NU 642
Clinical Decision Making
LATEST FINAL EXAM REVIEW
Q&S
©2024/2025
,1. A 5-year-old presents with a sore throat and fever. Rapid strep
test is negative. Which diagnostic step is most appropriate next?
- A) Prescribe antibiotics.
- B) Conduct a throat culture.
- C) Prescribe antipyretics and monitor.
- D) Refer to a specialist.
- Answer: B) Conduct a throat culture.
Rationale: A throat culture is used to confirm or rule out
bacterial infection due to the limitations of rapid tests in sensitivity.
2. In managing a child with asthma and repeated emergency visits,
which strategy is most effective in preventing future exacerbations?
- A) Increasing albuterol doses during attacks.
- B) Educating about inhaler technique and trigger avoidance.
- C) Scheduling routine nebulizer treatments.
- D) Using oral steroids prophylactically.
- Answer: B) Educating about inhaler technique and trigger
avoidance.
Rationale: Proper education and avoidance of triggers are key
in managing chronic conditions like asthma.
©2024/2025
, 3. A child with a viral infection is noted to have developed a rash
following amoxicillin administration. This indicates:
- A) A drug allergy.
- B) A drug-virus interaction.
- C) Incorrect dosing.
- D) A bacterial superinfection.
- Answer: B) A drug-virus interaction.
Rationale: Rash after amoxicillin in viral infections like EBV is
a known drug-virus interaction, not specifically an allergy.
4. In a case of suspected child abuse, your primary responsibility
is to:
- A) Collect detailed evidence.
- B) Provide immediate comfort and support.
- C) Report to child protective services.
- D) Confront the caregiver with the suspicion.
- Answer: C) Report to child protective services.
Rationale: Suspicion of abuse mandates reporting to
appropriate authorities for the child’s safety.
©2024/2025
Clinical Decision Making
LATEST FINAL EXAM REVIEW
Q&S
©2024/2025
,1. A 5-year-old presents with a sore throat and fever. Rapid strep
test is negative. Which diagnostic step is most appropriate next?
- A) Prescribe antibiotics.
- B) Conduct a throat culture.
- C) Prescribe antipyretics and monitor.
- D) Refer to a specialist.
- Answer: B) Conduct a throat culture.
Rationale: A throat culture is used to confirm or rule out
bacterial infection due to the limitations of rapid tests in sensitivity.
2. In managing a child with asthma and repeated emergency visits,
which strategy is most effective in preventing future exacerbations?
- A) Increasing albuterol doses during attacks.
- B) Educating about inhaler technique and trigger avoidance.
- C) Scheduling routine nebulizer treatments.
- D) Using oral steroids prophylactically.
- Answer: B) Educating about inhaler technique and trigger
avoidance.
Rationale: Proper education and avoidance of triggers are key
in managing chronic conditions like asthma.
©2024/2025
, 3. A child with a viral infection is noted to have developed a rash
following amoxicillin administration. This indicates:
- A) A drug allergy.
- B) A drug-virus interaction.
- C) Incorrect dosing.
- D) A bacterial superinfection.
- Answer: B) A drug-virus interaction.
Rationale: Rash after amoxicillin in viral infections like EBV is
a known drug-virus interaction, not specifically an allergy.
4. In a case of suspected child abuse, your primary responsibility
is to:
- A) Collect detailed evidence.
- B) Provide immediate comfort and support.
- C) Report to child protective services.
- D) Confront the caregiver with the suspicion.
- Answer: C) Report to child protective services.
Rationale: Suspicion of abuse mandates reporting to
appropriate authorities for the child’s safety.
©2024/2025
