NSG 6440 PEDS EXAM
A 2-year-old has a sudden onset of high fever while at daycare. The daycare attendant describes a seizure
in the child. The child is brought to the clinic; neurologically he appears normal. His body temperature is
99.9 ̊ after receiving ibuprofen. He is diagnosed with otitis media. How should the nurse practitioner
manage this?
Treat the otitis media and give education about fever management
Explanation:
The child may have had a febrile seizure at the daycare related to a sudden elevation of body temperature. The
sudden rise (or even fall) of body temperature can precipitate a seizure in young children. The most common
diagnosis associated with febrile seizures is otitis media. The mother should be advised about behavior to watch
for that could indicate the child is having a seizure. If this behavior occurs again, the child should be brought for
neurological evaluation.
A 3-year-old female had a fever of 102 F for the last 3 days. Today she woke up from a nap and is
afebrile.
She has a maculopapular rash.
Which of the following is an appropriate initial intervention for gastroesophageal reflux disease (GERD)
in an 8-week-old?
Small, frequent thickened feedings
A 12-year-old complains of itching in his right ear and pain when the pinna is pulled or the tragus is pushed.
Examination revealed slight redness in the ear canal with a clear odorless fluid. This could be suggestive of: ?
, Otitis externa
A nurse practitioner is assessing the head of a 3-day-old infant. What would be a normal observation in a
healthy 3-day-old infant who is crying?
There are palpable pulsations over the anterior fontanel
The chest circumference of a 12-month-old is:
is equal to head circumference
When is a child first able to stand on one foot?
3 years
A seven year-old entered the clinic one month ago. There was no evidence that he had any immunizations.
Which immunizations can he receive today?
Hepatitis B, TdaP, IPV, varicella, MMR
An 8 year-old has a painful limp. He reports that his knee hurts medially. On exam he has pain with internal
rotation of the hip. How should the NP manage this situation?
The NP should order a hip x-ray, CBC and ESR
What Tanner stage corresponds to an average 8 year-old?
Stage 1
The NP is examining a 3-month old infant what has normal development. She has identified an alopecic area at
the occiput. What should be done?
A 2-year-old has a sudden onset of high fever while at daycare. The daycare attendant describes a seizure
in the child. The child is brought to the clinic; neurologically he appears normal. His body temperature is
99.9 ̊ after receiving ibuprofen. He is diagnosed with otitis media. How should the nurse practitioner
manage this?
Treat the otitis media and give education about fever management
Explanation:
The child may have had a febrile seizure at the daycare related to a sudden elevation of body temperature. The
sudden rise (or even fall) of body temperature can precipitate a seizure in young children. The most common
diagnosis associated with febrile seizures is otitis media. The mother should be advised about behavior to watch
for that could indicate the child is having a seizure. If this behavior occurs again, the child should be brought for
neurological evaluation.
A 3-year-old female had a fever of 102 F for the last 3 days. Today she woke up from a nap and is
afebrile.
She has a maculopapular rash.
Which of the following is an appropriate initial intervention for gastroesophageal reflux disease (GERD)
in an 8-week-old?
Small, frequent thickened feedings
A 12-year-old complains of itching in his right ear and pain when the pinna is pulled or the tragus is pushed.
Examination revealed slight redness in the ear canal with a clear odorless fluid. This could be suggestive of: ?
, Otitis externa
A nurse practitioner is assessing the head of a 3-day-old infant. What would be a normal observation in a
healthy 3-day-old infant who is crying?
There are palpable pulsations over the anterior fontanel
The chest circumference of a 12-month-old is:
is equal to head circumference
When is a child first able to stand on one foot?
3 years
A seven year-old entered the clinic one month ago. There was no evidence that he had any immunizations.
Which immunizations can he receive today?
Hepatitis B, TdaP, IPV, varicella, MMR
An 8 year-old has a painful limp. He reports that his knee hurts medially. On exam he has pain with internal
rotation of the hip. How should the NP manage this situation?
The NP should order a hip x-ray, CBC and ESR
What Tanner stage corresponds to an average 8 year-old?
Stage 1
The NP is examining a 3-month old infant what has normal development. She has identified an alopecic area at
the occiput. What should be done?
