Pediatric Nursing Final Exam Comprehensive Questions with Correct Answers. (100% Verified)

The primary care pediatric nurse practitioner observes a tender, swollen red furuncle on the upper lid margin of a child's eye. What treatment will the nurse practitioner recommend? a. Culture of the lesion to determine causative organism b. Referral to ophthalmology for incision and drainage d. Topical steroid medication d. Warm, moist compresses 3 to 4 times daily Correct Answer d. Warm, moist compresses 3 to 4 times daily Torticollis is a shortening or spasm of which of the following muscles? a. Anterior scalene b. Subclavius c. Latissimus dorsi d. Sternocleidomastoid Correct Answer d. Sternocleidomastoid Torticollis results in a fixed or dynamic posturing of the head and neck in tilt, rotation and flexion. Spasms of the sternocleidomastoid, trapezius, and other neck muscles, usually more prominent on one side than the other, may cause turning or tipping of the head. A child complains of itching in both ears and is having trouble hearing. The primary care pediatric nurse practitioner notes periauricular edema and marked swelling of the external auditory canal and elicits severe pain when manipulating the external ear structures. Which is an appropriate intervention? a. Obtain a culture of the external auditory canal. b. Order ototopical antibiotic/corticosteroid drops. c. Prescribe oral amoxicillin-clavulanate. d. Refer the child to an otolaryngologist. Correct Answer b. Order ototopical antibiotic/corticosteroid drops. A toddler exhibits exotropia of the right eye during a cover-uncover screen. The primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment? a. Botulinum toxin injection