NU664A Exam 2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
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 The NP observes the child to appear withdrawn and sad.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
A school-aged child has had nasal discharge and a daytime cough but no fever for 12 days
without improvement in symptoms. The child has not had antibiotics recently and there is no
significant antibiotic resistance in the local community. What is the appropriate treatment for this
child? - CORRECT ANSWER Amoxicillin 45mg/kg/day (treatment of acute rhinosinusitis
(ARS) based on duration of symptoms without clinical improvement in symptoms)
A child is diagnosed with Crohn's disease. What are likely complications for this child? -
CORRECT ANSWER Intestinal obstruction with scarring and strictures are the major
complications of Crohn's disease.
complications of ulcerative colitis - CORRECT ANSWER Cancer of the colon and
possible colectomy.
Intestinal perforation and hemorrhage
Liver disease and sepsis
Exam Questions and CORRECT Answers
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
A school-aged child has had nasal discharge and a daytime cough but no fever for 12 days
without improvement in symptoms. The child has not had antibiotics recently and there is no
significant antibiotic resistance in the local community. What is the appropriate treatment for this
child? - CORRECT ANSWER Amoxicillin 45mg/kg/day (treatment of acute rhinosinusitis
(ARS) based on duration of symptoms without clinical improvement in symptoms)
A child is diagnosed with Crohn's disease. What are likely complications for this child? -
CORRECT ANSWER Intestinal obstruction with scarring and strictures are the major
complications of Crohn's disease.
complications of ulcerative colitis - CORRECT ANSWER Cancer of the colon and
possible colectomy.
Intestinal perforation and hemorrhage
Liver disease and sepsis
