NURS 629 Ped chapter questions for all 4 test
combined Maryville University
1. The primary care pediatric nurse practitioner performs a vision screen on a 4 month
old infant and notes the presence of convergence and accommodation with mild
esotropia of the left eye. What will the nurse practitioner do? - CORRECT ANSWER-
Refer the infant to a pediatric ophthalmologist.
2. During a well child exam on a 4yearold child, the primary care pediatric nurse
practitioner notes that the clinic nurse recorded "20/50" for the child's vision and noted
that the child had difficulty cooperating with the exam. What will the nurse practitioner
recommend? - CORRECT ANSWER- Test the child's vision in 1 month. Correct
3. During a well child assessment of an African American infant, the primary care
pediatric nurse practitioner notes a dark red brown light reflex in the left eye and a
slightly brighter, red orange light reflex in the right eye. The nurse practitioner will -
CORRECT ANSWER- . refer the infant to an ophthalmologist
4. The primary care pediatric nurse practitioner performs a Hirschberg test to evaluate -
CORRECT ANSWER- ocular alignment.
5. The primary care pediatric nurse practitioner applies fluorescein stain to a child's eye.
When examining the eye with a cobalt blue filter light, the entire cornea appears cloudy.
What does this indicate? - CORRECT ANSWER- There is too much stain on the cornea
6. A toddler exhibits exotropia of the right eye during a coveruncover screen. The
primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to
initiate which treatment? - CORRECT ANSWER- Patching of the unaffected eye for 2
hours each day
7. The primary care pediatric nurse practitioner performs a well child examination on
,a 9monthold infant who has a history of prematurity at 28 weeks' gestation. The infant
was treated for retinopathy of prematurity (ROP) and all symptoms have resolved.
When will the infant need an ophthalmologic exam? - CORRECT ANSWER- At 12
months of age
8. During a wellbaby assessment on a 1weekold infant who had a normal examn when
discharged from the newborn nursery 2 days prior, the primary care pediatric nurse
practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and moderate
amounts of thick, purulent discharge. What is the likely diagnosis? - CORRECT
ANSWER- Chlamydia trachomatis conjunctivitis
9. The primary care pediatric nurse practitioner performs a well baby assessment of a
5dayold infant and notes mild conjunctivitis, corneal opacity, and serosanguinous
discharge in the right eye. Which course of action is correct? - CORRECT ANSWER-
Admit the infant to the hospital immediately.
14. A schoolage child has a history of chronic otitis media and is seen in the clinicmwith
vertigo. The primary care pediatric nurse practitioner notes profuse purulent otorrhea
from both pressureequalizing tubes and a pearlywhite lesion on one tympanic
membrane. Which condition is most likely? - CORRECT ANSWER- Cholesteatoma
the parent of a 4monthold 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? - CORRECT ANSWER- Auditory brainstem response (ABR)
2. The primary care pediatric nurse practitioner obtains a tympanogram on a child that
reveals a sharp peak of 180 mm H 2 O. What does this value indicate? - CORRECT
ANSWER- Negative ear pressure
13. A child who was treated with amoxicillin and then amoxicillinclavulanate for acute
,otitis media is seen for followup. The primary care pediatric nurse practitioner notes
dullgray
tympanic membranes with a visible airfluid level. The child is afebrile and without pain.
What is the
next course of action? - CORRECT ANSWER- Monitoring ear fluid levels for 3 months
Correct
12. The primary care pediatric nurse practitioner diagnoses acute otitis media in a 2
yearold child who has a history of three ear infections in the first 6 months of life. The
child's tympanic membrane is intact and the child has a temperature of 101.5°F. What
will the
nurse practitioner prescribe for this child? - CORRECT ANSWER- An analgesic
medication and watchful waiting
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 H 2 O. What is the recommended treatment for this child? -
CORRECT ANSWER- An analgesic medication and watchful waiting
4. A 7monthold infant has had two prior acute ear infections and is currently on the
10th day of therapy with amoxicillinclavulanate 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? - CORRECT ANSWER- Refer the child to an otolaryngologist.
11. A 3yearold child has had one episode of acute otitis media 3 weeks prior with a
, normal tympanogram just after treatment with amoxicillin. In the clinic today, the child
has a type B
tympanogram, a temperature of 102.5°F, and a bulging tympanic membrane. What will
the
primary care pediatric nurse practitioner order? - CORRECT ANSWER-
Amoxicillinclavulanate twice daily
10. The primary care pediatric nurse practitioner notes a small, round object in a
child's external auditory canal, near the tympanic membrane. The child's parent thinks it
is
probably a dried pea. What will the nurse practitioner do to remove this object? -
CORRECT ANSWER- Refer the child to an otolaryngologist for removal.
5. A 3yearold child with pressureequalizing tubes (PET) in both ears has otalgia in 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? - CORRECT ANSWER- Order ototopical antibiotic/corticosteroid
drops.
6. What will the primary care pediatric nurse practitioner teach the parents of a child
who has new pressureequalizing tubes (PET) in both ears? - CORRECT ANSWER-
Parents should notice improved hearing in their child.
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? - CORRECT
ANSWER- Drying the ear canal with a hair dryer
9. A child who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is
the next step in treatment for this child? - CORRECT ANSWER- Insert a wick into the
external auditory canal.
combined Maryville University
1. The primary care pediatric nurse practitioner performs a vision screen on a 4 month
old infant and notes the presence of convergence and accommodation with mild
esotropia of the left eye. What will the nurse practitioner do? - CORRECT ANSWER-
Refer the infant to a pediatric ophthalmologist.
2. During a well child exam on a 4yearold child, the primary care pediatric nurse
practitioner notes that the clinic nurse recorded "20/50" for the child's vision and noted
that the child had difficulty cooperating with the exam. What will the nurse practitioner
recommend? - CORRECT ANSWER- Test the child's vision in 1 month. Correct
3. During a well child assessment of an African American infant, the primary care
pediatric nurse practitioner notes a dark red brown light reflex in the left eye and a
slightly brighter, red orange light reflex in the right eye. The nurse practitioner will -
CORRECT ANSWER- . refer the infant to an ophthalmologist
4. The primary care pediatric nurse practitioner performs a Hirschberg test to evaluate -
CORRECT ANSWER- ocular alignment.
5. The primary care pediatric nurse practitioner applies fluorescein stain to a child's eye.
When examining the eye with a cobalt blue filter light, the entire cornea appears cloudy.
What does this indicate? - CORRECT ANSWER- There is too much stain on the cornea
6. A toddler exhibits exotropia of the right eye during a coveruncover screen. The
primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to
initiate which treatment? - CORRECT ANSWER- Patching of the unaffected eye for 2
hours each day
7. The primary care pediatric nurse practitioner performs a well child examination on
,a 9monthold infant who has a history of prematurity at 28 weeks' gestation. The infant
was treated for retinopathy of prematurity (ROP) and all symptoms have resolved.
When will the infant need an ophthalmologic exam? - CORRECT ANSWER- At 12
months of age
8. During a wellbaby assessment on a 1weekold infant who had a normal examn when
discharged from the newborn nursery 2 days prior, the primary care pediatric nurse
practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and moderate
amounts of thick, purulent discharge. What is the likely diagnosis? - CORRECT
ANSWER- Chlamydia trachomatis conjunctivitis
9. The primary care pediatric nurse practitioner performs a well baby assessment of a
5dayold infant and notes mild conjunctivitis, corneal opacity, and serosanguinous
discharge in the right eye. Which course of action is correct? - CORRECT ANSWER-
Admit the infant to the hospital immediately.
14. A schoolage child has a history of chronic otitis media and is seen in the clinicmwith
vertigo. The primary care pediatric nurse practitioner notes profuse purulent otorrhea
from both pressureequalizing tubes and a pearlywhite lesion on one tympanic
membrane. Which condition is most likely? - CORRECT ANSWER- Cholesteatoma
the parent of a 4monthold 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? - CORRECT ANSWER- Auditory brainstem response (ABR)
2. The primary care pediatric nurse practitioner obtains a tympanogram on a child that
reveals a sharp peak of 180 mm H 2 O. What does this value indicate? - CORRECT
ANSWER- Negative ear pressure
13. A child who was treated with amoxicillin and then amoxicillinclavulanate for acute
,otitis media is seen for followup. The primary care pediatric nurse practitioner notes
dullgray
tympanic membranes with a visible airfluid level. The child is afebrile and without pain.
What is the
next course of action? - CORRECT ANSWER- Monitoring ear fluid levels for 3 months
Correct
12. The primary care pediatric nurse practitioner diagnoses acute otitis media in a 2
yearold child who has a history of three ear infections in the first 6 months of life. The
child's tympanic membrane is intact and the child has a temperature of 101.5°F. What
will the
nurse practitioner prescribe for this child? - CORRECT ANSWER- An analgesic
medication and watchful waiting
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 H 2 O. What is the recommended treatment for this child? -
CORRECT ANSWER- An analgesic medication and watchful waiting
4. A 7monthold infant has had two prior acute ear infections and is currently on the
10th day of therapy with amoxicillinclavulanate 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? - CORRECT ANSWER- Refer the child to an otolaryngologist.
11. A 3yearold child has had one episode of acute otitis media 3 weeks prior with a
, normal tympanogram just after treatment with amoxicillin. In the clinic today, the child
has a type B
tympanogram, a temperature of 102.5°F, and a bulging tympanic membrane. What will
the
primary care pediatric nurse practitioner order? - CORRECT ANSWER-
Amoxicillinclavulanate twice daily
10. The primary care pediatric nurse practitioner notes a small, round object in a
child's external auditory canal, near the tympanic membrane. The child's parent thinks it
is
probably a dried pea. What will the nurse practitioner do to remove this object? -
CORRECT ANSWER- Refer the child to an otolaryngologist for removal.
5. A 3yearold child with pressureequalizing tubes (PET) in both ears has otalgia in 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? - CORRECT ANSWER- Order ototopical antibiotic/corticosteroid
drops.
6. What will the primary care pediatric nurse practitioner teach the parents of a child
who has new pressureequalizing tubes (PET) in both ears? - CORRECT ANSWER-
Parents should notice improved hearing in their child.
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? - CORRECT
ANSWER- Drying the ear canal with a hair dryer
9. A child who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is
the next step in treatment for this child? - CORRECT ANSWER- Insert a wick into the
external auditory canal.
