NR602 STUDY QUESTIONS: BURNS PEDIATRIC
PRIMARY CARE CHAPTER 34, 35, 36, AND
1. The primary care pediatric nurse practitioner is teaching a parent of a child with dry skin ab
B B B B B B B B B B B B B B B B B
out hydrating the skin with bathing. What will the nurse practitioner include in teaching?
B B B B B B B B B B B B B
A. Apply lubricating agents at least 1 hour after the bath.
B B B B B B B B B B B
B. Have the child soak in a lukewarm water bath.
B B B B B B B B B B
C. Keep the child in the bath until the skin begins to "prune."
B B B B B B B B B B B B B
D. Soaping should be done at the beginning of the bath. - ANSWER-
B B B B B B B B B B B B
B. Have the child soak in a lukewarm water bath.
B B B B B B B B B
2. A child will need an occlusive dressing to treat lichen simplex chronicus. What will the prima
B B B B B B B B B B B B B B B B
ry care pediatric nurse practitioner tell the parents about applying this treatment?
B B B B B B B B B B B B
A. Apply ointment before the dressing.
B B B B B B
B. Plastic wrap should not be used.
B B B B B B B
C. The dressing should be applied to dry skin.
B B B B B B B B B
D. Change the dressing twice daily. - ANSWER-
B B B B B B B A. Apply ointment before the dressing.
B B B B B
3. When prescribing topical glucocorticoids to treat inflammatory skin conditions, the primary
B B B B B B B B B B B
care pediatric nurse practitioner will
B B B B B B
A. initiate therapy with a highpotency glucocorticoid.
B B B B B B B
B. order lotions when higher potency is necessary.
B B B B B B B B
C. prescribe brandname preparations for consistent effects.
B B B B B B B
D. use fluorinated steroids to minimize adverse effects. - ANSWER-
B B B B B B B B B
C. prescribe brandname preparations for consistent effects.
B B B B B B
4. A preschool age child has honeycrusted lesions on erythematous, eroded skin around the n
B B B B B B B B B B B B B B
ose and mouth, with satellite lesions on the arms and legs. The child's parent has several simil
B B B B B B B B B B B B B B B B
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,ar lesions and reports that other children in the day care have a similar rash. How will this be tr
B B B B B B B B B B B B B B B B B B B
eated? B
A. Amoxicillin 40 to 5 mg/kg/day for 7 to 10 days
B B B B B B B B B B B
B. Amoxicillinclavulanate 90 mg/kg/day for 10 days
B B B B B B B
C. Bacitracin cream applied to lesions for 10 to 14 days
B B B B B B B B B B B
D. Mupirocin ointment applied to lesions until clear - ANSWER-
B B B B B B B B B
B. Amoxicillinclavulanate 90 mg/kg/day for 10 days
B B B B B B
5. A child is brought to clinic with several bright red lesions on the buttocks. The primary care
B B B B B B B B B B B B B B B B B B
pediatric nurse practitioner examines the lesions and notes sharp margins and an "orange pee
B B B B B B B B B B B B B
l" look and feel. The child is afebrile and does not appear toxic. What is the . course of treatme
B B B B B B B B B B B B B B B B B B B
nt for these lesions?
B B B
A. Hospitalize the child for intravenous antibiotics and possible I&D of the lesions.
B B B B B B B B B B B B B
B. Initiate empiric antibiotic therapy and follow up in 24 hours to assess response.
B B B B B B B B B B B B B B
C. Obtain blood cultures prior to beginning antibiotic treatment.
B B B B B B B B B
D. Perform gram stain and culture of the lesions before initiating antibiotics. - ANSWER-
B B B B B B B B B B B B B
B. Initiate empiric antibiotic therapy and follow up in 24 hours to assess response
B B B B B B B B B B B B B
6. An adolescent who recently spent time in a hot tub while on vacation has discrete, erythem
B B B B B B B B B B B B B B B B
atous 1to 2mm papules that are centered around hair follicles on the thighs, upper arms, and
B B B B B B B B B B B B B B B B
buttocks. How will the primary care pediatric nurse practitioner manage this condition?
B B B B B B B B B B B B
A. Culture the lesions and treat with appropriate IM antibiotics.
B B B B B B B B B B
B. Hospitalize for incision and drainage and intravenous antibiotics. C. Order an antistaphyloco
B B B B B B B B B B B B
ccal betalactamaseresistant antibiotic.
B B B
D. Prescribe topical keratolytics and topical antibiotics. - ANSWER-
B B B B B B B B
D. Prescribe topical keratolytics and topical antibiotics.
B B B B B B
7. An infant is brought to clinic with bright erythema in the neck and flexural folds after recent
B B B B B B B B B B B B B B B B B B
treatment with antibiotics for otitis media. What is the treatment for this condition?
B B B B B B B B B B B B
A. 1% hydrocortisone cream to affected areas for 1 to 2 days
B B B B B B B B B B B B
B. Oral fluconazole 6 mg/kg on day 1, then 3 mg/kg/dose for 14 days
B B B B B B B B B B B B B B
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, C. Topical keratolytics and topical antibiotics for 7 to 10 days
B B B B B B B B B B B
D. Topical nystatin cream applied several times daily - ANSWER-
B B B B B B B B B
D. Topical nystatin cream applied several times daily
B B B B B B B
8. A schoolage child has several annular lesions on the abdomen characterized by central clear
B B B B B B B B B B B B B B
ing with scaly, red borders. What is the first step in managing this condition?
B B B B B B B B B B B B B B
A. Fluoresce the lesions with a Wood's lamp.
B B B B B B B B
B. Obtain fungal cultures of the lesions.
B B B B B B B
C. Perform KOHtreated scrapings of the lesion borders.
B B B B B B B B
D. Treat empirically with antifungal cream. - ANSWER-
B B B B B B B
D. Treat empirically with antifungal cream.
B B B B B
9. A child has several circular, scaly lesions on the arms and abdomen, some of which have cen
B B B B B B B B B B B B B B B B B
tral clearing. The primary care pediatric nurse practitioner notes a smaller, scaly lesion on the
B B B B B B B B B B B B B B B
child's scalp. How will the nurse practitioner treat this child?
B B B B B B B B B B
A. Obtain scrapings of the lesions for fungal cultures.
B B B B B B B B B
B. Order prescriptionstrength antifungal creams.
B B B B B
C. Prescribe oral griseofulvin for 2 to 4 weeks.
B B B B B B B B B
D. Recommend OTC antifungal creams and shampoos. - ANSWER-
B B B B B B B B
C. Prescribe oral griseofulvin for 2 to 4 weeks.
B B B B B B B B
10. A child is diagnosed with tinea versicolor. What is the correct management of this disorder
B B B B B B B B B B B B B B B
?B
A. Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4 weeks
B B B B B B B B B B B B B B
B. Oral antifungal treatment with fluconazole once weekly for 2 to 3 weeks
B B B B B B B B B B B B B
C. Sun exposure for up to an hour every day for 2 to 4 weeks
B B B B B B B B B B B B B B B
D. Using ketoconazole 2% shampoo on lesions twice daily for 2 to 4 weeks - ANSWER-
B B B B B B B B B B B B B B B
A. Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4 weeks
B B B B B B B B B B B B B
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PRIMARY CARE CHAPTER 34, 35, 36, AND
1. The primary care pediatric nurse practitioner is teaching a parent of a child with dry skin ab
B B B B B B B B B B B B B B B B B
out hydrating the skin with bathing. What will the nurse practitioner include in teaching?
B B B B B B B B B B B B B
A. Apply lubricating agents at least 1 hour after the bath.
B B B B B B B B B B B
B. Have the child soak in a lukewarm water bath.
B B B B B B B B B B
C. Keep the child in the bath until the skin begins to "prune."
B B B B B B B B B B B B B
D. Soaping should be done at the beginning of the bath. - ANSWER-
B B B B B B B B B B B B
B. Have the child soak in a lukewarm water bath.
B B B B B B B B B
2. A child will need an occlusive dressing to treat lichen simplex chronicus. What will the prima
B B B B B B B B B B B B B B B B
ry care pediatric nurse practitioner tell the parents about applying this treatment?
B B B B B B B B B B B B
A. Apply ointment before the dressing.
B B B B B B
B. Plastic wrap should not be used.
B B B B B B B
C. The dressing should be applied to dry skin.
B B B B B B B B B
D. Change the dressing twice daily. - ANSWER-
B B B B B B B A. Apply ointment before the dressing.
B B B B B
3. When prescribing topical glucocorticoids to treat inflammatory skin conditions, the primary
B B B B B B B B B B B
care pediatric nurse practitioner will
B B B B B B
A. initiate therapy with a highpotency glucocorticoid.
B B B B B B B
B. order lotions when higher potency is necessary.
B B B B B B B B
C. prescribe brandname preparations for consistent effects.
B B B B B B B
D. use fluorinated steroids to minimize adverse effects. - ANSWER-
B B B B B B B B B
C. prescribe brandname preparations for consistent effects.
B B B B B B
4. A preschool age child has honeycrusted lesions on erythematous, eroded skin around the n
B B B B B B B B B B B B B B
ose and mouth, with satellite lesions on the arms and legs. The child's parent has several simil
B B B B B B B B B B B B B B B B
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,ar lesions and reports that other children in the day care have a similar rash. How will this be tr
B B B B B B B B B B B B B B B B B B B
eated? B
A. Amoxicillin 40 to 5 mg/kg/day for 7 to 10 days
B B B B B B B B B B B
B. Amoxicillinclavulanate 90 mg/kg/day for 10 days
B B B B B B B
C. Bacitracin cream applied to lesions for 10 to 14 days
B B B B B B B B B B B
D. Mupirocin ointment applied to lesions until clear - ANSWER-
B B B B B B B B B
B. Amoxicillinclavulanate 90 mg/kg/day for 10 days
B B B B B B
5. A child is brought to clinic with several bright red lesions on the buttocks. The primary care
B B B B B B B B B B B B B B B B B B
pediatric nurse practitioner examines the lesions and notes sharp margins and an "orange pee
B B B B B B B B B B B B B
l" look and feel. The child is afebrile and does not appear toxic. What is the . course of treatme
B B B B B B B B B B B B B B B B B B B
nt for these lesions?
B B B
A. Hospitalize the child for intravenous antibiotics and possible I&D of the lesions.
B B B B B B B B B B B B B
B. Initiate empiric antibiotic therapy and follow up in 24 hours to assess response.
B B B B B B B B B B B B B B
C. Obtain blood cultures prior to beginning antibiotic treatment.
B B B B B B B B B
D. Perform gram stain and culture of the lesions before initiating antibiotics. - ANSWER-
B B B B B B B B B B B B B
B. Initiate empiric antibiotic therapy and follow up in 24 hours to assess response
B B B B B B B B B B B B B
6. An adolescent who recently spent time in a hot tub while on vacation has discrete, erythem
B B B B B B B B B B B B B B B B
atous 1to 2mm papules that are centered around hair follicles on the thighs, upper arms, and
B B B B B B B B B B B B B B B B
buttocks. How will the primary care pediatric nurse practitioner manage this condition?
B B B B B B B B B B B B
A. Culture the lesions and treat with appropriate IM antibiotics.
B B B B B B B B B B
B. Hospitalize for incision and drainage and intravenous antibiotics. C. Order an antistaphyloco
B B B B B B B B B B B B
ccal betalactamaseresistant antibiotic.
B B B
D. Prescribe topical keratolytics and topical antibiotics. - ANSWER-
B B B B B B B B
D. Prescribe topical keratolytics and topical antibiotics.
B B B B B B
7. An infant is brought to clinic with bright erythema in the neck and flexural folds after recent
B B B B B B B B B B B B B B B B B B
treatment with antibiotics for otitis media. What is the treatment for this condition?
B B B B B B B B B B B B
A. 1% hydrocortisone cream to affected areas for 1 to 2 days
B B B B B B B B B B B B
B. Oral fluconazole 6 mg/kg on day 1, then 3 mg/kg/dose for 14 days
B B B B B B B B B B B B B B
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, C. Topical keratolytics and topical antibiotics for 7 to 10 days
B B B B B B B B B B B
D. Topical nystatin cream applied several times daily - ANSWER-
B B B B B B B B B
D. Topical nystatin cream applied several times daily
B B B B B B B
8. A schoolage child has several annular lesions on the abdomen characterized by central clear
B B B B B B B B B B B B B B
ing with scaly, red borders. What is the first step in managing this condition?
B B B B B B B B B B B B B B
A. Fluoresce the lesions with a Wood's lamp.
B B B B B B B B
B. Obtain fungal cultures of the lesions.
B B B B B B B
C. Perform KOHtreated scrapings of the lesion borders.
B B B B B B B B
D. Treat empirically with antifungal cream. - ANSWER-
B B B B B B B
D. Treat empirically with antifungal cream.
B B B B B
9. A child has several circular, scaly lesions on the arms and abdomen, some of which have cen
B B B B B B B B B B B B B B B B B
tral clearing. The primary care pediatric nurse practitioner notes a smaller, scaly lesion on the
B B B B B B B B B B B B B B B
child's scalp. How will the nurse practitioner treat this child?
B B B B B B B B B B
A. Obtain scrapings of the lesions for fungal cultures.
B B B B B B B B B
B. Order prescriptionstrength antifungal creams.
B B B B B
C. Prescribe oral griseofulvin for 2 to 4 weeks.
B B B B B B B B B
D. Recommend OTC antifungal creams and shampoos. - ANSWER-
B B B B B B B B
C. Prescribe oral griseofulvin for 2 to 4 weeks.
B B B B B B B B
10. A child is diagnosed with tinea versicolor. What is the correct management of this disorder
B B B B B B B B B B B B B B B
?B
A. Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4 weeks
B B B B B B B B B B B B B B
B. Oral antifungal treatment with fluconazole once weekly for 2 to 3 weeks
B B B B B B B B B B B B B
C. Sun exposure for up to an hour every day for 2 to 4 weeks
B B B B B B B B B B B B B B B
D. Using ketoconazole 2% shampoo on lesions twice daily for 2 to 4 weeks - ANSWER-
B B B B B B B B B B B B B B B
A. Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4 weeks
B B B B B B B B B B B B B
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