Status Finished
Started Monday, April 6, 2026, 6:18 PM
Completed Monday, April 6, 2026, 6:55 PM
Duration 37 mins 31 secs
Points 26.00/30.00
Grade 86.67 out of 100.00
Question 1
Incorrect
0.00 points out of 1.00
A preschool-age child with no previous history has mild flank pain and fever but no abdominal pain or vomiting. A urinalysis is positive for
leukocyte esterase and nitrites. A culture is pending. Which is the correct course of treatment for this child?
Hospitalize for intravenous antibiotics.
Prescribe trimethoprim-sulfamethoxazole.
Refer for a voiding cystourethrogram.
Order amoxicillin clavulanate.
Your answer is incorrect.
The correct answer is:
Order amoxicillin clavulanate.
Question 2
Incorrect
0.00 points out of 1.00
The mother of a 12-month-old uncircumcised male infant reports that the child seems to have pain associated with voiding. A physical
examination reveals a tight, pinpoint opening of the foreskin, which thickened and inflamed. What should be the next priority action by the
primary care family nurse practitioner?
Teach the mother to gently stretch the foreskin with cleaning.
Attempt to retract the foreskin to visualize the penis.
Order corticosteroid cream 3 times daily for 4 weeks.
Refer the child to a pediatric urologist.
Your answer is incorrect.
The correct answer is:
Refer the child to a pediatric urologist.
, Question 3
Correct
1.00 points out of 1.00
A 3-year-old child has just completed a 7-day course of amoxicillin for a second febrile urinary tract infection and currently has a negative
urine culture. What is the next course of action?
Screen urine regularly for leukocyte esterase and nitrites.
Refer the child for a voiding cystourethrogram.
Prescribe prophylactic antibiotics to prevent recurrence.
Obtain a renal and bladder ultrasound.
Your answer is correct.
The correct answer is:
Obtain a renal and bladder ultrasound.
Question 4
Correct
1.00 points out of 1.00
An adolescent male comes to the clinic reporting unilateral scrotal pain, nausea, and vomiting that began that morning. The primary care
family nurse practitioner palpates a painful, swollen testis and elicits increased pain with slight elevation of the testis (a negative Prehn’s sign).
What will the nurse practitioner do?
Prescribe NSAIDs, limited activities, and warm compresses to the scrotum.
Encourage bed rest, scrotal support, and ice packs to the scrotum as tolerated.
Refer the adolescent immediately to a pediatric urologist or surgeon.
Administer IM ceftriaxone and prescribe doxycycline twice daily for 10 days.
Your answer is correct.
The correct answer is:
Refer the adolescent immediately to a pediatric urologist or surgeon.
Started Monday, April 6, 2026, 6:18 PM
Completed Monday, April 6, 2026, 6:55 PM
Duration 37 mins 31 secs
Points 26.00/30.00
Grade 86.67 out of 100.00
Question 1
Incorrect
0.00 points out of 1.00
A preschool-age child with no previous history has mild flank pain and fever but no abdominal pain or vomiting. A urinalysis is positive for
leukocyte esterase and nitrites. A culture is pending. Which is the correct course of treatment for this child?
Hospitalize for intravenous antibiotics.
Prescribe trimethoprim-sulfamethoxazole.
Refer for a voiding cystourethrogram.
Order amoxicillin clavulanate.
Your answer is incorrect.
The correct answer is:
Order amoxicillin clavulanate.
Question 2
Incorrect
0.00 points out of 1.00
The mother of a 12-month-old uncircumcised male infant reports that the child seems to have pain associated with voiding. A physical
examination reveals a tight, pinpoint opening of the foreskin, which thickened and inflamed. What should be the next priority action by the
primary care family nurse practitioner?
Teach the mother to gently stretch the foreskin with cleaning.
Attempt to retract the foreskin to visualize the penis.
Order corticosteroid cream 3 times daily for 4 weeks.
Refer the child to a pediatric urologist.
Your answer is incorrect.
The correct answer is:
Refer the child to a pediatric urologist.
, Question 3
Correct
1.00 points out of 1.00
A 3-year-old child has just completed a 7-day course of amoxicillin for a second febrile urinary tract infection and currently has a negative
urine culture. What is the next course of action?
Screen urine regularly for leukocyte esterase and nitrites.
Refer the child for a voiding cystourethrogram.
Prescribe prophylactic antibiotics to prevent recurrence.
Obtain a renal and bladder ultrasound.
Your answer is correct.
The correct answer is:
Obtain a renal and bladder ultrasound.
Question 4
Correct
1.00 points out of 1.00
An adolescent male comes to the clinic reporting unilateral scrotal pain, nausea, and vomiting that began that morning. The primary care
family nurse practitioner palpates a painful, swollen testis and elicits increased pain with slight elevation of the testis (a negative Prehn’s sign).
What will the nurse practitioner do?
Prescribe NSAIDs, limited activities, and warm compresses to the scrotum.
Encourage bed rest, scrotal support, and ice packs to the scrotum as tolerated.
Refer the adolescent immediately to a pediatric urologist or surgeon.
Administer IM ceftriaxone and prescribe doxycycline twice daily for 10 days.
Your answer is correct.
The correct answer is:
Refer the adolescent immediately to a pediatric urologist or surgeon.
