NURS 629 Peds Q&A for all 4 test
combined Maryville University
2022/23
1. 14. A schoolage child has a history of chronic otitis media and is
... [Show More] seen
inthe clinicmwith vertigo. The primary care pediatric nurse practitioner
notesprofuse purulent otorrhea from both pressureequalizing tubes and a
pearlywhite lesion on one tympanic
membrane. Which condition is most likely?: Ans- Cholesteatoma
2. 3. A dipstick urinalysis is positive for leukocyte esterase and nitrites in a
schoolage
child with dysuria and foulsmelling urine but no fever who has not had
previous urinary tract
infections. A culture is pending. What will the pediatric nurse practitioner do
to treat this child?: Ans- Prescribe trimethoprimsulfamethoxazole (TMP) twice
daily for 3 to 5 days
3. the parent of a 4monthold infant is concerned that the infant cannot hear.
Which test will the primary care pediatric nurse practitioner order to evaluate
potential hearing loss in this infant?: Ans- Auditory brainstem response (ABR)
4. 4. The primary care pediatric nurse practitioner attempts to learn more
about the ID: Ans- 13348419842
emotional health of an 18monthold child through which assessment strategy?: Ans- Observation of the child with caretakers in structured and
unstructured situations
5. 6. What will the primary care pediatric nurse practitioner teach the parents
of a child
who has new pressureequalizing tubes (PET) in both ears?: Ans- Parents
should notice improved hearing in their child.
6. 4. A preschoolage child with no previous history has mild flank pain and
fever but no abdominal pain or vomiting. A urinalysis is positive for leukocyte
esterase and nitrites. A culture is pending. Which is the correct course of
treatment for this child?: Ans- Order amoxicillin clavulanate
7. 7. A child with a history of otitis externa asks about ways to prevent this
condition.
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What will the primary care pediatric nurse practitioner recommend?: AnsDrying the ear canal with a hair dryer
8. 12. The primary care pediatric nurse practitioner is evaluating recurrent
stomach pain in
a schoolage child. The child's exam is normal. The nurse practitioner learns
that the child reports
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pain most evenings after school and refuses to participate in sports but does
not have nausea or
vomiting.The child's grandmother recently had gallbladder surgery.Which
action is correct?: Ans- Encourage the child to keep a log of pain, stool
patterns, and dietary intake
9. 9. A child who has otitis externa has severe swelling of the external auditory canal that persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is the next step in treatment for this child?: AnsInsert a wick into the external auditory canal.
10. 5. A 3yearold child has just completed a 7day course of amoxicillin for a
secondfebrile urinary tract infection and currently has a negative urine culture. What is the next course of action?: Ans- Obtain a renal and bladder
ultrasound.
11. 8. A child complains of itching in both ears and is having trouble hearing.
The
primary care pediatric nurse practitioner notes periauricular edema and
marked swelling
of the external auditory canal and elicits severe pain when manipulating the
external ear
structures. Which is an appropriate intervention?: Ans- Order ototopical
antibiot- ic/corticosteroid drops.
12. 5. A middleschoolage child is skipping school frequently and getting poor
grades
since the child's father was killed while deployed in the military. How will the
primary care pediatric
nurse practitioner manage this situation?: Ans- Refer the child to a mental
health specialist for evaluation and treatment.
13. The primary care pediatric nurse practitioner is examining a 2weekold
infant and
auscultates a wide splitting of S 2 during expiration. What condition may this
finding represent?: Ans- Atrial septal defect
14. A 9monthold infant with a history of three urinary tract infections is
diagnosed with grade II vesicoureteral reflux. Which medication will be prescribed?: Ans- TMPSMX~ TMP 2 mg/kg as a single daily dose
15. 2. The primary care pediatric nurse practitioner auscultates a new grade
II vibratory,
midsystolic murmur at the mid sternal border in a 4yearold child that is
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louder when the child is
supine. What type of murmur is most likely?: Ans- Still's murmur
16. 4. The primary care pediatric nurse practitioner is performing a well baby
examination on a 2monthold infant who has gained 25 grams per day in the
last interval.The
mother is nursing and tells the nurse practitioner that her infant seems fussy
and wants to nurse
more often. What will the nurse practitioner tell her?: Ans- The infant may be
going through an expected growth spurt.
17. 3. During a well child assessment, the primary care pediatric nurse practitioner
auscultates a harsh, blowing grade IV/VI murmur in a 6monthold infant. What
will the nurse
practitioner do next?: Ans- Refer to a pediatric cardiologist for further evaluation
18. 12. A child who has nephrotic syndrome is on a steroids and a saltrestricted diet for a relapse of symptoms. A dipstick urinalysis shows 1+ protein,
down from 3+ at the beginning of the episode. In consultation with the
child's nephrologist, what is the correct course of treatment considering this
finding?: Ans- Continue with steroids and salt restrictions until the urine is
negative for protein
19. 4. The primary care pediatric nurse practitioner provides primary care for
a 4month
old 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?: Ans- Fortifying brea [Show Less]