ESTUDYR
NUR 6130 EXAM 1 | ACTUAL QUESTIONS AND
ANSWERS | 2025–2026 UPDATES | 100%
CORRECT
Question 1
An 8-year-old, 60 lb child diagnosed with left otitis externa can be managed with:
a. Ciprodex otic, 4 drops to the affected ear bid × 7 days
b. Children’s ibuprofen liquid 10 mL q 6–8h prn for discomfort
c. Avoidance of swimming/underwater baths until resolved
d. All of the above ✅
Explanation:
Management of otitis externa (“swimmer’s ear”) in an 8-year-old child includes:
1. Topical antibiotics – Ciprodex (ciprofloxacin + dexamethasone) otic drops → antibiotic + anti-
inflammatory effect. Dosage: 4 drops bid × 7 days.
2. Pain management – Ibuprofen 10 mg/kg/dose every 6–8h prn. At 60 lb (~27 kg), 10 mL (100
mg/5 mL concentration) provides appropriate relief.
3. Avoidance of water exposure – Prevents irritation and promotes healing.
Question 2
A 1-month-old female is brought in for follow-up due to feeding issues. She was a full-term infant with
normal delivery and had Hepatitis B vaccine at birth.
Which is the next appropriate immunization at this age?
a. DTaP
b. Hib
c. Hepatitis B #2 ✅
d. MMR
Explanation:
At 1 month, the second dose of Hepatitis B is due. DTaP, Hib, IPV, PCV13, and Rotavirus begin at 2
months. MMR is given at 12 months.
,ESTUDYR
Question 3
A 15-year-old presents with sore throat, fever, and tonsillar exudates. Rapid strep test is positive.
What is the best treatment?
a. Azithromycin for 3 days
b. Supportive care only
c. Penicillin V or amoxicillin for 10 days ✅
d. Ciprofloxacin
Explanation:
Group A strep pharyngitis is treated with penicillin or amoxicillin × 10 days. Macrolides if penicillin
allergic. Ciprofloxacin not used.
Question 4
A 2-month-old presents for a well-child visit. Which vaccines are due at this visit?
a. DTaP, Hib, IPV, PCV13, Rotavirus
b. DTaP, Hib, IPV, PCV13, Rotavirus, Hepatitis B ✅
c. Influenza only
d. Varicella and MMR
Explanation:
At 2 months, infants receive: Hepatitis B #2, DTaP #1, Hib #1, IPV #1, PCV13 #1, and Rotavirus #1. MMR
and Varicella are given at 12 months.
Question 5
A 4-year-old presents with wheezing, cough, and shortness of breath. She has used albuterol inhaler 3
times in the past week and awakens at night twice per week with symptoms.
What is the correct asthma classification?
a. Intermittent
b. Mild persistent ✅
c. Moderate persistent
d. Severe persistent
Explanation:
Mild persistent asthma = symptoms >2 days/week, nighttime symptoms 1–2 nights/month, SABA use
>2 days/week, normal activity.
, ESTUDYR
Question 6
A 12-month-old presents for routine care. Which screening test is recommended at this visit?
a. Lead level and hemoglobin/hematocrit
b. Fasting lipid panel
c. Lead level and hemoglobin ✅
d. TB skin test for all
Explanation:
At 12 months: screen for anemia (Hgb/Hct) and lead exposure. Lipid screening is later (9–11 yrs). TB
testing is only for risk factors.
Question 7
A 7-year-old presents with itchy rash on flexural surfaces (elbows, knees). History includes asthma and
allergic rhinitis.
Most likely diagnosis?
a. Psoriasis
b. Atopic dermatitis ✅
c. Contact dermatitis
d. Seborrheic dermatitis
Explanation:
Atopic dermatitis (eczema) is chronic, pruritic, often in flexural areas, and associated with atopy
(asthma/allergic rhinitis).
Question 8
A 3-year-old with sickle cell disease presents for routine care. Which vaccine is most important for this
patient?
a. Varicella
b. Pneumococcal conjugate and polysaccharide vaccines ✅
c. HPV
d. Hepatitis A
Explanation:
Children with sickle cell disease are at risk of infections from encapsulated organisms (esp.
pneumococcus). They require both conjugate (PCV13) and polysaccharide (PPSV23).
NUR 6130 EXAM 1 | ACTUAL QUESTIONS AND
ANSWERS | 2025–2026 UPDATES | 100%
CORRECT
Question 1
An 8-year-old, 60 lb child diagnosed with left otitis externa can be managed with:
a. Ciprodex otic, 4 drops to the affected ear bid × 7 days
b. Children’s ibuprofen liquid 10 mL q 6–8h prn for discomfort
c. Avoidance of swimming/underwater baths until resolved
d. All of the above ✅
Explanation:
Management of otitis externa (“swimmer’s ear”) in an 8-year-old child includes:
1. Topical antibiotics – Ciprodex (ciprofloxacin + dexamethasone) otic drops → antibiotic + anti-
inflammatory effect. Dosage: 4 drops bid × 7 days.
2. Pain management – Ibuprofen 10 mg/kg/dose every 6–8h prn. At 60 lb (~27 kg), 10 mL (100
mg/5 mL concentration) provides appropriate relief.
3. Avoidance of water exposure – Prevents irritation and promotes healing.
Question 2
A 1-month-old female is brought in for follow-up due to feeding issues. She was a full-term infant with
normal delivery and had Hepatitis B vaccine at birth.
Which is the next appropriate immunization at this age?
a. DTaP
b. Hib
c. Hepatitis B #2 ✅
d. MMR
Explanation:
At 1 month, the second dose of Hepatitis B is due. DTaP, Hib, IPV, PCV13, and Rotavirus begin at 2
months. MMR is given at 12 months.
,ESTUDYR
Question 3
A 15-year-old presents with sore throat, fever, and tonsillar exudates. Rapid strep test is positive.
What is the best treatment?
a. Azithromycin for 3 days
b. Supportive care only
c. Penicillin V or amoxicillin for 10 days ✅
d. Ciprofloxacin
Explanation:
Group A strep pharyngitis is treated with penicillin or amoxicillin × 10 days. Macrolides if penicillin
allergic. Ciprofloxacin not used.
Question 4
A 2-month-old presents for a well-child visit. Which vaccines are due at this visit?
a. DTaP, Hib, IPV, PCV13, Rotavirus
b. DTaP, Hib, IPV, PCV13, Rotavirus, Hepatitis B ✅
c. Influenza only
d. Varicella and MMR
Explanation:
At 2 months, infants receive: Hepatitis B #2, DTaP #1, Hib #1, IPV #1, PCV13 #1, and Rotavirus #1. MMR
and Varicella are given at 12 months.
Question 5
A 4-year-old presents with wheezing, cough, and shortness of breath. She has used albuterol inhaler 3
times in the past week and awakens at night twice per week with symptoms.
What is the correct asthma classification?
a. Intermittent
b. Mild persistent ✅
c. Moderate persistent
d. Severe persistent
Explanation:
Mild persistent asthma = symptoms >2 days/week, nighttime symptoms 1–2 nights/month, SABA use
>2 days/week, normal activity.
, ESTUDYR
Question 6
A 12-month-old presents for routine care. Which screening test is recommended at this visit?
a. Lead level and hemoglobin/hematocrit
b. Fasting lipid panel
c. Lead level and hemoglobin ✅
d. TB skin test for all
Explanation:
At 12 months: screen for anemia (Hgb/Hct) and lead exposure. Lipid screening is later (9–11 yrs). TB
testing is only for risk factors.
Question 7
A 7-year-old presents with itchy rash on flexural surfaces (elbows, knees). History includes asthma and
allergic rhinitis.
Most likely diagnosis?
a. Psoriasis
b. Atopic dermatitis ✅
c. Contact dermatitis
d. Seborrheic dermatitis
Explanation:
Atopic dermatitis (eczema) is chronic, pruritic, often in flexural areas, and associated with atopy
(asthma/allergic rhinitis).
Question 8
A 3-year-old with sickle cell disease presents for routine care. Which vaccine is most important for this
patient?
a. Varicella
b. Pneumococcal conjugate and polysaccharide vaccines ✅
c. HPV
d. Hepatitis A
Explanation:
Children with sickle cell disease are at risk of infections from encapsulated organisms (esp.
pneumococcus). They require both conjugate (PCV13) and polysaccharide (PPSV23).
