NURS 629 Final Exam Practice Questions With Answers | Latest Update Graded A+ 2023/2024

NURS 629 Final Exam Practice Questions With Answers | Latest Update Graded A+ 2023/2024. 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 Correct D. Topical vasoconstrictor drops 12. The primary care pediatric nurse practitioner observes a tender, swollen red furuncle on the upper lid margin of a child’s eye. What treatment will the nurse practitioner recommend? A. Culture of the lesion to determine causative organism B. Referral to ophthalmology for incision and drainage C. Topical steroid medication D. Warm, moist compresses 3 to 4 times daily Correct 13. The primary care pediatric nurse practitioner is treating an infant with lacrimal duct obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment with topical antibiotics along with massage and frequent cleansing of secretions, the infant’s symptoms have not improved. Which action is correct? A. Perform massage more frequently. B. Prescribe an oral antibiotic. C. Recommend hot compresses. D. Refer to an ophthalmologist. Correct 14. A preschool-age child is seen in the clinic after waking up a temperature of ID: 58 102.2°F, swelling and erythema of the upper lid of one eye, and moderate pain when looking from E. F. ID: G. H. ID: I. J. ID: K. L. ID: side to side. Which course of treatment is correct? A. Admit to the hospital for intravenous antibiotics. Correct B. Obtain a lumbar puncture and blood culture. C. Order warm compresses 4 times daily for 5 days. D. Prescribe a 10- to 14-day course of oral antibiotics. 15. A school-age child is seen in the clinic after a fragment from a glass bottle flew into the eye. What will the primary care pediatric nurse practitioner do? A. Refer immediately to an ophthalmologist. Correct B. Attempt to visualize the glass fragment. C. Irrigate the eye with sterile saline. D. Instill a topical anesthetic. 16. A school-age child is hit in the face with a baseball bat and reports pain in one eye. The primary care pediatric nurse practitioner is able to see a dark red fluid level between the cornea and iris on gross examination, but the child resists any exam with a light. Which action is correct? A. Administer an oral analgesic medication. B. Apply a Fox shield and reevaluate the eye in 24 hours. C. Instill anesthetic eyedrops into the affected eye. D. Refer the child immediately to an ophthalmologist. Correct ID: 42 ID: 64 Questions 1. The parent of a 4-month-old infant is concerned that the infant cannot hear. Which test will the primary care pediatric nurse practitioner order to evaluate potential hearing loss in this infant? A. Acoustic reflectometry B. Audiometry C. Auditory brainstem response (ABR) Correct D. Evoked otooacoustic emission (EOAE) testing 2. The primary care pediatric nurse practitioner obtains a tympanogram on a child that reveals a sharp peak of -180 mm H2O. What does this value indicate? A. A normal tympanic membrane B. Middle ear effusion C. Negative ear pressure Correct D. Tympanic membrane perforation 3. An 18-month-old child with no previous history of otitis media awoke during the night with right ear pain. The primary care pediatric nurse practitioner notes an axillary temperature of 100.5°F and an erythematous, bulging tympanic membrane. A tympanogram reveals of peak of +150 mm H2O. What is the recommended treatment for this child? A. Amoxicillin 80 to 90 mg/kg/day in two divided doses B. An analgesic medication and watchful waiting Correct C. Ceftriaxone 50 to 75 mg/kg/dose IM given once D. Ototopical antibiotic drops twice daily for 5 days 4. A 7-month-old infant has had two prior acute ear infections and is currently on the 10th day of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The primary care pediatric nurse practitioner notes marked middle ear effusion and erythema of the TM. The child is irritable and has a temperature of 99.8°F. What is the next step in management of this child’s ear infection? A. Order a second course of amoxicillin-clavulanate. B. Perform tympanocentesis for culture. C. Prescribe clindamycin twice daily. D. Refer the child to an otolaryngologist. Correct 5. A 3-year-old child with pressure-equalizing tubes (PET) in both ears has otalgia in ID: 27 ID: 09 ID: 29 ID: 17 ID: 21 one ear. The primary care pediatric nurse practitioner is able to visualize the tube and does not see exudate in the ear canal and obtains a type A tympanogram. What will the nurse practitioner do? A. Order ototopical antibiotic/corticosteroid drops. Correct B. Prescribe a prophylactic antibiotic medication. C. Reassure the parent that this is a normal exam. D. Refer the child to an otolaryngologist for follow-up 6. What will the primary care pediatric nurse practitioner teach the parents of a child who has new pressure-equalizing tubes (PET) in both ears? A. Parents should notice improved hearing in their child. Correct B. PET will help by reducing the number of ear infections the child has. C. The child should use earplugs when showering or bathing. D. The tubes will most likely remain in place for 3 to 4 years. 7. 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 Correct C. Swimming only in chlorinated pools D. Using cerumenolytic agents daily 8. 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?