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The primary care pediatric nurse practitioner is examining
a 5-year-old child who has had recurrent fevers, bone
pain, and a recent loss of weight. The physical exam re-
veals scattered petechia, lymphadenopathy, and bruising.
A complete blood count shows thrombocytopenia, ane-
mia, and an elevated white cell blood count. The nurse a. bone marrow biopsy.
practitioner will refer this child to a specialist for
a. bone marrow biopsy.
b. corticosteroids and IVIG.
c. hemoglobin electrophoresis.
d. immunoglobulin testing.
A toddler who presents with anemia and reticulocytopenia
has a history of a gradual decrease in energy and increase
in pallor beginning after a recent viral infection. How will
the primary care pediatric nurse practitioner treat this
child? a. Closely observe the child's symptoms and lab values.
a. Closely observe the child's symptoms and lab values.
b. Consult with a pediatric hematologist.
c. Prescribe supplemental iron for 4 to 6 months.
d. Refer for transfusions to correct the anemia.
The primary care pediatric nurse practitioner is perform-
ing a well child examination on a school-age child who has
a history of cancer treated with cranial irradiation. What
will the nurse practitioner monitor in this child?
b. Leukoencephalopathy
a. Cardiomyopathy and arrhythmias
b. Leukoencephalopathy
c. Obesity and gonadal dysfunction
d. Peripheral neuropathy and hearing loss
The primary care pediatric nurse practitioner reviews
hematology reports on a child with beta-thalassemia mi-
, Nur 507 - Exam 5 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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nor and notes an Hgb level of 8 g/dL. What will the nurse
practitioner do?
a. Evaluate serum ferritin.
a. Evaluate serum ferritin.
b. Order Hgb electrophoresis.
c. Prescribe supplemental iron.
d. Refer for RBC transfusions.
The primary care pediatric nurse practitioner evaluates
a 5-year-old child who presents with pallor and obtains
labs revealing a hemoglobin of 8.5 g/dL and a hematocrit
of 31%. How will the nurse practitioner manage this pa-
tient? a. Prescribe elemental iron and recheck labs in 1 month.
a. Prescribe elemental iron and recheck labs in 1 month.
b. Reassure the parent that this represents mild anemia.
c. Recommend a diet high in iron-rich foods.
d. Refer to a hematologist for further evaluation.
A school-age child comes to the clinic for evaluation of
excessive bruising. The primary care pediatric nurse prac-
titioner notes a history of an upper respiratory infec-
tion 2 weeks prior. The physical exam is negative for
hepatosplenomegaly and lymphadenopathy. Blood work
reveals a platelet count of 60,000/mm° with normal PT
d. Teach to avoid NSAIDs and contact sports.
and aPTT. How will the nurse practitioner manage this
child's condition?
a. Admit to the hospital for IVIG therapy.
b. Begin a short course of corticosteroid therapy.
c. Refer to a pediatric hematologist.
d. Teach to avoid NSAIDs and contact sports.
The primary care pediatric nurse practitioner is treating
an infant with lacrimal duct obstruction who has devel-
oped bacterial conjunctivitis. After 2 weeks of treatment
with topical antibiotics along with massage and frequent
, Nur 507 - Exam 5 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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cleansing of secretions. the infant's symptoms have not
improved. Which action is correct?
a. Perform massage more frequently.
d. Refer to an ophthalmologist.
b. Prescribe an oral antibiotic.
c. Recommend hot compresses.
d. Refer to an ophthalmologist.
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?
d. Warm, moist compresses 3 to 4 times daily
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
During a well child assessment of an African-American
infant, the primary care pediatric nurse practitioner notes
a dark red-brown light reflex in the left eye and a slightly
brighter, red-orange light reflex in the right eye. The nurse
practitioner will d. refer the infant to an ophthalmologist.
a. dilate the pupils and reassess the red reflex.
b. order auto-refractor screening of the eyes.
c. recheck the red reflex in 1 month.
d. refer the infant to an ophthalmologist.
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 which treatment?
d Patching of the unattected eye for 2 hours each day
a. Botulinum toxin injection
b. Corrective lenses
c. Occluding the attected eye for 6 hours per day
d Patching of the unattected eye for 2 hours each day