NSG 5442 EXAM 2 VERIFIED COMPLETE STUDY QUESTIONS WITH ACCURATE
SOLUTIONS
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
C. Topical steroid medication
D. Warm, moist compresses 3 to 4 times daily
D. Warm, moist compresses 3 to 4 times daily
The primary care pediatric nurse practitioner is treating an infant with lacrimal duct
obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment with
topical antibiotics along with massage and frequent cleansing of secretions, the infant’s
symptoms have not improved. Which action is correct?
A. Perform massage more frequently.
B. Prescribe an oral antibiotic.
,C. Recommend hot compresses.
D. Refer to an ophthalmologist.
D. Refer to an ophthalmologist.
A preschool age child is seen in the clinic after waking up a temperature of 102.2°F,
swelling and erythema of the upper lid of one eye, and moderate pain when looking from
side to side. Which course of treatment is correct?
A. Admit to the hospital for intravenous antibiotics.
B. Obtain a lumbar puncture and blood culture.
C. Order warm compresses 4 times daily for 5 days.
D. Prescribe a 10to 14day course of oral antibiotics.
A. Admit to the hospital for intravenous antibiotics.
A school age child is seen in the clinic after a fragment from a glass bottle flew into the eye.
What will the primary care pediatric nurse practitioner do?
A. Refer immediately to an ophthalmologist.
,B. Attempt to visualize the glass fragment.
C. Irrigate the eye with sterile saline.
D. Instill a topical anesthetic.
A. Refer immediately to an ophthalmologist.
A schoolage child is hit in the face with a baseball bat and reports pain in one eye. The
primary care pediatric nurse practitioner is able to see a dark red fluid level between the
cornea and iris on gross examination, but the child resists any exam with a light. Which
action is correct?
A. Administer an oral analgesic medication.
B. Apply a Fox shield and reevaluate the eye in 24 hours.
C. Instill anesthetic eyedrops into the affected eye.
D. Refer the child immediately to an ophthalmologist.
D. Refer the child immediately to an ophthalmologist.
, The parent of a 4-month-old infant is concerned that the infant cannot hear. Which test will
the primary care pediatric nurse practitioner order to evaluate potential hearing loss in this
infant?
A. Acoustic reflectometry
B. Audiometry
C. Auditory brainstem response (ABR)
D. Evoked otoacoustic emission (EOAE) testing
C. Auditory brainstem response (ABR)
The primary care pediatric nurse practitioner obtains a tympanogram on a child that
reveals a sharp peak of 180 mm H2O. What does this value indicate?
A. A normal tympanic membrane
B. Middle ear effusion
C. Negative ear pressure
D. Tympanic membrane perforation
C. Negative ear pressure
SOLUTIONS
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
C. Topical steroid medication
D. Warm, moist compresses 3 to 4 times daily
D. Warm, moist compresses 3 to 4 times daily
The primary care pediatric nurse practitioner is treating an infant with lacrimal duct
obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment with
topical antibiotics along with massage and frequent cleansing of secretions, the infant’s
symptoms have not improved. Which action is correct?
A. Perform massage more frequently.
B. Prescribe an oral antibiotic.
,C. Recommend hot compresses.
D. Refer to an ophthalmologist.
D. Refer to an ophthalmologist.
A preschool age child is seen in the clinic after waking up a temperature of 102.2°F,
swelling and erythema of the upper lid of one eye, and moderate pain when looking from
side to side. Which course of treatment is correct?
A. Admit to the hospital for intravenous antibiotics.
B. Obtain a lumbar puncture and blood culture.
C. Order warm compresses 4 times daily for 5 days.
D. Prescribe a 10to 14day course of oral antibiotics.
A. Admit to the hospital for intravenous antibiotics.
A school age child is seen in the clinic after a fragment from a glass bottle flew into the eye.
What will the primary care pediatric nurse practitioner do?
A. Refer immediately to an ophthalmologist.
,B. Attempt to visualize the glass fragment.
C. Irrigate the eye with sterile saline.
D. Instill a topical anesthetic.
A. Refer immediately to an ophthalmologist.
A schoolage child is hit in the face with a baseball bat and reports pain in one eye. The
primary care pediatric nurse practitioner is able to see a dark red fluid level between the
cornea and iris on gross examination, but the child resists any exam with a light. Which
action is correct?
A. Administer an oral analgesic medication.
B. Apply a Fox shield and reevaluate the eye in 24 hours.
C. Instill anesthetic eyedrops into the affected eye.
D. Refer the child immediately to an ophthalmologist.
D. Refer the child immediately to an ophthalmologist.
, The parent of a 4-month-old infant is concerned that the infant cannot hear. Which test will
the primary care pediatric nurse practitioner order to evaluate potential hearing loss in this
infant?
A. Acoustic reflectometry
B. Audiometry
C. Auditory brainstem response (ABR)
D. Evoked otoacoustic emission (EOAE) testing
C. Auditory brainstem response (ABR)
The primary care pediatric nurse practitioner obtains a tympanogram on a child that
reveals a sharp peak of 180 mm H2O. What does this value indicate?
A. A normal tympanic membrane
B. Middle ear effusion
C. Negative ear pressure
D. Tympanic membrane perforation
C. Negative ear pressure
