A 10-year-old child was diagnosed with migraine headaches at a previous visit. Initial treatment included behavioral modifications, lifestyle changes, and a nonsteroidal anti-inflammatory drug (NSAID). The child returns for follow-up and states that interventions are not relieving the headaches. The most helpful medication at this time would be:

acetaminophen with codeine.

a tricyclic antidepressant.

sumatriptan (Imitrex).

chloral hydrate (Somnote).

Answer and Explanation

The Correct Answer is C

Rationale:
A. Acetaminophen with codeine is generally not recommended in children for migraines due to risks of respiratory depression, dependence, and variable metabolism.
B. Tricyclic antidepressants may be used as preventive therapy for frequent or severe migraines but are not first-line for acute relief.
C. Sumatriptan (Imitrex) is a selective serotonin receptor agonist used for acute migraine attacks in children and adolescents. It can provide effective relief when NSAIDs and lifestyle modifications fail.
D. Chloral hydrate is a sedative-hypnotic and is not indicated for treating migraines.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. Mild nausea prior to exercising is generally not a contraindication to physical activity during pregnancy. The patient can adjust intensity or timing of exercise, but routine exercise is still encouraged if tolerated.
B. Calf pain could indicate a deep vein thrombosis (DVT), which is a serious condition requiring immediate medical evaluation and would warrant stopping exercise.
C. Pain in the back, hips, or pubic area may signal musculoskeletal strain or pelvic girdle dysfunction, which can be aggravated by exercise and should be evaluated.
D. Chest pain during pregnancy could indicate cardiac or pulmonary complications and is an immediate reason to discontinue exercise and seek urgent medical care.

A. an anxiolytic. B. a benzodiazepine. C. a selective serotonin reuptake inhibitor (SSRI). D. an antipsychotic

Correct Answer is C

Explanation

Rationale:
A. Anxiolytics, such as buspirone, are not typically first-line for children with generalized anxiety disorder.
B. Benzodiazepines are generally avoided in pediatric patients due to the risk of dependence, sedation, and cognitive impairment.
C. Selective serotonin reuptake inhibitors (SSRIs) are considered first-line pharmacologic treatment for pediatric GAD when combined with cognitive-behavioral therapy. They have evidence supporting efficacy and safety in children and adolescents.
D. Antipsychotics are not indicated for primary treatment of generalized anxiety disorder and are reserved for specific severe psychiatric conditions.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 16-year-old pregnant female exercises at the gym 3 times a week. Which choice should not deter her from exercising?

Correct Answer is A

Explanation

A 10-year-old patient was recently diagnosed with generalized anxiety disorder (GAD). In addition to psychological treatment, the medication that should be considered for initial treatment is:

Correct Answer is C

Explanation

When assessing an infant suspected of having the most common form of congenital adrenal hyperplasia, the nurse practitioner should expect to observe:

An adolescent female states that she had unprotected sex approximately 3 weeks ago and thinks she may have genital herpes. Findings NOT consistent with genital herpes include:

The nurse practitioner suspects type 1 diabetes mellitus because a 3-year-old female presents with:

A 16-year-old sexually active female diagnosed with bacterial vaginosis was treated with oral metronidazole (Flagyl) for 7 days. Patient education instructions should include:

Findings that lead the nurse practitioner to suspect depression in a 7-year-old patient include sleep disturbances, poor school performances, decreased concentration, and:

When reviewing the complete blood count report for a child with a febrile illness, a shift to the left is noted because of

A 16-year-old pregnant adolescent has been treated for depression with cognitive behavioral therapy and fish oil, which contains omega- 3 fatty acids. The patient continues to have symptoms of depression. After further evaluation, the nurse practitioner should consider adding:

Delayed puberty in an adolescent female who is below the third percentile in height may be associated with: