NURS629 PEDS TEST 3 QUESTIONS
AND ANSWERS
In assessing a child with bacterial conjunctivitis, the nurse practitioner finds
Minimal tearing, moderate itching, and profuse exudate.
Minimal itching, moderate tearing, and profuse exudate.
Minimal itching, moderate tearing, and mucoid exudate.
Severe itching, moderate tearing, and minimal discharge. - ANSWER-Minimal
itching, moderate tearing, and profuse exudate.
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 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.
,The treatment plan for a client diagnosed with infectious mononucleosis
includes which of the following?
Rest during acute phase.
Corticosteroids during acute phase.
Avoid exercise during acute phase.
Ampicillin orally for 10 days. - ANSWER-Rest during acute phase.
An adolescent client has had yellowish green nasal discharge and frontal
headache for 10 days. The adolescent's temperature has gone up to 101.2 F
on most afternoons an she has a cough that worsens when she lies down.
The physical exam is within normal limits except for the drainage and a
slightly erythematous pharynx. She does not have any drug allergies and has
not been taking any medications in the last few months. Which medication
would be best to prescribe for her?
Erythromycin
Benadryl
Augmentin
Sudafed - ANSWER-Augmentin
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.
Which finding during the physical assessment is consistent with the
diagnosis of allergic rhinitis?
, Wheezes anterior and posterior
Yellow green nasal discharge
Erythematous nasal mucosa
Pale, boggy nasal mucosa - ANSWER-Pale, boggy nasal mucosa
Which of the following drug choices is the most appropriate first choice for
allergic rhinitis?
Antihistamine
Topical decongestant
Oral corticosteroid dose pak
Oral decongestant - ANSWER-Antihistamine
You diagnose acute epiglottitis in Sally, age 5, and immediately send her to
the local ER. Which of the following symptoms would indicated that an
airway obstruction is imminent?
Reddened face
Screaming
Stridor
Grabbing her throat - ANSWER-Stridor
What is the easiest way to differentiate between otitis externa and otitis
media?
With otitis externa, movement or pressure on the pinna is extremely painful.
With otitis media, tender swelling is usually visible.
With otitis media, tender swelling is usually visible.
With otitis media, there is usually tenderness on palpation over the mastoid
process. - ANSWER-With otitis externa, movement or pressure on the pinna is
extremely painful.
AND ANSWERS
In assessing a child with bacterial conjunctivitis, the nurse practitioner finds
Minimal tearing, moderate itching, and profuse exudate.
Minimal itching, moderate tearing, and profuse exudate.
Minimal itching, moderate tearing, and mucoid exudate.
Severe itching, moderate tearing, and minimal discharge. - ANSWER-Minimal
itching, moderate tearing, and profuse exudate.
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 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.
,The treatment plan for a client diagnosed with infectious mononucleosis
includes which of the following?
Rest during acute phase.
Corticosteroids during acute phase.
Avoid exercise during acute phase.
Ampicillin orally for 10 days. - ANSWER-Rest during acute phase.
An adolescent client has had yellowish green nasal discharge and frontal
headache for 10 days. The adolescent's temperature has gone up to 101.2 F
on most afternoons an she has a cough that worsens when she lies down.
The physical exam is within normal limits except for the drainage and a
slightly erythematous pharynx. She does not have any drug allergies and has
not been taking any medications in the last few months. Which medication
would be best to prescribe for her?
Erythromycin
Benadryl
Augmentin
Sudafed - ANSWER-Augmentin
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.
Which finding during the physical assessment is consistent with the
diagnosis of allergic rhinitis?
, Wheezes anterior and posterior
Yellow green nasal discharge
Erythematous nasal mucosa
Pale, boggy nasal mucosa - ANSWER-Pale, boggy nasal mucosa
Which of the following drug choices is the most appropriate first choice for
allergic rhinitis?
Antihistamine
Topical decongestant
Oral corticosteroid dose pak
Oral decongestant - ANSWER-Antihistamine
You diagnose acute epiglottitis in Sally, age 5, and immediately send her to
the local ER. Which of the following symptoms would indicated that an
airway obstruction is imminent?
Reddened face
Screaming
Stridor
Grabbing her throat - ANSWER-Stridor
What is the easiest way to differentiate between otitis externa and otitis
media?
With otitis externa, movement or pressure on the pinna is extremely painful.
With otitis media, tender swelling is usually visible.
With otitis media, tender swelling is usually visible.
With otitis media, there is usually tenderness on palpation over the mastoid
process. - ANSWER-With otitis externa, movement or pressure on the pinna is
extremely painful.
