NUR 507 - TEST 4 QUESTIONS
COMPLETE WITH 100% VERIFIED
ANSWERS
\Q\.An 18-month-old child who developed upper respiratory symptoms 1 day
prior is brought to the clinic with a high fever, chills. muscle pains, and a dry,
hacking cough. A rapid influenza test is negative and a viral culture is pending.
What will the primary care pediatric nurse practitioner do?
a. Consider therapy with rimantadine,
b. Hospitalize for supportive treatment.
c. Wait for cultures to determine treatment.
d..prescribe oseltamivir and follow closely
d.prescribe oseltamivir and follow closely
The parent of an infant asks why some vaccines, such as MMR, are not given
along with the other series of immunizations at 2, 4. and 6 months of age. What
will the primary care pediatric nurse practitioner tell this parent?
a. The risk of adverse effects is lower for some vaccines after the first year.
b. Too many vaccines at once can overwhelm the infant's immune system.
c. Febrile seizures are more likely in younger infants with some vaccines.
d. Maternal antibodies neutralize some vaccines and are delayed until 12
months.
d. Maternal antibodies neutralize some vaccines and are delayed until 12
A school-age child has fever of 104°F, sore throat, vomiting and malaise. The
primary care pediatric nurse practitioner observes that the tonsils, oropharynx,
,and palate are erythematous and covered with exudate; the tongue is coated
and red; and there is a red, sandpaper-like rash on the child's neck, trunk, and
extremities. A rapid strep test is positive. What will the nurse practitioner do to
manage this child's illness?
a. Administer intramuscular ceftriaxone.
b. Refer to a pediatric infectious disease specialist.
c. Hospitalize for further diagnostic tests.
d. Prescribe oral amoxicillin.
d. Prescribe oral amoxicillin.
An adolescent has a TB skin test prior to working as a volunteer in a hospital.
The adolescent is healthy and has not travelled to or from a TB-endemic area or
had close contact with anyone who has TB. The Mantoux skin test shows 10 mm
of induration after 48 hours. What will the primary care pediatric nurse
practitioner do?
a. Reassure the adolescent that this is a negative screen
b. Ask the adolescent about exposure to homeless persons
c. Refer the adolescent to an infectious disease specialist.
d. Order a chest radiograph to rule out active TB.
a. Reassure the adolescent that this is a negative screen
A 2-month-old infant will receive initial immunizations, and the parent asks
about giving medications to increase the infant's comfort and minimize fever.
What will the primary care pediatric nurse practitioner recommend?
a. Pre-treating the infant with both ibuprofen and acetaminophen
b. Giving ibuprofen and acetaminophen only after the vaccines
c. Administering ibuprofen or acetaminophen as needed
d. Avoiding antipyretics if possible, to attain better immunity
c. Administering ibuprofen or acetaminophen as needed
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules. What will the primary care pediatric nurse
practitioner do?
,a. Administer varicella immune globulin (VariZIG).
b. Hospitalize the child for intravenous acyclovir,
c. Order intravenous immunoglobulin as an outpatient.
d. Prescribe oral acyelovir for the duration of the illness.
b. Hospitalize the child for intravenous acyclovir,
When reviewing a white blood cell (WBC) count. the primary care pediatric
nurse practitioner suspects a viral infection when which WBC element is
elevated?
a. Bands
b. Neutrophils
c. Lymphocytes
d. Leukocytes
c. Lymphocytes
A child whose family has been camping in a region with endemic Lyme disease
suffered several tick bites. The parents report removing the ticks but are not
able to verify the type or the length of time the ticks were attached. The child is
asymptomatic. What is the best course of action?
a. Teach the parents which signs and symptoms to report.
b. Administer a prophylactic single dose of doxycycline.
c. Prescribe amoxicillin three times daily for 14 to 21 days.
d. Perform serologic testing for (gG or igM antibodies.
a. Teach the parents which signs and symptoms to report.
A two month old infant has a stacatto cough and fever. which aspect of the
history is most important in determining the diagnosis?
A. Day care attendance
B. Immunization history
C. Medication history
D. Past Medical history
B. Immunization History
, According to recent research, which populations have higher rates of
immunizations than others?
A. Asians
B. People with graduate degrees
C. Poor people
D. People who have primary providers
B. People with graduate degrees
The parent of a 2 month old is reluctant to have the baby vaccinated. What is
the initial step in responding to these concerns?
a. Inform the parent that all vaccines may be given without thimerosol
b. Providing Vaccine information statements for the parent to review
c. Question the parent's reasons for concern about immunizations
d. Remind the parent that the infant is exposed to thousands of germs each day.
c. Question the parent's reasons for concern about immunizations
A parent is concerned about vaccine adverse reactions. Based on an Institute of
Medicine report, what will the primary care NP tell the parent?
a. administering multiple vaccines may trigger the development of DM1
b. The MMR may be linked to febrile seizures in immunocompromised children.
c. There is some risk of CNS disorders associated with the Hep B vaccine.
d. Vaccines containing thimerosol are linked to pervasive developmental
disorders
b. The MMR may be linked to febrile seizures in immunocompromised children.
Which lab value is most concerning in an infant with fever and a suspected
bacterial infection?
I. Creative protein of 11.5 mg/L
J. Lymphocyte count of 8.7
K. Platelet count of 475
L. White blood cell count of 14
I. Creative protein of 11.5 mg/L
COMPLETE WITH 100% VERIFIED
ANSWERS
\Q\.An 18-month-old child who developed upper respiratory symptoms 1 day
prior is brought to the clinic with a high fever, chills. muscle pains, and a dry,
hacking cough. A rapid influenza test is negative and a viral culture is pending.
What will the primary care pediatric nurse practitioner do?
a. Consider therapy with rimantadine,
b. Hospitalize for supportive treatment.
c. Wait for cultures to determine treatment.
d..prescribe oseltamivir and follow closely
d.prescribe oseltamivir and follow closely
The parent of an infant asks why some vaccines, such as MMR, are not given
along with the other series of immunizations at 2, 4. and 6 months of age. What
will the primary care pediatric nurse practitioner tell this parent?
a. The risk of adverse effects is lower for some vaccines after the first year.
b. Too many vaccines at once can overwhelm the infant's immune system.
c. Febrile seizures are more likely in younger infants with some vaccines.
d. Maternal antibodies neutralize some vaccines and are delayed until 12
months.
d. Maternal antibodies neutralize some vaccines and are delayed until 12
A school-age child has fever of 104°F, sore throat, vomiting and malaise. The
primary care pediatric nurse practitioner observes that the tonsils, oropharynx,
,and palate are erythematous and covered with exudate; the tongue is coated
and red; and there is a red, sandpaper-like rash on the child's neck, trunk, and
extremities. A rapid strep test is positive. What will the nurse practitioner do to
manage this child's illness?
a. Administer intramuscular ceftriaxone.
b. Refer to a pediatric infectious disease specialist.
c. Hospitalize for further diagnostic tests.
d. Prescribe oral amoxicillin.
d. Prescribe oral amoxicillin.
An adolescent has a TB skin test prior to working as a volunteer in a hospital.
The adolescent is healthy and has not travelled to or from a TB-endemic area or
had close contact with anyone who has TB. The Mantoux skin test shows 10 mm
of induration after 48 hours. What will the primary care pediatric nurse
practitioner do?
a. Reassure the adolescent that this is a negative screen
b. Ask the adolescent about exposure to homeless persons
c. Refer the adolescent to an infectious disease specialist.
d. Order a chest radiograph to rule out active TB.
a. Reassure the adolescent that this is a negative screen
A 2-month-old infant will receive initial immunizations, and the parent asks
about giving medications to increase the infant's comfort and minimize fever.
What will the primary care pediatric nurse practitioner recommend?
a. Pre-treating the infant with both ibuprofen and acetaminophen
b. Giving ibuprofen and acetaminophen only after the vaccines
c. Administering ibuprofen or acetaminophen as needed
d. Avoiding antipyretics if possible, to attain better immunity
c. Administering ibuprofen or acetaminophen as needed
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules. What will the primary care pediatric nurse
practitioner do?
,a. Administer varicella immune globulin (VariZIG).
b. Hospitalize the child for intravenous acyclovir,
c. Order intravenous immunoglobulin as an outpatient.
d. Prescribe oral acyelovir for the duration of the illness.
b. Hospitalize the child for intravenous acyclovir,
When reviewing a white blood cell (WBC) count. the primary care pediatric
nurse practitioner suspects a viral infection when which WBC element is
elevated?
a. Bands
b. Neutrophils
c. Lymphocytes
d. Leukocytes
c. Lymphocytes
A child whose family has been camping in a region with endemic Lyme disease
suffered several tick bites. The parents report removing the ticks but are not
able to verify the type or the length of time the ticks were attached. The child is
asymptomatic. What is the best course of action?
a. Teach the parents which signs and symptoms to report.
b. Administer a prophylactic single dose of doxycycline.
c. Prescribe amoxicillin three times daily for 14 to 21 days.
d. Perform serologic testing for (gG or igM antibodies.
a. Teach the parents which signs and symptoms to report.
A two month old infant has a stacatto cough and fever. which aspect of the
history is most important in determining the diagnosis?
A. Day care attendance
B. Immunization history
C. Medication history
D. Past Medical history
B. Immunization History
, According to recent research, which populations have higher rates of
immunizations than others?
A. Asians
B. People with graduate degrees
C. Poor people
D. People who have primary providers
B. People with graduate degrees
The parent of a 2 month old is reluctant to have the baby vaccinated. What is
the initial step in responding to these concerns?
a. Inform the parent that all vaccines may be given without thimerosol
b. Providing Vaccine information statements for the parent to review
c. Question the parent's reasons for concern about immunizations
d. Remind the parent that the infant is exposed to thousands of germs each day.
c. Question the parent's reasons for concern about immunizations
A parent is concerned about vaccine adverse reactions. Based on an Institute of
Medicine report, what will the primary care NP tell the parent?
a. administering multiple vaccines may trigger the development of DM1
b. The MMR may be linked to febrile seizures in immunocompromised children.
c. There is some risk of CNS disorders associated with the Hep B vaccine.
d. Vaccines containing thimerosol are linked to pervasive developmental
disorders
b. The MMR may be linked to febrile seizures in immunocompromised children.
Which lab value is most concerning in an infant with fever and a suspected
bacterial infection?
I. Creative protein of 11.5 mg/L
J. Lymphocyte count of 8.7
K. Platelet count of 475
L. White blood cell count of 14
I. Creative protein of 11.5 mg/L
