Science Medicine Pediatrics
Nur 507 Exam 6
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301 Exam 2 Review OB/PEDs 351 Exam 4 Study peds
341 terms 180 terms 46 terms
its_ale87 Preview Carlyn_Dawkins4 Preview SMariahh94
The primary care pediatric nurse a. Atrial septal defect
practitioner is examining a 2
week old infant and auscultates
a wide splitting of S2 during
expiration. What condition may
this finding represent?
a. Atrial septal defect
b. Coarctation of the aorta
c. Patent ductus arteriosis
d. Ventricular septal defect
2. The primary care pediatric c. Still's murmur
nurse practitioner auscultates a
new grade II vibratory, mid
systolic murmur at the mid
sternal border in a 4yearold
child that is louder when the
child is supine. What type of
murmur is most likely?
a. Pathologic murmur
b. Pulmonary flow murmur
c. Still's murmur
d. Venous hum
See an expert-written answer!
,During a well child assessment, d. Refer to a pediatric cardiologist for further evaluation.
the primary care pediatric nurse
practitioner auscultates a harsh,
blowing grade IV/VI murmur in a
6 month old infant. What will the
nurse practitioner do next?
a. Get a complete blood count
to rule out severe anemia
.b. Obtain an electrocardiogram
to assess for arrhythmia
.c. Order a chest radiograph to
evaluate for cardiomegaly.
d. Refer to a pediatric
cardiologist for further
evaluation.
The primary care pediatric nurse b. Fortifying breast milk to increase the number of calories per
practitioner provides primary ounce
care for a 4monthold infant who
has a ventricular septal defect.
The infant has been
breastfeeding well but in the
past month has dropped from
the 20th percentile to the 5th for
weight. What will the nurse
practitioner recommend?a.
Adding solid foods to the
infant's diet to increase caloric
intake
b. Fortifying breast milk to
increase the number of calories
per ounce
c. Stopping breastfeeding and
giving 30 kcal/ounce formula
d. Supplementing breastfeeding
with 24 kcal/ounce formula
A 12-month-old infant who had c. PCV13
cardiopulmonary bypass with
RBC and plasma infusions
during surgery at 8 months is
seen for a well child
examination. Which vaccine may
be administered at this visit?
a. MMR
b. OPV
c. PCV13
d. Varivax
See an expert-written answer!
,The primary care pediatric nurse a. Amoxicillin
practitioner performs a well
child examination on a
12monthold child who had repair
of a congenital heart defect at 8
months of age. The child has a
normal exam. The parent reports
that the child is not taking any
medications. The nurse
practitioner will contact the
child's cardiologist to discuss
whether the child needs which
medication?a. Amoxicillin
b. Capoten
c. Digoxin
d. Furosemide
During a well baby examination a. Follow up in 1 week to assess the infant's weight.
of a 6weekold infant, the
primary care pediatric nurse
practitioner notes poor weight
gain, acrocyanosis of the hands
and feet, and a respiratory rate
of 60 breaths per minute.
Oxygen saturation on room air is
93%. The remainder of the exam
is unremarkable. Which action is
correct?
a. Follow up in 1 week to assess
the infant's weight.
b. Order a chest radiograph and
an electrocardiogram.
c. Reassure the parents that the
exam is within normal limits.
d. Refer the infant to a pediatric
cardiologist.
See an expert-written answer!
3monthold infant who was d. Ventricular septal defect
previously healthy now has a
persistent cough, bilateral lung
crackles, and poor appetite. The
primary care pediatric nurse
practitioner auscultates a grade
III/VI, low pitched, holosystolic
murmur over the left lower
sternal border and palpates the
liver at one centimeter below
the ribs. What diagnosis is likely?
a. Atrial septal defect
b. Coarctation of the aorta
c. Patent ductus arteriosis
d. Ventricular septal defect
, An 8yearold child is diagnosed B. Periods of remission may occur but there is no permanent
with systemic lupus cure.
erythematosus (SLE), and the
child's parent asks if there is a
cure. What will the primary care
pediatric nurse practitioner tell
the parent?
A. Complete remission occurs in
some children at the age of
puberty.
B. Periods of remission may
occur but there is no permanent
cure.
C. SLE can be cured with
effective medication and
treatment.
D. The disease is always
progressive with no cure and no
remissions.
The primary care pediatric nurse B. oligoarticular JIA.
practitioner examines a child
who has had stiffness and
warmth in the right knee and left
ankle for 7 or 8 months but no
back pain. The nurse practitioner
will refer the child to a
rheumatology specialist to
evaluate for
A. enthesitisrelated JIA.
B. oligoarticular JIA.
C. polyarticular JIA.
D. systemic JIA.
The primary care pediatric nurse B. Ophthalmology
practitioner is managing care for
a child who has JIA who has a
positive ANA. Which specialty
referral is critical for this child?
A. Cardiology
B. Ophthalmology
C. Orthopedics
D. Pain management
The primary care pediatric nurse B. 250 mg
practitioner is prescribing
ibuprofen for a 25 kg child with
JIA who has oligoarthitis. If the
child will take 4 doses per day,
what is the maximum amount the
child will receive per dose?
A. 200 mg
B. 250 mg
C. 400 mg
D. 450 mg
Nur 507 Exam 6
Save
Students also studied
Flashcard sets Study guides
301 Exam 2 Review OB/PEDs 351 Exam 4 Study peds
341 terms 180 terms 46 terms
its_ale87 Preview Carlyn_Dawkins4 Preview SMariahh94
The primary care pediatric nurse a. Atrial septal defect
practitioner is examining a 2
week old infant and auscultates
a wide splitting of S2 during
expiration. What condition may
this finding represent?
a. Atrial septal defect
b. Coarctation of the aorta
c. Patent ductus arteriosis
d. Ventricular septal defect
2. The primary care pediatric c. Still's murmur
nurse practitioner auscultates a
new grade II vibratory, mid
systolic murmur at the mid
sternal border in a 4yearold
child that is louder when the
child is supine. What type of
murmur is most likely?
a. Pathologic murmur
b. Pulmonary flow murmur
c. Still's murmur
d. Venous hum
See an expert-written answer!
,During a well child assessment, d. Refer to a pediatric cardiologist for further evaluation.
the primary care pediatric nurse
practitioner auscultates a harsh,
blowing grade IV/VI murmur in a
6 month old infant. What will the
nurse practitioner do next?
a. Get a complete blood count
to rule out severe anemia
.b. Obtain an electrocardiogram
to assess for arrhythmia
.c. Order a chest radiograph to
evaluate for cardiomegaly.
d. Refer to a pediatric
cardiologist for further
evaluation.
The primary care pediatric nurse b. Fortifying breast milk to increase the number of calories per
practitioner provides primary ounce
care for a 4monthold infant who
has a ventricular septal defect.
The infant has been
breastfeeding well but in the
past month has dropped from
the 20th percentile to the 5th for
weight. What will the nurse
practitioner recommend?a.
Adding solid foods to the
infant's diet to increase caloric
intake
b. Fortifying breast milk to
increase the number of calories
per ounce
c. Stopping breastfeeding and
giving 30 kcal/ounce formula
d. Supplementing breastfeeding
with 24 kcal/ounce formula
A 12-month-old infant who had c. PCV13
cardiopulmonary bypass with
RBC and plasma infusions
during surgery at 8 months is
seen for a well child
examination. Which vaccine may
be administered at this visit?
a. MMR
b. OPV
c. PCV13
d. Varivax
See an expert-written answer!
,The primary care pediatric nurse a. Amoxicillin
practitioner performs a well
child examination on a
12monthold child who had repair
of a congenital heart defect at 8
months of age. The child has a
normal exam. The parent reports
that the child is not taking any
medications. The nurse
practitioner will contact the
child's cardiologist to discuss
whether the child needs which
medication?a. Amoxicillin
b. Capoten
c. Digoxin
d. Furosemide
During a well baby examination a. Follow up in 1 week to assess the infant's weight.
of a 6weekold infant, the
primary care pediatric nurse
practitioner notes poor weight
gain, acrocyanosis of the hands
and feet, and a respiratory rate
of 60 breaths per minute.
Oxygen saturation on room air is
93%. The remainder of the exam
is unremarkable. Which action is
correct?
a. Follow up in 1 week to assess
the infant's weight.
b. Order a chest radiograph and
an electrocardiogram.
c. Reassure the parents that the
exam is within normal limits.
d. Refer the infant to a pediatric
cardiologist.
See an expert-written answer!
3monthold infant who was d. Ventricular septal defect
previously healthy now has a
persistent cough, bilateral lung
crackles, and poor appetite. The
primary care pediatric nurse
practitioner auscultates a grade
III/VI, low pitched, holosystolic
murmur over the left lower
sternal border and palpates the
liver at one centimeter below
the ribs. What diagnosis is likely?
a. Atrial septal defect
b. Coarctation of the aorta
c. Patent ductus arteriosis
d. Ventricular septal defect
, An 8yearold child is diagnosed B. Periods of remission may occur but there is no permanent
with systemic lupus cure.
erythematosus (SLE), and the
child's parent asks if there is a
cure. What will the primary care
pediatric nurse practitioner tell
the parent?
A. Complete remission occurs in
some children at the age of
puberty.
B. Periods of remission may
occur but there is no permanent
cure.
C. SLE can be cured with
effective medication and
treatment.
D. The disease is always
progressive with no cure and no
remissions.
The primary care pediatric nurse B. oligoarticular JIA.
practitioner examines a child
who has had stiffness and
warmth in the right knee and left
ankle for 7 or 8 months but no
back pain. The nurse practitioner
will refer the child to a
rheumatology specialist to
evaluate for
A. enthesitisrelated JIA.
B. oligoarticular JIA.
C. polyarticular JIA.
D. systemic JIA.
The primary care pediatric nurse B. Ophthalmology
practitioner is managing care for
a child who has JIA who has a
positive ANA. Which specialty
referral is critical for this child?
A. Cardiology
B. Ophthalmology
C. Orthopedics
D. Pain management
The primary care pediatric nurse B. 250 mg
practitioner is prescribing
ibuprofen for a 25 kg child with
JIA who has oligoarthitis. If the
child will take 4 doses per day,
what is the maximum amount the
child will receive per dose?
A. 200 mg
B. 250 mg
C. 400 mg
D. 450 mg
