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MN 580 PEDIATRICS EXAM QUESTIONS AND ANSWERS 2024
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MN 580 PEDIATRICS EXAM QUESTIONS AND ANSWERS 2024
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MN 580 PEDIATRICS EXAM 2024ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A 7 year old child whose immunizations are up to date has a fever, headache, stiff
neck, and photophobia. What course of treatment is indicated?
A. Empiric treatment with oral antibiotics or intramuscular ceftriaxone
B. Hospitalization for diagnosis and treatment with antibiotics
C. Immediate vaccination with meningococcal vaccine
D. Outpatient lab work including CBC, blood and CSF cultures. - ANSWERS-B.
Hospitalization for diagnosis and treatment with antibiotics
QUESTION 2
A school age child has a fever of 104 F, sore throat, vomiting, and malaise. The
primary care pediatric NP observes that the tonsils, oropharynx, and palate are
erythematous and covered with exudate, the tongue is coated and red, and there
is a red, sand paper like rash on the child's neck, trunk, and extremities. A rapid
strep test is positive. What will the NP do to manage the child's illness?
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, MN 580 PEDIATRICS EXAM 2024
A. Administer intramuscular ceftriaxone
B. Hospitalize for further diagnostic tests
C. Prescribe oral amoxicillin
D. Refer to a pediatric infectious disease specialist - ANSWERS-C. Prescribe oral
amoxicillin
QUESTION 3
An adolescent has a TB skin test prior to working as a volunteer in a hospital. The
adolescent is healthy and has not traveled to or from a TB endemic area or had
close contact with anyone who has TB. The Mantoux skin test shows 10 mm of
induration after 48 hours. What will the primary care pediatric NP do?
A. Ask the adolescent about exposure to homeless persons
B. Order a chest radiograph to rule out active TB
C. Reassure the adolescent that this is a negative screen
B. Refer the adolescent to an infectious disease specialist - ANSWERS-C. Reassure
the adolescent that this is a negative screen
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, MN 580 PEDIATRICS EXAM 2024
QUESTION 4
The primary care pediatric NP is examining a 2 month old infant with fever and
cough. A WBC is 14,000/mm3 and chest radiograph is normal. The infant is
nursing well and having normal stools. What would be an appropriate next step?
A. Admitting the infant to the hospital for LP and IV antibiotics
B. Obtaining blood cultures, ESR, and C reactive protein
C. Performing a catheterized UA to screen for leukocytes and nitrites
D. Prescribing empiric, broad spectrum antibiotics with close follow up -
ANSWERS-C. Performing a catheterized UA to screen for leukocytes and nitrites
QUESTION 5
An 18-month-old child with no previous history of otitis media awoke during the
night with right earpain. The primary care pediatric nurse practitioner notes an
axillary temperature of 100.5°F and an erythematous, bulging tympanic
membrane. A tympanogram reveals of peak of +150 mm H2O. What is the
recommended treatment for this child?
a. Amoxicillin 80 to 90 mg/kg/day in two divided doses
b. An analgesic medication and watchful waiting
c. Ceftriaxone 50 to 75 mg/kg/dose IM given once
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, MN 580 PEDIATRICS EXAM 2024
d. Ototopical antibiotic drops twice daily for 5 days - ANSWERS-b. An analgesic
medication and watchful waiting
QUESTION 6
A child complains of itching in both ears and is having trouble hearing. The
primary care pediatric 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 amoxicillinclavulanate.
d. Refer the child to an otolaryngologist. - ANSWERS-b. Order ototopical
antibiotic/corticosteroid drops.
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