Nurs629 Peds Test 3 Questions 100 solved correctly

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• In assessing a child with bacterial conjunctivitis, the nurse practitioner finds

-Minimal tearing, moderate itching, and profuse exudate.-Minimal itching, moderate tearing, and profuse exudate.-Minimal itching, moderate tearing, and mucoid exudate.

-Severe itching, moderate tearing, and minimal discharge.: Minimal itching,

moderate tearing, and profuse exudate.

• A child is diagnosed by the nurse practitioner with acute otitis media (AOM).

During pneumatic otoscopy the NP expects the tympanic membranse to be

-Immobile, painful, with absent or decreased landmarks.-Mobile, not painful, full, and bulging.-Mobile, painful, with absent or decreased landmarks.-Immobile, not painful, with landmarks visible.: Immobile, painful, with absent or decreased landmarks.

• A 6-year-old child is seen by the NP for ear pain. The child is afebrile. The left

ear canal is extremely edematous and moderately inflamed, with thick yellowish drainage at the external meatus. The child denies putting anything in the ear canal, but the nurse practitioner finds that the child swims frequently. The most likely diagnosis is

-AOM.-Serous otitis media.-Otitis externa.

-Sinusitis.: Otitis externa.

• The treatment plan for a client diagnosed with infectious mononucleosis

includes which of the following?

-Rest during acute phase.-Corticosteroids during acute phase.-Avoid exercise during acute phase.

-Ampicillin orally for 10 days.: Rest during acute phase.

• An adolescent client has had yellowish green nasal discharge and frontal

headache for 10 days. The adolescent's temperature has gone up to 101.2 F on most afternoons an she has a cough that worsens when she lies down. The physical exam is within normal limits except for the drainage and a

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slightly erythematous pharynx. She does not have any drug allergies and has not been taking any medications in the last few months. Which medication would be best to prescribe for her?

-Erythromycin -Benadryl -Augmentin

-Sudafed:Augmentin

• A 4-year-old boy (weight 18 kg) is diagnosed with bilateral otitis media. His last

ear infection was 6 months ago and he has no know drug allergies. An appropriate medication to prescribe would be

-Amoxicillin 75-90 mg/kg/day twice daily X 10 days.-Corticosteriod otic solution 3 drops both ears X 10 days.-Doxycycline 250 mg three times daily X 10 days.

-Ampicillin 40-50 mg/kg/day three times daily X 7 days.: Amoxicillin 75-90

mg/kg/day twice daily X 10 days.

• Which finding during the physical assessment is consistent with the

diagnosis of allergic rhinitis?

-Wheezes anterior and posterior -Yellow green nasal discharge -Erythematous nasal mucosa

-Pale, boggy nasal mucosa: Pale, boggy nasal mucosa

• Which of the following drug choices is the most appropriate first choice for

allergic rhinitis?

-Antihistamine -Topical decongestant -Oral corticosteroid dose pak

-Oral decongestant: Antihistamine

• You diagnose acute epiglottitis in Sally, age 5, and immediately send her to

the local ER. Which of the following symptoms would indicated that an airway obstruction is imminent?

-Reddened face -Screaming

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-Stridor

-Grabbing her throat: Stridor

• What is the easiest way to differentiate between otitis externa and otitis

media?

-With otitis externa, movement or pressure on the pinna is extremely painful.-With otitis media, tender swelling is usually visible.-With otitis media, tender swelling is usually visible.-With otitis media, there is usually tenderness on palpation over the mastoid

process.: With otitis externa, movement or pressure on the pinna is extremely

painful.

• The first-line antibiotic therapy for an adult with no known allergies and

suspected group A beta-hemolytic streptococcal pharyngitis is

-Erythromycin.-Cephalexin. - Amoxicillin.

-Azithromycin.: Amoxicillin.

• The antibiotic of choice for beta-lactamase coverage of otitis media is

-Prednisone.-Azithromycin.-Amoxicillin and potassium clavulanate.

-Amoxicillin.: Amoxicillin and potassium clavulanate.

• Sam, age 4, is brought into the clinic by his father. His tympanic mem-

brane is perforated from otitis media. His father asks about repair of the eardrum. How do you respond?

"The eardrum, in most cases, heals within several weeks." "He must absolutely stay out of the water for 3-6 months." "If the eardrum is not healed in several months, it can be surgically repaired." "We need to schedule Sam for a surgical repair.": "The eardrum, in most cases, heals within several weeks."

• A mother brings her 1-year-old child to the clinic for problems with a "rash."

She states the child has not been feeling well since the rash started 2 days ago.The nurse practitioner observes numerous macules and vesicles in clusters over the child's trunk and mucous membranes; some are clear, some are crusting. The child is irritable but does not have fever. What would

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be the diagnosis and treatment for this child?

• Contact dermatitis; apply benadryl and cut fingernails to decrease

scratching.

• Varicella; treat first with benadryl in an age-appropriate dose, and give daily

baths with colloidal oatmeal (Aveeno).

• Impetigo; treat with augmentin for 10 days and return to clinic in 2 weeks.
• Varicella; immunize with varicella vaccine to decrease symptoms and begin

acycolvir.: B. Varicella; treat first with benadryl in an age-appropriate dose, and give daily baths with colloidal oatmeal (Aveeno).

• In treatment of severe inflammatory acne for a female adolescent, the

nurse practitioner understands that

The benefits of treatment will be noted in 5-7 days.Systemic antibiotics are effective treatment.Isotretinoin (Accutane) provides an effective first-line therapy.

Counseling on stringent dietary changes is important.: Systemic antibiotics are

effective treatment.

• A mother brings her preschool child to see the nurse practitioner be- cause

of sores on his arms and legs. On examination the NP notes several honey- colored crusted lesions with erythematous base on the arms and legs. There is a history of exposure to mosquitoes. The rest of the exam is essentially negative. What is the most likely diagnosis?

Varicella Pityriasis rosea Scabies

Impetigo: Impetigo

• The nurse practitioner is examining an infant with atopic dermatitis. What would

the physical examination reveal?

Erythematous raised areas on flexor surfaces.Distribution of rash on face and extensor surfaces.Dry, scaly rash with pruritus.Moist, crusting rash with no pruritus.: Distribution of rash on face and extensor surfaces.

• An infant has pruritus caused by eczema. The nurse practitioner teaches the

mother the following regarding the infant's care