Science Medicine Pediatrics
Nur 507 - Exam 5
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Peds 7 Qs from Mattox NURS 270 Chapter 5
25 terms 27 terms 31 terms
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The primary care pediatric nurse a. bone marrow biopsy.
practitioner is examining a 5-
year-old child who has had
recurrent fevers, bone pain, and
a recent loss of weight. The
physical exam reveals scattered
petechia, lymphadenopathy, and
bruising. A complete blood
count shows thrombocytopenia,
anemia, and an elevated white
cell blood count. The nurse
practitioner will refer this child to
a specialist for
a. bone marrow biopsy.
b. corticosteroids and IVIG.
c. hemoglobin electrophoresis.
d. immunoglobulin testing.
See an expert-written answer!
,A toddler who presents with a. Closely observe the child's symptoms and lab values.
anemia and reticulocytopenia
has a history of a gradual
decrease in energy and increase
in pallor beginning after a recent
viral infection. How will the
primary care pediatric nurse
practitioner treat this child?
a. Closely observe the child's
symptoms and lab values.
b. Consult with a pediatric
hematologist.
c. Prescribe supplemental iron
for 4 to 6 months.
d. Refer for transfusions to
correct the anemia.
The primary care pediatric nurse b. Leukoencephalopathy
practitioner is performing a well
child examination on a school-
age child who has a history of
cancer treated with cranial
irradiation. What will the nurse
practitioner monitor in this child?
a. Cardiomyopathy and
arrhythmias
b. Leukoencephalopathy
c. Obesity and gonadal
dysfunction
d. Peripheral neuropathy and
hearing loss
The primary care pediatric nurse a. Evaluate serum ferritin.
practitioner reviews hematology
reports on a child with beta-
thalassemia minor and notes an
Hgb level of 8 g/dL. What will
the nurse practitioner do?
a. Evaluate serum ferritin.
b. Order Hgb electrophoresis.
c. Prescribe supplemental iron.
d. Refer for RBC transfusions.
, The primary care pediatric nurse a. Prescribe elemental iron and recheck labs in 1 month.
practitioner evaluates a 5-year-
old child who presents with
pallor and obtains labs revealing
a hemoglobin of 8.5 g/dL and a
hematocrit of 31%. How will the
nurse practitioner manage this
patient?
a. Prescribe elemental iron and
recheck labs in 1 month.
b. Reassure the parent that this
represents mild anemia.
c. Recommend a diet high in
iron-rich foods.
d. Refer to a hematologist for
further evaluation.
A school-age child comes to the d. Teach to avoid NSAIDs and contact sports.
clinic for evaluation of excessive
bruising. The primary care
pediatric nurse practitioner
notes a history of an upper
respiratory infection 2 weeks
prior. The physical exam is
negative for
hepatosplenomegaly and
lymphadenopathy. Blood work
reveals a platelet count of
60,000/mm° with normal PT and
aPTT. How will the nurse
practitioner manage this child's
condition?
a. Admit to the hospital for IVIG
therapy.
b. Begin a short course of
corticosteroid therapy.
c. Refer to a pediatric
hematologist.
d. Teach to avoid NSAIDs and
contact sports.
The primary care pediatric nurse d. Refer to an ophthalmologist.
practitioner is treating an infant
with 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.
d. Refer to an ophthalmologist.
Nur 507 - Exam 5
Save
Students also studied
Flashcard sets Study guides
Peds 7 Qs from Mattox NURS 270 Chapter 5
25 terms 27 terms 31 terms
stephanie_hutzler Preview stichal Preview PerkyGurl
The primary care pediatric nurse a. bone marrow biopsy.
practitioner is examining a 5-
year-old child who has had
recurrent fevers, bone pain, and
a recent loss of weight. The
physical exam reveals scattered
petechia, lymphadenopathy, and
bruising. A complete blood
count shows thrombocytopenia,
anemia, and an elevated white
cell blood count. The nurse
practitioner will refer this child to
a specialist for
a. bone marrow biopsy.
b. corticosteroids and IVIG.
c. hemoglobin electrophoresis.
d. immunoglobulin testing.
See an expert-written answer!
,A toddler who presents with a. Closely observe the child's symptoms and lab values.
anemia and reticulocytopenia
has a history of a gradual
decrease in energy and increase
in pallor beginning after a recent
viral infection. How will the
primary care pediatric nurse
practitioner treat this child?
a. Closely observe the child's
symptoms and lab values.
b. Consult with a pediatric
hematologist.
c. Prescribe supplemental iron
for 4 to 6 months.
d. Refer for transfusions to
correct the anemia.
The primary care pediatric nurse b. Leukoencephalopathy
practitioner is performing a well
child examination on a school-
age child who has a history of
cancer treated with cranial
irradiation. What will the nurse
practitioner monitor in this child?
a. Cardiomyopathy and
arrhythmias
b. Leukoencephalopathy
c. Obesity and gonadal
dysfunction
d. Peripheral neuropathy and
hearing loss
The primary care pediatric nurse a. Evaluate serum ferritin.
practitioner reviews hematology
reports on a child with beta-
thalassemia minor and notes an
Hgb level of 8 g/dL. What will
the nurse practitioner do?
a. Evaluate serum ferritin.
b. Order Hgb electrophoresis.
c. Prescribe supplemental iron.
d. Refer for RBC transfusions.
, The primary care pediatric nurse a. Prescribe elemental iron and recheck labs in 1 month.
practitioner evaluates a 5-year-
old child who presents with
pallor and obtains labs revealing
a hemoglobin of 8.5 g/dL and a
hematocrit of 31%. How will the
nurse practitioner manage this
patient?
a. Prescribe elemental iron and
recheck labs in 1 month.
b. Reassure the parent that this
represents mild anemia.
c. Recommend a diet high in
iron-rich foods.
d. Refer to a hematologist for
further evaluation.
A school-age child comes to the d. Teach to avoid NSAIDs and contact sports.
clinic for evaluation of excessive
bruising. The primary care
pediatric nurse practitioner
notes a history of an upper
respiratory infection 2 weeks
prior. The physical exam is
negative for
hepatosplenomegaly and
lymphadenopathy. Blood work
reveals a platelet count of
60,000/mm° with normal PT and
aPTT. How will the nurse
practitioner manage this child's
condition?
a. Admit to the hospital for IVIG
therapy.
b. Begin a short course of
corticosteroid therapy.
c. Refer to a pediatric
hematologist.
d. Teach to avoid NSAIDs and
contact sports.
The primary care pediatric nurse d. Refer to an ophthalmologist.
practitioner is treating an infant
with 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.
d. Refer to an ophthalmologist.
