MSN 629 Week 3–4 Nursing Quiz Pack – Updated 2026/27 Q&A & Exam Review
Guide | Northern Kentucky University
MSN 629 Week 3 quiz
1. A child has a fever and arthralgia. The family nurse practitioner
learns that the child had a sore throat 3 weeks ago and auscultates a
murmur during the clinic visit. Which of the following tests will the
family nurse practitioner order?
ASO titer
2. The family nurse practitioner examines a child who has had stiffness
and warmth in the right knee and left ankle for 8 to 9 months without
back pain. The family nurse practitioner should refer the child to a
rheumatology specialist to evaluate for which of the following?
Oligaoarticular JIA
3. The family nurse practitioner examines a child who has had stiffness
and warmth in the right knee and left ankle for 8 to 9 months without
back pain. The family nurse practitioner should refer the child to a
rheumatology specialist to evaluate for which of the following?
Oligaoarticular JI
4. An 8yearold boy has a recent history of an upper respiratory infection
and comes to the clinic with a maculopapular rash on his lower
extremities and swelling and tenderness in both ankles. The pediatric
nurse practitioner performs a UA, which shows proteinuria and
hematuria and diagnoses HSP. What ongoing evaluation will the nurse
practitioner perform during the course of this disease?
Blood pressure measurement
5. The primary care pediatric nurse practitioner applies fluorescein stain
to a child’s eye. When examining the eye with a cobalt blue filter light,
, 6. 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?
Prescribe topical antibiotic drops.
7. A child who has otitis externa has severe swelling of the external
auditory canal that persists after 2 days of therapy with ototopical
antibiotic/corticosteroid drops. What is the next step in treatment for
this child?
Insert a wick into the external auditory canal
8. A 7-month-old infant has had two prior acute ear infections and is
currently on the 10th day of therapy with amoxicillin-clavulanate after
a failed course of amoxicillin. The primary care pediatric nurse
practitioner notes marked middle ear effusion and erythema of the
TM. The child is irritable and has a temperature of 99.8°F. What is the
next step in management of this child’s ear infection?
Refer the child to an otolaryngologist
9. A school-age child has a history of chronic otitis media and is seen in
the clinic with vertigo. The primary care pediatric nurse practitioner
notes profuse purulent otorrhea from both pressure-equalizing tubes
and a pearly-white lesion on one tympanic membrane. Which
condition is most likely?
Cholesteatoma
10. A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute otitis media is seen for follow-up. The primary
care pediatric nurse practitioner notes dull-gray tympanic membranes
with a visible air-fluid level. The child is afebrile and without pain.
What is the next course of action?
Guide | Northern Kentucky University
MSN 629 Week 3 quiz
1. A child has a fever and arthralgia. The family nurse practitioner
learns that the child had a sore throat 3 weeks ago and auscultates a
murmur during the clinic visit. Which of the following tests will the
family nurse practitioner order?
ASO titer
2. The family nurse practitioner examines a child who has had stiffness
and warmth in the right knee and left ankle for 8 to 9 months without
back pain. The family nurse practitioner should refer the child to a
rheumatology specialist to evaluate for which of the following?
Oligaoarticular JIA
3. The family nurse practitioner examines a child who has had stiffness
and warmth in the right knee and left ankle for 8 to 9 months without
back pain. The family nurse practitioner should refer the child to a
rheumatology specialist to evaluate for which of the following?
Oligaoarticular JI
4. An 8yearold boy has a recent history of an upper respiratory infection
and comes to the clinic with a maculopapular rash on his lower
extremities and swelling and tenderness in both ankles. The pediatric
nurse practitioner performs a UA, which shows proteinuria and
hematuria and diagnoses HSP. What ongoing evaluation will the nurse
practitioner perform during the course of this disease?
Blood pressure measurement
5. The primary care pediatric nurse practitioner applies fluorescein stain
to a child’s eye. When examining the eye with a cobalt blue filter light,
, 6. 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?
Prescribe topical antibiotic drops.
7. A child who has otitis externa has severe swelling of the external
auditory canal that persists after 2 days of therapy with ototopical
antibiotic/corticosteroid drops. What is the next step in treatment for
this child?
Insert a wick into the external auditory canal
8. A 7-month-old infant has had two prior acute ear infections and is
currently on the 10th day of therapy with amoxicillin-clavulanate after
a failed course of amoxicillin. The primary care pediatric nurse
practitioner notes marked middle ear effusion and erythema of the
TM. The child is irritable and has a temperature of 99.8°F. What is the
next step in management of this child’s ear infection?
Refer the child to an otolaryngologist
9. A school-age child has a history of chronic otitis media and is seen in
the clinic with vertigo. The primary care pediatric nurse practitioner
notes profuse purulent otorrhea from both pressure-equalizing tubes
and a pearly-white lesion on one tympanic membrane. Which
condition is most likely?
Cholesteatoma
10. A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute otitis media is seen for follow-up. The primary
care pediatric nurse practitioner notes dull-gray tympanic membranes
with a visible air-fluid level. The child is afebrile and without pain.
What is the next course of action?
