Nurs 629 peds q a for all

NURS 629 Peds Q&A for all 4 test combined Maryville University 2022/23
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1. 14. A schoolage child has a history of chronic otitis media and is seen inthe c
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linicmwith vertigo. The primary care pediatric nurse practitioner notesprofuse r r r r r r r r r


purulent otorrhea from both pressureequalizing tubes and a pearlywhite lesi
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on on one tympanic
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membrane. Which condition is most likely?: Ans- Cholesteatoma r r r r r r r



2. 3. A dipstick urinalysis is positive for leukocyte esterase and nitrites in asch
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oolage
child with dysuria and foulsmelling urine but no fever who has not hadpre
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vious urinary tract r r


infections. A culture is pending. What will the pediatric nurse practitioner doto t r r r r r r r r r r r r r


reat this child?: Ans- r r r


Prescribe trimethoprimsulfamethoxazole (TMP) twice daily for 3 to 5 days
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3. the parent of a 4monthold infant is concerned that the infant cannot hear.Whi
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ch test will the primary care pediatric nurse practitioner order to evaluatepotenti
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al hearing loss in this infant?: Ans- Auditory brainstem response (ABR)
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4. 4. The primary care pediatric nurse practitioner attempts to learn moreab
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out the ID: Ans- 13348419842
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emotional health of an 18monthold child through which assessment strate- r r r r r r r r r


gy?: Ans-
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Observation of the child with caretakers in structured and unstructured situations
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5. 6. What will the primary care pediatric nurse practitioner teach the parentsof a
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child
who has new pressureequalizing tubes (PET) in both ears?: Ans-
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Parentsshould notice improved hearing in their child.
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6. 4. A preschoolage child with no previous history has mild flank pain and feve
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r but no abdominal pain or vomiting. Aurinalysis is positive for leukocyteesterase
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and nitrites. A culture is pending. Which is the correct course of treatment for this
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child?: Ans- Order amoxicillin clavulanate r r r r



7. 7. A child with a history of otitis externa asks about ways to prevent thiscon
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dition.
What will the primary care pediatric nurse practitioner recommend?: Ans-
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Drying the ear canal with a hair dryer r r r r r r r



8. 12. The primary care pediatric nurse practitioner is evaluating recurrentst
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omach pain in r r


a schoolage child. The child's exam is normal. The nurse practitioner learnsthat t
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e child reports
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1r/r57

, NURS 629 Peds Q&A for all 4 test combined Maryville University 2022/23
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pain most evenings after school and refuses to participate in sports but doesnot h
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ve nausea or r r


vomiting.The child's grandmother recently had gallbladder surgery.Whichacti r r r r r r r r r


on is correct?: Ans-
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Encourage the child to keep a log of pain, stool patterns, and dietary intake
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9. 9. A child who has otitis externa has severe swelling of the external audi-
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tory canal that persists after 2 days of therapy with ototopical antibiotic/cor-
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ticosteroid drops. What is the next step in treatment for this child?: Ans-
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Insert a wick into the external auditory canal.
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10. 5. A 3yearold child has just completed a 7day course of amoxicillin for asec
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ondfebrile urinary tract infection and currently has a negative urine cul- r r r r r r r r r r


ture. What is the next course of action?: Ans-
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Obtain a renal and bladder ultrasound.
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11. 8. A child complains of itching in both ears and is having trouble hearing.
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The
primary care pediatric nurse practitioner notes periauricular edema andm
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arked swelling r


of the external auditory canal and elicits severe pain when manipulating theext
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ernal ear r


structures. Which is an appropriate intervention?: Ans- r r r r r r


Order ototopicalantibiot- ic/corticosteroid drops.
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12. 5. A middleschoolage child is skipping school frequently and getting poorgra
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des
since the child's father was killed while deployed in the military. How will theprima
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y care pediatric
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nurse practitioner manage this situation?: Ans-
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Refer the child to a mentalhealth specialist for evaluation and treatment.
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13. The primary care pediatric nurse practitioner is examining a 2weekoldinf
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ant and r


auscultates a wide splitting of S 2 during expiration. What condition may thisfindi r r r r r r r r r r r r r


g represent?: Ans- Atrial septal defect
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14. A 9monthold infant with a history of three urinary tract infections is diagno
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sed with grade II vesicoureteral reflux. Which medication will be pre-
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scribed?: Ans- TMPSMX~ TMP 2 mg/kg as a single daily dose
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15. 2. The primary care pediatric nurse practitioner auscultates a new gradeII vi
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bratory,
midsystolic murmur at the mid sternal border in a 4yearold child that is r r r r r r r r r r r r


2r/r57

, NURS 629 Peds Q&A for all 4 test combined Maryville University 2022/23
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louder when the child is r r r r


supine. What type of murmur is most likely?: Ans- Still's murmur
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16. 4. The primary care pediatric nurse practitioner is performing a well babyexa
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mination on a 2monthold infant who has gained 25 grams per day in thelast inte
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rval.The r


mother is nursing and tells the nurse practitioner that her infant seems fussy and w
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ants to nurse r r


more often. What will the nurse practitioner tell her?: Ans-
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The infant may be going through an expected growth spurt.
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17. 3. During a well child assessment, the primary care pediatric nurse prac-
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titioner
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auscultates a harsh, blowing grade IV/VI murmur in a 6monthold infant. What will t r r r r r r r r r r r r r


he nurse r


practitioner do next?: Ans- Refer to a pediatric cardiologist for further evaluation r r r r r r r r r r r



18. 12. A child who has nephrotic syndrome is on a steroids and a saltrestrict-
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ed diet for a relapse of symptoms. A dipstick urinalysis shows 1+ protein, dow
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n from 3+ at the beginning of the episode. In consultation with the child's nephr
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ologist, what is the correct course of treatment considering thisfinding?: Ans-
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Continue with steroids and salt restrictions until the urine is negative for protein
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19. 4. The primary care pediatric nurse practitioner provides primary care fora 4
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month
old infant who has a ventricular septal defect. The infant has been breast-
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feeding well but in the
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past month has dropped from the 20th percentile to the 5th for weight. Whatwill th
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nurse practitioner recommend?: Ans-
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Fortifying breast milk to increase thenumber of calories per ounce
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20. 6. The parent of a 4yearold child reports that the child seems to be havingtrou
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ble
adjusting to a new day care and reportedly is always engaging in solitaryplay w
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hen the r


parent arrives to pick up the child. What will the primary care pediatric nursepra
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ctitioner do?: Ans- r r


Ask the parent if the child is slow to warm up to other new situations
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21. 5. A 12monthold infant who had cardiopulmonary bypass with RBC andpla
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sma


3r/r57

, NURS 629 Peds Q&A for all 4 test combined Maryville University 2022/23
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infusions during surgery at 8 months is seen for a well child examination.
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Which vaccine may be r r r


administered at this visit?\: Ans- PCV13 r r r r r



22. 13. A child who had GABHS 2 weeks prior is in the clinic with periorbitalede
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ma,
dyspnea, and elevated blood pressure. A urinalysis reveals teacolored urinewit
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h hematuria and
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mild proteinuria. What will the primary care pediatric nurse practitioner do toma
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nage this condition?: Ans- Refer the child to a pediatric nephrologist for hospital-
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ization.
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23. The primary care pediatric nurse practitioner performs a well child exam-
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ination on
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a 12monthold child who had repair of a congenital heart defect at 8 monthsof a
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ge.The child has a
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normal exam.The parent reports that the child is not taking any medications.
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The nurse practitioner
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will contact the child's cardiologist to discuss whether the child needs whichmed
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ation?: Ans- Amoxicillin r r



24. 7. The primary care pediatric nurse practitioner sees a developmentallydel
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ayed
toddler for an initial visit.The family has just moved to the area and asks thenurse
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ractitioner
about community services and resources for their child. What should thenurse p
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actitioner do r


initially?: Ans- Ask the parents if theyhave an individualized familyservice plan(IFSP).
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25. 20. A 7yearold child who has a history of a repaired congenital heartdef
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ect has r


many dental caries along with gingival erythema and irritation and a temper-
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ature of
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102.5°F. What will the primary care pediatric nurse practitioner do next?:An
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s- Ad- mit to the hospital with a pediatric cardiology consult.
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26. 16. A6monthold infant has a retractile testis thatwas noted at the 2monthwell
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baby exam. What will the primary care pediatric nurse practitioner do tomanag
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e this condition?: Ans-
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Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
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4r/r57