MN 580 PEDIATRICS EXAM TEST BANK NEWEST
ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES||VERIFIED EXAM!! (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
EXAM!!!!
A 3 year old whose immunizations are up to date has been
exposed to measles because of a localized outbreak
among unvaccinated children. The parent reports that the
contact with infected children occurred within the last 2
days at a birthday party. What is the best course of action?
A. Administer the MMR vaccine to help prevent disease
B. Give antiviral medications at the first sign of symptoms
C. Give the child a dose of immune globulin to mitigate the
response
D. Reassure the parent that most exposed children will not
get measles. - ANSWER-A. Administer the MMR vaccine
to help prevent disease
A preschool age child is brought to the clinic for evaluation
of a rash. The primary care pediatric NP notes an intense
,2|Page
red eruption on the child's cheeks and circumoral pallor.
What will the NP tell the parents about this rash?
A. This rash may be a prodromal sign of rubella or roseola
B. The child will need immunization boosters to prevent
serious disease
C. This a benign rash with no known serious complications
D. Expect a lacy, maculopapular rash to develop on the
trunk and extremities - ANSWER-D. Expect a lacy,
maculopapular rash to develop on the trunk and
extremities
An unimmunized school age child whose mother is in her
first trimester of pregnancy is diagnosed with rubella after
a local outbreak. What will the primary care pediatric NP
recommend?
A. Assessment of maternal rubella titers
B. Intravenous immunoglobulin for the child
C. MMR vaccine for the mother and child.
D. Possible termination of the pregnancy - ANSWER-A.
Assessment of maternal rubella titers
,3|Page
A child is brought to the clinic with a fever, headache,
malaise, and a red, annular macule surrounded by an area
of clearing and a larger, erythematous annular ring. The
child complains of itching at the site. What will the primary
care pediatric nurse practitioner do to determine the
diagnosis?
a. Ask about recent tick bites
b. Obtain a skin culture
c. Order blood cultures
d. Perform serologic testing - ANSWER-a. Ask about
recent tick bites
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 notable to or the
length of time the ticks were attached. The child is
asymptomatic. What is the action?
a. Administer a prophylactic single dose of doxycycline.
b. Perform serologic testing for IgG or IgM antibodies.
c. Prescribe amoxicillin three times daily for 14 to 21 days.
, 4|Page
d. Teach the parents which signs and symptoms to report.
- ANSWER-d. Teach the parents which signs and
symptoms to report.
A 10 month old infant has and erythematous, fluctuant,
nondraining absess on the right buttock after 10 days of
treatment with amoxicillin for impetigo. What is the next
step in managing this infant's care?
A. Consultation with pediatric infectious disease
speacialist
B. Culture of any superficial open surface wounds
C. Empiric treatment with clindamycin
D. Incision and drainage of the abscess with drainage -
ANSWER-D. Incision and drainage of the abscess with
drainage
A child with a history of a pustular rash at the site of a cat
scratch on one arm now has warm, tender, swollen axillary
lymph nodes on the affected side. The primary care
pediatric NP notes induration and erythema of these
nodes. What will the NP do?
A. Obtain a CBC and C reactive protein