NUR 507 - Exam 4 | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: 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
Answer:
d.prescribe oseltamivir and follow closely
Question: 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.
Answer:
d. Maternal antibodies neutralize some vaccines and are delayed until 12
Question: 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.
Answer:
d. Prescribe oral amoxicillin.
,Question: 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.
Answer:
a. Reassure the adolescent that this is a negative screen
Question: 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
Answer:
c. Administering ibuprofen or acetaminophen as needed
Question: 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.
Answer:
b. Hospitalize the child for intravenous acyclovir,
,Question: 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
Answer:
c. Lymphocytes
Question: 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.
Answer:
a. Teach the parents which signs and symptoms to report.
Question: 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
Answer:
B. Immunization History
Question: 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
Answer:
B. People with graduate degrees
, Question: 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.
Answer:
c. Question the parent's reasons for concern about immunizations
Question: 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
Answer:
b. The MMR may be linked to febrile seizures in immunocompromised children.
Question: 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
Answer:
I. Creative protein of 11.5 mg/L
Latest Update 2026/2027
Question: 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
Answer:
d.prescribe oseltamivir and follow closely
Question: 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.
Answer:
d. Maternal antibodies neutralize some vaccines and are delayed until 12
Question: 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.
Answer:
d. Prescribe oral amoxicillin.
,Question: 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.
Answer:
a. Reassure the adolescent that this is a negative screen
Question: 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
Answer:
c. Administering ibuprofen or acetaminophen as needed
Question: 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.
Answer:
b. Hospitalize the child for intravenous acyclovir,
,Question: 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
Answer:
c. Lymphocytes
Question: 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.
Answer:
a. Teach the parents which signs and symptoms to report.
Question: 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
Answer:
B. Immunization History
Question: 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
Answer:
B. People with graduate degrees
, Question: 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.
Answer:
c. Question the parent's reasons for concern about immunizations
Question: 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
Answer:
b. The MMR may be linked to febrile seizures in immunocompromised children.
Question: 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
Answer:
I. Creative protein of 11.5 mg/L
