NUR 507 - Exam 4 2025/2026 Exam
Questions and Verified Answers |
Already Graded A+
An 18-month-old child who developed upper respiratory symptoms 1 day
prior is brought to the clinic with a high fever, chills. muscle pains, and a
dry, hacking cough. A rapid influenza test is negative and a viral culture is
pending. What will the primary care pediatric nurse practitioner do?
a. Consider therapy with rimantadine,
b. Hospitalize for supportive treatment.
c. Wait for cultures to determine treatment.
d..prescribe oseltamivir and follow closely - 🧠 ANSWER ✔✔d.prescribe
oseltamivir and follow closely
,The parent of an infant asks why some vaccines, such as MMR, are not
given along with the other series of immunizations at 2, 4. and 6 months of
age. What will the primary care pediatric nurse practitioner tell this parent?
a. The risk of adverse effects is lower for some vaccines after the first year.
b. Too many vaccines at once can overwhelm the infant's immune system.
c. Febrile seizures are more likely in younger infants with some vaccines.
d. Maternal antibodies neutralize some vaccines and are delayed until 12
months. - 🧠 ANSWER ✔✔d. Maternal antibodies neutralize some vaccines
and are delayed until 12
A school-age child has fever of 104°F, sore throat, vomiting and malaise.
The primary care pediatric nurse practitioner observes that the tonsils,
oropharynx, and palate are erythematous and covered with exudate; the
tongue is coated and red; and there is a red, sandpaper-like rash on the
child's neck, trunk, and extremities. A rapid strep test is positive. What will
the nurse practitioner do to manage this child's illness?
a. Administer intramuscular ceftriaxone.
b. Refer to a pediatric infectious disease specialist.
c. Hospitalize for further diagnostic tests.
,d. Prescribe oral amoxicillin. - 🧠 ANSWER ✔✔d. Prescribe oral amoxicillin.
An adolescent has a TB skin test prior to working as a volunteer in a
hospital. The adolescent is healthy and has not travelled to or from a TB-
endemic area or had close contact with anyone who has TB. The Mantoux
skin test shows 10 mm of induration after 48 hours. What will the primary
care pediatric nurse practitioner do?
a. Reassure the adolescent that this is a negative screen
b. Ask the adolescent about exposure to homeless persons
c. Refer the adolescent to an infectious disease specialist.
d. Order a chest radiograph to rule out active TB. - 🧠 ANSWER ✔✔a.
Reassure the adolescent that this is a negative screen
A 2-month-old infant will receive initial immunizations, and the parent asks
about giving medications to increase the infant's comfort and minimize
fever. What will the primary care pediatric nurse practitioner recommend?
a. Pre-treating the infant with both ibuprofen and acetaminophen
b. Giving ibuprofen and acetaminophen only after the vaccines
c. Administering ibuprofen or acetaminophen as needed
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, d. Avoiding antipyretics if possible, to attain better immunity - 🧠 ANSWER
✔✔c. Administering ibuprofen or acetaminophen as needed
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules. What will the primary care pediatric nurse
practitioner do?
a. Administer varicella immune globulin (VariZIG).
b. Hospitalize the child for intravenous acyclovir,
c. Order intravenous immunoglobulin as an outpatient.
d. Prescribe oral acyelovir for the duration of the illness. - 🧠 ANSWER ✔✔b.
Hospitalize the child for intravenous acyclovir,
When reviewing a white blood cell (WBC) count. the primary care pediatric
nurse practitioner suspects a viral infection when which WBC element is
elevated?
a. Bands
b. Neutrophils
c. Lymphocytes
d. Leukocytes - 🧠 ANSWER ✔✔c. Lymphocytes
Questions and Verified Answers |
Already Graded A+
An 18-month-old child who developed upper respiratory symptoms 1 day
prior is brought to the clinic with a high fever, chills. muscle pains, and a
dry, hacking cough. A rapid influenza test is negative and a viral culture is
pending. What will the primary care pediatric nurse practitioner do?
a. Consider therapy with rimantadine,
b. Hospitalize for supportive treatment.
c. Wait for cultures to determine treatment.
d..prescribe oseltamivir and follow closely - 🧠 ANSWER ✔✔d.prescribe
oseltamivir and follow closely
,The parent of an infant asks why some vaccines, such as MMR, are not
given along with the other series of immunizations at 2, 4. and 6 months of
age. What will the primary care pediatric nurse practitioner tell this parent?
a. The risk of adverse effects is lower for some vaccines after the first year.
b. Too many vaccines at once can overwhelm the infant's immune system.
c. Febrile seizures are more likely in younger infants with some vaccines.
d. Maternal antibodies neutralize some vaccines and are delayed until 12
months. - 🧠 ANSWER ✔✔d. Maternal antibodies neutralize some vaccines
and are delayed until 12
A school-age child has fever of 104°F, sore throat, vomiting and malaise.
The primary care pediatric nurse practitioner observes that the tonsils,
oropharynx, and palate are erythematous and covered with exudate; the
tongue is coated and red; and there is a red, sandpaper-like rash on the
child's neck, trunk, and extremities. A rapid strep test is positive. What will
the nurse practitioner do to manage this child's illness?
a. Administer intramuscular ceftriaxone.
b. Refer to a pediatric infectious disease specialist.
c. Hospitalize for further diagnostic tests.
,d. Prescribe oral amoxicillin. - 🧠 ANSWER ✔✔d. Prescribe oral amoxicillin.
An adolescent has a TB skin test prior to working as a volunteer in a
hospital. The adolescent is healthy and has not travelled to or from a TB-
endemic area or had close contact with anyone who has TB. The Mantoux
skin test shows 10 mm of induration after 48 hours. What will the primary
care pediatric nurse practitioner do?
a. Reassure the adolescent that this is a negative screen
b. Ask the adolescent about exposure to homeless persons
c. Refer the adolescent to an infectious disease specialist.
d. Order a chest radiograph to rule out active TB. - 🧠 ANSWER ✔✔a.
Reassure the adolescent that this is a negative screen
A 2-month-old infant will receive initial immunizations, and the parent asks
about giving medications to increase the infant's comfort and minimize
fever. What will the primary care pediatric nurse practitioner recommend?
a. Pre-treating the infant with both ibuprofen and acetaminophen
b. Giving ibuprofen and acetaminophen only after the vaccines
c. Administering ibuprofen or acetaminophen as needed
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, d. Avoiding antipyretics if possible, to attain better immunity - 🧠 ANSWER
✔✔c. Administering ibuprofen or acetaminophen as needed
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules. What will the primary care pediatric nurse
practitioner do?
a. Administer varicella immune globulin (VariZIG).
b. Hospitalize the child for intravenous acyclovir,
c. Order intravenous immunoglobulin as an outpatient.
d. Prescribe oral acyelovir for the duration of the illness. - 🧠 ANSWER ✔✔b.
Hospitalize the child for intravenous acyclovir,
When reviewing a white blood cell (WBC) count. the primary care pediatric
nurse practitioner suspects a viral infection when which WBC element is
elevated?
a. Bands
b. Neutrophils
c. Lymphocytes
d. Leukocytes - 🧠 ANSWER ✔✔c. Lymphocytes
