MSN 629 Week 5 (Ch 32, 33, 38) Quiz Bank | Burns Pediatric Primary Care Questions &
Answers | 2026 Update | 100% Correct – NKU
Question 1
In a respiratory disorder that produces a check-valve type of airway obstruction, what airflow
pattern is expected?
Answer: Air enters during inspiration but becomes obstructed during expiration.
Question 2
A child develops an acute infection causing lower-airway obstruction. What is the expected
initial clinical symptom?
Answer: Wheezing.
Question 3
A 4-year-old with an upper respiratory infection has cloudy nasal drainage and moderate
congestion severe enough to interfere with sleep. What should the pediatric primary care NP
recommend for symptom relief?
Answer: Saline nasal rinses.
Question 4
A 5-year-old has enlarged tonsils and four documented streptococcal throat infections during the
previous year. The parent also reports significant nighttime snoring and concern about sleep
quality. What should be done next according to the source?
Answer: Refer the child to a pulmonologist for polysomnography evaluation.
Question 5
A school-aged child suddenly develops sore throat, nausea, headache, fever of 102.3°F, palatal
petechiae, beefy-red tonsils with yellow exudate, and a scarlatiniform rash. The rapid antigen
detection test for group A strep is negative. What should be done next?
Answer: Perform a follow-up throat culture.
Question 6
, An adolescent has tonsillar exudate, palatal petechiae, and generalized adenopathy after
suspected exposure to infectious mononucleosis. Which test should be used to confirm the
diagnosis according to the source?
Answer: EBV-specific antibody testing.
Question 7
A school-aged child has experienced nasal drainage and daytime cough for 12 days without
improvement. There is no fever, no recent antibiotic use, and no significant local antibiotic
resistance. What treatment should be prescribed?
Answer: Amoxicillin 45 mg/kg/day.
Question 8
A child continues to have mucopurulent nasal drainage after 14 days of amoxicillin treatment for
acute rhinosinusitis and now has swelling, induration, and erythema of both eyelids. What is the
next step?
Answer: Refer the child to a pediatric otolaryngologist.
Question 9
A toddler is diagnosed with pertussis and lives with a 4-week-old infant. What should the NP
prescribe to help prevent transmission to the infant?
Answer: Azithromycin 10 mg/kg/day as a single daily dose for 5 days.
Question 10
A school-aged child has recurrent nosebleeds despite symptomatic treatment. Examination
reveals fresh clots and excoriated nasal mucosa, but no visible bleeding site, and coagulation
studies are normal. What is the next course of action?
Answer: Refer the child to an otolaryngologist for further evaluation.
Question 11
A child has unilateral, purulent, foul-smelling nasal drainage. Examination shows a shiny object
surrounded by mucus in the nasal cavity. What should the NP do?
Answer: Attempt gentle removal using alligator forceps.
Question 12
Answers | 2026 Update | 100% Correct – NKU
Question 1
In a respiratory disorder that produces a check-valve type of airway obstruction, what airflow
pattern is expected?
Answer: Air enters during inspiration but becomes obstructed during expiration.
Question 2
A child develops an acute infection causing lower-airway obstruction. What is the expected
initial clinical symptom?
Answer: Wheezing.
Question 3
A 4-year-old with an upper respiratory infection has cloudy nasal drainage and moderate
congestion severe enough to interfere with sleep. What should the pediatric primary care NP
recommend for symptom relief?
Answer: Saline nasal rinses.
Question 4
A 5-year-old has enlarged tonsils and four documented streptococcal throat infections during the
previous year. The parent also reports significant nighttime snoring and concern about sleep
quality. What should be done next according to the source?
Answer: Refer the child to a pulmonologist for polysomnography evaluation.
Question 5
A school-aged child suddenly develops sore throat, nausea, headache, fever of 102.3°F, palatal
petechiae, beefy-red tonsils with yellow exudate, and a scarlatiniform rash. The rapid antigen
detection test for group A strep is negative. What should be done next?
Answer: Perform a follow-up throat culture.
Question 6
, An adolescent has tonsillar exudate, palatal petechiae, and generalized adenopathy after
suspected exposure to infectious mononucleosis. Which test should be used to confirm the
diagnosis according to the source?
Answer: EBV-specific antibody testing.
Question 7
A school-aged child has experienced nasal drainage and daytime cough for 12 days without
improvement. There is no fever, no recent antibiotic use, and no significant local antibiotic
resistance. What treatment should be prescribed?
Answer: Amoxicillin 45 mg/kg/day.
Question 8
A child continues to have mucopurulent nasal drainage after 14 days of amoxicillin treatment for
acute rhinosinusitis and now has swelling, induration, and erythema of both eyelids. What is the
next step?
Answer: Refer the child to a pediatric otolaryngologist.
Question 9
A toddler is diagnosed with pertussis and lives with a 4-week-old infant. What should the NP
prescribe to help prevent transmission to the infant?
Answer: Azithromycin 10 mg/kg/day as a single daily dose for 5 days.
Question 10
A school-aged child has recurrent nosebleeds despite symptomatic treatment. Examination
reveals fresh clots and excoriated nasal mucosa, but no visible bleeding site, and coagulation
studies are normal. What is the next course of action?
Answer: Refer the child to an otolaryngologist for further evaluation.
Question 11
A child has unilateral, purulent, foul-smelling nasal drainage. Examination shows a shiny object
surrounded by mucus in the nasal cavity. What should the NP do?
Answer: Attempt gentle removal using alligator forceps.
Question 12
