS V2 2023 (Answered) An adolescent male comes to the clinic reporting unilateral scrotal pain, nausea, and vomiting that began that morning. The primary care pediatric nurse pra... ctitioner palpates a painful, swollen testis and elicits increased pain with slight elevation of the testis (a negative Pyrin’s sign). What will the nurse practitioner do? a. Administer IM ceftriaxone and prescribe doxycycline twice daily for 10 days. b. Encourage bed rest, scrotal support, and ice packs to the scrotum as tolerated. c. Prescribe NSAIDs, limited activities, and warm compresses to the scrotum. d. Refer the adolescent immediately to a pediatric urologist or surgeon. {{Correct Ans- d. Refer the adolescent immediately to a pediatric urologist or surgeon. The primary care pediatric nurse practitioner evaluates children's growth to screen for endocrine and metabolic disorders. Which is a critical component of this screening? a. Measuring supine length in children over the age of 2 years b. Obtaining serial measurements to assess patterns over time c. Using the CDC growth chart for children under age 2 years d. Using the WHO growth chart for children over age 2 years {{Correct Ans- b. obtaining serial measurements to assess patterns over time The primary care pediatric nurse practitioner is performing a well child examination on a 5-year-old girl. The parents ask if the child s adult height can be predicted. The nurse practitioner learns that the mother is 5'8" tall and the father is 5'11" tall. The nurse practitioner will estimate which expected adult height for this child? a. 5'11" tall b. 5'7" tall c. 5'8" tall d. 6' tall {{Correct Ans- b. 5'7" tall The primary care pediatric nurse practitioner is evaluating a child who has short stature. Although bone age studies reveal a delay in bone age, the child's growth is consistent with bone age. Which diagnosis is most likely? a. Constitutional growth delay b. Growth hormone deficiency c. Idiopathic short stature d. Klinefelter syndrome {{Correct Ans- a. Constitutional growth delay The mother of a female infant is concerned that her daughter is developing breasts. The primary care pediatric nurse practitioner notes mild breast development but no pubic or axillary hair. What is the likely diagnosis? a. Congenital adrenal hyperplasia causing breast development b. Precocious puberty needing endocrinology management c. Premature adrenarche which will lead to pubic hair onset d. Premature thelarche which will resolve over time {{Correct Ans- d. Premature thelarche which will resolve over time A 7-year-old female has recently developed pubic and axillary hair without breast development. Her bone age is consistent with her chronological age, and a pediatric endocrinologist has diagnosed idiopathic premature adrenarche. The primary care pediatric nurse practitioner will monitor this child for which condition? a. Adrenal tumor b. Congenital adrenal hyperplasia c. Polycystic ovary syndrome d. Type 1 diabetes mellitus {{Correct Ans- c. Polycystic ovary syndrome A 6-year-old female has had a recent growth spurt and an exam reveals breast and pubic hair development. Her bone age is determined to be 8 years. What will the primary care pediatric nurse practitioner do next? a. Order LH and FSH levels and a long-acting GnRH agonist. b. Order thyroid function tests to exclude primary hypothyroidism. c. Reassure the parent that this is most likely idiopathic. d. Refer the child to a pediatric endocrinologist for management. {{Correct Ans- d. Refer the child to a pediatric endocrinologist for management. [Show More]

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