NUR 507: EXAM 6 QUESTIONS WITH 100% CORRECT
ANSWERS.
1) In a respiratory disorder causing a check valve obstruction, which symptoms will
be present?
A) Air entry on inspiration with expiratory occlusion
B) Complete obstruction on inspiration and expiration
C) Narrowing of the lumen with increased air flow resistance
D) Obstruction of air entry with unimpeded expiratory air flow --
Correct Answer ✔✔ a. Air entry on inspiration with expiratory
occlusion
2) In a respiratory disorder causing a check valve obstruction, which symptoms will
be present?
A) Air entry on inspiration with expiratory occlusion
B) Complete obstruction on inspiration and expiration
C) Narrowing of the lumen with increased air flow resistance
D) Obstruction of air entry with unimpeded expiratory air flow --
Correct Answer ✔✔ a. Air entry on inspiration with expiratory
occlusion
,3) A child has an acute infection causing lower airway obstruction. Which initial
symptom is expected in this child?
A) Atelectasis
B) Barrel chest
C) Overinflation
D) Wheezing -- Correct Answer ✔✔ d. Wheezing
4) A 4yearold child with an upper respiratory tract infection has cloudy nasal
discharge and moderate nasal congestion interfering with sleep. The parent asks
what product to use to help with symptoms. What will the primary care pediatric
nurse practitioner recommend?
A) Antihistamines
B) Decongestant sprays
C) Saline rinses
D) Zinc supplements -- Correct Answer ✔✔ c. Saline rinses
5) 5yearold child has enlarged tonsils and a history of four throat infections in the
previous year with fever, cervical lymphadenopathy, and positive Group A
Streptococcus pyogenes (GABHS) cultures. The parent reports that the child
snores at night and expresses concerns about the child's quality of sleep. The
next step in managing this child's condition is to
A) continue to observe the child for two or more GABHS infections.
B) prescribe prophylactic antibiotics to prevent recurrent infection.
C) refer to a pulmonologist for polysomnography evaluation.
D) refer to an otolaryngologist for possible tonsillectomy. -- Correct
Answer ✔✔ c. refer to a pulmonologist for polysomnography
evaluation.
,6) A school age child has an abrupt onset of sore throat, nausea, headache, and a
temperature of 102.3°F. An examination reveals petechiae on the soft palate,
beefy red tonsils with yellow exudate, and a scarlatiniform rash. A Rapid Antigen
Detection Test (RADT) is negative. What is the next step in management for this
child?
A) Consider a sexual abuse diagnosis.
B) Obtain an antistreptococcal antibody titer.
C) Perform a follow up throat culture.
D) Prescribe amoxicillin for 10 days. -- Correct Answer ✔✔ c.
Perform a follow up throat culture.
7) An adolescent has suspected infectious mononucleosis after exposure to the virus
in the past week. The primary care pediatric nurse practitioner examines the
adolescent and notes exudate on the tonsils, soft palate petechiae, and diffuse
adenopathy. Which test will the primary care pediatric nurse practitioner
perform to confirm the diagnosis?
A) Complete blood count
B) EBV-specific antibody testing
C) Heterophile antibody testing
D) Throat culture -- Correct Answer ✔✔ b. EBV-specific antibody
testing
8) A school age child has had nasal discharge and daytime cough but no fever for 12
days without improvement in symptoms. The child has not had antibiotics
recently and there is no significant antibiotic resistance in the local community.
What is the appropriate treatment for this child?
A) Amoxicillin 45 mg/kg/day
B) Amoxicillin 8090 mg/kg/day
C) Amoxicillin clavulanate 8090 mg/kg/day
D) Saline irrigation for symptomatic relief -- Correct Answer ✔✔ a.
Amoxicillin 45 mg/kg/day
, 9) After 14 days of treatment with amoxicillin 45 mg/kg/day for acute rhinosinusitis,
a child continues to have mucopurulent nasal discharge along with induration,
swelling, and erythema of both eyelids. What is the next course of treatment?
A) Amoxicillin 80 mg/kg/day for 14 days
B) Amoxicillin clavulanate for 10 to 14 days
C) Antibiotic ophthalmic drops for 5 to 7 days
D) Referral to a pediatric otolaryngologist -- Correct Answer ✔✔ d.
Referral to a pediatric otolaryngologist
10) The parent of a toddler and a 4weekold infant tells the primary care pediatric
nurse practitioner that the toddler has just been diagnosed with pertussis. What
will the nurse practitioner do to prevent disease transmission to the infant?
A) Administer the initial diphtheria, pertussis, and tetanus vaccine.
B) Instruct the parent to limit contact between the toddler and the
infant.
C) Order azithromycin 10 mg/kg/day in a single dose daily for 5 days.
D) Prescribe erythromycin 10 mg/kg/dose four times daily for 14 days. -
- Correct Answer ✔✔ c. Order azithromycin 10 mg/kg/day in a
single dose daily for 5 days.
11) A school age child has frequent nosebleeds. Nasal visualization reveals fresh clots
and excoriated nasal mucosa but no visible site of bleeding. Coagulation studies
are normal. In spite of symptomatic measures, the child continues to have
nosebleeds. What is the next course of action?
A) Cauterize the mucosa with silver nitrate sticks.
B) Order a topical vasoconstrictor medication.
C) Prescribe a barrier agent such as petrolatum jelly.
D) Refer to an otolaryngologist for further evaluation. -- Correct
Answer ✔✔ d. Refer to an otolaryngologist for further evaluation.
ANSWERS.
1) In a respiratory disorder causing a check valve obstruction, which symptoms will
be present?
A) Air entry on inspiration with expiratory occlusion
B) Complete obstruction on inspiration and expiration
C) Narrowing of the lumen with increased air flow resistance
D) Obstruction of air entry with unimpeded expiratory air flow --
Correct Answer ✔✔ a. Air entry on inspiration with expiratory
occlusion
2) In a respiratory disorder causing a check valve obstruction, which symptoms will
be present?
A) Air entry on inspiration with expiratory occlusion
B) Complete obstruction on inspiration and expiration
C) Narrowing of the lumen with increased air flow resistance
D) Obstruction of air entry with unimpeded expiratory air flow --
Correct Answer ✔✔ a. Air entry on inspiration with expiratory
occlusion
,3) A child has an acute infection causing lower airway obstruction. Which initial
symptom is expected in this child?
A) Atelectasis
B) Barrel chest
C) Overinflation
D) Wheezing -- Correct Answer ✔✔ d. Wheezing
4) A 4yearold child with an upper respiratory tract infection has cloudy nasal
discharge and moderate nasal congestion interfering with sleep. The parent asks
what product to use to help with symptoms. What will the primary care pediatric
nurse practitioner recommend?
A) Antihistamines
B) Decongestant sprays
C) Saline rinses
D) Zinc supplements -- Correct Answer ✔✔ c. Saline rinses
5) 5yearold child has enlarged tonsils and a history of four throat infections in the
previous year with fever, cervical lymphadenopathy, and positive Group A
Streptococcus pyogenes (GABHS) cultures. The parent reports that the child
snores at night and expresses concerns about the child's quality of sleep. The
next step in managing this child's condition is to
A) continue to observe the child for two or more GABHS infections.
B) prescribe prophylactic antibiotics to prevent recurrent infection.
C) refer to a pulmonologist for polysomnography evaluation.
D) refer to an otolaryngologist for possible tonsillectomy. -- Correct
Answer ✔✔ c. refer to a pulmonologist for polysomnography
evaluation.
,6) A school age child has an abrupt onset of sore throat, nausea, headache, and a
temperature of 102.3°F. An examination reveals petechiae on the soft palate,
beefy red tonsils with yellow exudate, and a scarlatiniform rash. A Rapid Antigen
Detection Test (RADT) is negative. What is the next step in management for this
child?
A) Consider a sexual abuse diagnosis.
B) Obtain an antistreptococcal antibody titer.
C) Perform a follow up throat culture.
D) Prescribe amoxicillin for 10 days. -- Correct Answer ✔✔ c.
Perform a follow up throat culture.
7) An adolescent has suspected infectious mononucleosis after exposure to the virus
in the past week. The primary care pediatric nurse practitioner examines the
adolescent and notes exudate on the tonsils, soft palate petechiae, and diffuse
adenopathy. Which test will the primary care pediatric nurse practitioner
perform to confirm the diagnosis?
A) Complete blood count
B) EBV-specific antibody testing
C) Heterophile antibody testing
D) Throat culture -- Correct Answer ✔✔ b. EBV-specific antibody
testing
8) A school age child has had nasal discharge and daytime cough but no fever for 12
days without improvement in symptoms. The child has not had antibiotics
recently and there is no significant antibiotic resistance in the local community.
What is the appropriate treatment for this child?
A) Amoxicillin 45 mg/kg/day
B) Amoxicillin 8090 mg/kg/day
C) Amoxicillin clavulanate 8090 mg/kg/day
D) Saline irrigation for symptomatic relief -- Correct Answer ✔✔ a.
Amoxicillin 45 mg/kg/day
, 9) After 14 days of treatment with amoxicillin 45 mg/kg/day for acute rhinosinusitis,
a child continues to have mucopurulent nasal discharge along with induration,
swelling, and erythema of both eyelids. What is the next course of treatment?
A) Amoxicillin 80 mg/kg/day for 14 days
B) Amoxicillin clavulanate for 10 to 14 days
C) Antibiotic ophthalmic drops for 5 to 7 days
D) Referral to a pediatric otolaryngologist -- Correct Answer ✔✔ d.
Referral to a pediatric otolaryngologist
10) The parent of a toddler and a 4weekold infant tells the primary care pediatric
nurse practitioner that the toddler has just been diagnosed with pertussis. What
will the nurse practitioner do to prevent disease transmission to the infant?
A) Administer the initial diphtheria, pertussis, and tetanus vaccine.
B) Instruct the parent to limit contact between the toddler and the
infant.
C) Order azithromycin 10 mg/kg/day in a single dose daily for 5 days.
D) Prescribe erythromycin 10 mg/kg/dose four times daily for 14 days. -
- Correct Answer ✔✔ c. Order azithromycin 10 mg/kg/day in a
single dose daily for 5 days.
11) A school age child has frequent nosebleeds. Nasal visualization reveals fresh clots
and excoriated nasal mucosa but no visible site of bleeding. Coagulation studies
are normal. In spite of symptomatic measures, the child continues to have
nosebleeds. What is the next course of action?
A) Cauterize the mucosa with silver nitrate sticks.
B) Order a topical vasoconstrictor medication.
C) Prescribe a barrier agent such as petrolatum jelly.
D) Refer to an otolaryngologist for further evaluation. -- Correct
Answer ✔✔ d. Refer to an otolaryngologist for further evaluation.
