MN580 MIDTERM Exam Newest Exam
Complete Questions And Correct Detailed
Answers (Verified Answers) |Already
Graded A+
A 7 year old child whose immunizations are up to date
has a fever, headache, stiff neck, and photophobia. What
course of treatment is indicated?
A. Empiric treatment with oral antibiotics or
intramuscular ceftriaxone
B. Hospitalization for diagnosis and treatment with
antibiotics
C. Immediate vaccination with meningococcal vaccine
D. Outpatient lab work including CBC, blood and CSF
cultures. -correct answer -->>B. Hospitalization for
diagnosis and treatment with antibiotics
A school age child has a fever of 104 F, sore throat,
vomiting, and malaise. The primary care pediatric NP
observes that the tonsils, oropharynx, and palate are
erythematous and covered with exudate, the tongue is
,coated and red, and there is a red, sand paper like rash
on the child's neck, trunk, and extremities. A rapid strep
test is positive. What will the NP do to manage the child's
illness?
A. Administer intramuscular ceftriaxone
B. Hospitalize for further diagnostic tests
C. Prescribe oral amoxicillin
D. Refer to a pediatric infectious disease specialist -
correct answer -->>C. Prescribe oral amoxicillin
An adolescent has a TB skin test prior to working as a
volunteer in a hospital. The adolescent is healthy and has
not traveled to or from a TB endemic area or had close
contact with anyone who has TB. The Mantoux skin test
shows 10 mm of induration after 48 hours. What will the
primary care pediatric NP do?
A. Ask the adolescent about exposure to homeless
persons
B. Order a chest radiograph to rule out active TB
,C. Reassure the adolescent that this is a negative screen
B. Refer the adolescent to an infectious disease specialist
-correct answer -->>C. Reassure the adolescent
that this is a negative screen
The primary care pediatric NP is examining a 2 month old
infant with fever and cough. A WBC is 14,000/mm3 and
chest radiograph is normal. The infant is nursing well and
having normal stools. What would be an appropriate
next step?
A. Admitting the infant to the hospital for LP and IV
antibiotics
B. Obtaining blood cultures, ESR, and C reactive protein
C. Performing a catheterized UA to screen for leukocytes
and nitrites
D. Prescribing empiric, broad spectrum antibiotics with
close follow up -correct answer -->>C. Performing
a catheterized UA to screen for leukocytes and nitrites
, An 18-month-old child with no previous history of otitis
media awoke during the night with right earpain. The
primary care pediatric nurse practitioner notes an axillary
temperature of 100.5°F and an erythematous, bulging
tympanic membrane. A tympanogram reveals of peak of
+150 mm H2O. What is the recommended treatment for
this child?
a. Amoxicillin 80 to 90 mg/kg/day in two divided doses
b. An analgesic medication and watchful waiting
c. Ceftriaxone 50 to 75 mg/kg/dose IM given once
d. Ototopical antibiotic drops twice daily for 5 days -
correct answer -->>b. An analgesic medication and
watchful waiting
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?
Complete Questions And Correct Detailed
Answers (Verified Answers) |Already
Graded A+
A 7 year old child whose immunizations are up to date
has a fever, headache, stiff neck, and photophobia. What
course of treatment is indicated?
A. Empiric treatment with oral antibiotics or
intramuscular ceftriaxone
B. Hospitalization for diagnosis and treatment with
antibiotics
C. Immediate vaccination with meningococcal vaccine
D. Outpatient lab work including CBC, blood and CSF
cultures. -correct answer -->>B. Hospitalization for
diagnosis and treatment with antibiotics
A school age child has a fever of 104 F, sore throat,
vomiting, and malaise. The primary care pediatric NP
observes that the tonsils, oropharynx, and palate are
erythematous and covered with exudate, the tongue is
,coated and red, and there is a red, sand paper like rash
on the child's neck, trunk, and extremities. A rapid strep
test is positive. What will the NP do to manage the child's
illness?
A. Administer intramuscular ceftriaxone
B. Hospitalize for further diagnostic tests
C. Prescribe oral amoxicillin
D. Refer to a pediatric infectious disease specialist -
correct answer -->>C. Prescribe oral amoxicillin
An adolescent has a TB skin test prior to working as a
volunteer in a hospital. The adolescent is healthy and has
not traveled to or from a TB endemic area or had close
contact with anyone who has TB. The Mantoux skin test
shows 10 mm of induration after 48 hours. What will the
primary care pediatric NP do?
A. Ask the adolescent about exposure to homeless
persons
B. Order a chest radiograph to rule out active TB
,C. Reassure the adolescent that this is a negative screen
B. Refer the adolescent to an infectious disease specialist
-correct answer -->>C. Reassure the adolescent
that this is a negative screen
The primary care pediatric NP is examining a 2 month old
infant with fever and cough. A WBC is 14,000/mm3 and
chest radiograph is normal. The infant is nursing well and
having normal stools. What would be an appropriate
next step?
A. Admitting the infant to the hospital for LP and IV
antibiotics
B. Obtaining blood cultures, ESR, and C reactive protein
C. Performing a catheterized UA to screen for leukocytes
and nitrites
D. Prescribing empiric, broad spectrum antibiotics with
close follow up -correct answer -->>C. Performing
a catheterized UA to screen for leukocytes and nitrites
, An 18-month-old child with no previous history of otitis
media awoke during the night with right earpain. The
primary care pediatric nurse practitioner notes an axillary
temperature of 100.5°F and an erythematous, bulging
tympanic membrane. A tympanogram reveals of peak of
+150 mm H2O. What is the recommended treatment for
this child?
a. Amoxicillin 80 to 90 mg/kg/day in two divided doses
b. An analgesic medication and watchful waiting
c. Ceftriaxone 50 to 75 mg/kg/dose IM given once
d. Ototopical antibiotic drops twice daily for 5 days -
correct answer -->>b. An analgesic medication and
watchful waiting
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?
