2026 NR 507 Exam 5 Latest 2026 Update Test Bank with
Questions and Correct Verified Answers (Already Graded A+
Chamberlain)/NUR 507 Exam 5| Brand New!!
The primary care paediatric nurse practitioner performs a well baby
assessment of a 5-day-old infant and notes mild conjunctivitis,
corneal opacity, and serosanguinous discharge in the right eye. Which
course of action is correct?
a. Administer intramuscular ceftriaxone 50 mg/kg.
b. Admit the infant to the hospital immediately.
c. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
d. Teach the parent how to perform tear duct massage.
b. Admit the infant to the hospital immediately.
A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute otitis media is seen for follow-up. The primary
care paediatric nurse practitioner notes dull-gray tympanic
membranes with a visible air-fluid level. The child is febrile and
without pain. What is the next course of action?
a. Administering ceftriaxone IM
b. Giving clindamycin orally
c. Monitoring ear fluid levels for 3 months
d. Watchful waiting for 48 to 72 hours
c. Monitoring ear fluid levels for 3 months
A child with a history of otitis externa asks about ways to prevent this
condition. What will the primary care paediatric nurse practitioner
recommend?
a. Cleaning ear canals well after swimming
b. Drying the ear canal with a hair dryer
c. Swimming only in chlorinated pools
pg. 1
,d. Using cerumenolytic agents daily
b. Drying the ear canal with a hair dryer
A child complains of itching in both ears and is having trouble
hearing. The primary care paediatric nurse practitioner notes
periauricular edema and marked swelling of the external auditory
canal and elicits severe pain when manipulating the external ear
structures. Which is an appropriate intervention?
a. Obtain a culture of the external auditory canal.
b. Order ototopical antibiotic/corticosteroid drops.
c. Prescribe oral amoxicillin-clavulanate.
d. Refer the child to an otolaryngologist
b. Order ototopical antibiotic/corticosteroid drops.
The primary care paediatric nurse practitioner diagnoses acute otitis
media in a 2-year-old child who has a history of three ear infections in
the first 6 months of life. The child's tympanic membrane is intact and
the child has a temperature of 101.5°F. What will the nurse
practitioner prescribe for this child?
a. Amoxicillin twice daily for 10 days
b. An analgesic medication and watchful waiting
c. Antibiotic car drops and ibuprofen
d. Ceftriaxone given once intramuscularly
b. An analgesic medication and watchful waiting
What will the primary care paediatric nurse practitioner teach the
parents of a child who has new pressure-equalizing tubes
(PET) in both ears?
a. Parents should notice improved hearing in their child.
b. PET will help by reducing the number of ear infections the child
has.
pg. 2
, c. The child should use earplugs when showering or bathing.
d. The tubes will most likely remain in place for 3 to 4 years.
a. Parents should notice improved hearing in their child.
The primary care paediatric nurse practitioner obtains a tympanogram
on a child that reveals a sharp peak of -180 mm H2O. What does this
value indicate?
a. A normal tympanic membrane
b. Middle ear effusion
c. Negative ear pressure
d. Tympanic membrane perforation
c. Negative ear pressure
A child with cerebral palsy receives all nutrition via gastrostomy tube.
What will the primary care paediatric nurse practitioner recommend
to promote dental health in this child?
a. Applying topical iodine every month
b. Daily chlorhexidine gluconate rinses
c. Ordering medications to prevent drooling
d. Prescribing prophylactic antibiotics
b. Daily chlorhexidine gluconate rinses
A child has several shallow mucosal lesions on the buccal mucosa and
tongue that are surrounded with an erythematous halo and covered by
yellow plaques. What will the primary care pediatric nurse
practitioner recommend?
a. Chlorhexidine gluconate
b. Diphenhydramine and Maalox
c. Oral acyclovir
d. Topical antiviral medication
pg. 3
Questions and Correct Verified Answers (Already Graded A+
Chamberlain)/NUR 507 Exam 5| Brand New!!
The primary care paediatric nurse practitioner performs a well baby
assessment of a 5-day-old infant and notes mild conjunctivitis,
corneal opacity, and serosanguinous discharge in the right eye. Which
course of action is correct?
a. Administer intramuscular ceftriaxone 50 mg/kg.
b. Admit the infant to the hospital immediately.
c. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
d. Teach the parent how to perform tear duct massage.
b. Admit the infant to the hospital immediately.
A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute otitis media is seen for follow-up. The primary
care paediatric nurse practitioner notes dull-gray tympanic
membranes with a visible air-fluid level. The child is febrile and
without pain. What is the next course of action?
a. Administering ceftriaxone IM
b. Giving clindamycin orally
c. Monitoring ear fluid levels for 3 months
d. Watchful waiting for 48 to 72 hours
c. Monitoring ear fluid levels for 3 months
A child with a history of otitis externa asks about ways to prevent this
condition. What will the primary care paediatric nurse practitioner
recommend?
a. Cleaning ear canals well after swimming
b. Drying the ear canal with a hair dryer
c. Swimming only in chlorinated pools
pg. 1
,d. Using cerumenolytic agents daily
b. Drying the ear canal with a hair dryer
A child complains of itching in both ears and is having trouble
hearing. The primary care paediatric nurse practitioner notes
periauricular edema and marked swelling of the external auditory
canal and elicits severe pain when manipulating the external ear
structures. Which is an appropriate intervention?
a. Obtain a culture of the external auditory canal.
b. Order ototopical antibiotic/corticosteroid drops.
c. Prescribe oral amoxicillin-clavulanate.
d. Refer the child to an otolaryngologist
b. Order ototopical antibiotic/corticosteroid drops.
The primary care paediatric nurse practitioner diagnoses acute otitis
media in a 2-year-old child who has a history of three ear infections in
the first 6 months of life. The child's tympanic membrane is intact and
the child has a temperature of 101.5°F. What will the nurse
practitioner prescribe for this child?
a. Amoxicillin twice daily for 10 days
b. An analgesic medication and watchful waiting
c. Antibiotic car drops and ibuprofen
d. Ceftriaxone given once intramuscularly
b. An analgesic medication and watchful waiting
What will the primary care paediatric nurse practitioner teach the
parents of a child who has new pressure-equalizing tubes
(PET) in both ears?
a. Parents should notice improved hearing in their child.
b. PET will help by reducing the number of ear infections the child
has.
pg. 2
, c. The child should use earplugs when showering or bathing.
d. The tubes will most likely remain in place for 3 to 4 years.
a. Parents should notice improved hearing in their child.
The primary care paediatric nurse practitioner obtains a tympanogram
on a child that reveals a sharp peak of -180 mm H2O. What does this
value indicate?
a. A normal tympanic membrane
b. Middle ear effusion
c. Negative ear pressure
d. Tympanic membrane perforation
c. Negative ear pressure
A child with cerebral palsy receives all nutrition via gastrostomy tube.
What will the primary care paediatric nurse practitioner recommend
to promote dental health in this child?
a. Applying topical iodine every month
b. Daily chlorhexidine gluconate rinses
c. Ordering medications to prevent drooling
d. Prescribing prophylactic antibiotics
b. Daily chlorhexidine gluconate rinses
A child has several shallow mucosal lesions on the buccal mucosa and
tongue that are surrounded with an erythematous halo and covered by
yellow plaques. What will the primary care pediatric nurse
practitioner recommend?
a. Chlorhexidine gluconate
b. Diphenhydramine and Maalox
c. Oral acyclovir
d. Topical antiviral medication
pg. 3
