FROM PREP TO PERFECTION! YOUR NUR 507 EXAM 4 A+
BLUEPRINT.
An 18-month-old child who developed upper respiratory symptoms 1 day prior is
brought to the
clinic with a high fever, chills. muscle pains, and a dry, hacking cough. A rapid
influenza test is
negative and a viral culture is pending. What will the primary care pediatric nurse
practitioner
do?
d) Prescribe oseltamivir and follow closely
The parent of an infant asks why some vaccines, such as MMR, are not given
along with the
other series of immunizations at 2, 4. and 6 months of age. What will the primary
care pediatric
nurse practitioner tell this parent?
d) Maternal antibodies neutralize some vaccines and are delayed until 12 months.
A school-age child has fever of 104°F, sore throat, vomiting and malaise. The
primary care
pediatric nurse practitioner observes that the tonsils, oropharynx, and palate are
erythematous
and covered with exudate; the tongue is coated and red; and there is a red,
sandpaper-like rash on
the child's neck, trunk, and extremities. A rapid strep test is positive. What will
the nurse
practitioner do to manage this child's illness?
d) Prescribe oral amoxicillin.
An adolescent has a TB skin test prior to working as a volunteer in a hospital. The
adolescent is
healthy and has not travelled to or from a TB-endemic area or had close contact
with anyone
who has TB. The Mantoux skin test shows 10 mm of induration after 48 hours.
, What will the
primary care pediatric nurse practitioner do?
a) Reassure the adolescent that this is a negative screen
A 2-month-old infant will receive initial immunizations, and the parent asks about
giving
medications to increase the infant's comfort and minimize fever. What will the
primary care
pediatric nurse practitioner recommend?
c) Administering ibuprofen or acetaminophen as needed
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and
pustules. What will the primary care pediatric nurse practitioner do?
b) Hospitalize the child for intravenous acyclovir.
When reviewing a white blood cell (WBC) count. the primary care pediatric nurse
practitioner
suspects a viral infection when which WBC element is elevated?
c) Lymphocytes
A child whose family has been camping in a region with endemic Lyme disease
suffered several
tick bites. The parents report removing the ticks but are not able to verify the type
or the length
of time the ticks were attached. The child is asymptomatic. What is the best
course of action?
a) Teach the parents which signs and symptoms to report.
A 12-year-old child is brought to the clinic with joint pain, a 3-week history of low-
grade fever,
and a facial rash. The primary care pediatric nurse practitioner palpates an
enlarged liver 2 cm
below the subcostal margin along with diffuse lymphadenopathy. An ANA test is
positive.
Which test may be ordered to confirm a diagnosis of SLE?
BLUEPRINT.
An 18-month-old child who developed upper respiratory symptoms 1 day prior is
brought to the
clinic with a high fever, chills. muscle pains, and a dry, hacking cough. A rapid
influenza test is
negative and a viral culture is pending. What will the primary care pediatric nurse
practitioner
do?
d) Prescribe oseltamivir and follow closely
The parent of an infant asks why some vaccines, such as MMR, are not given
along with the
other series of immunizations at 2, 4. and 6 months of age. What will the primary
care pediatric
nurse practitioner tell this parent?
d) Maternal antibodies neutralize some vaccines and are delayed until 12 months.
A school-age child has fever of 104°F, sore throat, vomiting and malaise. The
primary care
pediatric nurse practitioner observes that the tonsils, oropharynx, and palate are
erythematous
and covered with exudate; the tongue is coated and red; and there is a red,
sandpaper-like rash on
the child's neck, trunk, and extremities. A rapid strep test is positive. What will
the nurse
practitioner do to manage this child's illness?
d) Prescribe oral amoxicillin.
An adolescent has a TB skin test prior to working as a volunteer in a hospital. The
adolescent is
healthy and has not travelled to or from a TB-endemic area or had close contact
with anyone
who has TB. The Mantoux skin test shows 10 mm of induration after 48 hours.
, What will the
primary care pediatric nurse practitioner do?
a) Reassure the adolescent that this is a negative screen
A 2-month-old infant will receive initial immunizations, and the parent asks about
giving
medications to increase the infant's comfort and minimize fever. What will the
primary care
pediatric nurse practitioner recommend?
c) Administering ibuprofen or acetaminophen as needed
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and
pustules. What will the primary care pediatric nurse practitioner do?
b) Hospitalize the child for intravenous acyclovir.
When reviewing a white blood cell (WBC) count. the primary care pediatric nurse
practitioner
suspects a viral infection when which WBC element is elevated?
c) Lymphocytes
A child whose family has been camping in a region with endemic Lyme disease
suffered several
tick bites. The parents report removing the ticks but are not able to verify the type
or the length
of time the ticks were attached. The child is asymptomatic. What is the best
course of action?
a) Teach the parents which signs and symptoms to report.
A 12-year-old child is brought to the clinic with joint pain, a 3-week history of low-
grade fever,
and a facial rash. The primary care pediatric nurse practitioner palpates an
enlarged liver 2 cm
below the subcostal margin along with diffuse lymphadenopathy. An ANA test is
positive.
Which test may be ordered to confirm a diagnosis of SLE?
