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NR 507 -Advanced Pathophysiology Exam 5
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Nur 507 - Exam 5
During a well child assessment of an African-American infant, the primary care
pediatric nurse practitioner notes a dark red-brown light reflex in the left eye
and a slightly brighter, red-orange light reflex in the right eye. The nurse
practitioner will
a. dilate the pupils and reassess the red reflex.
b. order auto-refractor screening of the eyes.
c. recheck the red reflex in 1 month.
d. refer the infant to an ophthalmologist.
d. refer the infant to an ophthalmologist.
A toddler exhibits exotropia of the right eye during a cover-uncover screen.
The primary care pediatric nurse practitioner will refer to a pediatric
ophthalmologist to initiate which treatment?
a. Botulinum toxin injection
b. Corrective lenses
c. Occluding the affected eye for 6 hours per day
d Patching of the unaffected eye for 2 hours each day
d Patching of the unaffected eye for 2 hours each day
A 14-year-old child has a 2-week history of severe itching and tearing of both
eyes. The primary care pediatric nurse practitioner notes redness and swelling
of the eyelids along with stringy, mucoid discharge. What will the nurse
practitioner prescribe?
a. Saline solution or artificial tears
b. Topical mast cell stabilizer
c. Topical NSAID drops
d. Topical vasoconstrictor drops
c. Topical NSAID drops
The primary care pediatric nurse practitioner performs a well baby assessment
of a 5-day-old infant and notes mild conjunctivitis, corneal opacity, and
serosanguinous discharge in the right eye. Which course of action is correct?
a. Administer intramuscular ceftriaxone 50 mg/kg.
b. Admit the infant to the hospital immediately.
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c. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
d. Teach the parent how to perform tear duct massage.
b. Admit the infant to the hospital immediately.
A child who was treated with amoxicillin and then amoxicillin-clavulanate for
acute otitis media is seen for follow-up. The primary care pediatric nurse
practitioner notes dull-gray tympanic membranes with a visible air-fluid level.
The child is febrile and without pain. What is the next course of action?
a. Administering ceftriaxone IM
b. Giving clindamycin orally
c. Monitoring ear fluid levels for 3 months
d. Watchful waiting for 48 to 72 hours
c. Monitoring ear fluid levels for 3 months
A child with a history of otitis externa asks about ways to prevent this
condition. What will the primary care pediatric nurse practitioner recommend?
a. Cleaning ear canals well after swimming
b. Drying the ear canal with a hair dryer
c. Swimming only in chlorinated pools
d. Using cerumenolytic agents daily
b. Drying the ear canal with a hair dryer
A child complains of itching in both ears and is having trouble hearing. The
primary care pediatric nurse practitioner notes periauricular edema and
marked swelling of the external auditory canal and elicits severe pain when
manipulating the external ear structures. Which is an appropriate intervention?
a. Obtain a culture of the external auditory canal.
b. Order ototopical antibiotic/corticosteroid drops.
c. Prescribe oral amoxicillin-clavulanate.
d. Refer the child to an otolaryngologist
b. Order ototopical antibiotic/corticosteroid drops.
The primary care pediatric nurse practitioner diagnoses acute otitis media in a
2-year-old child who has a history of three ear infections in the first 6 months
of life. The child's tympanic membrane is intact and the child has a
temperature of 101.5°F. What will the nurse practitioner prescribe for this
child?
a. Amoxicillin twice daily for 10 days
NR 507 -Advanced Pathophysiology Exam 5
Download now
HIGH YIELD S QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
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exam today!
, Page 2 of 18
Nur 507 - Exam 5
During a well child assessment of an African-American infant, the primary care
pediatric nurse practitioner notes a dark red-brown light reflex in the left eye
and a slightly brighter, red-orange light reflex in the right eye. The nurse
practitioner will
a. dilate the pupils and reassess the red reflex.
b. order auto-refractor screening of the eyes.
c. recheck the red reflex in 1 month.
d. refer the infant to an ophthalmologist.
d. refer the infant to an ophthalmologist.
A toddler exhibits exotropia of the right eye during a cover-uncover screen.
The primary care pediatric nurse practitioner will refer to a pediatric
ophthalmologist to initiate which treatment?
a. Botulinum toxin injection
b. Corrective lenses
c. Occluding the affected eye for 6 hours per day
d Patching of the unaffected eye for 2 hours each day
d Patching of the unaffected eye for 2 hours each day
A 14-year-old child has a 2-week history of severe itching and tearing of both
eyes. The primary care pediatric nurse practitioner notes redness and swelling
of the eyelids along with stringy, mucoid discharge. What will the nurse
practitioner prescribe?
a. Saline solution or artificial tears
b. Topical mast cell stabilizer
c. Topical NSAID drops
d. Topical vasoconstrictor drops
c. Topical NSAID drops
The primary care pediatric nurse practitioner performs a well baby assessment
of a 5-day-old infant and notes mild conjunctivitis, corneal opacity, and
serosanguinous discharge in the right eye. Which course of action is correct?
a. Administer intramuscular ceftriaxone 50 mg/kg.
b. Admit the infant to the hospital immediately.
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c. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
d. Teach the parent how to perform tear duct massage.
b. Admit the infant to the hospital immediately.
A child who was treated with amoxicillin and then amoxicillin-clavulanate for
acute otitis media is seen for follow-up. The primary care pediatric nurse
practitioner notes dull-gray tympanic membranes with a visible air-fluid level.
The child is febrile and without pain. What is the next course of action?
a. Administering ceftriaxone IM
b. Giving clindamycin orally
c. Monitoring ear fluid levels for 3 months
d. Watchful waiting for 48 to 72 hours
c. Monitoring ear fluid levels for 3 months
A child with a history of otitis externa asks about ways to prevent this
condition. What will the primary care pediatric nurse practitioner recommend?
a. Cleaning ear canals well after swimming
b. Drying the ear canal with a hair dryer
c. Swimming only in chlorinated pools
d. Using cerumenolytic agents daily
b. Drying the ear canal with a hair dryer
A child complains of itching in both ears and is having trouble hearing. The
primary care pediatric nurse practitioner notes periauricular edema and
marked swelling of the external auditory canal and elicits severe pain when
manipulating the external ear structures. Which is an appropriate intervention?
a. Obtain a culture of the external auditory canal.
b. Order ototopical antibiotic/corticosteroid drops.
c. Prescribe oral amoxicillin-clavulanate.
d. Refer the child to an otolaryngologist
b. Order ototopical antibiotic/corticosteroid drops.
The primary care pediatric nurse practitioner diagnoses acute otitis media in a
2-year-old child who has a history of three ear infections in the first 6 months
of life. The child's tympanic membrane is intact and the child has a
temperature of 101.5°F. What will the nurse practitioner prescribe for this
child?
a. Amoxicillin twice daily for 10 days
