Nurs 629 peds q a for all

NURS 629 Peds Q&A for all 4 test combined Maryville University 2022/23
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1. 14. A schoolage child has a history of chronic otitis media and is seen inth
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e clinicmwith vertigo. The primary care pediatric nurse practitioner notespro
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fuse purulent otorrhea from both pressureequalizing tubes and a pearlywhit
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e lesion on one tympanic
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membrane. Which condition is most likely?: Ans- Cholesteatoma g g g g g g g



2. 3. A dipstick urinalysis is positive for leukocyte esterase and nitrites in asc
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hoolage
child with dysuria and foulsmelling urine but no fever who has not hadpr
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evious urinary tract g g


infections. A culture is pending. What will the pediatric nurse practitioner doto
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gtreat this child?: Ans- g g g


gPrescribe trimethoprimsulfamethoxazole (TMP) twice daily for 3 to 5 days
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3. the parent of a 4monthold infant is concerned that the infant cannot hear.W
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hich test will the primary care pediatric nurse practitioner order to evaluatepot
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ential hearing loss in this infant?: Ans- Auditory brainstem response (ABR)
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4. 4. The primary care pediatric nurse practitioner attempts to learn morea
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bout the ID: Ans- 13348419842
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emotional health of an 18monthold child through which assessment strate-
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gy?: Ans-
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gObservation of the child with caretakers in structured and unstructured situations
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5. 6. What will the primary care pediatric nurse practitioner teach the parentsof
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ga childg


who has new pressureequalizing tubes (PET) in both ears?: Ans-
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gParentsshould notice improved hearing in their child.
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6. 4. A preschoolage child with no previous history has mild flank pain and fe
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ver but no abdominal pain or vomiting. A urinalysis is positive for leukocyteeste
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rase and nitrites. A culture is pending. Which is the correct course of treatment f
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or this child?: Ans- Order amoxicillin clavulanate
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7. 7. A child with a history of otitis externa asks about ways to prevent thisco
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ndition.
What will the primary care pediatric nurse practitioner recommend?: Ans-
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Drying the ear canal with a hair dryer
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8. 12. The primary care pediatric nurse practitioner is evaluating recurrents
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tomach pain in g g


a schoolage child. The child's exam is normal. The nurse practitioner learnstha
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the child reports
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1g/g57

,NURS 629 Peds Q&A for all 4 test combined Maryville University 2022/23
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pain most evenings after school and refuses to participate in sports but doesnot
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have nausea or g g


vomiting. The child's grandmother recently had gallbladder surgery. Whichac
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tion is correct?: Ans-
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gEncourage the child to keep a log of pain, stool patterns, and dietary intake
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9. 9. A child who has otitis externa has severe swelling of the external audi-
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tory canal that persists after 2 days of therapy with ototopical antibiotic/cor-
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ticosteroid drops. What is the next step in treatment for this child?: Ans-
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Insert a wick into the external auditory canal.
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10. 5. A 3yearold child has just completed a 7day course of amoxicillin for ase
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condfebrile urinary tract infection and currently has a negative urine cul-
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gture. What is the next course of action?: Ans-
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gObtain a renal and bladder ultrasound.
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11. 8. A child complains of itching in both ears and is having trouble hearing.
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The
primary care pediatric nurse practitioner notes periauricular edema and
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marked swelling g


of the external auditory canal and elicits severe pain when manipulating thee
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xternal ear g


structures. Which is an appropriate intervention?: Ans- g g g g g g


gOrder ototopicalantibiot- ic/corticosteroid drops.
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12. 5. A middleschoolage child is skipping school frequently and getting poorg
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rades
since the child's father was killed while deployed in the military. How will theprim
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ary care pediatric
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nurse practitioner manage this situation?: Ans-
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gRefer the child to a mentalhealth specialist for evaluation and treatment.
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13. The primary care pediatric nurse practitioner is examining a 2weekoldi
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nfant and g


auscultates a wide splitting of S 2 during expiration. What condition may thisfind
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ng represent?: Ans- Atrial septal defect
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14. A 9monthold infant with a history of three urinary tract infections is diagn
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osed with grade II vesicoureteral reflux. Which medication will be pre-
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scribed?: Ans- TMPSMX~ TMP 2 mg/kg as a single daily dose
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15. 2. The primary care pediatric nurse practitioner auscultates a new gradeII
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vibratory,
midsystolic murmur at the mid sternal border in a 4yearold child that is g g g g g g g g g g g g


2g/g57

,NURS 629 Peds Q&A for all 4 test combined Maryville University 2022/23
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louder when the child isg g g g


supine. What type of murmur is most likely?: Ans- Still's murmur
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16. 4. The primary care pediatric nurse practitioner is performing a well babye
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xamination on a 2monthold infant who has gained 25 grams per day in thelast
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ginterval. The g


mother is nursing and tells the nurse practitioner that her infant seems fussy and
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gwants to nurse g g


more often. What will the nurse practitioner tell her?: Ans-
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gThe infant may be going through an expected growth spurt.
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17. 3. During a well child assessment, the primary care pediatric nurse prac-
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titioner
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auscultates a harsh, blowing grade IV/VI murmur in a 6monthold infant. What will
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the nurse
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practitioner do next?: Ans- Refer to a pediatric cardiologist for further evaluation
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18. 12. A child who has nephrotic syndrome is on a steroids and a saltrestrict-
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ed diet for a relapse of symptoms. A dipstick urinalysis shows 1+ protein, do
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wn from 3+ at the beginning of the episode. In consultation with the child's ne
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phrologist, what is the correct course of treatment considering thisfinding?: A
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ns- Continue with steroids and salt restrictions until the urine is negative for protein
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19. 4. The primary care pediatric nurse practitioner provides primary care fora
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4month
old infant who has a ventricular septal defect. The infant has been breast-
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feeding well but in the
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past month has dropped from the 20th percentile to the 5th for weight. Whatwil
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he
nurse practitioner recommend?: Ans-
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gFortifying breast milk to increase thenumber of calories per ounce
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20. 6. The parent of a 4yearold child reports that the child seems to be havingtr
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ouble
adjusting to a new day care and reportedly is always engaging in solitaryplay
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when the g


parent arrives to pick up the child. What will the primary care pediatric nursepr
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actitioner do?: Ans- g g


gAsk the parent if the child is slow to warm up to other new situations
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21. 5. A 12monthold infant who had cardiopulmonary bypass with RBC andpl
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asma

3g/g57

, NURS 629 Peds Q&A for all 4 test combined Maryville University 2022/23
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infusions during surgery at 8 months is seen for a well child examination.
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Which vaccine may be g g g


administered at this visit?\: Ans- PCV13 g g g g g



22. 13. A child who had GABHS 2 weeks prior is in the clinic with periorbitaled
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ema,
dyspnea, and elevated blood pressure. A urinalysis reveals teacolored urinew
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ith hematuria and
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mild proteinuria. What will the primary care pediatric nurse practitioner do tom
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anage this condition?: Ans- g g g


gRefer the child to a pediatric nephrologist for hospital- ization.
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23. The primary care pediatric nurse practitioner performs a well child exam-
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ination on
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a 12monthold child who had repair of a congenital heart defect at 8 monthsof
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age. The child has ag g g g


normal exam. The parent reports that the child is not taking any medications.
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The nurse practitioner
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will contact the child's cardiologist to discuss whether the child needs whichme
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ication?: Ans- Amoxicillin g g



24. 7. The primary care pediatric nurse practitioner sees a developmentallyd
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elayed
toddler for an initial visit. The family has just moved to the area and asks thenur
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e practitioner
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about community services and resources for their child. What should thenurse
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practitioner do g


initially?: Ans- Ask the parents if they have an individualized family service plan(IFSP
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25. 20. A 7yearold child who has a history of a repaired congenital heartd
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efect has g


many dental caries along with gingival erythema and irritation and a temper-
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ature of
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102.5°F. What will the primary care pediatric nurse practitioner do next?: A
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ns- Ad- mit to the hospital with a pediatric cardiology consult.
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26. 16. A 6monthold infant has a retractile testis that was noted at the 2monthw
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ell
baby exam. What will the primary care pediatric nurse practitioner do tomana
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ge this condition?: Ans-
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gRefer the infant to a pediatric urologist or surgeon for possible orchiopexy
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4g/g57