NURS 629 EXAM PEDS QUESTIONS WITH ANSWERS
2022/2023 UPDATE GRADED A+
Questions
The primary care pediatric nurse practitioner performs a vision ID: 13348411154
screen on a 4-
month-old infant and notes the presence of convergence and accommodation with
mild esotropia of the left eye. What will the nurse practitioner do?
A. Patch the right eye to improve coordination of the left eye.
B. Reassure the parents that the infant will outgrow this.
C. Recheck the infant’s eyes in 2 to 4 weeks.
D. Refer the infant to a pediatric ophthalmologist. Correct
During a well child exam on a 4-year-old child, the primary care ID: 13348411168
pediatric nurse
practitioner notes that the clinic nurse recorded “20/50” for the child’s vision and
noted that the child had difficulty cooperating with the exam. What will the nurse
practitioner recommend?
A. Follow up with a visual acuity screen in 6 months.
B. Refer to a pediatric ophthalmologist.
C. Re-test the child in 1 year.
D. Test the child’s vision in 1 month.
orrect
During a well child assessment of an African-American infant, the ID: 13348411148
primary care
pediatric nurse practitioner notes a dark red-brown light reflex in the left eye and a
slightly brighter, red-orange light reflex in the right eye. The nurse practitioner will
A. dilate the pupils and reassess the red reflex.
B. order auto-refractor screening of the eyes.
C. recheck the red reflex in 1 month.
D. refer the infant to an ophthalmologist. Correct
, NURS 629 EXAM PEDS QUESTIONS WITH ANSWERS
2022/2023 UPDATE GRADED A+
The primary care pediatric nurse practitioner performs a Hirschberg test to evaluate
A. color vision.
B. ocular alignment. Correct
C. peripheral vision.
D. visual acuity.
The primary care pediatric nurse practitioner applies fluorescein stain to a child’s eye.
When examining the eye with a cobalt blue filter light, the entire cornea appears cloudy.
What does this indicate?
A. The cornea has not been damaged.
ID: 13348411150
There is too little stain on the cornea.
C. There is damage to the cornea.
D. There is too much stain on the cornea. Correct
A toddler exhibits exotropia of the right eye during a cover-uncover ID: 13348411156
screen. The
primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to
initiate which treatment?
A. Botulinum toxin injection
B. Corrective lenses
C. Occluding the affected eye for 6 hours per day
D. Patching of the unaffected eye for 2 hours each day
Correct
The primary care pediatric nurse practitioner performs a well child ID: 13348411140
examination on
a 9-month-old infant who has a history of prematurity at 28 weeks’ gestation. The
infant was treated for retinopathy of prematurity (ROP) and all symptoms have
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age Correct
B. At 24 months of age
C. At 48 months of age
D. At 60 months of age
, NURS 629 EXAM PEDS QUESTIONS WITH ANSWERS
2022/2023 UPDATE GRADED A+
During a well-baby assessment on a 1-week-old infant who had a ID: 13348411144
normal exam
when discharged from the newborn nursery 2 days prior, the primary care pediatric
nurse practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and
moderate amounts
of thick, purulent discharge. What is the likely diagnosis? A.
Chemical-induced conjunctivitis
B. Chlamydia trachomatis conjunctivitis Correct
C. Herpes simplex virus (HSV) conjunctivitis
D. Neisseria gonorrhea conjunctivitis
The primary care pediatric nurse practitioner performs a well baby ID: 13348411152
assessment of
a 5-day-old infant and notes mild conjunctivitis, corneal opacity, and serosanguinous
discharge in the right eye. Which course of action is correct?
A. Administer intramuscular ceftriaxone 50 mg/kg.
B. Admit the infant to the hospital immediately. Correct
C. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
D. Teach the parent how to perform tear duct massage.
, NURS 629 EXAM PEDS QUESTIONS WITH ANSWERS
2022/2023 UPDATE GRADED A+
A preschool-age child who attends day care has a 2-day history of K. L. ID:
matted eyelids
in the morning and burning and itching of the eyes. The primary care pediatric
nurse practitioner notes yellow-green purulent discharge from both eyes,
conjunctival erythema, and mild URI symptoms. Which action is correct?
I.
A. Culture the conjunctival discharge.
B. Observe the child for several days.
C. Order an oral antibiotic medication.
D. Prescribe topical antibiotic drops. Correct
A 14-year-old child has a 2-week history of severe itching and tearing of J. ID:
both
eyes. The primary care pediatric nurse practitioner notes redness and swelling of the eyelids
along
with stringy, mucoid discharge. What will the nurse practitioner
G.
prescribe?
A. Saline solution or artificial tears
B. Topical mast cell stabilizer
C. Topical NSAID drops Correct
D. Topical vasoconstrictor drops
H. ID:
The primary care pediatric nurse practitioner observes a tender, swollen
red
furuncle on the upper lid margin of a child’s eye. What treatment will the nurse practitioner
recommend? E.
A. Culture of the lesion to determine causative organism
B. Referral to ophthalmology for incision and drainage
C. Topical steroid medication
D. Warm, moist compresses 3 to 4 times daily
Correct
The primary care pediatric nurse practitioner is treating an infant with F. ID:
lacrimal duct
obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment
with topical antibiotics along with massage and frequent cleansing of secretions, the
infant’s symptoms have not improved. Which action is correct?
A. Perform massage more frequently.
B. Prescribe an oral antibiotic.
C. Recommend hot compresses.
2022/2023 UPDATE GRADED A+
Questions
The primary care pediatric nurse practitioner performs a vision ID: 13348411154
screen on a 4-
month-old infant and notes the presence of convergence and accommodation with
mild esotropia of the left eye. What will the nurse practitioner do?
A. Patch the right eye to improve coordination of the left eye.
B. Reassure the parents that the infant will outgrow this.
C. Recheck the infant’s eyes in 2 to 4 weeks.
D. Refer the infant to a pediatric ophthalmologist. Correct
During a well child exam on a 4-year-old child, the primary care ID: 13348411168
pediatric nurse
practitioner notes that the clinic nurse recorded “20/50” for the child’s vision and
noted that the child had difficulty cooperating with the exam. What will the nurse
practitioner recommend?
A. Follow up with a visual acuity screen in 6 months.
B. Refer to a pediatric ophthalmologist.
C. Re-test the child in 1 year.
D. Test the child’s vision in 1 month.
orrect
During a well child assessment of an African-American infant, the ID: 13348411148
primary care
pediatric nurse practitioner notes a dark red-brown light reflex in the left eye and a
slightly brighter, red-orange light reflex in the right eye. The nurse practitioner will
A. dilate the pupils and reassess the red reflex.
B. order auto-refractor screening of the eyes.
C. recheck the red reflex in 1 month.
D. refer the infant to an ophthalmologist. Correct
, NURS 629 EXAM PEDS QUESTIONS WITH ANSWERS
2022/2023 UPDATE GRADED A+
The primary care pediatric nurse practitioner performs a Hirschberg test to evaluate
A. color vision.
B. ocular alignment. Correct
C. peripheral vision.
D. visual acuity.
The primary care pediatric nurse practitioner applies fluorescein stain to a child’s eye.
When examining the eye with a cobalt blue filter light, the entire cornea appears cloudy.
What does this indicate?
A. The cornea has not been damaged.
ID: 13348411150
There is too little stain on the cornea.
C. There is damage to the cornea.
D. There is too much stain on the cornea. Correct
A toddler exhibits exotropia of the right eye during a cover-uncover ID: 13348411156
screen. The
primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to
initiate which treatment?
A. Botulinum toxin injection
B. Corrective lenses
C. Occluding the affected eye for 6 hours per day
D. Patching of the unaffected eye for 2 hours each day
Correct
The primary care pediatric nurse practitioner performs a well child ID: 13348411140
examination on
a 9-month-old infant who has a history of prematurity at 28 weeks’ gestation. The
infant was treated for retinopathy of prematurity (ROP) and all symptoms have
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age Correct
B. At 24 months of age
C. At 48 months of age
D. At 60 months of age
, NURS 629 EXAM PEDS QUESTIONS WITH ANSWERS
2022/2023 UPDATE GRADED A+
During a well-baby assessment on a 1-week-old infant who had a ID: 13348411144
normal exam
when discharged from the newborn nursery 2 days prior, the primary care pediatric
nurse practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and
moderate amounts
of thick, purulent discharge. What is the likely diagnosis? A.
Chemical-induced conjunctivitis
B. Chlamydia trachomatis conjunctivitis Correct
C. Herpes simplex virus (HSV) conjunctivitis
D. Neisseria gonorrhea conjunctivitis
The primary care pediatric nurse practitioner performs a well baby ID: 13348411152
assessment of
a 5-day-old infant and notes mild conjunctivitis, corneal opacity, and serosanguinous
discharge in the right eye. Which course of action is correct?
A. Administer intramuscular ceftriaxone 50 mg/kg.
B. Admit the infant to the hospital immediately. Correct
C. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
D. Teach the parent how to perform tear duct massage.
, NURS 629 EXAM PEDS QUESTIONS WITH ANSWERS
2022/2023 UPDATE GRADED A+
A preschool-age child who attends day care has a 2-day history of K. L. ID:
matted eyelids
in the morning and burning and itching of the eyes. The primary care pediatric
nurse practitioner notes yellow-green purulent discharge from both eyes,
conjunctival erythema, and mild URI symptoms. Which action is correct?
I.
A. Culture the conjunctival discharge.
B. Observe the child for several days.
C. Order an oral antibiotic medication.
D. Prescribe topical antibiotic drops. Correct
A 14-year-old child has a 2-week history of severe itching and tearing of J. ID:
both
eyes. The primary care pediatric nurse practitioner notes redness and swelling of the eyelids
along
with stringy, mucoid discharge. What will the nurse practitioner
G.
prescribe?
A. Saline solution or artificial tears
B. Topical mast cell stabilizer
C. Topical NSAID drops Correct
D. Topical vasoconstrictor drops
H. ID:
The primary care pediatric nurse practitioner observes a tender, swollen
red
furuncle on the upper lid margin of a child’s eye. What treatment will the nurse practitioner
recommend? E.
A. Culture of the lesion to determine causative organism
B. Referral to ophthalmology for incision and drainage
C. Topical steroid medication
D. Warm, moist compresses 3 to 4 times daily
Correct
The primary care pediatric nurse practitioner is treating an infant with F. ID:
lacrimal duct
obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment
with topical antibiotics along with massage and frequent cleansing of secretions, the
infant’s symptoms have not improved. Which action is correct?
A. Perform massage more frequently.
B. Prescribe an oral antibiotic.
C. Recommend hot compresses.
