MN580 MIDTERM EXAM REVIEW QUESTIONS
AND ANSWERS 2026 CERTIFICATION STUDY
PACK
◉ 6. A toddler exhibits exotropia of the right eye during a cover
uncover screen. The primary care pediatric nurse practitioner will
refer to a pediatric ophthalmologist to
initiate whic htreatment?
A. Botulinum toxin injection
B. Corrective lenses
C. Occluding the affected eye for 6 hours per day
D. Patching of the unaffected eye for 2 hours each day. Answer: D.
Patching of the unaffected eye for 2 hours each day
◉ 7. The primary care pediatric nurse practitioner performs a well
child examination on a 9 month old infant who has a history of
prematurity at 28 weeks' gestation. The infant was treated for
retinopathy of prematurity (ROP) and all symptoms have resolved.
When will the infant need an ophthalmologic exam?
A. At 12 months of age
B. At 24 months of age
C. At 48 months of age
D. At 60 months of age. Answer: A. At 12 months of age
,◉ 8. During a well baby assessment on a 1 week old infant who had
a normal exam when discharged from the newborn nursery 2 days
prior, the primary care pediatric nurse practitioner notes moderate
eyelid swelling, bulbar conjunctival injections, and moderate
amounts of thick, purulent discharge. What is the likely diagnosis?
A. Chemical induced conjunctivitis
B. Chlamydia trachomatis conjunctivitis
C. Herpes simplex virus (HSV) conjunctivitis
D.. Neisseria gonorrhea conjunctivitis. Answer: B. Chlamydia
trachomatis conjunctivitis
◉ 9. The primary care pediatric nurse practitioner performs a well
baby assessment of a 5 day old infant and notes mild conjunctivitis,
corneal opacity, and serosanguinous discharge in the right eye.
Which course of action is correct?
A. Administer intramuscular ceftriaxone 50 mg/kg.
B. Admit the infant to the hospital immediately.
C. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
D. Teach the parent how to perform tear duct massage.. Answer: B.
Admit the infant to the hospital immediately.
◉ 10. A preschool age child who attends day care has a 2 day history
of matted eyelids in the morning and burning and itching of the eyes.
The primary care pediatric nurse practitioner notes yellow-green
,purulent discharge from both eyes, conjunctival erythema, and mild
URI symptoms. Which action is correct?
A. Culture the conjunctival discharge.
B. Observe the child for several days.
C. Order an oral antibiotic medication.
D. Prescribe topical antibiotic drops.. Answer: D. Prescribe topical
antibiotic drops.
◉ 11. A 14 year old child has a 2 week history of severe itching and
tearing of both eyes. The primary care pediatric nurse practitioner
notes redness and swelling of the eyelids along with stringy, mucoid
discharge. What will the nurse practitioner prescribe?
A. Saline solution or artificial tears
B. Topical mast cell stabilizer
C. Topical NSAID drops
D. Topical vasoconstrictor drops. Answer: C. Topical NSAID drops
◉ 12. The primary care pediatric nurse practitioner observes a
tender, swollen red furuncle on the upper lid margin of a child's eye.
What treatment will the nurse practitioner recommend?
A. Culture of the lesion to determine causative organism
B. Referral to ophthalmology for incision and drainage
C. Topical steroid medication
, D. Warm, moist compresses 3 to 4 times daily. Answer: D. Warm,
moist compresses 3 to 4 times daily
◉ 13. The primary care pediatric nurse practitioner is treating an
infant with lacrimal duct obstruction who has developed bacterial
conjunctivitis. After 2 weeks of treatment with topical antibiotics
along with massage and frequent cleansing of secretions, the infant's
symptoms have not improved. Which action is correct?
A. Perform massage more frequently.
B. Prescribe an oral antibiotic.
C. Recommend hot compresses.
D. Refer to an ophthalmologist.. Answer: D. Refer to an
ophthalmologist.
◉ 14. A preschool age child is seen in the clinic after waking up a
temperature of 102.2°F, swelling and erythema of the upper lid of
one eye, and moderate pain when looking fromside to side. Which
course of treatment is correct?
A. Admit to the hospital for intravenous antibiotics.
B. Obtain a lumbar puncture and blood culture.
C. Order warm compresses 4 times daily for 5 days.
D. Prescribe a 10to 14day course of oral antibiotics.. Answer: A.
Admit to the hospital for intravenous antibiotics.
AND ANSWERS 2026 CERTIFICATION STUDY
PACK
◉ 6. A toddler exhibits exotropia of the right eye during a cover
uncover screen. The primary care pediatric nurse practitioner will
refer to a pediatric ophthalmologist to
initiate whic htreatment?
A. Botulinum toxin injection
B. Corrective lenses
C. Occluding the affected eye for 6 hours per day
D. Patching of the unaffected eye for 2 hours each day. Answer: D.
Patching of the unaffected eye for 2 hours each day
◉ 7. The primary care pediatric nurse practitioner performs a well
child examination on a 9 month old infant who has a history of
prematurity at 28 weeks' gestation. The infant was treated for
retinopathy of prematurity (ROP) and all symptoms have resolved.
When will the infant need an ophthalmologic exam?
A. At 12 months of age
B. At 24 months of age
C. At 48 months of age
D. At 60 months of age. Answer: A. At 12 months of age
,◉ 8. During a well baby assessment on a 1 week old infant who had
a normal exam when discharged from the newborn nursery 2 days
prior, the primary care pediatric nurse practitioner notes moderate
eyelid swelling, bulbar conjunctival injections, and moderate
amounts of thick, purulent discharge. What is the likely diagnosis?
A. Chemical induced conjunctivitis
B. Chlamydia trachomatis conjunctivitis
C. Herpes simplex virus (HSV) conjunctivitis
D.. Neisseria gonorrhea conjunctivitis. Answer: B. Chlamydia
trachomatis conjunctivitis
◉ 9. The primary care pediatric nurse practitioner performs a well
baby assessment of a 5 day old infant and notes mild conjunctivitis,
corneal opacity, and serosanguinous discharge in the right eye.
Which course of action is correct?
A. Administer intramuscular ceftriaxone 50 mg/kg.
B. Admit the infant to the hospital immediately.
C. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
D. Teach the parent how to perform tear duct massage.. Answer: B.
Admit the infant to the hospital immediately.
◉ 10. A preschool age child who attends day care has a 2 day history
of matted eyelids in the morning and burning and itching of the eyes.
The primary care pediatric nurse practitioner notes yellow-green
,purulent discharge from both eyes, conjunctival erythema, and mild
URI symptoms. Which action is correct?
A. Culture the conjunctival discharge.
B. Observe the child for several days.
C. Order an oral antibiotic medication.
D. Prescribe topical antibiotic drops.. Answer: D. Prescribe topical
antibiotic drops.
◉ 11. A 14 year old child has a 2 week history of severe itching and
tearing of both eyes. The primary care pediatric nurse practitioner
notes redness and swelling of the eyelids along with stringy, mucoid
discharge. What will the nurse practitioner prescribe?
A. Saline solution or artificial tears
B. Topical mast cell stabilizer
C. Topical NSAID drops
D. Topical vasoconstrictor drops. Answer: C. Topical NSAID drops
◉ 12. The primary care pediatric nurse practitioner observes a
tender, swollen red furuncle on the upper lid margin of a child's eye.
What treatment will the nurse practitioner recommend?
A. Culture of the lesion to determine causative organism
B. Referral to ophthalmology for incision and drainage
C. Topical steroid medication
, D. Warm, moist compresses 3 to 4 times daily. Answer: D. Warm,
moist compresses 3 to 4 times daily
◉ 13. The primary care pediatric nurse practitioner is treating an
infant with lacrimal duct obstruction who has developed bacterial
conjunctivitis. After 2 weeks of treatment with topical antibiotics
along with massage and frequent cleansing of secretions, the infant's
symptoms have not improved. Which action is correct?
A. Perform massage more frequently.
B. Prescribe an oral antibiotic.
C. Recommend hot compresses.
D. Refer to an ophthalmologist.. Answer: D. Refer to an
ophthalmologist.
◉ 14. A preschool age child is seen in the clinic after waking up a
temperature of 102.2°F, swelling and erythema of the upper lid of
one eye, and moderate pain when looking fromside to side. Which
course of treatment is correct?
A. Admit to the hospital for intravenous antibiotics.
B. Obtain a lumbar puncture and blood culture.
C. Order warm compresses 4 times daily for 5 days.
D. Prescribe a 10to 14day course of oral antibiotics.. Answer: A.
Admit to the hospital for intravenous antibiotics.
