NUR6130 Exam #1
1. A 8-year-old, 60 lbs child diagnosed with left otitis externa can be managed with:
a. Ciprodex otic, 4 drops to the affected ear BID x 7 days.
b. Children’s ibuprofen liquid 10 mls q 6-8h PRN for discomfort.
c. Avoidance of swimming/underwater baths until resolved.
d. All of the above.
2. A one-month-old female is brought to the office for a follow-up visit due to feeding issues. She
was an NSVD at 39 weeks gestation with no complications and was discharged to home on day
2 after delivery. The mother states she had a hepatitis B vaccine in the hospital prior to being
discharged. In reviewing the chart, the NP would anticipate ordering which immunization at this
visit?
a. DTap, IPV, and Hepatitis B
b. DTap, IPV, HIB, and Prevnar
c. Hepatitis B
d. DTap, IPV, HIB, Prevnar, Hepatitis B
3. A 5-year-old has been coming to the office with right ear pain for 3 days. Today, her mom
states that she is feeling a little better. She has had a fever of 100 to 101 for 2 days. On an
otoscopic exam of her ear, you note a perforation in the ™. What treatment would you
recommend?
a. Amoxicillin 90mg/kg/day x 10 days
b. Cefdinir 14mg/kg/day x 10 days
c. Ciprodex otic drops 4 drops to affected ear BID x 7 days
d. Treat with both oral and topical
4. All are findings consistent with peritonsillar abscess EXCEPT:
a. Muffled voice
b. Unilateral enlargement of the tonsil
c. Trismus
d. Exudate on tonsils
5. Which of the following does not represent a risk factor for recurrent AOM in younger children?
a. Pacifier used after age 10 months
b. Craniofacial abnormalities
c. Exposure to secondhand smoke
d. Birth at 34 weeks gestation
, 6. Which of the following is a common cause of acquired coronary artery disease during
childhood?
a. Rheumatic fever
b. Hypertension
c. Systemic lupus erythematosus
d. Kawasaki disease
7. An 8-year-old is seen in Urgent Care by the NP. The mother reports that her child has had a
fever x 2 days and is not eating well due to a sore throat and painful sores inside her mouth.
The child's temperature is 101F. During the exam the NP notices several small blisters and
shallow ulcers on the child’s pharynx and the oral mucosa. The child has round, red, rashes on
both palms of hands and soles of her feet. Which of the following conditions is most likely?
a. Herpes simplex infection
b. Hand, foot, and mouth disease
c. Varicella infection
d. Strep throat
8. A 7-year-old asthmatic presents to the clinic with a 4-day history of wheezing and coughing.
His mother reports that she is out of his maintenance medications at home. His pulse ox is 94%
on room air. What would the NP do first?
a. Teach the mother how to measure his peak flow readings at home
b. Renew his maintenance medications
c. Order a chest x-ray
d. Order a nebulizer treatment of albuterol 0.83%
9. A 14-year-old female, otherwise healthy, presents to your office with a complaint of syncope
at school. She had just stood up from her chair at the end of the day, felt dizzy and nauseous,
and then woke up on the floor. She did not hit her head and woke up within 30 seconds. Based
on his description of the event, your initial impression is:
a. She’s experiencing an anxiety attack.
b. This was an attention-getting event and she should receive behavioral therapy
c. This appears to be a case of neutrally mediated syncope
d. Concern for an arrhythmia that precipitated the event
10. All of the following are true statements about the human papillomavirus vaccine (Gardisil)
EXCEPT:
a. The CDC recommends the first dose at 11 to 12 years
b. The CDC does not recommend the HPV vaccine for males
1. A 8-year-old, 60 lbs child diagnosed with left otitis externa can be managed with:
a. Ciprodex otic, 4 drops to the affected ear BID x 7 days.
b. Children’s ibuprofen liquid 10 mls q 6-8h PRN for discomfort.
c. Avoidance of swimming/underwater baths until resolved.
d. All of the above.
2. A one-month-old female is brought to the office for a follow-up visit due to feeding issues. She
was an NSVD at 39 weeks gestation with no complications and was discharged to home on day
2 after delivery. The mother states she had a hepatitis B vaccine in the hospital prior to being
discharged. In reviewing the chart, the NP would anticipate ordering which immunization at this
visit?
a. DTap, IPV, and Hepatitis B
b. DTap, IPV, HIB, and Prevnar
c. Hepatitis B
d. DTap, IPV, HIB, Prevnar, Hepatitis B
3. A 5-year-old has been coming to the office with right ear pain for 3 days. Today, her mom
states that she is feeling a little better. She has had a fever of 100 to 101 for 2 days. On an
otoscopic exam of her ear, you note a perforation in the ™. What treatment would you
recommend?
a. Amoxicillin 90mg/kg/day x 10 days
b. Cefdinir 14mg/kg/day x 10 days
c. Ciprodex otic drops 4 drops to affected ear BID x 7 days
d. Treat with both oral and topical
4. All are findings consistent with peritonsillar abscess EXCEPT:
a. Muffled voice
b. Unilateral enlargement of the tonsil
c. Trismus
d. Exudate on tonsils
5. Which of the following does not represent a risk factor for recurrent AOM in younger children?
a. Pacifier used after age 10 months
b. Craniofacial abnormalities
c. Exposure to secondhand smoke
d. Birth at 34 weeks gestation
, 6. Which of the following is a common cause of acquired coronary artery disease during
childhood?
a. Rheumatic fever
b. Hypertension
c. Systemic lupus erythematosus
d. Kawasaki disease
7. An 8-year-old is seen in Urgent Care by the NP. The mother reports that her child has had a
fever x 2 days and is not eating well due to a sore throat and painful sores inside her mouth.
The child's temperature is 101F. During the exam the NP notices several small blisters and
shallow ulcers on the child’s pharynx and the oral mucosa. The child has round, red, rashes on
both palms of hands and soles of her feet. Which of the following conditions is most likely?
a. Herpes simplex infection
b. Hand, foot, and mouth disease
c. Varicella infection
d. Strep throat
8. A 7-year-old asthmatic presents to the clinic with a 4-day history of wheezing and coughing.
His mother reports that she is out of his maintenance medications at home. His pulse ox is 94%
on room air. What would the NP do first?
a. Teach the mother how to measure his peak flow readings at home
b. Renew his maintenance medications
c. Order a chest x-ray
d. Order a nebulizer treatment of albuterol 0.83%
9. A 14-year-old female, otherwise healthy, presents to your office with a complaint of syncope
at school. She had just stood up from her chair at the end of the day, felt dizzy and nauseous,
and then woke up on the floor. She did not hit her head and woke up within 30 seconds. Based
on his description of the event, your initial impression is:
a. She’s experiencing an anxiety attack.
b. This was an attention-getting event and she should receive behavioral therapy
c. This appears to be a case of neutrally mediated syncope
d. Concern for an arrhythmia that precipitated the event
10. All of the following are true statements about the human papillomavirus vaccine (Gardisil)
EXCEPT:
a. The CDC recommends the first dose at 11 to 12 years
b. The CDC does not recommend the HPV vaccine for males
