Term 1 of 83
A preschool age child is brought to the clinic for evaluation of a rash. The primary care pediatric
NP notes an intense red eruption on the child's cheeks and circumoral pallor. What will the NP tell
the parents about this rash?
This rash may be a prodromal sign of rubella or roseola
The child will need immunization boosters to prevent serious disease
This a benign rash with no known serious complications
Expect a lacy, maculopapular rash to develop on the trunk and extremities
Term 2 of 83
The parent of a 4-month-old infant is concerned that the infant cannot hear.
Which test will the primary care pediatric nurse practitioner order to evaluate potential hearing
loss in this infant?
Acoustic reflectometry
Audiometry
. Auditory brainstem response (ABR)
.Evoked otooacoustic emission (EOAE) testing
,Term 3 of 83
The mother of a 16yearold male was recently divorced after several years of an abusive
relationship and tells the primary care pediatric nurse practitioner that the adolescent has begun
skipping school and hanging out with friends at the local shopping mall. When she confronts her
child, he responds by saying that he hates her. What will the nurse practitioner tell this mother?
Adolescence is marked by an inability to comprehend complex situations
.
Adolescence is typically marked by tempestuous and transient episodes.
Adolescents normally have extreme, disruptive conflicts with parents.
Adolescents often need counseling to help them cope with life events
Term 4 of 83
The primary care pediatric nurse practitioner auscultates a new grade II vibratory, mid systolic
murmur at the mid sternal border in a 4-year-old child that is louder when the child is supine.
What type of murmur is most likely?
Pathologic murmur
Pulmonary flow murmur
Still's murmur
Venous hum
,Term 5 of 83
A 9 month old infant has a grade III/VI, harsh, rumbling, continuous murmur in the left
infraclavicular fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The
primary care pediatric nurse practitioner will refer the infant to a pediatric cardiologist and
prepare the parents for which intervention to repair the defect?
Cardiopulmonary bypass surgery
Coil insertion in the catheterization lab
Indomethacin administration
Observation for spontaneous closure
Term 6 of 83
A 5 year old child who has a history of pertussis infection as an infant is in the clinic for
immunizations prior to kindergarten. Which vaccine will be give?
DTaP
DTPSS
Td
D Tdap
Term 7 of 83
An 18 month old child who developed upper respiratory symptoms 1 day prior is brought to the
clinic with a high fever, chills, muscle pains, and a dry, hacking cough. A rapid flu test is negative
and a viral culture is pending. What will the primary care pediatric NP do?
Consider therapy with rimantadine
Hospitalize for supportive treatment
Prescribe oseltamivir and follow closely
Wait for cultures to determine treatment
, Term 8 of 83
The primary care pediatric nurse practitioner notes a small, round objectin a
child's external auditory canal, near the tympanic membrane. The child's parent thinks it is
probably a dried pea. What will the nurse practitioner do to remove this object?
Irrigate the external auditory canal to flush out the object.
Refer the child to an otolaryngologist for removal.
Remove the object with a wire loop curette.
Use a bayonet forceps to grasp and remove the object.
Term 9 of 83
An adolescent female has a history of repaired TOF. Which longterm complication is a concern
for this patient?
Aortic stenosis
Chronis cyanosis
Mitral valve prolapse
Ventricular failure
Term 10 of 83
A 12 year old child whose weight and BMI are in the 75th percentile has a diastolic BP that is
between the 95th-99th percentile for age, sex, and height, on 3 separate occasions. Initial tests
for this child will include
Complete blood count
Erythrocyte sedimentation rate
renal function and plasma renin tests
Urinalysis and electrolytes
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