NUR 507 - Exam 4 questions with answers |\ |\ |\ |\ |\ |\ |\
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? |\ |\ |\ |\ |\
a. Consider therapy with rimantadine,
|\ |\ |\ |\
b. Hospitalize for supportive treatment.
|\ |\ |\ |\
c. Wait for cultures to determine treatment.
|\ |\ |\ |\ |\ |\
d..prescribe oseltamivir and follow closely |\ |\ |\ |\
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?
|\ |\ |\ |\
a. The risk of adverse effects is lower for some vaccines after the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
first year.
|\ |\
b. Too many vaccines at once can overwhelm the infant's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
immune system. |\
c. Febrile seizures are more likely in younger infants with some
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vaccines.
d. Maternal antibodies neutralize some vaccines and are delayed
|\ |\ |\ |\ |\ |\ |\ |\ |\
until 12 months. |\ |\
,d. Maternal antibodies neutralize some vaccines and are delayed
|\ |\ |\ |\ |\ |\ |\ |\ |\
until 12 |\
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? |\ |\ |\ |\ |\ |\
a. Administer intramuscular ceftriaxone.
|\ |\ |\
b. Refer to a pediatric infectious disease specialist.
|\ |\ |\ |\ |\ |\ |\
c. Hospitalize for further diagnostic tests.
|\ |\ |\ |\ |\
d. Prescribe oral amoxicillin.
|\ |\ |\
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
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. Ask the adolescent about exposure to homeless persons
|\ |\ |\ |\ |\ |\ |\ |\
c. Refer the adolescent to an infectious disease specialist.
|\ |\ |\ |\ |\ |\ |\ |\
d. Order a chest radiograph to rule out active TB.
|\ |\ |\ |\ |\ |\ |\ |\ |\
,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?
|\ |\
a. Pre-treating the infant with both ibuprofen and acetaminophen
|\ |\ |\ |\ |\ |\ |\ |\
b. Giving ibuprofen and acetaminophen only after the vaccines
|\ |\ |\ |\ |\ |\ |\ |\
c. Administering ibuprofen or acetaminophen as needed
|\ |\ |\ |\ |\ |\
d. Avoiding antipyretics if possible, to attain better immunity
|\ |\ |\ |\ |\ |\ |\ |\
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?
|\ |\ |\ |\ |\
a. Administer varicella immune globulin (VariZIG).
|\ |\ |\ |\ |\
b. Hospitalize the child for intravenous acyclovir,
|\ |\ |\ |\ |\ |\
c. Order intravenous immunoglobulin as an outpatient.
|\ |\ |\ |\ |\ |\
d. Prescribe oral acyelovir for the duration of the illness.
|\ |\ |\ |\ |\ |\ |\ |\ |\
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?
|\ |\ |\ |\
a. Bands |\
b. Neutrophils
|\
c. Lymphocytes
|\
d. Leukocytes
|\
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.
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. Administer a prophylactic single dose of doxycycline.
|\ |\ |\ |\ |\ |\ |\
c. Prescribe amoxicillin three times daily for 14 to 21 days.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. Perform serologic testing for (gG or igM antibodies.
|\ |\ |\ |\ |\ |\ |\ |\
a. Teach the parents which signs and symptoms to report.
|\ |\ |\ |\ |\ |\ |\ |\ |\
A two month old infant has a stacatto cough and fever. which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspect of the history is most important in determining the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosis?
A. Day care attendance
|\ |\ |\
B. Immunization history
|\ |\
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? |\ |\ |\ |\ |\
a. Consider therapy with rimantadine,
|\ |\ |\ |\
b. Hospitalize for supportive treatment.
|\ |\ |\ |\
c. Wait for cultures to determine treatment.
|\ |\ |\ |\ |\ |\
d..prescribe oseltamivir and follow closely |\ |\ |\ |\
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?
|\ |\ |\ |\
a. The risk of adverse effects is lower for some vaccines after the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
first year.
|\ |\
b. Too many vaccines at once can overwhelm the infant's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
immune system. |\
c. Febrile seizures are more likely in younger infants with some
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vaccines.
d. Maternal antibodies neutralize some vaccines and are delayed
|\ |\ |\ |\ |\ |\ |\ |\ |\
until 12 months. |\ |\
,d. Maternal antibodies neutralize some vaccines and are delayed
|\ |\ |\ |\ |\ |\ |\ |\ |\
until 12 |\
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? |\ |\ |\ |\ |\ |\
a. Administer intramuscular ceftriaxone.
|\ |\ |\
b. Refer to a pediatric infectious disease specialist.
|\ |\ |\ |\ |\ |\ |\
c. Hospitalize for further diagnostic tests.
|\ |\ |\ |\ |\
d. Prescribe oral amoxicillin.
|\ |\ |\
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
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. Ask the adolescent about exposure to homeless persons
|\ |\ |\ |\ |\ |\ |\ |\
c. Refer the adolescent to an infectious disease specialist.
|\ |\ |\ |\ |\ |\ |\ |\
d. Order a chest radiograph to rule out active TB.
|\ |\ |\ |\ |\ |\ |\ |\ |\
,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?
|\ |\
a. Pre-treating the infant with both ibuprofen and acetaminophen
|\ |\ |\ |\ |\ |\ |\ |\
b. Giving ibuprofen and acetaminophen only after the vaccines
|\ |\ |\ |\ |\ |\ |\ |\
c. Administering ibuprofen or acetaminophen as needed
|\ |\ |\ |\ |\ |\
d. Avoiding antipyretics if possible, to attain better immunity
|\ |\ |\ |\ |\ |\ |\ |\
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?
|\ |\ |\ |\ |\
a. Administer varicella immune globulin (VariZIG).
|\ |\ |\ |\ |\
b. Hospitalize the child for intravenous acyclovir,
|\ |\ |\ |\ |\ |\
c. Order intravenous immunoglobulin as an outpatient.
|\ |\ |\ |\ |\ |\
d. Prescribe oral acyelovir for the duration of the illness.
|\ |\ |\ |\ |\ |\ |\ |\ |\
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?
|\ |\ |\ |\
a. Bands |\
b. Neutrophils
|\
c. Lymphocytes
|\
d. Leukocytes
|\
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.
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. Administer a prophylactic single dose of doxycycline.
|\ |\ |\ |\ |\ |\ |\
c. Prescribe amoxicillin three times daily for 14 to 21 days.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. Perform serologic testing for (gG or igM antibodies.
|\ |\ |\ |\ |\ |\ |\ |\
a. Teach the parents which signs and symptoms to report.
|\ |\ |\ |\ |\ |\ |\ |\ |\
A two month old infant has a stacatto cough and fever. which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspect of the history is most important in determining the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosis?
A. Day care attendance
|\ |\ |\
B. Immunization history
|\ |\
