NSG 6440 PEDS EXAM QUESTIONS & ANSWERS
A 2-year-old has a sudden onset of high fever while at daycare. The daycare attendant describes
a seizure in the child. The child is brought to the clinic; neurologically he appears normal. His
body temperature is 99.9 after receiving ibuprofen. He is diagnosed with otitis media. How
should the nurse practitioner manage this?
Treat the otitis media and give education about fever management
Explanation:
The child may have had a febrile seizure at the daycare related to a sudden elevation of body
temperature. The sudden rise (or even fall) of body temperature can precipitate a seizure in
young children. The most common diagnosis associated with febrile seizures is otitis media.
The mother should be advised about behavior to watch for that could indicate the child is
having a seizure. If this behavior occurs again, the child should be brought for neurological
evaluation.
A 3-year-old female had a fever of 102 F for the last 3 days. Today she woke up from a nap and
is afebrile. She has a maculopapular rash.
Which of the following is an appropriate initial intervention for gastroesophageal reflux disease
(GERD) in an 8-week-old?
Small, frequent thickened feedings
A 12-year-old complains of itching in his right ear and pain when the pinna is pulled or the
tragus is pushed. Examination revealed slight redness in the ear canal with a clear odorless
fluid. This could be suggestive of: ?Otitis externa?
A nurse practitioner is assessing the head of a 3-day-old infant. What would be a normal
observation in a healthy 3-day-old infant who is crying?
There are palpable pulsations over the anterior fontanel
The chest circumference of a 12-month-old is:
is equal to head circumference
When is a child first able to stand on one foot?
3 years
A seven year-old entered the clinic one month ago. There was no evidence that he had any
immunizations. Which immunizations can he receive today?
Hepatitis B, TdaP, IPV, varicella, MMR
A 2-year-old has a sudden onset of high fever while at daycare. The daycare attendant describes
a seizure in the child. The child is brought to the clinic; neurologically he appears normal. His
body temperature is 99.9 after receiving ibuprofen. He is diagnosed with otitis media. How
should the nurse practitioner manage this?
Treat the otitis media and give education about fever management
Explanation:
The child may have had a febrile seizure at the daycare related to a sudden elevation of body
temperature. The sudden rise (or even fall) of body temperature can precipitate a seizure in
young children. The most common diagnosis associated with febrile seizures is otitis media.
The mother should be advised about behavior to watch for that could indicate the child is
having a seizure. If this behavior occurs again, the child should be brought for neurological
evaluation.
A 3-year-old female had a fever of 102 F for the last 3 days. Today she woke up from a nap and
is afebrile. She has a maculopapular rash.
Which of the following is an appropriate initial intervention for gastroesophageal reflux disease
(GERD) in an 8-week-old?
Small, frequent thickened feedings
A 12-year-old complains of itching in his right ear and pain when the pinna is pulled or the
tragus is pushed. Examination revealed slight redness in the ear canal with a clear odorless
fluid. This could be suggestive of: ?Otitis externa?
A nurse practitioner is assessing the head of a 3-day-old infant. What would be a normal
observation in a healthy 3-day-old infant who is crying?
There are palpable pulsations over the anterior fontanel
The chest circumference of a 12-month-old is:
is equal to head circumference
When is a child first able to stand on one foot?
3 years
A seven year-old entered the clinic one month ago. There was no evidence that he had any
immunizations. Which immunizations can he receive today?
Hepatitis B, TdaP, IPV, varicella, MMR
