Reference no: EM133656301

Questions

1. Which medication used for scabies is safe for children 2 months and older?

Permethrin cream

Lindane

Crotamiton lotion and cream

Ivermectin

2. A patient is seen with complaints of diarrhea. Which of the following should be included in the patients differential diagnosis?

Gastroenteritis

Inflammatory bowel disease

Lactase deficiency

All of the above

3. A patient is diagnosed with giardia after a backpacking trip in the mountains. Which of the following would be an appropriate treatment?

Vancomycin

Penicillin

Metronidazole

Bactrim

4. A 3-year-old boy is at the clinic for his well-child visit. He has trouble removing his own shirt as requested. His mother yanks his shirt off after smacking his wrist and saying,

Which action is indicated:

Ignore the behavior because both the child and his mother are probably nervousabout being there

Tell the mother that the behavior is perfectly normal

Observe and assess the patient for signs of child abuse

Report the mother to child protective services

5. A 4-year-old female presents to the clinic with Varicella. The mother states that 2 of her children have it as well, and that the lesions startedto erupt approximately 24 hours ago. Which action may shorten the course of the disease?

Calamine lotion

Cool baths

Acyclovir (Zovirax)

Corticosteroids

6. Pastia lines are present in which disease?

Toxic shock syndrome

Rocky Mountain spotted Fever

Scarlet Fever

Meningococcemia

7. A 12-year old male just started taking amoxicillin for Otitis Media. His mother said that he woke up this morning with a rash on his trunk. She states the same thing happened when he had penicillin in the past. What is your first action?

Prescribe systemic antihistamines.

Prescribe a short course of systemic steroids.

Stop the amoxicillin, consider an alternate antibiotic such as azythromycin.

Continue the drug; this reaction on the first day is normal.

8. Client teaching is an integral part of successfully treating pediculosis. Which of the following statements would you incorporate in your teaching plan?

It is okay to resume sharing combs, headsets, and so on after being lice free for 1 month.

Soak your combs and brushes in rubbing alcohol for 8 hours.

Itching may continue after successful treatment for up to a week.

Wash the hair daily to prevent future lice infestations.

9. The viral exanthem of Koplik spots is present in:

Rubeola

Rubella

Fifth disease

Varicella

10. Which disease usually starts at the cheeks and spreads to the arms and trunk?

Fifth Disease (Erythema Infectiosum)

Rocky Mountain Spotted Fever

Rubeola

Rubella

11. Susie, a 6-month-old, has a Candida infection in the diaper area. What do you suggest to the mother?

Use rubber or plastic pants to contain the infection and prevent it from gettingto the thighs.

Keep the area as dry as possible.

Use baby powder with cornstarch.

Keep Susie away from other babies until the infection is cleared up.

12. A common complication of viral gastroenteritis in children is

Dehydration

Gastrointestinal bleeding

Peritonitis

Bacterial sepsis

13. Which protozoal infection is the most common intestinal infection in the United States that also occurs worldwide?

Salmonella

Giardiasis

Botulism

Shigellosis

14. A G1P1A0 is breastfeeding her 1 week old daughter. The baby appears well hydrated and has gained 4 ounces since being discharged from the hospital 3 days ago, but her bilirubin level is 16 mg/dL today. At this point, the best recommendation regarding

feeding the newborn is:

Stop breastfeeding altogether and start formula ASAP

Continue breastfeeding every 1-3 hours.

Discontinue breastfeeding for 72 hours.

Alternate breast milk with formula for every other feeding.

15.  The most common viral infection causing pediatric diarrhea in the United States is:

Enteric adenovirus

Salmonella

Rotavirus

Giardia Lamblia

16. Robert, a 6-year-old, returned from Central America with Travelers Diarrhea. Which is the best initial treatment?

Metronidazole (Flagyl)

Supportive care

Quinolone antibiotics

Gastric lavage

17. For an uncomplicated Salmonella infection, the antibiotic of choice for a 5 year old is:

Ampicillin (Polycycillin)

Amoxicillin (Amoxil)

Trimethoprim-Sulfamethoxazole (Bactrim)

No antibiotic is indicated

18. When treating gastroenteritis in a pediatric patient, the nurse practitioner knows that:

Phenergan is most effective treatment for all ages.

Children 40-85 lb can be given Promethazine 2.5 mg twice daily, up to amaximum of 15 mg/d.

Children >2 years old can be given Promethazine 12.5 to 25 mg (0.5mg/lb bodyweight) by mouth every 12 hours.

Evidence suggests that the Banana, Rice, Applesauce, Toast (BRAT) diet should be followed for 72 hours.

19. Matt, a 10-year-old, recently returned from a camping trip with his parents and has gastroenteritis. He says that he has been eating only canned food. Which of the following pathogens do you suspect?

Campylobacter Jejuni

Clostridium Botulinum

E. Coli

Staphylococcus

20. David, who is 3 years old, was bought in by his mother because of sudden abdominal pain with sudden relief of pain. The provider also felt a sausage-shaped tumor mass

in the right abdomen. The NPs clinical diagnosis should be:

Appendicitis

Pyloric stenosis

Intestinal Obstruction

Intussusception