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NUR 507 - Exam 4 COMPLETE ACTUAL EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS

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NUR 507 - Exam 4 COMPLETE ACTUAL EXAM QUESTIONS AND VERIFIED CORRECT ANSWERSNUR 507 - Exam 4 COMPLETE ACTUAL EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS

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NUR 507 - Exam 4
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An 18-month-old child who d.prescribe oseltamivir and follow closely

developed upper respiratory

symptoms 1 day prior is brought

to the clinic with a high fever,

chills. muscle pains, and a dry,

hacking cough. A rapid influenza

test is negative and a viral

culture is pending. What will the

primary care pediatric nurse

practitioner do?

a. Consider therapy with

rimantadine,

b. Hospitalize for supportive

treatment.

c. Wait for cultures to determine

treatment.

d..prescribe oseltamivir and

follow closely

,The parent of an infant asks why d. Maternal antibodies neutralize some vaccines and are delayed

some vaccines, such as MMR, until 12

are not given along with the

other series of immunizations at

2, 4. and 6 months of age. What

will the primary care pediatric

nurse practitioner tell this

parent?

a. The risk of adverse effects is

lower for some vaccines after

the first year.

b. Too many vaccines at once

can overwhelm the infant's

immune system.

c. Febrile seizures are more

likely in younger infants with

some vaccines.

d. Maternal antibodies

neutralize some vaccines and

are delayed until 12 months.


A school-age child has fever of d. Prescribe oral amoxicillin.

104°F, sore throat, vomiting and

malaise. The primary care

pediatric nurse practitioner

observes that the tonsils,

oropharynx, and palate are

erythematous and covered with

exudate; the tongue is coated

and red; and there is a red,

sandpaper-like rash on the

child's neck, trunk, and

extremities. A rapid strep test is

positive. What will the nurse

practitioner do to manage this

child's illness?

a. Administer intramuscular

ceftriaxone.

b. Refer to a pediatric infectious

disease specialist.

c. Hospitalize for further

diagnostic tests.

d. Prescribe oral amoxicillin.

,An adolescent has a TB skin test a. Reassure the adolescent that this is a negative screen

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 10 mm of induration

after 48 hours. What will the

primary care pediatric nurse

practitioner do?

a. Reassure the adolescent that

this is a negative screen

b. Ask the adolescent about

exposure to homeless persons

c. Refer the adolescent to an

infectious disease specialist.

d. Order a chest radiograph to

rule out active TB.


A 2-month-old infant will receive c. Administering ibuprofen or acetaminophen as needed

initial immunizations, and the

parent asks about giving

medications to increase the

infant's comfort and minimize

fever. What will the primary care

pediatric nurse practitioner

recommend?

a. Pre-treating the infant with

both ibuprofen and

acetaminophen

b. Giving ibuprofen and

acetaminophen only after the

vaccines

c. Administering ibuprofen or

acetaminophen as needed

d. Avoiding antipyretics if

possible, to attain better

immunity


A child who is b. Hospitalize the child for intravenous acyclovir,

immunocompromised has a

fever and a rash consisting of

macules, papules, and pustules.

What will the primary care

pediatric nurse practitioner do?

a. Administer varicella immune

globulin (VariZIG).

b. Hospitalize the child for

intravenous acyclovir,

c. Order intravenous

immunoglobulin as an

outpatient.

d. Prescribe oral acyelovir for

the duration of the illness.

, When reviewing a white blood c. Lymphocytes

cell (WBC) count. the primary

care pediatric nurse practitioner

suspects a viral infection when

which WBC element is elevated?

a. Bands

b. Neutrophils

c. Lymphocytes

d. Leukocytes


A child whose family has been a. Teach the parents which signs and symptoms to report.

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 or

the length of time the ticks were

attached. The child is

asymptomatic. What is the best

course of action?

a. Teach the parents which signs

and symptoms to report.

b. Administer a prophylactic

single dose of doxycycline.

c. Prescribe amoxicillin three

times daily for 14 to 21 days.

d. Perform serologic testing for

(gG or igM antibodies.


A two month old infant has a B. Immunization History

stacatto cough and fever. which

aspect of the history is most

important in determining the

diagnosis?

A. Day care attendance

B. Immunization history

C. Medication history

D. Past Medical history


According to recent research, B. People with graduate degrees

which populations have higher

rates of immunizations than

others?

A. Asians

B. People with graduate degrees

C. Poor people

D. People who have primary

providers

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