36, and 37
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1. 1. The primary care pediatric nurse practitioner is B. Have the child soak in a
teaching a parent of a child with dry skin about hydrat- lukewarm water bath.
ing the skin with bathing. What will the nurse practi-
tioner include in teaching?
A. Apply lubricating agents at least 1 hour after the
bath.
B. Have the child soak in a lukewarm water bath.
C. Keep the child in the bath until the skin begins to
"prune."
D. Soaping should be done at the beginning of the
bath.
2. 2. A child will need an occlusive dressing to treat lichen A. Apply ointment before
simplex chronicus. What will the primary care pediatric the dressing.
nurse practitioner tell the parents about applying this
treatment?
A. Apply ointment before the dressing.
B. Plastic wrap should not be used.
C. The dressing should be applied to dry skin.
D. Change the dressing twice daily.
3. 3. When prescribing topical glucocorticoids to treat in- C. prescribe brandname
flammatory skin conditions, the primary care pediatric preparations for consis-
nurse practitioner will tent effects.
A. initiate therapy with a highpotency glucocorticoid.
B. order lotions when higher potency is necessary.
C. prescribe brandname preparations for consistent
effects.
D. use fluorinated steroids to minimize adverse effects.
4.
, NR602 Week 5 study questions: Burns Pediatric Primary Care Chapter 34,
36, and 37
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4. A preschool age child has honeycrusted lesions B. Amoxicillinclavulanate
on erythematous, eroded skin around the nose and 90 mg/kg/day for 10 days
mouth, with satellite lesions on the arms and legs. The
child's parent has several similar lesions and reports
that other children in the day care have a similar rash.
How will this be treated?
A. Amoxicillin 40 to 5 mg/kg/day for 7 to 10 days
B. Amoxicillinclavulanate 90 mg/kg/day for 10 days
C. Bacitracin cream applied to lesions for 10 to 14 days
D. Mupirocin ointment applied to lesions until clear
5. 5. A child is brought to clinic with several bright red B. Initiate empiric antibi-
lesions on the buttocks. The primary care pediatric otic therapy and follow up
nurse practitioner examines the lesions and notes in 24 hours to assess re-
sharp margins and an "orange peel" look and feel. The sponse
child is afebrile and does not appear toxic. What is the
. course of treatment for these lesions?
A. Hospitalize the child for intravenous antibiotics and
possible I&D of the lesions.
B. Initiate empiric antibiotic therapy and follow up in
24 hours to assess response.
C. Obtain blood cultures prior to beginning antibiotic
treatment.
D. Perform gram stain and culture of the lesions before
initiating antibiotics.
6. 6. An adolescent who recently spent time in a hot D. Prescribe topical kera-
tub while on vacation has discrete, erythematous 1to tolytics and topical antibi-
2mm papules that are centered around hair follicles otics.
on the thighs, upper arms, and buttocks. How will the
primary care pediatric nurse practitioner manage this
, NR602 Week 5 study questions: Burns Pediatric Primary Care Chapter 34,
36, and 37
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condition?
A. Culture the lesions and treat with appropriate IM
antibiotics.
B. Hospitalize for incision and drainage and intra-
venous antibiotics. C. Order an antistaphylococcal be-
talactamaseresistant antibiotic.
D. Prescribe topical keratolytics and topical antibiotics.
7. 7. An infant is brought to clinic with bright erythema in D. Topical nystatin cream
the neck and flexural folds after recent treatment with applied several times daily
antibiotics for otitis media. What is the treatment for
this condition?
A. 1% hydrocortisone cream to affected areas for 1 to
2 days
B. Oral fluconazole 6 mg/kg on day 1, then 3
mg/kg/dose for 14 days
C. Topical keratolytics and topical antibiotics for 7 to 10
days
D. Topical nystatin cream applied several times daily
8. 8. A schoolage child has several annular lesions on the D. Treat empirically with
abdomen characterized by central clearing with scaly, antifungal cream.
red borders. What is the first step in managing this
condition?
A. Fluoresce the lesions with a Wood's lamp.
B. Obtain fungal cultures of the lesions.
C. Perform KOHtreated scrapings of the lesion bor-
ders.
D. Treat empirically with antifungal cream.
9.