NURS 629 EXAM FOR ALL 4 TEST LATEST

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NURS 629 EXAM FOR ALL 4 TEST LATEST

ACTUAL EXAM TEST BANK| 4 VERSIONS (TEST 1, 2, 3

& 4) WITH 100 QUESTIONS EACH AND CORRECT

VERIFIED ANSWERS/ ALREADY GRADED A+| BRAND

NEW!!| MARYVILLE UNIVERSITY|

During a well-baby assessment on a 1weekold infant who had a normal exam 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? - ANSWER - Chlamydia trachomatis conjunctivitis

The primary care pediatric nurse practitioner performs a well-baby assessment of a 5dayold infant and notes mild conjunctivitis, corneal opacity, and serosanguinous discharge in the right eye. Which course of action is correct? - ANSWER - Admit the infant to the hospital immediately.

A school age child has a history of chronic otitis media and is seen in the clinic with vertigo. The primary care pediatric nurse practitioner notes profuse purulent otorrhea from both pressure equalizing tubes and a pearly white lesion on one tympanic membrane.Which condition is most likely? - ANSWER - Cholesteatoma

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pg. 2 the parent of a 4monthold 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? - ANSWER - Auditory brainstem response (ABR)

The primary care pediatric nurse practitioner obtains a tympanogram on a child that reveals a sharp peak of 180 mm H 2 O. What does this value indicate? - ANSWER - Negative ear pressure

The clean catch urine specimen of a child with dysuria, frequency, and fever has a colony count between 50,000 and 100,000 of E. coli. What is the treatment for this child? - ANSWER - Treat with antibiotics for urinary tract infection

A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school age child with dysuria and foul-smelling urine but no fever who has not had previous urinary tract infections. A culture is pending.What will the pediatric nurse practitioner do to treat this child? - ANSWER - Prescribe trimethoprim sulfamethoxazole (TMP) twice daily for 3 to 5 days

A preschool age child with no previous history has mild flank pain and fever but no abdominal pain or vomiting. A urinalysis is positive for leukocyte esterase and nitrites. A culture is pending. Which is the correct course of treatment for this child? - ANSWER - Order amoxicillin clavulanate

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pg. 3 A 3yearold child has just completed a 7day course of amoxicillin for a second febrile urinary tract infection and currently has a negative urine culture. What is the next course of action? - ANSWER - Obtain a renal and bladder ultrasound.

A 9monthold infant with a history of three urinary tract infections is diagnosed with grade II vesicoureteral reflux. Which medication will be prescribed? - ANSWER - TMPSMX; TMP 2 mg/kg as a single daily dose

A child who has nephrotic syndrome is on a steroid and a salt restricted diet for a relapse of symptoms. A dipstick urinalysis shows 1+ protein, down from 3+ at the beginning of the episode. In consultation with the child's nephrologist, what is the correct course of treatment considering this finding? - ANSWER - Continue with steroids and salt restrictions until the urine is negative for protein

A child who had GABHS 2 weeks prior is in the clinic with periorbital edema, dyspnea, and elevated blood pressure. A urinalysis reveals tea colored urine with hematuria and mild proteinuria. What will the primary care pediatric nurse practitioner do to manage this condition? - ANSWER - Refer the child to a pediatric nephrologist for hospitalization.

A 6monthold infant has a retractile testis that was noted at the 2month well baby exam. What will the primary care pediatric nurse practitioner do to manage this condition? - ANSWER - Refer the infant to a pediatric urologist or surgeon for possible orchiopexy 3 / 4

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pg. 4 An adolescent has right sided flank pain without fever. A dipstick urinalysis reveals gross hematuria without signs of infection or bacteriuria, and the primary care pediatric nurse practitioner diagnoses possible nephrolithiasis. What is the initial treatment for this condition? - ANSWER - Increasing fluid intake up to 2 L daily

During a well child examination of a 2yearold child, the primary care pediatric nurse practitioner palpates a unilateral, smooth, firm abdominal mass which does not cross the midline. What is the next course of action that? - ANSWER - Refer the child to an oncologist immediately.

A 9monthold infant is brought to the clinic with scrotal swelling and fussiness. The primary care pediatric nurse practitioner notes a tender mass in the affected scrotum that is difficult to reduce. What is the correct action? - ANSWER - Refer immediately to a pediatric surgeon

The mother of a 12monthold uncircumcised male infant reports that the child seems to have pain associated with voiding. A physical examination reveals a tight, pinpoint opening of the foreskin, which thickened and inflamed. What will the primary care pediatric nurse practitioner do? - ANSWER - Refer the child to a pediatric urologist.

An adolescent male comes to the clinic reporting unilateral scrotal pain, nausea, and vomiting that began that morning. The primary care pediatric nurse practitioner palpates a painful, swollen testis and elicits increased pain with slight elevation of the testis (a negative Phiran’s sign). What will the nurse practitioner do? - ANSWER - Refer the adolescent immediately to a pediatric urologist or surgeon

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