NUR 507 Exam 4 Exam Prep 2026/2027 | Questions &
Correct Answers | Graded A+
1. What is the recommended treatment for an immunocompromised child
presenting with fever and a rash of macules, papules, and pustules?
Administer varicella immune globulin (VariZIG).
Hospitalize the child for intravenous acyclovir.
Prescribe oral acyclovir for the duration of the illness.
Order intravenous immunoglobulin as an outpatient.
2. What is the first-line antibiotic treatment for a child diagnosed with
streptococcal pharyngitis?
Azithromycin
Intramuscular ceftriaxone
Clindamycin
Oral amoxicillin
3. Why would a 10 mm induration on a TB skin test be interpreted as a negative
result in a healthy adolescent?
A 10 mm induration indicates the need for further testing.
A 10 mm induration means the individual has latent TB.
A 10 mm induration suggests a high risk of TB exposure.
A 10 mm induration is not significant in a healthy individual without
risk factors.
4. If a primary care pediatric nurse practitioner encounters a 10-month-old
infant with chronic hepatitis B and is unsure about the treatment plan, what
, should be the next course of action?
Start the infant on lamivudine immediately.
Refer the infant to a general practitioner.
Consult a pediatric infectious disease specialist.
Provide only supportive care without further action.
5. What is the recommended treatment for a child presenting with symptoms of
fever, headache, stiff neck, and photophobia?
Empiric treatment with oral antibiotics or intramuscular ceftriaxone
Immediate vaccination with meningococcal vaccine
Hospitalization for diagnosis and treatment with antibiotics
Outpatient lab work, including a CBC and blood and CSF
6. Describe the rationale behind prescribing oseltamivir for a child with upper
respiratory symptoms and a negative influenza test.
Oseltamivir is used to treat bacterial infections in children.
Oseltamivir is a pain reliever for muscle aches.
Oseltamivir is prescribed to manage potential viral infections,
especially when influenza is suspected despite a negative test.
Oseltamivir is only effective if the rapid test is positive.
7. What is the recommended treatment for an immunocompromised child with
fever and a rash of macules, papules, and pustules?
Administer varicella immune globulin (VariZIG).
Prescribe oral acyclovir for the duration of the illness.
, Hospitalize the child for intravenous acyclovir.
Order intravenous immunoglobulin as an outpatient.
8. If a parent reports that their 2-month-old infant has a fever of 101°F after
receiving immunizations, what should the pediatric nurse practitioner advise?
Suggest that the fever is a sign of a serious reaction and to seek
immediate medical attention.
Recommend pre-treating with both medications for future
immunizations.
Administer ibuprofen or acetaminophen as needed for comfort.
Advise the parent to wait 24 hours before administering any
medication.
9. A 5-year-old child who has a history of pertussis infection as an infant is in the
clinic for immunizations prior to kindergarten. Which vaccine will be given?
DTP
DTaP
Tdap
Td
10. What is the reason some vaccines, like MMR, are delayed until after the first
year of life?
The risk of adverse effects is lower for some vaccines after the first
year
Too many vaccines at once can overwhelm the infant's immune
system
Febrile seizures are more likely in younger infants with some vaccines
, Maternal antibodies neutralize some vaccines and are delayed until
12 months
11. Summarize the concerns regarding the MMR vaccine as discussed in the
Institute of Medicine report.
The MMR vaccine is linked to an increased risk of diabetes.
The MMR vaccine has no known adverse effects.
The MMR vaccine may be associated with febrile seizures in
immunocompromised children.
The MMR vaccine is safe for all children without any exceptions.
12. At what age is the next dose of the MMR vaccine recommended after the
first dose?
6 months of age
2 years of age
3 years of age
4 to 5 years of age
13. Why is it important to educate parents about signs and symptoms of Lyme
disease in an asymptomatic child who has been bitten by ticks?
It ensures that the child receives immediate antibiotic treatment.
It prevents the need for any further medical evaluation.
Educating parents helps them recognize potential symptoms early,
facilitating timely medical intervention if necessary.
It allows the parents to avoid any outdoor activities.
Correct Answers | Graded A+
1. What is the recommended treatment for an immunocompromised child
presenting with fever and a rash of macules, papules, and pustules?
Administer varicella immune globulin (VariZIG).
Hospitalize the child for intravenous acyclovir.
Prescribe oral acyclovir for the duration of the illness.
Order intravenous immunoglobulin as an outpatient.
2. What is the first-line antibiotic treatment for a child diagnosed with
streptococcal pharyngitis?
Azithromycin
Intramuscular ceftriaxone
Clindamycin
Oral amoxicillin
3. Why would a 10 mm induration on a TB skin test be interpreted as a negative
result in a healthy adolescent?
A 10 mm induration indicates the need for further testing.
A 10 mm induration means the individual has latent TB.
A 10 mm induration suggests a high risk of TB exposure.
A 10 mm induration is not significant in a healthy individual without
risk factors.
4. If a primary care pediatric nurse practitioner encounters a 10-month-old
infant with chronic hepatitis B and is unsure about the treatment plan, what
, should be the next course of action?
Start the infant on lamivudine immediately.
Refer the infant to a general practitioner.
Consult a pediatric infectious disease specialist.
Provide only supportive care without further action.
5. What is the recommended treatment for a child presenting with symptoms of
fever, headache, stiff neck, and photophobia?
Empiric treatment with oral antibiotics or intramuscular ceftriaxone
Immediate vaccination with meningococcal vaccine
Hospitalization for diagnosis and treatment with antibiotics
Outpatient lab work, including a CBC and blood and CSF
6. Describe the rationale behind prescribing oseltamivir for a child with upper
respiratory symptoms and a negative influenza test.
Oseltamivir is used to treat bacterial infections in children.
Oseltamivir is a pain reliever for muscle aches.
Oseltamivir is prescribed to manage potential viral infections,
especially when influenza is suspected despite a negative test.
Oseltamivir is only effective if the rapid test is positive.
7. What is the recommended treatment for an immunocompromised child with
fever and a rash of macules, papules, and pustules?
Administer varicella immune globulin (VariZIG).
Prescribe oral acyclovir for the duration of the illness.
, Hospitalize the child for intravenous acyclovir.
Order intravenous immunoglobulin as an outpatient.
8. If a parent reports that their 2-month-old infant has a fever of 101°F after
receiving immunizations, what should the pediatric nurse practitioner advise?
Suggest that the fever is a sign of a serious reaction and to seek
immediate medical attention.
Recommend pre-treating with both medications for future
immunizations.
Administer ibuprofen or acetaminophen as needed for comfort.
Advise the parent to wait 24 hours before administering any
medication.
9. A 5-year-old child who has a history of pertussis infection as an infant is in the
clinic for immunizations prior to kindergarten. Which vaccine will be given?
DTP
DTaP
Tdap
Td
10. What is the reason some vaccines, like MMR, are delayed until after the first
year of life?
The risk of adverse effects is lower for some vaccines after the first
year
Too many vaccines at once can overwhelm the infant's immune
system
Febrile seizures are more likely in younger infants with some vaccines
, Maternal antibodies neutralize some vaccines and are delayed until
12 months
11. Summarize the concerns regarding the MMR vaccine as discussed in the
Institute of Medicine report.
The MMR vaccine is linked to an increased risk of diabetes.
The MMR vaccine has no known adverse effects.
The MMR vaccine may be associated with febrile seizures in
immunocompromised children.
The MMR vaccine is safe for all children without any exceptions.
12. At what age is the next dose of the MMR vaccine recommended after the
first dose?
6 months of age
2 years of age
3 years of age
4 to 5 years of age
13. Why is it important to educate parents about signs and symptoms of Lyme
disease in an asymptomatic child who has been bitten by ticks?
It ensures that the child receives immediate antibiotic treatment.
It prevents the need for any further medical evaluation.
Educating parents helps them recognize potential symptoms early,
facilitating timely medical intervention if necessary.
It allows the parents to avoid any outdoor activities.
