NURS 629 MVU EXAM 1 PRACTICE /ACTUAL QUESTIONS & CORRECT DETAILED ANSWERS/ LATEST 2024 NEW UPDATE 100% SCORES A+ GRADE 1. The primary care pediatric nurse practitioner performs a vision screen on a 4- month -old infant and notes the presence of convergence and accommodation with mild esotropia of the left eye. What will the nurse practitioner do? A. Patch the right eye to improve coordination of the left eye. B. Reassure the parents that the infant will outgrow this. C. Recheck the infant’s eyes in 2 to 4 weeks. D. Refer the infant to a pediatric ophthalmologist. Correc 2. During a well child exam on a 4-year-old child, the primary care pediatric nurse practitioner notes that the clinic nurse recorded “20/50” for the child’s vision and noted that the child had difficulty cooperating with the exam. What will the nurse practitioner recommend? A. Follow up with a visual acuity screen in 6 months. B. Refer to a pediatric ophthalmologist. C. Re-test the child in 1 year. D. Test the child’s vision in 1 month. 3. During a well child assessment of an African -American infant, the primary care pediatric nurse practitioner notes a dark red-brown light reflex in the left eye and a slightly brighter, red-orange light reflex in the right eye. The nurse practitioner will A. dilate the pupils and reassess the red reflex. B. order auto-refractor screening of the eyes. C. recheck the red reflex in 1 month. D. refer the infant to an ophthalmologist. Correc 4. The primary care pediatric nurse practitioner performs a Hirschberg test to evaluate A. color vision. B. ocular alignment. Correc C. peripheral vision. D. visual acuity. 5. The primary care pediatric nurse practitioner applies fluorescein stain to a child’s eye. When examining the eye with a cobalt blue filter light, the entire cornea appears cloudy. What does this indicate? A. The cornea has not been damaged. orrect B. There is too little stain on the cornea. C. There is damage to the cornea. D. There is too much stain on the cornea. Correc 6. A toddler exhibits exotropia of the right eye during a cover -uncover screen. The ID: 13348411156 primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment? A. Botulinum toxin injection B. Corrective lenses C. Occluding the affected eye for 6 hours per day D. Patching of the unaffected eye for 2 hours each day 7. The primary care pediatric nurse practitioner performs a well child examination on ID: 13348411140 a 9-month -old infant who has a history of prematurity at 28 weeks’ gestation. The infant was treated for retinopathy of prematurity (ROP) and all symptoms have resolved. When will the infant need an ophthalmologic exam? A. At 12 months of age Correct B. At 24 months of age C. At 48 months of age D. At 60 months of age 8. During a well-baby assessment on a 1-week -old infant who had a normal exam ID: 13348411144 when discharged from the newborn nursery 2 days prior, the primary care pediatric nurse practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and moderate amounts of thick, purulent discharge. What is the likely diagnosis? A. Chemical -induced conjunctivitis B. Chlamydia trachomatis conjunctivitis Correct C. Herpes simplex virus (HSV) conjunctivitis D. Neisseria gonorrhea conjunctivitis 9. The primary care pediatric nurse practitioner performs a well baby assessment of ID: 13348411152 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. Correc t C. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks. D. Teach the parent how to perform tear duct massage. 10. A preschool -age child who attends day care has a 2-day history of matted eyelids Correct K. L. ID: in the morning and burning and itching of the eyes. The primary care pediatric nurse practitioner notes yellow -green purulent discharge from both eyes, conjunctival erythema, and mild URI symptoms. Which action is correct? I. A. Culture the conjunctival discharge. B. Observe the child for several days. C. Order an oral antibiotic medication. D. Prescribe topical antibiotic drops. Correc t J. ID: 11. A 14-year-old child has a 2-week history of severe itching and tearing of both eyes. The primary care pediatric nurse practitioner notes redness and swelling of the eyelids along with stringy, mucoid discharge. What will the nurse practitioner prescribe? G. A. Saline solution or artificial tears B. Topical mast cell stabilizer C. Topical NSAID drops D. Topical vasoconstrictor drops 12. The primary care pediatric nurse practitioner observes a tender, swollen red H. ID: furuncle on the upper lid margin of a child’s eye. What treatment will the nurse practitioner recommend? A. Culture of the lesion to determine causative organism B. Referral to ophthalmology for incision and drainage C. Topical steroid medication D. Warm, moist compresses 3 to 4 times daily 13. The primary care pediatric nurse practitioner is treating an infant with lacrimal duct E. F. ID: 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. Correc 14. A preschool -age child is seen in the clinic after waking up a temperature of ID: 13348411158 102.2°F, swelling and erythema of the upper lid of one eye, and moderate pain when looking from Correct Correct
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PurityKauri. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
