Nurs629 Peds Test 1 combined Maryville
University 2024/25.
42. Which of the following foods would you advice a new mother to introduce
to her 6 month old infant first?
a. Plain rice cereal
b. Iron-fortified pureed chicken meat
c. Iron-fortified rice cereal
d. Plain pureed carrots - ANSWER-c. Iron-fortified rice cereal
.44. Sam is a 4 year old boy who presents with a 1 week history of intermittent
fever, rash and "watery eyes". Clinical presentation is of an alert child who is
cooperative with examination, but irritable, with temperate of 37.0 C, pulse rate
of 132 bpm, and respiratory rate of 38/min. Physical examination findings
include nasal crusting, dry and erythematous, cracked lips; red, enlarged tonsils
without exudate; and elevated tongue papillae. The diagnosis of Kawasaki
disease is being considered. Additional findings are likely to include:
a. Exudative conjunctivitis
b. Occipital lymphadenopathy
c. Vesicular-form rash
d. Peeling hands - ANSWER-d. Peeling hands
,.46. Which statement about solving child behavioral problems is FALSE:
a. Toddlers and preschoolers often lack the self control necessary to express
anger and other
unpleasant emotions peacefully.
b. Most children want to please their parents
c. Discipline is the same as punishment
d. Children learn a lot through their parents modeling behaviors - ANSWER-c.
Discipline is the same as punishment
.47. At which of the following ages in a young child's life is parental anticipatory
guidance about using "Time out" as a discipline method most useful?
a. 12 to 18 months
b. 18 to 24 months
c. 24 to 30 months
d. 30 to 36 months - ANSWER-b. 18 to 24 months
.A 4 year old c/o severe ear pain, left ear, will not allow parents to touch the
ear. As the NP you gently touch the tragus and he screams and jerks away. What
is the likely diagnosis?
A. Otitis Media
B. Acute Otitis Media (AOM)
C. Otitis Externa
D. Left ear effusion - ANSWER-C. Otitis Externa
,.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. - ANSWER-Amoxicillin
75-90 mg/kg/day twice daily X 10 days.
.A 6 year old boy presents with a 1-day history of a fiery red, Maculopapular
facial rash concentrated on the cheeks. He has a mild headache and myalgia for
the past week. The most likely diagnosis is:
A. Pityriasis Rosea
B. HFM disease
C. Tinea Corporis
D. Fifth's Disease - ANSWER-D. Fifth's Disease
.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. - ANSWER-Otitis externa.
.A baby should exhibit a "social smile" by what age?
A. 2 weeks
B. 4 weeks
C. 2-3 months
D. 24 hours after birth - ANSWER-C. 2-3 months
.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. - ANSWER-Immobile, painful,
with absent or decreased landmarks.
.A child may exhibit separation anxiety as early as what age?
A. 6-8 weeks
B. 4 to 5 months
C. 6 months
University 2024/25.
42. Which of the following foods would you advice a new mother to introduce
to her 6 month old infant first?
a. Plain rice cereal
b. Iron-fortified pureed chicken meat
c. Iron-fortified rice cereal
d. Plain pureed carrots - ANSWER-c. Iron-fortified rice cereal
.44. Sam is a 4 year old boy who presents with a 1 week history of intermittent
fever, rash and "watery eyes". Clinical presentation is of an alert child who is
cooperative with examination, but irritable, with temperate of 37.0 C, pulse rate
of 132 bpm, and respiratory rate of 38/min. Physical examination findings
include nasal crusting, dry and erythematous, cracked lips; red, enlarged tonsils
without exudate; and elevated tongue papillae. The diagnosis of Kawasaki
disease is being considered. Additional findings are likely to include:
a. Exudative conjunctivitis
b. Occipital lymphadenopathy
c. Vesicular-form rash
d. Peeling hands - ANSWER-d. Peeling hands
,.46. Which statement about solving child behavioral problems is FALSE:
a. Toddlers and preschoolers often lack the self control necessary to express
anger and other
unpleasant emotions peacefully.
b. Most children want to please their parents
c. Discipline is the same as punishment
d. Children learn a lot through their parents modeling behaviors - ANSWER-c.
Discipline is the same as punishment
.47. At which of the following ages in a young child's life is parental anticipatory
guidance about using "Time out" as a discipline method most useful?
a. 12 to 18 months
b. 18 to 24 months
c. 24 to 30 months
d. 30 to 36 months - ANSWER-b. 18 to 24 months
.A 4 year old c/o severe ear pain, left ear, will not allow parents to touch the
ear. As the NP you gently touch the tragus and he screams and jerks away. What
is the likely diagnosis?
A. Otitis Media
B. Acute Otitis Media (AOM)
C. Otitis Externa
D. Left ear effusion - ANSWER-C. Otitis Externa
,.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. - ANSWER-Amoxicillin
75-90 mg/kg/day twice daily X 10 days.
.A 6 year old boy presents with a 1-day history of a fiery red, Maculopapular
facial rash concentrated on the cheeks. He has a mild headache and myalgia for
the past week. The most likely diagnosis is:
A. Pityriasis Rosea
B. HFM disease
C. Tinea Corporis
D. Fifth's Disease - ANSWER-D. Fifth's Disease
.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. - ANSWER-Otitis externa.
.A baby should exhibit a "social smile" by what age?
A. 2 weeks
B. 4 weeks
C. 2-3 months
D. 24 hours after birth - ANSWER-C. 2-3 months
.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. - ANSWER-Immobile, painful,
with absent or decreased landmarks.
.A child may exhibit separation anxiety as early as what age?
A. 6-8 weeks
B. 4 to 5 months
C. 6 months
