NU664A Exam 2 – Questions With Applicable
Solutions
2 week old infant with complaint of rash near left upper eyelid
several vesicular lesions on his left upper eyelid. What would you
discuss with the mother as the PNP? Correct Answer - It is
important that you go to the children's hospital emergency
department now because your child needs an immediate referral to
a pediatric ophthalmologist.
3 year old w/ hx of blepharitis and his mother asks whether there is
anything she can do to prevent this from occurring again. What
would you suggest as the PNP? Correct Answer - Good
handwashing and daily eye lid and lash scrub with diluted baby
shampoo should prevent this from reoccurring.
5 year old feeling like something might be in his eye. No visual
changes had occurred, normal EOM, no known injury. You decide to
complete fluorescein staining to the affected eye because you
suspect Correct Answer - Corneal abrasion
4-month-old w/1-week hx of nasal congestion and occasional cough.
Prior evening Temp 102F refused to breastfeed and had coughing
and noisy labored breathing. On exam ill-appearing infant who is
lethargic w/ tachypnea, wheezing, and intercostal retractions. Does
not attend daycare but has a 3-year-old sibling who is in daycare
and who recently had a "cold". Considering the clinical presentation
what is the most likely cause of the infant's illness? Correct
Answer - RSV bronchiolitis
6 year old hx of cough for 10 days, Fever 101.5 F in the past 24 hrs.
Decrease appetite and complain of abdominal pain. Breathing faster
, than normal . Given the information, what is the most likely dx?
Correct Answer - Pneumonia
12 day old concerned about breathing. Feeding stops breathing for
10 seconds. Eats well never appeared pale/cyanotic, and has never
become limp during any of these episodes. What would the PNP
discuss w/ the parents? Correct Answer - I know this can be
concerning. This can be a normal variant for infants.
When reviewing techniques to reduce fear in the children in your
clinic, you recall that the age group w/ imaginary play is Correct
Answer - preschoolers
9 year old well visit - developmental characteristics Correct
Answer - At this age, children have heroes who they look up to,
and they develop close friendships.
During a well child school age exam, the primary PNP learns that the
child has been having angry episodes at school. The NP observes the
child to appear withdrawn and sad. Which action is appropriate?
Correct Answer - Ask the child and parent about stressors at
home.
The PNP is examining a school-age child who complains of frequent
stomach pain and headache. The patient reports that the child
misses several days of school each month. The child has a normal
exam. Before proceeding with further diagnostic tests, what will the
NP initially ask the parent? Correct Answer - About the timing
of the symptoms each day and during the week.
A child is diagnosed with community acquired pneumonia and will
be treated as an outpatient. Which antibiotic will the PNP choose?
Correct Answer - Amoxicillin
Solutions
2 week old infant with complaint of rash near left upper eyelid
several vesicular lesions on his left upper eyelid. What would you
discuss with the mother as the PNP? Correct Answer - It is
important that you go to the children's hospital emergency
department now because your child needs an immediate referral to
a pediatric ophthalmologist.
3 year old w/ hx of blepharitis and his mother asks whether there is
anything she can do to prevent this from occurring again. What
would you suggest as the PNP? Correct Answer - Good
handwashing and daily eye lid and lash scrub with diluted baby
shampoo should prevent this from reoccurring.
5 year old feeling like something might be in his eye. No visual
changes had occurred, normal EOM, no known injury. You decide to
complete fluorescein staining to the affected eye because you
suspect Correct Answer - Corneal abrasion
4-month-old w/1-week hx of nasal congestion and occasional cough.
Prior evening Temp 102F refused to breastfeed and had coughing
and noisy labored breathing. On exam ill-appearing infant who is
lethargic w/ tachypnea, wheezing, and intercostal retractions. Does
not attend daycare but has a 3-year-old sibling who is in daycare
and who recently had a "cold". Considering the clinical presentation
what is the most likely cause of the infant's illness? Correct
Answer - RSV bronchiolitis
6 year old hx of cough for 10 days, Fever 101.5 F in the past 24 hrs.
Decrease appetite and complain of abdominal pain. Breathing faster
, than normal . Given the information, what is the most likely dx?
Correct Answer - Pneumonia
12 day old concerned about breathing. Feeding stops breathing for
10 seconds. Eats well never appeared pale/cyanotic, and has never
become limp during any of these episodes. What would the PNP
discuss w/ the parents? Correct Answer - I know this can be
concerning. This can be a normal variant for infants.
When reviewing techniques to reduce fear in the children in your
clinic, you recall that the age group w/ imaginary play is Correct
Answer - preschoolers
9 year old well visit - developmental characteristics Correct
Answer - At this age, children have heroes who they look up to,
and they develop close friendships.
During a well child school age exam, the primary PNP learns that the
child has been having angry episodes at school. The NP observes the
child to appear withdrawn and sad. Which action is appropriate?
Correct Answer - Ask the child and parent about stressors at
home.
The PNP is examining a school-age child who complains of frequent
stomach pain and headache. The patient reports that the child
misses several days of school each month. The child has a normal
exam. Before proceeding with further diagnostic tests, what will the
NP initially ask the parent? Correct Answer - About the timing
of the symptoms each day and during the week.
A child is diagnosed with community acquired pneumonia and will
be treated as an outpatient. Which antibiotic will the PNP choose?
Correct Answer - Amoxicillin
