The primary care pediatric nurse practitioner (PNP) is performing a well child examination on a school-age child who had complete repair of a tetralogy of Fallot (TOF) defect in infancy. What is important in this child’s health maintenance regime? Cardiology clearance for sports participation Correct Restriction of physical activity to avoid pulmonary complications Sub-acute bacterial endocarditis prophylaxis precautions Teaching about management of hypercyanotic episodes

A 55-year-old man presents with a history of obesity, ongoing weight gain, and type II diabetes presents to the office with an elevated hemoglobin A1C. The NP would consider prescribing a treatment which would do which of the following? 

A 7-year-old child who has a history of a repaired congenital heart defect (CHD) has many dental caries along with gingival erythema and irritation and a temperature of 102.5°F. What will the primary care pediatric nurse practitioner do next? Admit to the hospital with a pediatric cardiology consult. Correct Obtain blood cultures and a CBC and consult a pediatric cardiologist. Refer the child to a pediatric dental surgeon. Start prophylactic antibiotics such as penicillin twice daily for 2 weeks.

An infant with trisomy 21 has a complete AV canal defect. Which finding, associated with having both of these conditions, will the primary care pediatric nurse practitioner expect? Crackles in both lungs Hepatomegaly Oxygen desaturation with agitation Correct Peripheral edema

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

A 5-year-old child who had a repair for transposition of the great arteries shortly after birth is growing normally and has been asymptomatic since the surgery. The primary care nurse practitioner notes mild shortness of breath with exertion and, upon questioning, learns that the child has recently had a syncopal episode. What will the nurse practitioner do? Order an echocardiogram and chest radiograph. Perform pulmonary function testing. Reassure the parent that these symptoms are common. Refer the child to the cardiologist immediately. Correct

Advanced bonus question (5 points) There is a sample linear regression with interaction term as follows:  

There is a population linear regression as follows:

What will the primary care pediatric nurse practitioner teach the parents of a child who has new pressure-equalizing tubes (PET) in both ears? Parents should notice improved hearing in their child. Correct PET will help by reducing the number of ear infections the child has. The child should use earplugs when showering or bathing. The tubes will most likely remain in place for 3 to 4 years.

There are several reasons an organization might pursue sustainable initiatives. “As a result of significant increase in the number of non-compliance notices it received in a recent year, an organization increased sustainability training and focused management attention on sustainability.” This situation is an example of which type of reason to implement sustainable initiatives?