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NR 507 EXAM 4
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NUR 507 Exam 4
An 18 month old child who developed upper respiratory symptoms 1 day prior
is brought to the clinic with a high fever, chills, muscle pains, and a dry,
hacking cough. A rapid influenza test is negative and a viral culture is pending.
What will the primary care pediatric nurse practitioner do?
A. Consider therapy with rimantadine.
B. Hospitalize for supportive treatment.
C. Prescribe oseltamivir and follow closely
D. Wait for cultures to determine treatment.
C. Prescribe oseltamivir and follow closely
The primary care pediatric nurse practitioner 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
antiretroviral prophylaxis, and did not breastfeed. What is the correct
management for this child?
E. Consult with a pediatric HIV specialist.
F. Discontinue cART after 4 weeks of age.
G. Obtain a CD4+ cell count and HIV RNA levels.
H. Reinforce the need to give cART for life.
E. Consult with a pediatric HIV specialist.
A 3 year old child whose immunizations are up to date has been exposed to
measles because of a localized outbreak among unvaccinated children. The
parent reports that contact with infected children occurred within the last 2
days at a birthday party. What is the best course of action?
I. Administer the MMR vaccine to help prevent disease.
J. Give antiviral medications at the first sign of symptoms.
K. Give the child a dose of immune globulin to mitigate the response.
L. Reassure the parent that most exposed children will not get measles.
, Page 3 of 28
I. Administer the MMR vaccine to help prevent disease.
A preschool age child is brought to clinic for evaluation of a rash. The primary
care pediatric nurse practitioner notes an intense red eruption on the child's
cheeks and circumoral pallor. What will the nurse practitioner tell the parents
about this rash?
A. This rash may be a prodromal sign of rubella or roseola.
B. The child will need immunization boosters to prevent serious disease.
C. This is a benign rash with no known serious complications.
D. Expect a lacy, maculopapular rash to develop on the trunk and extremities.
D. Expect a lacy, maculopapular rash to develop on the trunk and extremities.
An unimmunized school age child whose mother is in her first trimester of
pregnancy is diagnosed with rubella after a local outbreak. What will the
primary care pediatric nurse practitioner recommend?
A. Assessment of maternal rubella titers
B. Intravenous immunoglobulin for the child
C. MMR vaccine for the mother and child
D. Possible termination of the pregnancy
A. Assessment of maternal rubella titers
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 PCP do to
determine the diagnosis?
a. ask about recent tick bites
b. obtain a skin culture'
c. order blood cultures
d. perform seroglogic testin
a. ask about recent tick bites
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 notable to or the length of time the ticks were attached. The child is
asymptomatic. What is the action?
A. Administer a prophylactic single dose of doxycycline.
B. Perform serologic testing for IgG or IgM antibodies.
NR 507 EXAM 4
Download now
HIGH YIELD S QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
, Page 2 of 28
NUR 507 Exam 4
An 18 month old child who developed upper respiratory symptoms 1 day prior
is brought to the clinic with a high fever, chills, muscle pains, and a dry,
hacking cough. A rapid influenza test is negative and a viral culture is pending.
What will the primary care pediatric nurse practitioner do?
A. Consider therapy with rimantadine.
B. Hospitalize for supportive treatment.
C. Prescribe oseltamivir and follow closely
D. Wait for cultures to determine treatment.
C. Prescribe oseltamivir and follow closely
The primary care pediatric nurse practitioner 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
antiretroviral prophylaxis, and did not breastfeed. What is the correct
management for this child?
E. Consult with a pediatric HIV specialist.
F. Discontinue cART after 4 weeks of age.
G. Obtain a CD4+ cell count and HIV RNA levels.
H. Reinforce the need to give cART for life.
E. Consult with a pediatric HIV specialist.
A 3 year old child whose immunizations are up to date has been exposed to
measles because of a localized outbreak among unvaccinated children. The
parent reports that contact with infected children occurred within the last 2
days at a birthday party. What is the best course of action?
I. Administer the MMR vaccine to help prevent disease.
J. Give antiviral medications at the first sign of symptoms.
K. Give the child a dose of immune globulin to mitigate the response.
L. Reassure the parent that most exposed children will not get measles.
, Page 3 of 28
I. Administer the MMR vaccine to help prevent disease.
A preschool age child is brought to clinic for evaluation of a rash. The primary
care pediatric nurse practitioner notes an intense red eruption on the child's
cheeks and circumoral pallor. What will the nurse practitioner tell the parents
about this rash?
A. This rash may be a prodromal sign of rubella or roseola.
B. The child will need immunization boosters to prevent serious disease.
C. This is a benign rash with no known serious complications.
D. Expect a lacy, maculopapular rash to develop on the trunk and extremities.
D. Expect a lacy, maculopapular rash to develop on the trunk and extremities.
An unimmunized school age child whose mother is in her first trimester of
pregnancy is diagnosed with rubella after a local outbreak. What will the
primary care pediatric nurse practitioner recommend?
A. Assessment of maternal rubella titers
B. Intravenous immunoglobulin for the child
C. MMR vaccine for the mother and child
D. Possible termination of the pregnancy
A. Assessment of maternal rubella titers
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 PCP do to
determine the diagnosis?
a. ask about recent tick bites
b. obtain a skin culture'
c. order blood cultures
d. perform seroglogic testin
a. ask about recent tick bites
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 notable to or the length of time the ticks were attached. The child is
asymptomatic. What is the action?
A. Administer a prophylactic single dose of doxycycline.
B. Perform serologic testing for IgG or IgM antibodies.
