NR 507 EXAM 6
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Nur 507 Exam 6
A child has a fever and arthralgia. The primary care pediatric nurse practitioner
learns that the child had a sore throat 3 weeks prior and auscultates a murmur
in the clinic. Which test will the nurse practitioner order?a. AntiDNase B test
b. ASO titer
c. Rapid strep test
d. Throat culture
b. ASO titer
The primary care pediatric nurse practitioner sees a child for followup care
after hospitalization for ARF. The child has polyarthritis but no cardiac
involvement. What will the nurse practitioner teach the family about ongoing
care for this child?
a. Aspirin is given for 2 weeks and then tapered to discontinue the medication.
b. Prophylactic amoxicillin will need to be given for 5 years.
c. Steroids will be necessary to prevent development of heart disease.
d. The child will need complete bedrest until all symptoms subside.
a. Aspirin is given for 2 weeks and then tapered to discontinue the medication.
An 8yearold boy has a recent history of an upper respiratory infection and
comes to the clinic with a maculopapular rash on his lower extremities and
swelling and tenderness in both ankles. The pediatric nurse practitioner
performs a UA, which shows proteinuria and hematuria and diagnoses HSP.
What ongoing evaluation will the nurse practitioner perform during the course
of this disease?
a. ANA titers
b. Blood pressure measurement
c. Chest radiographs
d. Liver function studies
b. Blood pressure measurement
A 10yearold child has a 1week history of fever of 104°C that is unresponsive to
antipyretics. The primary care pediatric nurse practitioner examines the child
and notes bilateral conjunctival injection and a polymorphous exanthema, with
no other symptoms. Lab tests show elevated ESR, CRP, and platelets.
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Cultures are all negative. What will the nurse practitioner do?
a. Begin treatment with intravenous methyl prednisone.
b. Consider IVIG therapy if symptoms persist one more week.
c. Order a baseline echocardiogram today and another in 2 weeks.
d. Reassure the child's parents that this is a selflimiting disorder.
c. Order a baseline echocardiogram today and another in 2 weeks.
The primary care pediatric nurse practitioner is evaluating an 11monthold
infant who has had three viral respiratory illnesses causing bronchiolitis. The
child's parents both have seasonal allergies and ask whether the infant may
have asthma. What will the nurse practitioner tell the parents?
a. "Although it is likely, based on family history, it is too soon to tell."
b. "There is little reason to suspect that your infant has asthma."
c. "With your infant's history of bronchiolitis, asthma is very likely."
d. "Your infant has definitive symptoms consistent with a diagnosis of
asthma."
a. "Although it is likely, based on family history, it is too soon to tell."
The primary care pediatric nurse practitioner is examining a school age child
who has has several hospitalizations for bronchitis and wheezing. The parent
reports that the child has several coughing episodes associated with chest
tightness each week and gets relief with an albuterol metered dose inhaler.
What will the nurse practitioner order?
a. Allergy testing
b. Chest radiography
c. Spirometry testing
d. Sweat chloride test
c. Spirometry testing
A school age child who uses a SABA and an inhaled corticosteroid medication
is seen in the clinic for an acute asthma exacerbation. After 4 puffs of an
inhaled short acting B2 agonist (SABA) every 20 minutes for three treatments,
spirometry testing shows an FEV1 of 60% of the child's personal best. What
will the primary care pediatric nurse practitioner do next?
a. Administer an oral corticosteroid and repeat the three treatments of the
inhaled SABA
b. Admit the child to the hospital for every 2 hour inhaled SABA and