NR 572 PRIMARY CARE OF THE PEDIATRIC CLIENT
FINAL EXAM CHAMBERLAIN UNIVERSITY
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES 100% GUARANTEED PASS!!
<LATEST VERSION>
Question 1
A 4-year-old child presents to the clinic with fever (103.4°F), lethargy, vomiting,
nuchal rigidity, and photophobia. The pediatric nurse practitioner strongly suspects
acute bacterial meningitis. Which action should occur first?
A. Administer empiric IV ceftriaxone immediately
B. Obtain blood cultures before administering antibiotics
C. Perform a lumbar puncture immediately
D. Order an electroencephalogram
Answer: B
Rationale: Blood cultures should be obtained immediately before empiric
antibiotic therapy whenever bacterial meningitis is suspected, provided this does
not significantly delay treatment. CSF obtained via lumbar puncture is the
definitive diagnostic test but should follow appropriate assessment for
contraindications.
,Question 2
A previously healthy 9-month-old infant presents with cough, rhinorrhea,
tachypnea, diffuse wheezing, nasal flaring, and subcostal retractions. Oxygen
saturation is 91% on room air. Which diagnosis is most likely?
A. Foreign body aspiration
B. Viral bronchiolitis
C. Bacterial pneumonia
D. Croup
Answer: B
Rationale: RSV bronchiolitis commonly affects infants younger than 2 years and
presents with wheezing, increased work of breathing, tachypnea, and hypoxemia
following upper respiratory symptoms.
Question 3
A 3-year-old child experiences a generalized tonic-clonic seizure lasting
approximately 90 seconds associated with a temperature of 103°F. The child
rapidly returns to baseline. Which management is most appropriate?
A. Begin daily phenytoin therapy
B. Schedule an urgent EEG before discharge
C. Provide antipyretic guidance and educate parents regarding febrile seizures
D. Initiate chronic levetiracetam therapy
Answer: C
Rationale: Simple febrile seizures generally require supportive management.
Long-term anticonvulsant therapy is not recommended because risks outweigh
benefits.
,Question 4
A 6-year-old presents with a grade II musical systolic murmur heard best at the
lower left sternal border. The murmur becomes softer when the child stands.
Which interpretation is most appropriate?
A. Patent ductus arteriosus
B. Ventricular septal defect
C. Still's innocent murmur
D. Hypertrophic cardiomyopathy
Answer: C
Rationale: A Still's murmur is a common innocent childhood murmur
characterized by a musical or vibratory quality that decreases in intensity when
standing.
Question 5
A newborn with a hemodynamically significant patent ductus arteriosus is being
managed medically. Which medication promotes ductal closure?
A. Prostaglandin E1
B. Digoxin
C. Indomethacin
D. Furosemide
Answer: C
Rationale: NSAIDs such as indomethacin or ibuprofen inhibit prostaglandin
synthesis, promoting closure of the ductus arteriosus in appropriate newborns.
, Question 6
Following cardiac catheterization via the femoral artery, which intervention is most
important during the immediate recovery period?
A. Encourage early ambulation within 30 minutes
B. Flex the affected hip every hour
C. Keep the affected leg straight while monitoring for bleeding and hematoma
formation
D. Apply a warm compress over the puncture site
Answer: C
Rationale: Maintaining leg extension minimizes bleeding. Frequent neurovascular
assessment and inspection for concealed bleeding are essential.
Question 7
A full-term infant weighed 3.4 kg at birth. Which weight would be most
appropriate at 12 months?
A. 4.5 kg
B. 6.2 kg
C. 10.2 kg
D. 14 kg
Answer: C
Rationale: Birth weight typically triples by 12 months. Three times 3.4 kg equals
approximately 10.2 kg.
FINAL EXAM CHAMBERLAIN UNIVERSITY
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES 100% GUARANTEED PASS!!
<LATEST VERSION>
Question 1
A 4-year-old child presents to the clinic with fever (103.4°F), lethargy, vomiting,
nuchal rigidity, and photophobia. The pediatric nurse practitioner strongly suspects
acute bacterial meningitis. Which action should occur first?
A. Administer empiric IV ceftriaxone immediately
B. Obtain blood cultures before administering antibiotics
C. Perform a lumbar puncture immediately
D. Order an electroencephalogram
Answer: B
Rationale: Blood cultures should be obtained immediately before empiric
antibiotic therapy whenever bacterial meningitis is suspected, provided this does
not significantly delay treatment. CSF obtained via lumbar puncture is the
definitive diagnostic test but should follow appropriate assessment for
contraindications.
,Question 2
A previously healthy 9-month-old infant presents with cough, rhinorrhea,
tachypnea, diffuse wheezing, nasal flaring, and subcostal retractions. Oxygen
saturation is 91% on room air. Which diagnosis is most likely?
A. Foreign body aspiration
B. Viral bronchiolitis
C. Bacterial pneumonia
D. Croup
Answer: B
Rationale: RSV bronchiolitis commonly affects infants younger than 2 years and
presents with wheezing, increased work of breathing, tachypnea, and hypoxemia
following upper respiratory symptoms.
Question 3
A 3-year-old child experiences a generalized tonic-clonic seizure lasting
approximately 90 seconds associated with a temperature of 103°F. The child
rapidly returns to baseline. Which management is most appropriate?
A. Begin daily phenytoin therapy
B. Schedule an urgent EEG before discharge
C. Provide antipyretic guidance and educate parents regarding febrile seizures
D. Initiate chronic levetiracetam therapy
Answer: C
Rationale: Simple febrile seizures generally require supportive management.
Long-term anticonvulsant therapy is not recommended because risks outweigh
benefits.
,Question 4
A 6-year-old presents with a grade II musical systolic murmur heard best at the
lower left sternal border. The murmur becomes softer when the child stands.
Which interpretation is most appropriate?
A. Patent ductus arteriosus
B. Ventricular septal defect
C. Still's innocent murmur
D. Hypertrophic cardiomyopathy
Answer: C
Rationale: A Still's murmur is a common innocent childhood murmur
characterized by a musical or vibratory quality that decreases in intensity when
standing.
Question 5
A newborn with a hemodynamically significant patent ductus arteriosus is being
managed medically. Which medication promotes ductal closure?
A. Prostaglandin E1
B. Digoxin
C. Indomethacin
D. Furosemide
Answer: C
Rationale: NSAIDs such as indomethacin or ibuprofen inhibit prostaglandin
synthesis, promoting closure of the ductus arteriosus in appropriate newborns.
, Question 6
Following cardiac catheterization via the femoral artery, which intervention is most
important during the immediate recovery period?
A. Encourage early ambulation within 30 minutes
B. Flex the affected hip every hour
C. Keep the affected leg straight while monitoring for bleeding and hematoma
formation
D. Apply a warm compress over the puncture site
Answer: C
Rationale: Maintaining leg extension minimizes bleeding. Frequent neurovascular
assessment and inspection for concealed bleeding are essential.
Question 7
A full-term infant weighed 3.4 kg at birth. Which weight would be most
appropriate at 12 months?
A. 4.5 kg
B. 6.2 kg
C. 10.2 kg
D. 14 kg
Answer: C
Rationale: Birth weight typically triples by 12 months. Three times 3.4 kg equals
approximately 10.2 kg.
