NSG 5442 FINAL EXAM VERIFIED COMPLETE STUDY QUESTIONS WITH ACCURATE
SOLUTIONS
A child who had GABHS 2 weeks prior is in the clinic with periorbital
edema, dyspnea, and elevated blood pressure. A urinalysis reveals tea colored urine with
hematuria and mild proteinuria. What will the primary care pediatric nurse practitioner do
to manage this condition?
A. Prescribe a 10 to 14day course of high dose amoxicillin.
B. Prescribe high dose steroids in consultation with a nephrologist.
C. Reassure the parents that this condition will resolve spontaneously.
D. Refer the child to a pediatric nephrologist for hospitalization.
D. Refer the child to a pediatric nephrologist for hospitalization.
An adolescent has right sided flank pain without fever. A dipstick urinalysis reveals gross
hematuria without signs of infection or bacteriuria, and the primary care pediatric nurse
practitioner diagnoses possible nephrolithiasis. What is the initial treatment for this
condition?
A. Extracorporeal shockwave lithotripsy (ESWL)
,B. Increasing fluid intake up to 2 L daily
C. Percutaneous removal of renal calculi
D. Referral to a pediatric nephrologist
B. Increasing fluid intake up to 2 L daily
During a well child examination of a 2-year-old child, the primary care pediatric nurse
practitioner palpates a unilateral, smooth, firm abdominal mass which does not cross the
midline. What is the next course of action that?
A. Order a CT scan of the chest, abdomen, and pelvis.
B. Perform urinalysis, CBC, and renal function tests.
C. Reevaluate the mass in 1 to 2 weeks.
D. Refer the child to an oncologist immediately.
D. Refer the child to an oncologist immediately.
A 6-month-old infant has a retractile testis that was noted at the 2month
,well baby exam. What will the primary care pediatric nurse practitioner do to manage this
condition?
A. Reassure the parent that the testis will most likely descend into place on
its own.
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy.
C. Teach the parent to manipulate the testis into the scrotum during diaper
changes.
D. Tell the parent that hormonal therapy may be needed to correct the condition.
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy.
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness. The
primary care pediatric nurse practitioner notes a tender mass in the affected scrotum that
is difficult to reduce. What is the correct action?
A. Obtain an abdominal radiograph.
B. Refer immediately to a pediatric surgeon.
C. Schedule an appointment with a pediatric urologist.
, D. Teach the parents signs of incarceration.
B. Refer immediately to a pediatric surgeon.
The mother of a 12-month-old uncircumcised male infant reports that the child seems to
have pain associated with voiding. A physical examination reveals a tight, pinpoint opening
of the foreskin, which thickened and inflamed. What will the primary care pediatric nurse
practitioner do?
A. Attempt to retract the foreskin to visualize the penis.
B. Order corticosteroid cream 3 times daily for 4 weeks.
C. Refer the child to a pediatric urologist.
D. Teach the mother to gently stretch the foreskin with cleaning.
C. Refer the child to a pediatric urologist.
An adolescent male comes to the clinic reporting unilateral scrotal pain,
nausea, and vomiting that began that morning. The primary care pediatric nurse
practitioner palpates a painful, swollen testis and elicits increased pain with slight
elevation of the testis (a negative Phren’s sign). What will the nurse practitioner do?
SOLUTIONS
A child who had GABHS 2 weeks prior is in the clinic with periorbital
edema, dyspnea, and elevated blood pressure. A urinalysis reveals tea colored urine with
hematuria and mild proteinuria. What will the primary care pediatric nurse practitioner do
to manage this condition?
A. Prescribe a 10 to 14day course of high dose amoxicillin.
B. Prescribe high dose steroids in consultation with a nephrologist.
C. Reassure the parents that this condition will resolve spontaneously.
D. Refer the child to a pediatric nephrologist for hospitalization.
D. Refer the child to a pediatric nephrologist for hospitalization.
An adolescent has right sided flank pain without fever. A dipstick urinalysis reveals gross
hematuria without signs of infection or bacteriuria, and the primary care pediatric nurse
practitioner diagnoses possible nephrolithiasis. What is the initial treatment for this
condition?
A. Extracorporeal shockwave lithotripsy (ESWL)
,B. Increasing fluid intake up to 2 L daily
C. Percutaneous removal of renal calculi
D. Referral to a pediatric nephrologist
B. Increasing fluid intake up to 2 L daily
During a well child examination of a 2-year-old child, the primary care pediatric nurse
practitioner palpates a unilateral, smooth, firm abdominal mass which does not cross the
midline. What is the next course of action that?
A. Order a CT scan of the chest, abdomen, and pelvis.
B. Perform urinalysis, CBC, and renal function tests.
C. Reevaluate the mass in 1 to 2 weeks.
D. Refer the child to an oncologist immediately.
D. Refer the child to an oncologist immediately.
A 6-month-old infant has a retractile testis that was noted at the 2month
,well baby exam. What will the primary care pediatric nurse practitioner do to manage this
condition?
A. Reassure the parent that the testis will most likely descend into place on
its own.
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy.
C. Teach the parent to manipulate the testis into the scrotum during diaper
changes.
D. Tell the parent that hormonal therapy may be needed to correct the condition.
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy.
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness. The
primary care pediatric nurse practitioner notes a tender mass in the affected scrotum that
is difficult to reduce. What is the correct action?
A. Obtain an abdominal radiograph.
B. Refer immediately to a pediatric surgeon.
C. Schedule an appointment with a pediatric urologist.
, D. Teach the parents signs of incarceration.
B. Refer immediately to a pediatric surgeon.
The mother of a 12-month-old uncircumcised male infant reports that the child seems to
have pain associated with voiding. A physical examination reveals a tight, pinpoint opening
of the foreskin, which thickened and inflamed. What will the primary care pediatric nurse
practitioner do?
A. Attempt to retract the foreskin to visualize the penis.
B. Order corticosteroid cream 3 times daily for 4 weeks.
C. Refer the child to a pediatric urologist.
D. Teach the mother to gently stretch the foreskin with cleaning.
C. Refer the child to a pediatric urologist.
An adolescent male comes to the clinic reporting unilateral scrotal pain,
nausea, and vomiting that began that morning. The primary care pediatric nurse
practitioner palpates a painful, swollen testis and elicits increased pain with slight
elevation of the testis (a negative Phren’s sign). What will the nurse practitioner do?
