FINAL EXAM QUESTIONS - SUMMER SEMESTER QUESTIONS AND CORRECT ANSWERS

FINAL EXAM QUESTIONS - SUMMER
SEMESTER QUESTIONS AND
CORRECT ANSWERS
TheA2PNPA2isA2examiningA2anA2infantA2inA2theA2newbornA2nurseryA2whoseA2motherA2hadA2
noA2prenatalA2care.A2WhatA2modeA2ofA2diseaseA2transmissionA2mustA2theA2PNPA2consider
A2inA2thisA2scenario?
a.A2Passive
b.A2Airborne
c.A2Vertical
d.A2VectorA2-A2Ans--C.A2Vertical

WhichA2ofA2theA2followingA2pathogensA2areA2concerningA2forA2verticalA2transmission?
A2SelectA2allA2thatA2apply.
a.A2Rubella
b.A2ChickenA2pox
c.A2Chlamydia
d.A2Cytomegalovirus
e.A2HerpesA2virusA2-A2Ans--AllA2ofA2them

1.A2AA23-year-
oldA2childA2whoA2attendsA2daycareA2hasA2hadA2aA2fever,A2nausea,A2andA2vomitingA2severa
lA2weeksA2priorA2andA2nowA2hasA2darkenedA2urineA2andA2rightA2upperA2quadrantA2tendern
ess.A2WhatA2treatmentA2isA2warrantedA2forA2thisA2child?
a.A2ImmunoglobulinA2G
b.A2SupportiveA2care
c.A2HAVA2Vaccine
d.A2Interferon-alfaA2-A2Ans--B.A2SupportiveA2Care

TheA2PNPA2isA2examiningA2aA22-day-
oldA2infant.A2TheA2motherA2statesA2sheA2refusedA2theA2HepatitisA2BA2vaccineA2inA2theA2ne
wbornA2nurseryA2becauseA2sheA2isA2breastfeedingA2andA2"thisA2providesA2immunity".A2Th
eA2PNPA2explainsA2immunityA2toA2HepatitisA2BA2canA2onlyA2occurA2through:
a.A2NaturallyA2acquiredA2passiveA2immunity
b.A2ArtificiallyA2acquiredA2passiveA2immunityA2viaA2IVIG
c.A2AcquiredA2immunity
d.A2ArtificiallyA2acquiredA2activeA2immunityA2-A2Ans--
d.A2ArtificiallyA2acquiredA2activeA2immunity

WhichA2ofA2theA2followingA2shouldA2theA2PNPA2elicitA2whenA2obtainingA2aA2historyA2fromA2
aA2patientA2suggestiveA2ofA2anA2infectiousA2disease?A2SelectA2allA2thatA2apply.A2(1.67/5)
a.A2LocalA2outbreaks

,b.A2TravelA2history
c.A2ImmunizationsA2status
d.A2DietA2historyA2-A2Ans--b.A2TravelA2history
c.A2ImmunizationsA2status
d.A2DietA2history

AA29A2month-
oldA2infantA2hasA2hadA2aA2feverA2ofA2103°FA2forA22A2days.A2OnA2exam,A2theA2infantA2isA2afe
brileA2nonA2toxicA2appearingA2andA2nowA2hasA2aA2diffuse,A2maculopapularA2rashA2thatA2bl
anchesA2onA2pressure.A2TheA2infantsA2immunizationsA2areA2upA2toA2dateA2WhatA2willA2theA
2PNPA2do?
a.A2ReassureA2theA2parentA2thatA2thisA2isA2aA2mild,A2self-limitingA2disease
b.A2RecommendA2avoidingA2contactA2withA2pregnantA2women
c.A2PrescribeA2aA210-dayA2courseA2ofA2amoxicillin
d.A2PerformA2serologicA2testingA2forA2humanA2herpesA2virus-
6A2andA2humanA2herpesA2virusA2-7A2-A2Ans--
a.A2ReassureA2theA2parentA2thatA2thisA2isA2aA2mild,A2self-limitingA2disease

AA2childA2whoA2isA2immunocompromisedA2hasA2aA2feverA2andA2aA2rashA2consistingA2ofA2m
acules,A2papules,A2andA2pustules.A2WhatA2willA2theA2PNPA2do?
a.A2RecommendA2symptomaticA2care
b.A2PrescribeA2oralA2acyclovirA2forA2theA2durationA2ofA2theA2illness
c.A2AdministerA2varicellaA2immuneA2globulinA2(VarIZIG)
d.A2HospitalizeA2theA2childA2forA2intravenousA2acyclovirA2-A2Ans--
d.A2HospitalizeA2theA2childA2forA2intravenousA2acyclovir

AA2preschool-
ageA2childA2isA2broughtA2toA2clinicA2forA2evaluationA2ofA2aA2rash.A2TheA2primaryA2careA2ped
iatricA2nurseA2practitionerA2notesA2anA2intenseA2redA2eruptionA2onA2theA2child'sA2cheeksA2a
ndA2circumoralA2pallor.A2WhatA2willA2theA2nurseA2practitionerA2tellA2theA2parentsA2aboutA2th
isA2rash?
a.A2ThisA2rashA2mayA2beA2aA2prodromalA2signA2ofA2rubellaA2orA2roseola.
b.A2TheA2childA2willA2needA2immunizationA2boostersA2toA2preventA2seriousA2disease
c.A2ThisA2isA2aA2benignA2rashA2withA2noA2knownA2seriousA2complications
d.A2ExpectA2aA2lacy,A2maculopapularA2rashA2toA2developA2onA2theA2trunkA2andA2extremitie
s.A2-A2Ans--
d.A2ExpectA2aA2lacy,A2maculopapularA2rashA2toA2developA2onA2theA2trunkA2andA2extremitie
s.

AA2childA2isA2broughtA2toA2theA2clinicA2withA2aA2fever,A2headache,A2malaise,A2andA2aA2red,A
2annularA2maculeA2surroundedA2byA2anA2areaA2ofA2clearingA2andA2aA2larger,A2erythematou
sA2annularA2ring.A2TheA2childA2complainsA2ofA2itchingA2atA2theA2site.A2WhatA2willA2theA2PNP
A2doA2toA2determineA2theA2diagnosis?
a.A2PerformA2serologicA2testing
b.A2AskA2aboutA2recentA2tickA2bites
c.A2ObtainA2aA2skinA2culture

,d.A2ObtainA2aA2CRPA2-A2Ans--b.A2AskA2aboutA2recentA2tickA2bites

AA2childA2withA2aA2historyA2ofA2aA2pustularA2rashA2atA2theA2siteA2ofA2aA2catA2scratchA2onA2on
eA2armA2nowA2hasA2warm.A2tender,A2swollenA2axillaryA2lymphA2nodesA2onA2theA2affectedA2
side.A2TheA2primaryA2careA2pediatricA2nurseA2practitionerA2notesA2indurationA2andA2erythe
maA2ofA2theseA2nodes.A2WhatA2willA2theA2PNPA2do?
a.A2PerformA2aA2needleA2aspirationA2ofA2theA2affectedA2lymphA2nodes.
b.A2OrderA2anA2immunofluorescentA2assayA2(IFA)A2forA2serumA2antibodies
c.A2ObtainA2aA2completeA2bloodA2countA2andA2C-reactiveA2protein
d.A2PrescribeA2aA27-davA2courseA2ofA2azithromycinA2-A2Ans--
b.A2OrderA2anA2immunofluorescentA2assayA2(IFA)A2forA2serumA2antibodies

AA210-year-
oldA2presentsA2toA2theA2clinicA2withA2aA2MantouxA2skinA2testA2showingA220A2mmA2ofA2indur
ationA2afterA248A2hours.A2TheA2PNPA2reviewsA2theA2child'sA2immunizationA2recordA2andA2fi
ndsA2theA2childA2receivedA2theA2BCGA2vaccineA2whileA2livingA2inA2MexicoA2WhatA2willA2the
A2primaryA2careA2pediatricA2nurseA2practitionerA2do?
a.A2ObtainA2anA2IGRAA2assay
b.A2TreatA2theA2childA2withA2INH
c.A2OrderA2aA2chestA2radiographA2toA2ruleA2outA2activeA2TB
d.A2ReferA2theA2childA2toA2anA2infectiousA2diseaseA2specialistA2-A2Ans--
a.A2ObtainA2anA2IGRAA2assay

AA25-year-oldA2femaleA2presentsA2withA2aA2low-
gradeA2fever,A2soreA2throat,A2rhinorhea,A2andA2aA2grayish-
whiteA2pseudomembraneA2onA2herA2throat.A2WhatA2isA2theA2mostA2likelyA2diagnosis?
a.A2Adenovirus
b.A2Diphtheria
c.A2Mononucleosis
d.A2StreptococcalA2PharyngitisA2-A2Ans--b.A2Diphtheria

AA29-year-
oldA2maleA2presentsA2withA2aA2feverA2ofA2103,A2cough,A2congestion,A2chills,A2andA2bodyA2a
ches.A2WhichA2ofA2theA2followingA2shouldA2theA2PNPA2includeA2inA2theA2differentialA2diagn
osis?A2SelectA2allA2thatA2apply.
a.A2InfluenzaA2B
b.A2COVID-19
c.A2InfluenzaA2A
d.A2TuberculosisA2-A2Ans--a.A2InfluenzaA2B
b.A2COVID-19
c.A2InfluenzaA2A

WhatA2recommendationA2willA2theA2PNA2makeA2toA2aA2parentA2whoseA2sonA2hasA2beenA2d
iagnosedA2withA2mumpsA2andA2whoA2wantsA2toA2knowA2whenA2theA2childA2canA2returnA2toA
2school?
a.A2HeA2canA2returnA2afterA272A2hoursA2ofA2antibioticA2therapy

, b.A2HeA2canA2returnA2whenA2theA2swellingA2hasA2resolved
c.A2HeA2canA2returnA29A2daysA2afterA2onsetA2ofA2symptoms
d.A2HeA2canA2returnA2onceA2heA2isA2febrileA2andA2eatingA2wellA2-A2Ans--
c.A2HeA2canA2returnA29A2daysA2afterA2onsetA2ofA2symptoms

AA211-year-
oldA2maleA2presentsA2withA2aA2feverA2andA2rash.A2TheA2rashA2wasA2initiallyA2erythematous
A2andA2macularA2thenA2becameA2maculopapularA2andA2petechial.A2TheA2rashA2beganA2on
A2theA2wristsA2andA2anklesA2andA2spreadA2toA2theA2palms,A2soles,A2andA2trunk.A2WhatA2isA2
theA2mostA2likelyA2diagnosis?
a.A2LymeA2disease
b.A2Measles
c.A2Roseola
d.A2RockyA2mountainA2spottedA2feverA2-A2Ans--d.A2RockyA2mountainA2spottedA2fever

WhichA2ofA2theA2followingA2factorsA2isA2notA2associatedA2withA2increasedA2riskA2forA2infanti
leA2botulism?
a.A2HoneyA2ingestion
b.A2LivingA2onA2aA2farm
c.A2RuralA2Environment
d.A2CornA2syrupA2ingestionA2-A2Ans--CornA2syrupA2ingestion

Patrick,A2aA219-year-
oldA2collegeA2student,A2isA2planningA2aA2collegeA2courseA2tripA2toA2Nigeria.A2WhichA2ofA2th
eA2followingA2willA2theA2PNPA2recommend?A2SelectA2allA2thatA2apply.
Note:A2https://wwwnc.cdc.gov/travel/destinations/listA2BA2mayA2beA2helpful
a.A2AmoxicillinA2forA2travelers'A2diarrhea
b.A2HepatitisA2AA2vaccine
c.A2YellowA2feverA2vaccine
d.A2AntimalarialA2medicationA2-A2Ans--b.A2HepatitisA2AA2vaccine
c.A2YellowA2feverA2vaccine
d.A2AntimalarialA2medication

WhatA2willA2theA2PNPA2includeA2asA2partA2ofA2Alex'sA2care?A2SelectA2allA2thatA2apply
a.A2BedA2rest,A2hydration,A2antipyretics
b.A2ReportA2theA2findingsA2toA2theA2stateA2healthA2department
c.A2RecommendA2isolation
a.A2ObtainA2CBCA2andA2CRPA2-A2Ans--a.A2BedA2rest,A2hydration,A2antipyretics
b.A2ReportA2theA2findingsA2toA2theA2stateA2healthA2department
c.A2RecommendA2isolation

1.A2TheA2majorA2differenceA2betweenA2erythemaA2multiformeA2(EM)A2andA2StevensA2John
sonA2SyndromeA2(SJS)A2is
a.A2fixedA2non-blanchingA2lesions
b.A2noA2prodrome
c.A2itchyA2rash