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WGU D119 PEDS EXAM BRAND
NEW OFFICIAL QUESTIONS WITH
ANSWERS.
A 5-year-old's physical examination is normal and the child has
no known allergies to food or medications. To date, the child has
not been immunized and has had varicella disease. The NP now
administers a poliovirus vaccine, a diphtheria, tetanus, and
pertussis vaccine; measles mumps and rubella virus vaccine and:
- correct answer -hepatitis B vaccine:
since the child has not been previously immunized, Hepatitis B
should be given. The Haemophilus influenza type B vaccine
should not be given to Children over five years of age if they are
otherwise healthy. The meningococcal vaccine is not indicated
and healthy children until 11 years of age. Because the child has
had the varicella disease, the varicella vaccine is not a priority at
this visit
A mother brings her 2-month-old infant to a nurse practitioner
clinic for a well-child examination. The NP orders the
immunizations and provides an overview to the mother. The
mother States "I don't want my child to have those shots!" the NP
most appropriate response is: - correct answer -Provide a strong
recommendation for immunization on schedule:
the FNP should assume that all parents will want to vaccinate
based on recommendations. Providing a strong recommendation
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to vaccinate on schedule and adding supported statements is the
best response to hesitation or initial refusal. Then listen to and
respond to specific questions and concerns. An alternate
immunization plan is not the most appropriate initial response as
a nurse practitioner does not have an understanding of why the
mother is hesitant yet. Laws vary from state to state and
recommending the mother find a different provider will prevent
future chances to discuss immunizations
A daycare center director calls to confirm when a child can return
to the center after having fifth disease (erythema infectiosum). the
FNP responses are based on the knowledge that the
communicability lasts until: - correct answer -The rash appears;
the incubation. For this condition is 4 to 14 days, with
communicability until the rash appears
Exam of a non-toxic but ill-appearing six-year-old revealed
vesicular and ulcerative oral lesions and a maculopapular rash on
the hands and feet. Temperature is 100.4 and the child has
feelings of malaise. What does the differential diagnosis include?
- correct answer -Hand foot and mouth disease; these symptoms
are indicative of Coxsackievirus 5 or 16 group A (usually A16)
called hand foot and mouth disease. The lesions may appear in
one or all three areas. Children are usually uncomfortable, but not
seriously ill, and they refuse fluids with severe oral lesions.
Varicella lesions begin on the trunk with the classic teardrop
vesicles
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What is an appropriate treatment for a child with roseola? -
correct answer -Antipyretics, rest, and hydration: the primary
treatment for roseola is supportive, including control of a fever,
adequate rest, and hydration. No preventive measure or
immunization is available
A 10-week-old premature infant, who was not immunized before
being discharged from the hospital, is seen for the first time in
your office. What immunizations should the provider administer
today? - correct answer -Haemophilus influenzae type B,
diphtheria - tetanus - pertussis, Hepatitis B, inactivated polio
vaccine, Roto virus, pneumococcal
A two-year-old patient presents today with a diffuse, non-pruritic,
discreet, rose-colored maculopapular rash located on the trunk.
The lesions measure 2-3 mm in diameter and Fades on pressure.
The provider learned that for the last three days, the patient had a
temperature of 101 degrees Fahrenheit and when the fever broke
the rash appeared. What condition does this patient most likely
have? - correct answer -roseola infantum
What reasons are commonly given by parents and caregivers for
failing to have their children vaccinated? (Select all that apply.) -
WGU D119 PEDS EXAM BRAND
NEW OFFICIAL QUESTIONS WITH
ANSWERS.
A 5-year-old's physical examination is normal and the child has
no known allergies to food or medications. To date, the child has
not been immunized and has had varicella disease. The NP now
administers a poliovirus vaccine, a diphtheria, tetanus, and
pertussis vaccine; measles mumps and rubella virus vaccine and:
- correct answer -hepatitis B vaccine:
since the child has not been previously immunized, Hepatitis B
should be given. The Haemophilus influenza type B vaccine
should not be given to Children over five years of age if they are
otherwise healthy. The meningococcal vaccine is not indicated
and healthy children until 11 years of age. Because the child has
had the varicella disease, the varicella vaccine is not a priority at
this visit
A mother brings her 2-month-old infant to a nurse practitioner
clinic for a well-child examination. The NP orders the
immunizations and provides an overview to the mother. The
mother States "I don't want my child to have those shots!" the NP
most appropriate response is: - correct answer -Provide a strong
recommendation for immunization on schedule:
the FNP should assume that all parents will want to vaccinate
based on recommendations. Providing a strong recommendation
, Page | 2
to vaccinate on schedule and adding supported statements is the
best response to hesitation or initial refusal. Then listen to and
respond to specific questions and concerns. An alternate
immunization plan is not the most appropriate initial response as
a nurse practitioner does not have an understanding of why the
mother is hesitant yet. Laws vary from state to state and
recommending the mother find a different provider will prevent
future chances to discuss immunizations
A daycare center director calls to confirm when a child can return
to the center after having fifth disease (erythema infectiosum). the
FNP responses are based on the knowledge that the
communicability lasts until: - correct answer -The rash appears;
the incubation. For this condition is 4 to 14 days, with
communicability until the rash appears
Exam of a non-toxic but ill-appearing six-year-old revealed
vesicular and ulcerative oral lesions and a maculopapular rash on
the hands and feet. Temperature is 100.4 and the child has
feelings of malaise. What does the differential diagnosis include?
- correct answer -Hand foot and mouth disease; these symptoms
are indicative of Coxsackievirus 5 or 16 group A (usually A16)
called hand foot and mouth disease. The lesions may appear in
one or all three areas. Children are usually uncomfortable, but not
seriously ill, and they refuse fluids with severe oral lesions.
Varicella lesions begin on the trunk with the classic teardrop
vesicles
, Page | 3
What is an appropriate treatment for a child with roseola? -
correct answer -Antipyretics, rest, and hydration: the primary
treatment for roseola is supportive, including control of a fever,
adequate rest, and hydration. No preventive measure or
immunization is available
A 10-week-old premature infant, who was not immunized before
being discharged from the hospital, is seen for the first time in
your office. What immunizations should the provider administer
today? - correct answer -Haemophilus influenzae type B,
diphtheria - tetanus - pertussis, Hepatitis B, inactivated polio
vaccine, Roto virus, pneumococcal
A two-year-old patient presents today with a diffuse, non-pruritic,
discreet, rose-colored maculopapular rash located on the trunk.
The lesions measure 2-3 mm in diameter and Fades on pressure.
The provider learned that for the last three days, the patient had a
temperature of 101 degrees Fahrenheit and when the fever broke
the rash appeared. What condition does this patient most likely
have? - correct answer -roseola infantum
What reasons are commonly given by parents and caregivers for
failing to have their children vaccinated? (Select all that apply.) -
