Burns Pediatric Study Questions With Correct Answers

A 10-month-old infant who is new to the clinic has chronic hepatitis B infection. What will the primary care pediatric NP do to manage this infant's disease - Answer Consult a pediatric infectious disease specialist The primary care pediatric nurse practitioner is performing an initial well child exam on a 3-year-old child recently adopted from Africa. The adoptive parent has a recorded of immunizations indicating that the child is fully vaccinated. What will the NP do? - Answer Perform antibody titers and re-immunize the child A 3-year-old child who attends day care has had a fever, nausea, and vomiting several weeks prior and now has darkened urine and constipation along with hepatomegaly and right upper quadrant tenderness. What treatment is warranted for this child? - Answer Supportive care A 10-month-old infant has an erythematous, fluctuant, non-draining abscess on the right buttock after 10 days of treatment with amoxicillin for impetigo. What is the next step in managing this infant's care? - Answer Incision and drainage of abscess with culture An unimmunized school-ag child whose mother is in her first trimester of pregnancy is diagnosed with rubella after a local outbreak. What will the PCP-NP recommend - Answer Assessment of maternal rubella titers A 2-month-old infant has a staccato cough and fever. Which aspect of the history is most important in determining the diagnosis? - Answer Immunization history The parent of a 2-month-old infant is reluctant to have the baby vaccinated. What is an initial step in responding to these concerns - Answer Question the parent's reasons for concern about immunizations Which lab value is most concerning in an infant with fever and a suspected bacterial infection? - Answer C-reactive protein of 11.5 mg/L An adolescent has a TB skin test prior to working as a volunteer in a hospital. The adolescent is healthy and has not travelled to or from a TB-endemic area or had close contact with anyone who has TB. The Mantoux skin test shows 10mm of induration after 48 hours. What will the primary care pediatric NP do? - Answer Reassure the adolescent that this is a negative screen A parent is concerned about vaccine adverse reactions. Based on an Institute of Medicine report, what will the primary care pediatric NP tell the parent? - Answer The MMR may be linked to febrile seizures in immunocompromised children An adolescent female who is sexually active and who has not had the HPV vaccine asks if she may have it. What will the primary care pediatric NP tell her - Answer The vaccine will not protect her from any HPV oncogenic types acquired previously 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 PNP notes induration and erythema of these nodes . What will the NP do - Answer Order an immunofluorescent assay (IFA) for serum antibodies An 18-month-old child has bronchopulmonary dysplasia. To help prevent pneumococcal disease, which vaccine will be ordered - Answer PCV13 A child whose parents have refused vaccines has been exposed to chickenpox, and the parents ask whether the child may attend day care. What will the primary care PNP tell them? - Answer The child should stay home if any symptoms occur and may return in 1 week if no rash develops The PCPNP reviews the immunization records of an 18-month-old child and notes that the child received an MMR immunization 2 days prior to the first birthday. What will the NP do - Answer Recommend the next dose of MMR vaccine at 4-5 yrs of age The PCPNP performs a well child examination on a 1-month-old. The infant was recently discharged from the neonatal ICU after treatment with parenteral acyclovir for a neonatal herpetic infection and is currently taking oral acyclovir. What will the nurse practitioner do to manage this infant's care - Answer Obtain regular absolute neutrophil counts 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 not able to verify the type of the length of time the ticks were attached. The child is asymptomatic. What is the best course of action - Answer Teach the parents which signs and symptoms to report A child who is immunocompromised has a fever and a rash consisting of macules, papules, and pustules. What will the PCPNP do - Answer Hospitalize the child for intravenous acyclovir A preschool-age child is brought to clinic for evaluation of a rash. The PCPNP notes an intense red eruption on the child's cheeks and circumoral pallor. What will the NP tell th eparents about this rash? - Answer Expect a lacy, maculopapular rash to develop on the trunk and extremities The PCPNP is examining a 2-month-old infant with fever and cough. A WBC is 14,000/mm3 and chest radiograph is normal. The infant is nursing well and having normal stools. What would be an appropriate next step - Answer Performing a catheterized urinalysis to screen for leukocytes and nitrates A 2-month-old infant will receive initial immunizations, and the parent asks about giving medications to increase to the infant's comfort and minimize fever. What will the PCPNP recommmend - Answer Administering ibuprofen or acetaminophen as needed According to recent research, which populations may have higher rates of under-immunization than others - Answer Those with higher rates of graduate degrees The PCPNP is reviewing medical records for a newborn that is new to the clinic. The toddler's mother was found to be HIV positive during her pregnancy with this child and received antiretroviral therapy during pregnancy. The child was born by cesarean section, begun on anti-retroviral prophylaxis, and did not breastfeed. What is the correct management for this child - Answer Consult with a pediatric HIV specialist 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 PCPNP do to determine the diagnosis - Answer Ask about recent tick bites