Burns Study Questions and Correct
Answers
A 10-month-old infant who is new to the clinic has chronic hepatitis B
infection. What will the primary care pediatric NP do to manage this infant's
disease - Correct Answers: Consult a pediatric infectious disease specialist
The primary care pediatric nurse practitioner is performing an initial well
child exam on a 3-year-old child recently adopted from Africa. The adoptive
parent has a recorded of immunizations indicating that the child is fully
vaccinated. What will the NP do? - Correct Answers: Perform antibody titers
and reimmunize the child
A 3-year-old child who attends day care has had a fever, nausea, and
vomiting several weeks prior and
now has darkened urine and constipation along with hepatomegaly and
right upper quadrant
tenderness. What treatment is warranted for this child? - Correct Answers:
Supportive care
A 10-month-old infant has an erythematous, fluctuant, non-draining abscess
on the right buttock after
10 days of treatment with amoxicillin for impetigo. What is the next step in
managing this infant's care? -
Correct Answers: Incision and drainage of abscess with culture
An unimmunized school-ag child whose mother is in her first trimester of
pregnancy is diagnosed with
rubella after a local outbreak. What will the PCP-NP recommend - Correct
Answers: Assessment of
maternal rubella titers
A 2-month-old infant has a staccato cough and fever. Which aspect of the
history is most important in
determining the diagnosis? - Correct Answers: Immunization history
The parent of a 2-month-old infant is reluctant to have the baby vaccinated.
What is an initial step in
,responding to these concerns - Correct Answers: Question the parent's
reasons for concern about
immunizations
Which lab value is most concerning in an infant with fever and a suspected
bacterial infection? - Correct
Answers: C-reactive protein of 11.5 mg/L
An adolescent has a TB skin test prior to working as a volunteer in a
hospital. The adolescent is healthy
and has not travelled to or from a TB-endemic area or had close contact
with anyone who has TB. The
Mantoux skin test shows 10mm of induration after 48 hours. What will the
primary care pediatric NP do?
- Correct Answers: Reassure the adolescent that this is a negative screen
A parent is concerned about vaccine adverse reactions. Based on an
Institute of Medicine report, what
will the primary care pediatric NP tell the parent? - Correct Answers: The
MMR may be linked to febrile
seizures in immunocompromised children
An adolescent female who is sexually active and who has not had the HPV
vaccine asks if she may have
it. What will the primary care pediatric NP tell her - Correct Answers: The
vaccine will not protect her
from any HPV oncogenic types acquired previously
A child with a history of a pustular rash at the site of a cat scratch on one
arm now has warm, tender,
swollen axillary lymph nodes on the affected side. The primary care PNP
notes induration and erythema
of these nodes . What will the NP do - Correct Answers: Order an
immunofluorescent assay (IFA) for
serum antibodies
, An 18-month-old child has bronchopulmonary dysplasia. To help prevent
pneumococcal disease, which
vaccine will be ordered - Correct Answers: PCV13
A child whose parents have refused vaccines has been exposed to
chickenpox, and the parents ask
whether the child may attend day care. What will the primary care PNP tell
them? - Correct Answers: The
child should stay home if any symptoms occur and may return in 1 week if
no rash develops
The PCPNP reviews the immunization records of an 18-month-old child and
notes that the child received
an MMR immunization 2 days prior to the first birthday. What will the NP do
- Correct Answers:
Recommend the next dose of MMR vaccine at 4-5 yrs of age
The PCPNP performs a well child examination on a 1-month-old. The infant
was recently discharged from
the neonatal ICU after treatment with parenteral acyclovir for a neonatal
herpetic infection and is
currently taking oral acyclovir. What will the nurse practitioner do to
manage this infant's care - Correct
Answers: Obtain regular absolute neutrophil counts
A child whose family has been camping in a region with endemic Lyme
disease suffered several tick bites.
The parents report removing the ticks but are not able to verify the type of
the length of time the ticks
were attached. The child is asymptomatic. What is the best course of action
- Correct Answers: Teach the
parents which signs and symptoms to report
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules.
Answers
A 10-month-old infant who is new to the clinic has chronic hepatitis B
infection. What will the primary care pediatric NP do to manage this infant's
disease - Correct Answers: Consult a pediatric infectious disease specialist
The primary care pediatric nurse practitioner is performing an initial well
child exam on a 3-year-old child recently adopted from Africa. The adoptive
parent has a recorded of immunizations indicating that the child is fully
vaccinated. What will the NP do? - Correct Answers: Perform antibody titers
and reimmunize the child
A 3-year-old child who attends day care has had a fever, nausea, and
vomiting several weeks prior and
now has darkened urine and constipation along with hepatomegaly and
right upper quadrant
tenderness. What treatment is warranted for this child? - Correct Answers:
Supportive care
A 10-month-old infant has an erythematous, fluctuant, non-draining abscess
on the right buttock after
10 days of treatment with amoxicillin for impetigo. What is the next step in
managing this infant's care? -
Correct Answers: Incision and drainage of abscess with culture
An unimmunized school-ag child whose mother is in her first trimester of
pregnancy is diagnosed with
rubella after a local outbreak. What will the PCP-NP recommend - Correct
Answers: Assessment of
maternal rubella titers
A 2-month-old infant has a staccato cough and fever. Which aspect of the
history is most important in
determining the diagnosis? - Correct Answers: Immunization history
The parent of a 2-month-old infant is reluctant to have the baby vaccinated.
What is an initial step in
,responding to these concerns - Correct Answers: Question the parent's
reasons for concern about
immunizations
Which lab value is most concerning in an infant with fever and a suspected
bacterial infection? - Correct
Answers: C-reactive protein of 11.5 mg/L
An adolescent has a TB skin test prior to working as a volunteer in a
hospital. The adolescent is healthy
and has not travelled to or from a TB-endemic area or had close contact
with anyone who has TB. The
Mantoux skin test shows 10mm of induration after 48 hours. What will the
primary care pediatric NP do?
- Correct Answers: Reassure the adolescent that this is a negative screen
A parent is concerned about vaccine adverse reactions. Based on an
Institute of Medicine report, what
will the primary care pediatric NP tell the parent? - Correct Answers: The
MMR may be linked to febrile
seizures in immunocompromised children
An adolescent female who is sexually active and who has not had the HPV
vaccine asks if she may have
it. What will the primary care pediatric NP tell her - Correct Answers: The
vaccine will not protect her
from any HPV oncogenic types acquired previously
A child with a history of a pustular rash at the site of a cat scratch on one
arm now has warm, tender,
swollen axillary lymph nodes on the affected side. The primary care PNP
notes induration and erythema
of these nodes . What will the NP do - Correct Answers: Order an
immunofluorescent assay (IFA) for
serum antibodies
, An 18-month-old child has bronchopulmonary dysplasia. To help prevent
pneumococcal disease, which
vaccine will be ordered - Correct Answers: PCV13
A child whose parents have refused vaccines has been exposed to
chickenpox, and the parents ask
whether the child may attend day care. What will the primary care PNP tell
them? - Correct Answers: The
child should stay home if any symptoms occur and may return in 1 week if
no rash develops
The PCPNP reviews the immunization records of an 18-month-old child and
notes that the child received
an MMR immunization 2 days prior to the first birthday. What will the NP do
- Correct Answers:
Recommend the next dose of MMR vaccine at 4-5 yrs of age
The PCPNP performs a well child examination on a 1-month-old. The infant
was recently discharged from
the neonatal ICU after treatment with parenteral acyclovir for a neonatal
herpetic infection and is
currently taking oral acyclovir. What will the nurse practitioner do to
manage this infant's care - Correct
Answers: Obtain regular absolute neutrophil counts
A child whose family has been camping in a region with endemic Lyme
disease suffered several tick bites.
The parents report removing the ticks but are not able to verify the type of
the length of time the ticks
were attached. The child is asymptomatic. What is the best course of action
- Correct Answers: Teach the
parents which signs and symptoms to report
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules.
