Burns Study Questions
A 10-month-old infant who is new to the clinic has chronic hepatitis B infection. What will
the primary care pediatric NP do to manage this infant's disease - Answer Consult a
pediatric infectious disease specialist
The primary care pediatric nurse practitioner is performing an initial well child exam on a
3-year-old child recently adopted from Africa. The adoptive parent has a recorded of
immunizations indicating that the child is fully vaccinated. What will the NP do? -
Answer Perform antibody titers and re-immunize the child
A 3-year-old child who attends day care has had a fever, nausea, and vomiting several
weeks prior and now has darkened urine and constipation along with hepatomegaly and
right upper quadrant tenderness. What treatment is warranted for this child? - Answer
Supportive care
A 10-month-old infant has an erythematous, fluctuant, non-draining abscess on the right
buttock after 10 days of treatment with amoxicillin for impetigo. What is the next step in
managing this infant's care? - Answer Incision and drainage of abscess with culture
An unimmunized school-ag child whose mother is in her first trimester of pregnancy is
diagnosed with rubella after a local outbreak. What will the PCP-NP recommend -
Answer Assessment of maternal rubella titers
A 2-month-old infant has a staccato cough and fever. Which aspect of the history is
most important in determining the diagnosis? - Answer Immunization history
The parent of a 2-month-old infant is reluctant to have the baby vaccinated. What is an
initial step in responding to these concerns - Answer Question the parent's reasons for
concern about immunizations
Which lab value is most concerning in an infant with fever and a suspected bacterial
infection? - Answer C-reactive protein of 11.5 mg/L
An adolescent has a TB skin test prior to working as a volunteer in a hospital. The
adolescent is healthy and has not travelled to or from a TB-endemic area or had close
contact with anyone who has TB. The Mantoux skin test shows 10mm of induration after
48 hours. What will the primary care pediatric NP do? - Answer Reassure the
adolescent that this is a negative screen
A parent is concerned about vaccine adverse reactions. Based on an Institute of
Medicine report, what will the primary care pediatric NP tell the parent? - Answer The
MMR may be linked to febrile seizures in immunocompromised children
An adolescent female who is sexually active and who has not had the HPV vaccine
asks if she may have it. What will the primary care pediatric NP tell her - Answer The
vaccine will not protect her from any HPV oncogenic types acquired previously
, Burns Study Questions
A child with a history of a pustular rash at the site of a cat scratch on one arm now has
warm, tender, swollen axillary lymph nodes on the affected side. The primary care PNP
notes induration and erythema of these nodes . What will the NP do - Answer Order an
immunofluorescent assay (IFA) for serum antibodies
An 18-month-old child has bronchopulmonary dysplasia. To help prevent pneumococcal
disease, which vaccine will be ordered - Answer PCV13
A child whose parents have refused vaccines has been exposed to chickenpox, and the
parents ask whether the child may attend day care. What will the primary care PNP tell
them? - Answer The child should stay home if any symptoms occur and may return in 1
week if no rash develops
The PCPNP reviews the immunization records of an 18-month-old child and notes that
the child received an MMR immunization 2 days prior to the first birthday. What will the
NP do - Answer Recommend the next dose of MMR vaccine at 4-5 yrs of age
The PCPNP performs a well child examination on a 1-month-old. The infant was
recently discharged from the neonatal ICU after treatment with parenteral acyclovir for a
neonatal herpetic infection and is currently taking oral acyclovir. What will the nurse
practitioner do to manage this infant's care - Answer Obtain regular absolute neutrophil
counts
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 not able to verify the
type of the length of time the ticks were attached. The child is asymptomatic. What is
the best course of action - Answer Teach the parents which signs and symptoms to
report
A child who is immunocompromised has a fever and a rash consisting of macules,
papules, and pustules. What will the PCPNP do - Answer Hospitalize the child for
intravenous acyclovir
A preschool-age child is brought to clinic for evaluation of a rash. The PCPNP notes an
intense red eruption on the child's cheeks and circumoral pallor. What will the NP tell th
eparents about this rash? - Answer Expect a lacy, maculopapular rash to develop on
the trunk and extremities
The PCPNP 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 - Answer Performing a
catheterized urinalysis to screen for leukocytes and nitrates
A 2-month-old infant will receive initial immunizations, and the parent asks about giving
medications to increase to the infant's comfort and minimize fever. What will the PCPNP
recommmend - Answer Administering ibuprofen or acetaminophen as needed
A 10-month-old infant who is new to the clinic has chronic hepatitis B infection. What will
the primary care pediatric NP do to manage this infant's disease - Answer Consult a
pediatric infectious disease specialist
The primary care pediatric nurse practitioner is performing an initial well child exam on a
3-year-old child recently adopted from Africa. The adoptive parent has a recorded of
immunizations indicating that the child is fully vaccinated. What will the NP do? -
Answer Perform antibody titers and re-immunize the child
A 3-year-old child who attends day care has had a fever, nausea, and vomiting several
weeks prior and now has darkened urine and constipation along with hepatomegaly and
right upper quadrant tenderness. What treatment is warranted for this child? - Answer
Supportive care
A 10-month-old infant has an erythematous, fluctuant, non-draining abscess on the right
buttock after 10 days of treatment with amoxicillin for impetigo. What is the next step in
managing this infant's care? - Answer Incision and drainage of abscess with culture
An unimmunized school-ag child whose mother is in her first trimester of pregnancy is
diagnosed with rubella after a local outbreak. What will the PCP-NP recommend -
Answer Assessment of maternal rubella titers
A 2-month-old infant has a staccato cough and fever. Which aspect of the history is
most important in determining the diagnosis? - Answer Immunization history
The parent of a 2-month-old infant is reluctant to have the baby vaccinated. What is an
initial step in responding to these concerns - Answer Question the parent's reasons for
concern about immunizations
Which lab value is most concerning in an infant with fever and a suspected bacterial
infection? - Answer C-reactive protein of 11.5 mg/L
An adolescent has a TB skin test prior to working as a volunteer in a hospital. The
adolescent is healthy and has not travelled to or from a TB-endemic area or had close
contact with anyone who has TB. The Mantoux skin test shows 10mm of induration after
48 hours. What will the primary care pediatric NP do? - Answer Reassure the
adolescent that this is a negative screen
A parent is concerned about vaccine adverse reactions. Based on an Institute of
Medicine report, what will the primary care pediatric NP tell the parent? - Answer The
MMR may be linked to febrile seizures in immunocompromised children
An adolescent female who is sexually active and who has not had the HPV vaccine
asks if she may have it. What will the primary care pediatric NP tell her - Answer The
vaccine will not protect her from any HPV oncogenic types acquired previously
, Burns Study Questions
A child with a history of a pustular rash at the site of a cat scratch on one arm now has
warm, tender, swollen axillary lymph nodes on the affected side. The primary care PNP
notes induration and erythema of these nodes . What will the NP do - Answer Order an
immunofluorescent assay (IFA) for serum antibodies
An 18-month-old child has bronchopulmonary dysplasia. To help prevent pneumococcal
disease, which vaccine will be ordered - Answer PCV13
A child whose parents have refused vaccines has been exposed to chickenpox, and the
parents ask whether the child may attend day care. What will the primary care PNP tell
them? - Answer The child should stay home if any symptoms occur and may return in 1
week if no rash develops
The PCPNP reviews the immunization records of an 18-month-old child and notes that
the child received an MMR immunization 2 days prior to the first birthday. What will the
NP do - Answer Recommend the next dose of MMR vaccine at 4-5 yrs of age
The PCPNP performs a well child examination on a 1-month-old. The infant was
recently discharged from the neonatal ICU after treatment with parenteral acyclovir for a
neonatal herpetic infection and is currently taking oral acyclovir. What will the nurse
practitioner do to manage this infant's care - Answer Obtain regular absolute neutrophil
counts
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 not able to verify the
type of the length of time the ticks were attached. The child is asymptomatic. What is
the best course of action - Answer Teach the parents which signs and symptoms to
report
A child who is immunocompromised has a fever and a rash consisting of macules,
papules, and pustules. What will the PCPNP do - Answer Hospitalize the child for
intravenous acyclovir
A preschool-age child is brought to clinic for evaluation of a rash. The PCPNP notes an
intense red eruption on the child's cheeks and circumoral pallor. What will the NP tell th
eparents about this rash? - Answer Expect a lacy, maculopapular rash to develop on
the trunk and extremities
The PCPNP 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 - Answer Performing a
catheterized urinalysis to screen for leukocytes and nitrates
A 2-month-old infant will receive initial immunizations, and the parent asks about giving
medications to increase to the infant's comfort and minimize fever. What will the PCPNP
recommmend - Answer Administering ibuprofen or acetaminophen as needed
