FROM PREP TO PERFECTION! YOUR NUR 507 EXAM 4 A+
BLUEPRINT.
A child with a history of a pustular rash at the site of a cat scratch on one arm
now has warm,
tender, swollen axillary lymph nodes on the affected side. The primary care
pediatric nurse
practitioner notes induration and erythema of these nodes. What will the nurse
practitioner do?
b. Order an immunofluorescent assay (IFA) for serum antibodies.
A 7-year-old child whose immunizations are up to date has a fever, headache, stiff
neck, and
photophobia. What course of treatment is indicated?
b. Hospitalization for diagnosis and treatment with antibiotics
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?
c. 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?
c. Reassure the adolescent that this is a negative screen.
, The primary care pediatric nurse practitioner is examining a 2-month-old infant
with fever and
cough. A WBC is 14,000/mm3 and a chest radiograph is normal. The infant is
nursing well and
having normal stools. What would be an appropriate next step?
c. Performing a catheterized urinalysis to screen for leukocytes and nitrites
An 8-year-old child is diagnosed with systemic lupus erythematosus (SLE), and
the child's parent
asks if there is a cure. What will the primary care pediatric nurse practitioner tell
the parent?
b. Periods of remission may occur but there is no permanent cure.
The primary care pediatric nurse practitioner examines a child who has had
stiffness and warmth
in the right knee and left ankle for 7 or 8 months but no back pain. The nurse
practitioner will
refer the child to a rheumatology specialist to evaluate for
b. oligoarticular JIA.
The primary care pediatric nurse practitioner is managing care for a child who
has JIA who has a
positive ANA. Which specialty referral is critical for this child?
b. Ophthalmology
The primary care pediatric nurse practitioner is prescribing ibuprofen for a 25 kg
child with JIA
who has oligoarthitis. If the child will take 4 doses per day, what is the maximum
amount the
child will receive per dose?
b. 250 mg
The parent of a school age child who is diagnosed with oligoarticular JIA asks the
primary care
pediatric nurse practitioner what exercises the child may do to help reduce
BLUEPRINT.
A child with a history of a pustular rash at the site of a cat scratch on one arm
now has warm,
tender, swollen axillary lymph nodes on the affected side. The primary care
pediatric nurse
practitioner notes induration and erythema of these nodes. What will the nurse
practitioner do?
b. Order an immunofluorescent assay (IFA) for serum antibodies.
A 7-year-old child whose immunizations are up to date has a fever, headache, stiff
neck, and
photophobia. What course of treatment is indicated?
b. Hospitalization for diagnosis and treatment with antibiotics
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?
c. 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?
c. Reassure the adolescent that this is a negative screen.
, The primary care pediatric nurse practitioner is examining a 2-month-old infant
with fever and
cough. A WBC is 14,000/mm3 and a chest radiograph is normal. The infant is
nursing well and
having normal stools. What would be an appropriate next step?
c. Performing a catheterized urinalysis to screen for leukocytes and nitrites
An 8-year-old child is diagnosed with systemic lupus erythematosus (SLE), and
the child's parent
asks if there is a cure. What will the primary care pediatric nurse practitioner tell
the parent?
b. Periods of remission may occur but there is no permanent cure.
The primary care pediatric nurse practitioner examines a child who has had
stiffness and warmth
in the right knee and left ankle for 7 or 8 months but no back pain. The nurse
practitioner will
refer the child to a rheumatology specialist to evaluate for
b. oligoarticular JIA.
The primary care pediatric nurse practitioner is managing care for a child who
has JIA who has a
positive ANA. Which specialty referral is critical for this child?
b. Ophthalmology
The primary care pediatric nurse practitioner is prescribing ibuprofen for a 25 kg
child with JIA
who has oligoarthitis. If the child will take 4 doses per day, what is the maximum
amount the
child will receive per dose?
b. 250 mg
The parent of a school age child who is diagnosed with oligoarticular JIA asks the
primary care
pediatric nurse practitioner what exercises the child may do to help reduce
