NUR 507 - Exam 4
NUR 507 - EXAM 4 NEWEST 2025/2026 COMPLETE ALL 100
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
An adolescent who recently spent time in a hot tub while on vacation has discrete,
erythematous 1 to 2mm papules that are centered around hair follicles on the
thighs, upper arms, and buttocks. How will the primary care pediatric nurse
practitioner manage this condition?
1. Culture the lesions and treat with appropriate IM antibiotics.
2. Hospitalize for incision and drainage and intravenous antibiotics.
3. Order an ant staphylococcal beta-lactamase resistant antibiotic.
4. Prescribe topical keratolytics and topical antibiotics.
4. Prescribe topical keratolytics and topical antibiotics.
An infant is brought to clinic with bright erythema in the neck and flexural folds
after recent treatment with antibiotics for otitis media. What is the treatment for
this condition?
1. 1% hydrocortisone cream to affected areas for 1 to 2 days
2. Oral fluconazole 6 mg/kg on day 1, then 3 mg/kg/dose for 14 days
3. Topical keratolytics and topical antibiotics for 7 to 10 days
4. Topical nystatin cream applied several times daily
4. Topical nystatin cream applied several times daily
8. A school age child has several annular lesions on the abdomen characterized by
central clearing with scaly, red borders. What is the first step in managing this
condition?
1. Fluoresce the lesions with a Wood's lamp.
2. . Obtain fungal cultures of the lesions.
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, NUR 507 - Exam 4
3. Perform KOH treated scrapings of the lesion borders.
4. Treat empirically with antifungal cream.
4. Treat empirically with antifungal cream.
A child has several circular, scaly lesions on the arms and abdomen, some of which
have central clearing. The primary care pediatric nurse practitioner notes a
smaller, scaly lesion on the child's scalp. How will the nurse practitioner treat this
child?
1.Obtain scrapings of the lesions for fungal cultures.
2. Order prescription strength antifungal creams.
3. Prescribe oral griseofulvin for 2 to 4 weeks.
4. Recommend OTC antifungal creams and shampoos.
3. Prescribe oral griseofulvin for 2 to 4 weeks.
A child is diagnosed with tinea versicolor. What is the correct management of .
this disorder?
1. Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4weeks
2. Oral antifungal treatment with fluconazole once weekly for 2 to 3 weeks
3. Sun exposure for up to an hour every day for 2 to 4 weeks
4. Using ketoconazole 2% shampoo on lesions twice daily for 2to 4 weeks
1. Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4weeks
An adolescent female has grouped ve sicles on her oral mucosa. To determine
whether these are caused by HSV1 or HSV2,
the primary care pediatric nurse practitioner will order which test?
1. Direct fluorescent antibody test
2. Enzyme linked immunosorbent assay
3. Tzanck smear
4. Viral culture
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, NUR 507 - Exam 4
4. Viral culture
A 4yearold
child has clusters of small, clear, tense vesicles with an erythematous base on one
side of the mouth along the vermillion border, which are causing discomfort and
difficulty eating. What will the primary care pediatric nurse practitioner
recommend as treatment?
1. Mupirocin ointment applied to lesions 3 times daily
2. Oral acyclovir 20 to 40 mg/kg/dose for 7 to 10 days
3. Topical acyclovir applied to lesions 4 times daily
4. Topical diphenhydramine and magnesium hydroxide
4. Topical diphenhydramine and magnesium hydroxide
A child has small, firm, flesh colored papules in both axillae which are mildly
pruritic. What is an acceptable initial approach to managing this condition?
Q. Application of trichloroacetic acid 25% to 50% using a dropper
R. Applying liquid nitrogen for 2 to 3 seconds to each lesion
S. Reassuring the parents that these are benign and may disappear spontaneously
T. Referral to a dermatologist for manual removal of lesions with curettage
S. Reassuring the parents that these are benign and may disappear spontaneously
A previously healthy school age child develops herpes zoster on the lowerback.
What will the primary care pediatric nurse practitioner do to manage this
condition?
1. Order Burow solution and warm soothing baths as comfort measures.
2. Prescribe oral acyclovir 30 mg/kg/day in 4 doses/day for 5 days.
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, NUR 507 - Exam 4
3 . Recommend topical antihistamines to control itching.
4. Stress the need to remain home from school until the lesions are gone.
4. Stress the need to remain home from school until the lesions are gone.
A school age child is brought to clinic after a pediculosis capitis infestation is
reported at the child's school. If this child is positive, what will the primary care
pediatric nurse practitioner expect to find on physical examination, along with live
lice near the scalp?
M. Excoriated macules along the child's collar and underwear lines
N. Inflammation and pustules on the face and neck
C. Itching of the scalp, with skin excoriation on the back of the head
D. Linear or S shaped lesions in webs of fingers and sides of hands
C. Itching of the scalp, with skin excoriation on the back of the head
A 3yearold child has head lice. What will the initial treatment recommendation be
to treat this child?
A. Lindane
B. Permethrin
C. Pyrethrin
D Spinosad
B. Permethrin
A 9monthold infant has vesiculopustular lesions on the palms and soles, on the
face and neck, and in skin folds of the extremities. The primary care pediatric
nurse practitioner notes linear and S shaped burrow lesions on the parent's hands
and wrists. What is the treatment for this rash for this infant? A. Ivermectin 200
mcg/kg for 7 to 14 days, along with symptomatic treatment for itching
B. Permethrin 5% cream applied to face, neck, and body and rinsed off in 8 to 14
hours
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NUR 507 - EXAM 4 NEWEST 2025/2026 COMPLETE ALL 100
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
An adolescent who recently spent time in a hot tub while on vacation has discrete,
erythematous 1 to 2mm papules that are centered around hair follicles on the
thighs, upper arms, and buttocks. How will the primary care pediatric nurse
practitioner manage this condition?
1. Culture the lesions and treat with appropriate IM antibiotics.
2. Hospitalize for incision and drainage and intravenous antibiotics.
3. Order an ant staphylococcal beta-lactamase resistant antibiotic.
4. Prescribe topical keratolytics and topical antibiotics.
4. Prescribe topical keratolytics and topical antibiotics.
An infant is brought to clinic with bright erythema in the neck and flexural folds
after recent treatment with antibiotics for otitis media. What is the treatment for
this condition?
1. 1% hydrocortisone cream to affected areas for 1 to 2 days
2. Oral fluconazole 6 mg/kg on day 1, then 3 mg/kg/dose for 14 days
3. Topical keratolytics and topical antibiotics for 7 to 10 days
4. Topical nystatin cream applied several times daily
4. Topical nystatin cream applied several times daily
8. A school age child has several annular lesions on the abdomen characterized by
central clearing with scaly, red borders. What is the first step in managing this
condition?
1. Fluoresce the lesions with a Wood's lamp.
2. . Obtain fungal cultures of the lesions.
1|Page
, NUR 507 - Exam 4
3. Perform KOH treated scrapings of the lesion borders.
4. Treat empirically with antifungal cream.
4. Treat empirically with antifungal cream.
A child has several circular, scaly lesions on the arms and abdomen, some of which
have central clearing. The primary care pediatric nurse practitioner notes a
smaller, scaly lesion on the child's scalp. How will the nurse practitioner treat this
child?
1.Obtain scrapings of the lesions for fungal cultures.
2. Order prescription strength antifungal creams.
3. Prescribe oral griseofulvin for 2 to 4 weeks.
4. Recommend OTC antifungal creams and shampoos.
3. Prescribe oral griseofulvin for 2 to 4 weeks.
A child is diagnosed with tinea versicolor. What is the correct management of .
this disorder?
1. Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4weeks
2. Oral antifungal treatment with fluconazole once weekly for 2 to 3 weeks
3. Sun exposure for up to an hour every day for 2 to 4 weeks
4. Using ketoconazole 2% shampoo on lesions twice daily for 2to 4 weeks
1. Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4weeks
An adolescent female has grouped ve sicles on her oral mucosa. To determine
whether these are caused by HSV1 or HSV2,
the primary care pediatric nurse practitioner will order which test?
1. Direct fluorescent antibody test
2. Enzyme linked immunosorbent assay
3. Tzanck smear
4. Viral culture
2|Page
, NUR 507 - Exam 4
4. Viral culture
A 4yearold
child has clusters of small, clear, tense vesicles with an erythematous base on one
side of the mouth along the vermillion border, which are causing discomfort and
difficulty eating. What will the primary care pediatric nurse practitioner
recommend as treatment?
1. Mupirocin ointment applied to lesions 3 times daily
2. Oral acyclovir 20 to 40 mg/kg/dose for 7 to 10 days
3. Topical acyclovir applied to lesions 4 times daily
4. Topical diphenhydramine and magnesium hydroxide
4. Topical diphenhydramine and magnesium hydroxide
A child has small, firm, flesh colored papules in both axillae which are mildly
pruritic. What is an acceptable initial approach to managing this condition?
Q. Application of trichloroacetic acid 25% to 50% using a dropper
R. Applying liquid nitrogen for 2 to 3 seconds to each lesion
S. Reassuring the parents that these are benign and may disappear spontaneously
T. Referral to a dermatologist for manual removal of lesions with curettage
S. Reassuring the parents that these are benign and may disappear spontaneously
A previously healthy school age child develops herpes zoster on the lowerback.
What will the primary care pediatric nurse practitioner do to manage this
condition?
1. Order Burow solution and warm soothing baths as comfort measures.
2. Prescribe oral acyclovir 30 mg/kg/day in 4 doses/day for 5 days.
3|Page
, NUR 507 - Exam 4
3 . Recommend topical antihistamines to control itching.
4. Stress the need to remain home from school until the lesions are gone.
4. Stress the need to remain home from school until the lesions are gone.
A school age child is brought to clinic after a pediculosis capitis infestation is
reported at the child's school. If this child is positive, what will the primary care
pediatric nurse practitioner expect to find on physical examination, along with live
lice near the scalp?
M. Excoriated macules along the child's collar and underwear lines
N. Inflammation and pustules on the face and neck
C. Itching of the scalp, with skin excoriation on the back of the head
D. Linear or S shaped lesions in webs of fingers and sides of hands
C. Itching of the scalp, with skin excoriation on the back of the head
A 3yearold child has head lice. What will the initial treatment recommendation be
to treat this child?
A. Lindane
B. Permethrin
C. Pyrethrin
D Spinosad
B. Permethrin
A 9monthold infant has vesiculopustular lesions on the palms and soles, on the
face and neck, and in skin folds of the extremities. The primary care pediatric
nurse practitioner notes linear and S shaped burrow lesions on the parent's hands
and wrists. What is the treatment for this rash for this infant? A. Ivermectin 200
mcg/kg for 7 to 14 days, along with symptomatic treatment for itching
B. Permethrin 5% cream applied to face, neck, and body and rinsed off in 8 to 14
hours
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