(HU) NU 642 Clinical Decision Making - Latest Final Exam Review Q & S 2024(HU) NU 642 Clinical Decision Making - Latest Final Exam Review Q & S 2024(HU) NU 642 Clinical Decision Making - Latest Final Exam Review Q & S 2024
,1. A 5-year-old presents with a sore throat and fever. Rapid strep
test is negative. Which diagnostic step is most appropriate next?
- A) Prescribe antibiotics.
- B) Conduct a throat culture.
- C) Prescribe antipyretics and monitor.
- D) Refer to a specialist.
- Answer: B) Conduct a throat culture.
Rationale: A throat culture is used to confirm or rule out
bacterial infection due to the limitations of rapid tests in sensitivity.
, 3. A child with a viral infection is noted to have developed a rash
following amoxicillin administration. This indicates:
- A) A drug allergy.
- B) A drug-virus interaction.
- C) Incorrect dosing.
- D) A bacterial superinfection.
- Answer: B) A drug-virus interaction.
Rationale: Rash after amoxicillin in viral infections like EBV is
a known drug-virus interaction, not specifically an allergy.
4. In a case of suspected child abuse, your primary responsibility
is to:
- A) Collect detailed evidence.
- B) Provide immediate comfort and support.
- C) Report to child protective services.
- D) Confront the caregiver with the suspicion.
- Answer: C) Report to child protective services.
Rationale: Suspicion of abuse mandates reporting to
appropriate authorities for the child’s safety.
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