Nur 507 Exam 6 – Questions With Right Solutions
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Terms in this set (90)
The primary care pediatric nurse a. Atrial septal defect
practitioner is examining a 2 week old
infant and auscultates a wide splitting
of S2 during expiration. What condition
may this finding represent?
a. Atrial septal defect
b. Coarctation of the aorta
c. Patent ductus arteriosis
d. Ventricular septal defect
,2. The primary care pediatric nurse c. Still's murmur
practitioner auscultates a new grade II
vibratory, mid systolic murmur at the
mid sternal border in a 4yearold child
that is louder when the child is supine.
What type of murmur is most likely?
a. Pathologic murmur
b. Pulmonary flow murmur
c. Still's murmur
d. Venous hum
During a well child assessment, the d. Refer to a pediatric cardiologist for further
primary care pediatric nurse evaluation.
practitioner auscultates a harsh,
blowing grade IV/VI murmur in a 6
month old infant. What will the nurse
practitioner do next?
a. Get a complete blood count to rule
out severe anemia
.b. Obtain an electrocardiogram to
assess for arrhythmia
.c. Order a chest radiograph to
evaluate for cardiomegaly.
d. Refer to a pediatric cardiologist for
further evaluation.
,The primary care pediatric nurse b. Fortifying breast milk to increase the number of
practitioner provides primary care for a calories per ounce
4monthold infant who has a ventricular
septal defect. The infant has been
breastfeeding well but in the past
month has dropped from the 20th
percentile to the 5th for weight. What
will the nurse practitioner
recommend?a. Adding solid foods to
the infant's diet to increase caloric
intake
b. Fortifying breast milk to increase the
number of calories per ounce
c. Stopping breastfeeding and giving
30 kcal/ounce formula
d. Supplementing breastfeeding with
24 kcal/ounce formula
A 12-month-old infant who had c. PCV13
cardiopulmonary bypass with RBC and
plasma infusions during surgery at 8
months is seen for a well child
examination. Which vaccine may be
administered at this visit?
a. MMR
b. OPV
c. PCV13
d. Varivax
, The primary care pediatric nurse a. Amoxicillin
practitioner performs a well child
examination on a 12monthold child
who had repair of a congenital heart
defect at 8 months of age. The child
has a normal exam. The parent reports
that the child is not taking any
medications. The nurse practitioner will
contact the child's cardiologist to
discuss whether the child needs which
medication?a. Amoxicillin
b. Capoten
c. Digoxin
d. Furosemide
During a well baby examination of a a. Follow up in 1 week to assess the infant's weight.
6weekold infant, the primary care
pediatric nurse practitioner notes poor
weight gain, acrocyanosis of the hands
and feet, and a respiratory rate of 60
breaths per minute. Oxygen saturation
on room air is 93%. The remainder of
the exam is unremarkable. Which
action is correct?
a. Follow up in 1 week to assess the
infant's weight.
b. Order a chest radiograph and an
electrocardiogram.
c. Reassure the parents that the exam
is within normal limits.
d. Refer the infant to a pediatric
cardiologist.
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Match Blocks Charms NEW
Terms in this set (90)
The primary care pediatric nurse a. Atrial septal defect
practitioner is examining a 2 week old
infant and auscultates a wide splitting
of S2 during expiration. What condition
may this finding represent?
a. Atrial septal defect
b. Coarctation of the aorta
c. Patent ductus arteriosis
d. Ventricular septal defect
,2. The primary care pediatric nurse c. Still's murmur
practitioner auscultates a new grade II
vibratory, mid systolic murmur at the
mid sternal border in a 4yearold child
that is louder when the child is supine.
What type of murmur is most likely?
a. Pathologic murmur
b. Pulmonary flow murmur
c. Still's murmur
d. Venous hum
During a well child assessment, the d. Refer to a pediatric cardiologist for further
primary care pediatric nurse evaluation.
practitioner auscultates a harsh,
blowing grade IV/VI murmur in a 6
month old infant. What will the nurse
practitioner do next?
a. Get a complete blood count to rule
out severe anemia
.b. Obtain an electrocardiogram to
assess for arrhythmia
.c. Order a chest radiograph to
evaluate for cardiomegaly.
d. Refer to a pediatric cardiologist for
further evaluation.
,The primary care pediatric nurse b. Fortifying breast milk to increase the number of
practitioner provides primary care for a calories per ounce
4monthold infant who has a ventricular
septal defect. The infant has been
breastfeeding well but in the past
month has dropped from the 20th
percentile to the 5th for weight. What
will the nurse practitioner
recommend?a. Adding solid foods to
the infant's diet to increase caloric
intake
b. Fortifying breast milk to increase the
number of calories per ounce
c. Stopping breastfeeding and giving
30 kcal/ounce formula
d. Supplementing breastfeeding with
24 kcal/ounce formula
A 12-month-old infant who had c. PCV13
cardiopulmonary bypass with RBC and
plasma infusions during surgery at 8
months is seen for a well child
examination. Which vaccine may be
administered at this visit?
a. MMR
b. OPV
c. PCV13
d. Varivax
, The primary care pediatric nurse a. Amoxicillin
practitioner performs a well child
examination on a 12monthold child
who had repair of a congenital heart
defect at 8 months of age. The child
has a normal exam. The parent reports
that the child is not taking any
medications. The nurse practitioner will
contact the child's cardiologist to
discuss whether the child needs which
medication?a. Amoxicillin
b. Capoten
c. Digoxin
d. Furosemide
During a well baby examination of a a. Follow up in 1 week to assess the infant's weight.
6weekold infant, the primary care
pediatric nurse practitioner notes poor
weight gain, acrocyanosis of the hands
and feet, and a respiratory rate of 60
breaths per minute. Oxygen saturation
on room air is 93%. The remainder of
the exam is unremarkable. Which
action is correct?
a. Follow up in 1 week to assess the
infant's weight.
b. Order a chest radiograph and an
electrocardiogram.
c. Reassure the parents that the exam
is within normal limits.
d. Refer the infant to a pediatric
cardiologist.
