Grade A+ Burn’s pediatric primary Care 7th Edition chapter 36 exam 2025
1. 1. The parent of a 4monthold infant is concerned that c. Auditory brainstem re-
the infant cannot hear. Which test will the primary care sponse (ABR)
pediatric nurse practitioner order to evaluate potential
hearing loss in this infant?
a. Acoustic reflectometry
b. Audiometry
c. Auditory brainstem response (ABR)
d. Evoked otooacoustic emission (EOAE) testing
2. 2. The primary care pediatric nurse practitioner ob- c. Negative ear pressure
tains 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
3. 3. An 18monthold child with no previous history of b. An analgesic medication
otitis media awoke during the night with right ear pain. and watchful waiting
The primary care pediatric nurse practitioner notes an
axillary temperature of 100.5°F and an erythematous,
bulging tympanic membrane. A tympanogram reveals
of peak of +150 mm H2O. What is the recommended
treatment for this child?
a. Amoxicillin 80 to 90 mg/kg/day in two divided doses
b. An analgesic medication and watchful waiting
c. Ceftriaxone 50 to 75 mg/kg/dose IM given once
d. Ototopical antibiotic drops twice daily for 5 days
4. 4. A 7monthold infant has had two prior acute ear d. Refer the child to an oto-
infections and is currently on the 10th day of thera- laryngologis
py with amoxicillinclavulanate after a failed course of
1/5
, Grade A+ Burn’s pediatric primary Care 7th Edition chapter 36 exam 2025
amoxicillin. The primary care pediatric nurse practi-
tioner notes marked middle ear effusion and erythe-
ma of the TM. The child is irritable and has a temper-
ature of 99.8°F. What is the next step in management
of this child's ear infection?
a. Order a second course of amoxicillinclavulanate.
b. Perform tympanocentesis for culture.
c. Prescribe clindamycin twice daily.
d. Refer the child to an otolaryngologis
5. 5. A 3yearold child with pressureequalizing tubes (PET) a. Order ototopical antibi-
in both ears has otalgia in one ear. The primary care otic/corticosteroid drops.
pediatric nurse practitioner is able to visualize the tube
and does not see exudate in the ear canal and obtains
a type A tympanogram. What will the nurse practition-
er do?
a. Order ototopical antibiotic/corticosteroid drops.
b. Prescribe a prophylactic antibiotic medication.
c. Reassure the parent that this is a normal exam.
d. Refer the child to an otolaryngologist for followup
6. 6. What will the primary care pediatric nurse practition- a. Parents should notice
er teach the parents of a child who has new pressuree- improved hearing in their
qualizing tubes (PET) in both ears? child.
a. Parents should notice improved hearing in their
child.
b. PET will help by reducing the number of ear infec-
tions the child has.
c. The child should use earplugs when showering or
bathing.
d. The tubes will most likely remain in place for 3 to 4
years.
2/5
1. 1. The parent of a 4monthold infant is concerned that c. Auditory brainstem re-
the infant cannot hear. Which test will the primary care sponse (ABR)
pediatric nurse practitioner order to evaluate potential
hearing loss in this infant?
a. Acoustic reflectometry
b. Audiometry
c. Auditory brainstem response (ABR)
d. Evoked otooacoustic emission (EOAE) testing
2. 2. The primary care pediatric nurse practitioner ob- c. Negative ear pressure
tains 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
3. 3. An 18monthold child with no previous history of b. An analgesic medication
otitis media awoke during the night with right ear pain. and watchful waiting
The primary care pediatric nurse practitioner notes an
axillary temperature of 100.5°F and an erythematous,
bulging tympanic membrane. A tympanogram reveals
of peak of +150 mm H2O. What is the recommended
treatment for this child?
a. Amoxicillin 80 to 90 mg/kg/day in two divided doses
b. An analgesic medication and watchful waiting
c. Ceftriaxone 50 to 75 mg/kg/dose IM given once
d. Ototopical antibiotic drops twice daily for 5 days
4. 4. A 7monthold infant has had two prior acute ear d. Refer the child to an oto-
infections and is currently on the 10th day of thera- laryngologis
py with amoxicillinclavulanate after a failed course of
1/5
, Grade A+ Burn’s pediatric primary Care 7th Edition chapter 36 exam 2025
amoxicillin. The primary care pediatric nurse practi-
tioner notes marked middle ear effusion and erythe-
ma of the TM. The child is irritable and has a temper-
ature of 99.8°F. What is the next step in management
of this child's ear infection?
a. Order a second course of amoxicillinclavulanate.
b. Perform tympanocentesis for culture.
c. Prescribe clindamycin twice daily.
d. Refer the child to an otolaryngologis
5. 5. A 3yearold child with pressureequalizing tubes (PET) a. Order ototopical antibi-
in both ears has otalgia in one ear. The primary care otic/corticosteroid drops.
pediatric nurse practitioner is able to visualize the tube
and does not see exudate in the ear canal and obtains
a type A tympanogram. What will the nurse practition-
er do?
a. Order ototopical antibiotic/corticosteroid drops.
b. Prescribe a prophylactic antibiotic medication.
c. Reassure the parent that this is a normal exam.
d. Refer the child to an otolaryngologist for followup
6. 6. What will the primary care pediatric nurse practition- a. Parents should notice
er teach the parents of a child who has new pressuree- improved hearing in their
qualizing tubes (PET) in both ears? child.
a. Parents should notice improved hearing in their
child.
b. PET will help by reducing the number of ear infec-
tions the child has.
c. The child should use earplugs when showering or
bathing.
d. The tubes will most likely remain in place for 3 to 4
years.
2/5
