NRNP-6541 Week 6 Knowledge Check

NRNP-6541 Week 6 Knowledge Check

Question 1
Which of the following foreign bodies in the nose requires immediate removal?

– Stone
– Battery
– Bead
– Crayon

Question 2
While conducting a well-child exam for a 5-year-old, you observe two small patches of hair loss. Broken hair is present, as well as erythema and scaling. Based on this information, what is the likely diagnosis?

– Tinea corporis
– Trichotillomania
– Traction alopecia
– Alopecia areata

Question 3
A 7-year-old presents with abrupt fever, stridor, drooling, and hyperextension of the neck. On examination, you notice one tonsil is enlarged, and there is marked erythema of the pharynx with uvular deviation. What is the most appropriate course of action?

– Refer to otolaryngology for management of a peritonsillar abscess and possible hospital admission
– Start cephalexin (Keflex) at the appropriate dose for weight after obtaining a throat culture
– Start amoxicillin at the appropriate dose for weight after obtaining a throat culture.
– Place on a 5-day course of oral steroids after obtaining a monospot, EBV titers, and a CBC

Question 4
Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen, and exudate is present. The TM is normal. What should Mark be instructed to do?

– Use alcohol drops before swimming each day.
– Limit swimming for the remainder of the summer.
– Keep the ear dry until symptoms improve.
– Wear earplugs at all times when swimming.

Question 5
An 8-year-old female is brought into the office by her mother with complaints of fever and sore throat for the past 2 days. On exam, she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis?

– Strep pharyngitis
– Mononucleosis
– Viral pharyngitis
– Sinusitis

Question 6
A 16-year-old is brought in as a walk-in by his parents. He has a fever, rash, confusion, and a diffuse petechial rash. What is the most likely diagnosis?

– Rocky Mountain spotted fever
– Scarlet Fever
– Lyme disease
– Meningococcemia

Question 7
While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out?

– Sturge-Weber syndrome
– Fetal alcohol syndrome
– Tuberous sclerosis
– Neurofibromatosis

Question 8
A 7-month-old female was brought by her mother to an outpatient clinic because of a 2-day history of fever, nasal secretions, and wheezing. The infant’s temperature is 100.7°F, her respiratory rate is 50 breaths/min, and her pulse oximetry is 95% on room air. Which is the recommended treatment?

– Continued nebulized albuterol every 4 hours
– Antihistamines and decongestants
– Initiate synagis
– Antibiotics for 7 days
– Supportive care with hydration and humidified oxygen

Question 9
What is the most common congenital heart defect in children?

– Tricuspid atresia
– Pulmonary atresia
– Ventricular septal defect
– Aortic stenosis

Question 10
Seborrhea dermatitis is common for both infants and adolescents. Which statement is not correct for this condition?

– It is associated with an overproduction of sebum in areas abundant with sebaceous glands.
– The condition in infants is known as “cradle cap” with erythematous base and crusted areas with greasy scales.
– It can cause pigment changes, including hyperpigmentation and hypopigmentation.
– The condition in adolescents is known as acne with comedones and popular and pustular lesions.

NUR-514 Topic 2 Discussion Question 1 – Leading vs. Managing

Question 11
Chelsea, age 8, complains of feeling as if something is stuck in her ear. What action is contraindicated?

– Using a small suction device to try and remove the object.
– Flushing the ear with water.
– Instilling several drops of mineral oil in the ear.
– Inspecting the ear canal with an otoscope.

Question 12
All of the following may predispose a patient to thrush except:

– Age
– Antibiotics
– Steroid therapy
– Poor oral hygiene

Question 13
You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose?

– Prednisone (Deltasone)
– Amoxicillin and potassium clavulanate (Augmentin)
– Azithromycin (Zithromax)
– Amoxicillin (Amoxil)

Question 14
You are on call and receive a phone call from the parents of a 13-year-old known asthmatic. She has chest tightness, a worsening cough for 48 hours, nasal discharge, headache, and a low-grade fever. Her peak flow is 70–80% of her personal best. What is the most appropriate action?

– Continue home management and add inhaled cromolyn sulfate.
– See her in the office in the morning and prescribe a short course of oral steroids.
– See her in the office in the morning and prescribe a 14-day course of amoxicillin plus a short course of oral steroids.
– Continue home management with inhaled beta agonists and corticosteroids, and add oral antihistamine/decongestant combinations.

Question 15
Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the two-week recheck, his TM was still erythematous, and landmarks were not visible. He has persistent nasal congestion, sleep disturbances, and a fever. What is the next best step for Luke?

– A 10-day course of Augmentin
– A 3-week course of cephalosporin
– Ceftriaxone and an antihistamine
– A higher dose of amoxicillin and topical antibiotics

Question 16
Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a “Christmas tree” distribution, predominantly on her trunk. One lesion on her buttock is larger at about 4 cm in diameter. What is your diagnosis?

– Pityriasis rosea
– Eczema
– Pityriasis alba
– Psoriasis

Question 17
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing?

– Epiglottitis
– Asthma
– Foreign-body aspiration
– Bronchiolitis
– Croup

Question 18
You have a patient with pityriasis rosea. You will recommend all of these treatments, except:

– Topical steroids to the affected area.
– Monitored and controlled daily sunlight exposure.
– Cool bath or cool compresses.
– Oral antibiotics.

Question 19
John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon examination?

– Stringy and white
– Mucoid and mucopurulent
– Serous and clear
– Purulent

Question 20
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis?

– Cafe au lait spot
– Capillary hemangioma
– Salmon patch
– Port-wine stain (nervus flammeus)