NURS 535 Pediatrics Test 2 (Carson Newman University
Nurse Practitioner Cert Exam Prep 6th edition and
PEDIATRIC NURSE PRACTITIONER CERTIFICATION
REVIEW GUIDE) Questions With Complete Solutions
Sam is a 4-year-old boy who presents with a 1-week history of
intermittent fever, rash, and "watery, red eyes." Clinical
presentation is of an alert child who is cooperative with
examination but irritable, with a temperature of 38°C (100.4°F),
pulse rate of 132 bpm, and respiratory rate of 38 breaths/minute.
Physical examination findings include nasal crusting; dry,
erythematous, cracked lips; red, enlarged tonsils without
exudate; and elevated tongue papillae. The diagnosis of
Kawasaki's disease is being considered. Additional findings are
likely to include:
A. vesicular-form rash.
B. purulent conjunctivitis.
C. peeling hands.
D. occipital lymphadenopathy.
Correct: C. peeling hands. In addition to the observed findings in
this child, Kawasaki's disease is also associated with edema and
erythema of the hands and feet with peeling skin occurring at
late stages of disease, usually 1 to 2 weeks after the onset of
fever
,Appropriate treatment options for an 8-year-old with a
generalized rash due to varicella infection can include all of the
following except:
A. topical calamine lotion.
B. oral antihistamine.
C. topical corticosteroid cream.
D. oatmeal bath.
C. topical corticosteroid cream. Treatment of varicella infection,
or chickenpox, is largely supportive, and certain measures can
be used to minimize symptoms and discomfort. However, the
use of a topical corticosteroid is not warranted for this condition
An infant is born with a port-wine lesion on her face. You
advise the parents of all of the following except that:
A. ophthalmology should be consulted if the eyelid is involved.
B. Sturge-Weber syndrome is sometimes associated with port-
wine stain.
C. the lesion should resolve by 5 years of age.
D. a lesion in the vicinity of the eye can increase the risk of
glaucoma.
Correct: C. the lesion should resolve by 5 years of age. Port-
wine lesions will tend to get darker and often become nodular as
the child grows. The lesion will not regress over time
A 10-day-old child presents with multiple raised lesions
resembling flea bites over the trunk and nape of the neck. The
infant is nursing well and has no fever or exposure to animals.
,These lesions likely represent:
A. erythema toxicum neonatorum.
B. milia.
C. acne neonatorum.
D. staphylococcal skin infection.
Correct: A. erythema toxicum neonatorum. Erythema toxicum
neonatorum is a rash that is commonly found in newborns that
appears within the first 10 days of lif
Milia is typically caused by:
A. low levels of androgen.
B. enlarged sebaceous glands.
C. excessive oil production in the skin follicles.
D. an unknown etiology.
Correct: B. enlarged sebaceous glands. The likely cause of milia
is enlarged sebaceous glands, possibly caused by maternal
androgenic effect
Acne neonatorum treatment options include which of the
following? (More than one can apply.)
A. no special skin care is needed because these lesions are self-
resolving
B. topical retinoids
C. oral antibiotic
D. low-dose benzoyl peroxide
Correct: A. no special skin care is needed because these lesions
are self-resolving, and D. low-dose benzoyl peroxide Acne
, neonatorum will typically resolve by 4 to 8 weeks without any
intervention
An Asian couple comes in with their 4-week-old infant, who has
blue-black macules scattered over the buttocks. These most
likely represent:
A. benign mottling.
B. mongolian spots.
C. ecchymosis.
D. hemangioma.
Correct: B. mongolian spots. Mongolian spots can present
similar to bruising that is typically distributed over the lower
back and buttocks. The condition occurs in about 90% of
children of African or Asian ancestries
Standard management of mongolian spots includes:
A. topical corticosteroids.
B. interferon-α injection.
C. topical or systemic antimicrobial.
D. no treatment, as the condition resolves over time.
Correct: D. no treatment, as the condition resolves over time.
Mongolian spots will normally resolve by age 7 years and thus
no treatment is needed
Eczema is thought to be caused by:
A. overactive mucous glands.
B. bacterial infection.
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