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During a well child assessment of an infant, the primary care pediatric nurse practitioner (NP) notes a dark red-brown light reflex in the left eye and a slightly brighter, red-orange light reflex in the right eye. What will the nurse practitioner do next? Dilate the pupils and reassess the red reflex. Order auto-refractor screening of the eyes. Recheck the red reflex in 1 month. Refer the infant to an ophthalmologist. Correct

The primary care pediatric nurse practitioner is treating an infant with lacrimal duct obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment with topical antibiotics along with massage and frequent cleansing of secretions, the infant’s symptoms have not improved. Which action is correct? Perform massage more frequently. Prescribe an oral antibiotic. Recommend hot compresses. Refer to an ophthalmologist. Correct

Most financial statement analysis covers trends of more than one year.

The comparison of operating expenses in Year 1 and Year 2 would be included in which of the following types of analysis?

During a well child exam on a 4-year-old child, the primary care pediatric nurse practitioner notes that the clinic nurse recorded “20/50” for the child’s vision and noted that the child had difficulty cooperating with the exam. What will the nurse practitioner recommend? Follow up with a visual acuity screen in 6 months. Refer to a pediatric ophthalmologist. Re-test the child in 1 year. Test the child’s vision in 1 month. Correct

A trend percentage is computed by dividing the dollar amount of change by the base-year amount.

A company reported the following amounts of net income:Year 1$129,960Year 2$159,200Year 3$196,488Which of the following is the percentage change from Year 2 to Year 3?

The nurse is performing an assesment on a client diagnosed with severe cirrhosis.  The client responds to questions appropriately, but appears to be very drowsy during the assessment.  Because this is a change from yesterday’s assessment, the nurse knows that it is important to check what laboratory value?

A 13-year-old child has exhibited symptoms of mild depression for several weeks. The parent reports feeling relieved that the symptoms have passed but concerned that the child now seems to have boundless energy and an inability to sit still. What will the primary care pediatric nurse practitioner do? Administer an ADHD diagnostic scale and consider an Attention-deficit/hyperactivity disorder (ADHD) medication. Consult with a child psychiatrist to prescribe an antidepressant medication. Reassure the parent that this behavior is common after mild depressive symptoms  Refer the child to a child psychiatrist for evaluation of bipolar disorder. Correct

The primary care pediatric nurse practitioner is examining a 3-year-old child who speaks loudly, in a monotone voice, does not make eye contact, and prefers to sit on the exam room floor moving a toy truck back and forth in a repetitive manner. Which disorder does the nurse practitioner suspect? Attention-deficit/hyperactivity disorder Autism spectrum disorder Correct Separation anxiety disorder Sensory processing disorder