Correct Verified Answers /NR 507 Exam 6 Already Graded
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1.The primary care paediatric nurse practitioner sees a child for
follow-up care after hospitalization for ARF. The child has
polyarthritis but no cardiac involvement. What will the nurse
practitioner teach the family about ongoing care for this child?
a. Aspirin is given for 2 weeks and then tapered to discontinue the
medication.
b. Prophylactic amoxicillin will need to be given for 5 years.
c. Steroids will be necessary to prevent development of heart disease.
d. The child will need complete bedrest until all symptoms subside.
a. Aspirin is given for 2 weeks and then tapered to discontinue the
medication.
2.An 8yearold boy has a recent history of an upper respiratory
infection and comes to the clinic with a maculopapular rash on his
lower extremities and swelling and tenderness in both ankles. The
pediatric nurse practitioner performs a UA, which shows proteinuria
and haematuria and diagnoses HSP. What ongoing evaluation will the
nurse practitioner perform during the course of this disease?
a. ANA titters
b. Blood pressure measurement
c. Chest radiographs
d. Liver function studies
b. Blood pressure measurement
3.A 10yearold child has a 1week history of fever of 104°C that is
unresponsive to antipyretics. The primary care paediatric nurse
practitioner examines the child and notes bilateral conjunctival
injection and a polymorphous exanthema, with no other symptoms.
Lab tests show elevated ESR, CRP, and platelets. Cultures are all
negative. What will the nurse practitioner do?
a. Begin treatment with intravenous methyl prednisone.
b. Consider IVIG therapy if symptoms persist one more week.
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,c. Order a baseline echocardiogram today and another in 2 weeks.
d. Reassure the child's parents that this is a self-limiting disorder.
c. Order a baseline echocardiogram today and another in 2 weeks.
4.The primary care paediatric nurse practitioner is evaluating an
11monthold infant who has had three viral respiratory illnesses
causing bronchiolitis. The child's parents both have seasonal allergies
and ask whether the infant may have asthma. What will the nurse
practitioner tell the parents?
a. "Although it is likely, based on family history, it is too soon to tell."
b. "There is little reason to suspect that your infant has asthma."
c. "With your infant's history of bronchiolitis, asthma is very likely."
d. "Your infant has definitive symptoms consistent with a diagnosis of
asthma."
a. "Although it is likely, based on family history, it is too soon to tell."
5.The primary care pediatric nurse practitioner is examining a school
age child who has has several hospitalizations for bronchitis and
wheezing. The parent reports that the child has several coughing
episodes associated with chest tightness each week and gets relief
with an albuterol metered dose inhaler. What will the nurse
practitioner order?
a. Allergy testing
b. Chest radiography
c. Spirometry testing
d. Sweat chloride test
c. Spirometry testing
6.A school age child who uses a SABA and an inhaled corticosteroid
medication is seen in the clinic for an acute asthma exacerbation.
After 4 puffs of an inhaled short acting B2 agonist (SABA) every 20
minutes for three treatments, spirometry testing shows an FEV1 of
60% of the child's personal best. What will the primary care pediatric
nurse practitioner do next?
a. Administer an oral corticosteroid and repeat the three treatments of
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, the inhaled SABA
b. Admit the child to the hospital for every 2 hour inhaled SABA and
intravenous steroids.
c. Give the child 2 mg/kg of an oral corticosteroid and have the child
taken to the emergency department.
d. Order an oral corticosteroid, continue the SABA every 3 to 4 hours,
and follow closely.
d. Order an oral corticosteroid, continue the SABA every 3 to 4 hours,
and follow closely.
7.A child who has been diagnosed with asthma for several years has
been using a short acting B2agonist (SABA) to control symptoms.
The primary care paediatric nurse practitioner learns that the child has
recently begun using the SABA two or three times each week to treat
wheezing and shortness of breath. The child currently has clear breath
sounds and an FEV1 of 75% of personal best. What will the nurse
practitioner do next?
a. Add a daily inhaled corticosteroid.
b. Administer 3 SABA treatments.
c. Continue the current treatment.
d. Order an oral corticosteroid
a. Add a daily inhaled corticosteroid.
8.An adolescent who has asthma and severe perennial allergies has
poor asthma control in spite of appropriate use of a SABA and a daily
highdose inhaled corticosteroid. What will the primary care pediatric
nurse practitioner do next to manage this child's asthma?
a. Consider daily oral corticosteroid administration.
b. Order an anticholinergic medication in conjunction with the current
regimen.
c. Prescribe a LABA/inhaled corticosteroid combination medication.
d. Refer to a pulmonologist for omalizumab therapy.
d. Refer to a pulmonologist for omalizumab therapy.
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