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2024 NURS 629Exam Practice Questions With Answers With 100% Guaranteed
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Questions
- The primary care pediatric nurse practitioner performs a vision
screen on a 4-
month-old infant and notes the presence of convergence and accommodation with
mild esotropia of the left eye. What will the nurse practitioner do?
A. Patch the right eye to improve coordination of the left eye.
B. Reassure the parents that the infant will outgrow this.
C. Recheck the infant’s eyes in 2 to 4 weeks.
D. Refer the infant to a pediatric ophthalmologist. Correctt
- During a well child exam on a 4-year-old child, the primary care
pediatric nurse
ID: 13348411168
practitioner notes that the clinic nurse recorded “20/50” for the child’s vision and
noted that the child had difficulty cooperating with the exam. What will the nurse
practitioner recommend?
A. Follow up with a visual acuity screen in 6 months.
B. Refer to a pediatric ophthalmologist.
C. Re-test the child in 1 year.
D. Test the child’s vision in 1 month.
- During a well child assessment of an African-American infant, the
primary care
ID: 13348411148
pediatric nurse practitioner notes a dark red-brown light reflex in the left eye and a
slightly brighter, red-orange light reflex in the right eye. The nurse practitioner will
A. dilate the pupils and reassess the red reflex.
B. order auto-refractor screening of the eyes.
C. recheck the red reflex in 1 month.
D. refer the infant to an ophthalmologist. Correctt
Correct
- The primary care pediatric nurse practitioner performs a Hirschberg test to evaluate
A. color vision.
B. ocular alignment. Correctt
C. peripheral vision.
D. visual acuity.
- The primary care pediatric nurse practitioner applies fluorescein stain to a child’s eye.
When examining the eye with a cobalt blue filter light, the entire cornea appears cloudy.
What does this indicate?
A. The cornea has not been damaged.
B. There is too little stain on the cornea.
C. There is damage to the cornea.
D. There is too much stain on the cornea. Correctttttiiiij
- A toddler exhibits exotropia of the right eye during a cover-uncover
screen. The
ID: 13348411156
primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to
initiate which treatment?
A. Botulinum toxin injection
B. Corrective lenses
C. Occluding the affected eye for 6 hours per day
D. Patching of the unaffected eye for 2 hours each day
- The primary care pediatric nurse practitioner performs a well child
examination on
ID: 13348411140
a 9-month-old infant who has a history of prematurity at 28 weeks’ gestation. The
infant was treated for retinopathy of prematurity (ROP) and all symptoms have
resolved. When will the infant need an ophthalmologic exam?
A. At 12 months of age Correct
B. At 24 months of age
C. At 48 months of age
D. At 60 months of age
- During a well-baby assessment on a 1-week-old infant who had a
normal exam
ID: 13348411144
when discharged from the newborn nursery 2 days prior, the primary care pediatric
nurse practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and
Correct
Correct
- The primary care pediatric nurse practitioner performs a well baby
assessment of
a 5-day-old infant and notes mild conjunctivitis, corneal
opacity, and serosanguinous discharge in the right eye. Which
course of action is correct?
A. Administer intramuscular ceftriaxone 50 mg/kg.
B. Admit the infant to the hospital immediately. Correct
C. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
D. Teach the parent how to perform tear duct massage.
- A preschool-age child who attends day care has a 2-day history of
matted eyelids
K. L. ID:
in the morning and burning and itching of the eyes. The primary care pediatric
nurse practitioner notes yellow-green purulent discharge from both eyes,
conjunctival erythema, and mild URI symptoms. Which action is correct?
I.
A. Culture the conjunctival discharge.
B. Observe the child for several days.
C. Order an oral antibiotic medication.
D. Prescribe topical antibiotic drops. Correct
- A 14-year-old child has a 2-week history of severe itching and tearing of
both
J. ID:
eyes. The primary care pediatric nurse practitioner notes redness and swelling of the eyelids
along
with stringy, mucoid discharge. What will the nurse practitioner
prescribe?
G.
A. Saline solution or artificial tears
B. Topical mast cell stabilizer
C. Topical NSAID drops
D. Topical vasoconstrictor drops
- The primary care pediatric nurse practitioner observes a tender, swollen
red
H. ID:
furuncle on the upper lid margin of a child’s eye. What treatment will the nurse practitioner
recommend?
A. Culture of the lesion to determine causative organism
B. Referral to ophthalmology for incision and drainage
C. Topical steroid medication
D. Warm, moist compresses 3 to 4 times daily
- The primary
care pediatric
nurse
practitioner
is treating an infant with lacrimal duct E.
F. ID:
Questions
- The parent of a 4-month-old infant is concerned that the infant
cannot hear.
ID: 13348431621
Which test will the primary care pediatric nurse practitioner order to evaluate
potential hearing loss in this infant?
A. Acoustic reflectometry
B. Audiometry
C. Auditory brainstem response (ABR) Correct D. Evoked
otooacoustic emission (EOAE) testing
- 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?
A. A normal tympanic membrane
B. Middle ear effusion
C. Negative ear pressure Correct
D. Tympanic membrane perforation
- An 18-month-old child with no previous history of otitis media awoke during
the
night with right ear pain. The primary care pediatric nurse practitioner
notes an axillary
ID: 13348431629
ID: 13348431617
temperature of 100.5°F and an erythematous, bulging tympanic membrane. A
tympanogram
reveals of peak of +150 mm H 2
O. 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 Correct
C. Ceftriaxone 50 to 75 mg/kg/dose IM given once
D. Ototopical antibiotic drops twice daily for 5 days
- A 7-month-old infant has had two prior acute ear infections and is
currently on the
ID: 13348431609
10th day of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The
primary care pediatric nurse practitioner notes marked middle ear effusion and
erythema of the TM. The child is irritable and has a temperature of 99.8°F. What is the
next step in management of this child’s ear infection?
A. Order a second course of amoxicillin-clavulanate.
B. Perform tympanocentesis for culture.
C. Prescribe clindamycin twice daily.
D. Refer the child to an otolaryngologist. Correct
- A 3-year-old child with pressure-equalizing tubes (PET) in both ears has otalgia in ID:
13348431627
one ear. The primary care pediatric nurse practitioner is able to visualize the tube and
does not see exudate in the ear canal and obtains a type A tympanogram. What will
the nurse practitioner do?
A. Order ototopical antibiotic/corticosteroid drops.
B. Prescribe a prophylactic antibiotic medication.
C. Reassure the parent that this is a normal exam.
D. Refer the child to an otolaryngologist for follow-up
- What will the primary care pediatric nurse practitioner teach the
parents of a child who has new pressure-equalizing tubes (PET) in both
ears?
A. Parents should notice improved hearing in their child.
B. PET will help by reducing the number of ear infections the
child has.
C. The child should use earplugs when showering or bathing.
D. The tubes will most likely remain in place for 3 to 4 years.
- A child with a history of otitis externa asks about ways to prevent
this condition. What will the primary care pediatric nurse practitioner
recommend?
A. Cleaning ear canals well after swimming
B. Drying the ear canal with a hair dryer Correct
C. Swimming only in chlorinated pools
D.
Using
cerumenol
ytic
agents
daily
- A child
complains of
itching in
both ears
and is having
trouble
hearing. The
Corr
Corr
- A child who has otitis externa has severe swelling of the external
auditory canal
that persists after 2 days of therapy with ototopical
antibiotic/corticosteroid drops. What is the next step in
treatment for this child?
A. Insert a wick into the external auditory canal. Correct
B. Irrigate the external auditory canal with saline.
C. Order systemic corticosteroids.
D. Prescribe an oral antibiotic medication.
J.
- The primary care pediatric nurse practitioner notes a small, round
object in a
K. ID:
child’s external auditory canal, near the tympanic membrane. The child’s parent thinks it is
probably a dried pea. What will the nurse practitioner do to remove
this object?
A. Irrigate the external auditory canal to flush out the object.
B. Refer the child to an otolaryngologist for removal. Correct
C. Remove the object with a wire loop curette.
D. Use a bayonet forceps to grasp and remove the object.
- A 3-year-old child has had one episode of acute otitis media 3 weeks
prior with a
H.
I. ID:
normal tympanogram just after treatment with amoxicillin. In the clinic today, the child
has a type B tympanogram, a temperature of 102.5°F, and a bulging tympanic
membrane. What will the primary care pediatric nurse practitioner order?
A. A referral for tympanocentesis
B. Amoxicillin twice daily
C. Amoxicillin-clavulanate twice daily Correct
D. Intramuscular ceftriaxone
- The primary care pediatric nurse practitioner diagnoses acute otitis
media in a 2-
F.
G. ID:
year-old child who has a history of three ear infections in the first 6 months of life.
The child’s tympanic membrane is intact and the child has a temperature of
101.5°F. What will the nurse practitioner prescribe for this child?
A. Amoxicillin twice daily for 10 days
B. An analgesic medication and watchful waiting Correct
C. Antibiotic ear drops and ibuprofen
D.
Ceftriaxon
e given
once
intramuscu
larly
- A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute
auscultates a harsh, blowing grade IV/VI murmur in a 6-month-old infant. What
will the nurse practitioner do next?
A. Get a complete blood count to rule out severe anemia.
B. Obtain an electrocardiogram to assess for arrhythmia.
C. Order a chest radiograph to evaluate for cardiomegaly.
D. Refer to a pediatric cardiologist for further evaluation. Correct
- The primary care pediatric nurse practitioner provides primary care for
a 4-month-
ID: 13348441105
old infant who has a ventricular septal defect. The infant has been breastfeeding
well but in the past month has dropped from the 20th percentile to the 5th for
weight. What will the nurse practitioner recommend?
A. Adding solid foods to the infant’s diet to increase caloric intake
B. Fortifying breast milk to increase the number of calories per ounce Correct
C. Stopping breastfeeding and giving 30 kcal/ounce formula
D. Supplementing breastfeeding with 24 kcal/ounce formula
- A 12-month-old infant who had cardiopulmonary bypass with RBC
and plasma
ID: 13348441117
infusions during surgery at 8 months is seen for a well child examination. Which
vaccine may be administered at this visit?
Correct
Correct
A. MMR
B. OPV
C. PCV-
D. Varivax
- The primary care pediatric nurse practitioner performs a well child
examination on
ID: 13348437999
a 12-month-old child who had repair of a congenital heart defect at 8 months of age.
The child has a normal exam. The parent reports that the child is not taking any
medications. The nurse practitioner will contact the child’s cardiologist to discuss
whether the child needs which medication?
A. Amoxicillin Correct
B. Capoten
C. Digoxin
D. Furosemide
- During a well baby examination of a 6-week-old infant, the primary
care pediatric
ID: 13348437995
nurse practitioner notes poor weight gain, acrocyanosis of the hands and feet, and a
respiratory rate of 60 breaths per minute. Oxygen saturation on room air is 93%. The
remainder of the exam is unremarkable. Which action is correct?
A. Follow-up in 1 week to assess the infant’s weight.
B. Order a chest radiograph and an electrocardiogram.
C. Reassure the parents that the exam is within normal limits.
D. Refer the infant to a pediatric cardiologist. Correct
- A 3-month-old infant who was previously healthy now has a
persistent cough,
ID: 13348441103
bilateral lung crackles, and poor appetite. The primary care pediatric nurse practitioner
auscultates a grade III/VI, low-pitched, holosystolic murmur over the left lower sternal
border and palpates the liver at one centimeter below the ribs. What diagnosis is likely?
A. Atrial septal defect
B. Coarctation of the aorta
C. Patent ductus arteriosis
D. Ventricular septal defect
associated with having both of these conditions, will the primary care pediatric
nurse practitioner expect?
A. Crackles in both lungs
B. Hepatomegaly
C. Oxygen desaturation Correct
D. Peripheral edema
- A 9-month-old infant has a grade III/VI, harsh, rumbling, continuous
murmur in the
ID: 13348441131
left infraclavicular fossa and pulmonic area. A chest radiograph reveals cardiac
enlargement. The primary care pediatric nurse practitioner will refer the infant to a
pediatric cardiologist and prepare the parents for which intervention to repair this
defect?
A. Cardiopulmonary bypass surgery
B. Coil insertion in the catheterization laboratory Correct
C. Indomethacin administration
D. Observation for spontaneous closure
- A 5-year-old child who had a repair for transposition of the great
arteries shortly
ID: 13348437991
after birth is growing normally and has been asymptomatic since the surgery. The
primary care nurse practitioner notes mild shortness of breath with exertion and, upon
questioning, learns that the child has recently complained of dizziness. What will the
nurse practitioner do?
A. Order an echocardiogram and chest radiograph.
B. Perform pulmonary function testing.
C. Reassure the parent that these symptoms are common.
D. Refer the child to the cardiologist immediately. Correct
- The primary care pediatric nurse practitioner is performing a
well child
ID: 13348437997
examination on a school-age child who had complete repair of a tetralogy of
Fallot defect in infancy. What is important in this child’s health maintenance
regime? A. Cardiology
clearance for sports participation Correct
B. Restriction of physical activity to avoid pulmonary complications
C. Sub-acute bacterial endocarditis prophylaxis precautions
D. Teaching about management of hypercyanotic episodes
ID: 13348441127
ID: 13348441109
percentile for age, sex, and height and a diastolic blood pressure between the 90th
and the 95th percentile on three separate clinic visits. This child’s blood pressure is
classified as
A. normotensive.
B. pre-hypertensive.
C. stage 1 hypertensive. Correct
D. stage 2 hypertensive.
- A 12-year-old child whose weight and BMI are in the 75th
percentile has a
ID: 13348437993
diastolic blood pressure that is between the 95th and 99th percentiles for age, sex,
and height on three separate occasions. Initial tests for this child will includeA.
complete blood count.
B. erythrocyte sedimentation rate.
C. renal function and plasma renin tests. Correct
D. urinalysis and electrolytes.
- A 12-year-old child whose BMI is greater than the 95th percentile
has a blood
ID: 13348441115
pressure at the 98th percentile for age, sex, and height. After lifestyle changes
that include diet and exercise, the child’s BMI drops to the 90th percentile, but the
blood pressure remains the same. What is the primary care pediatric nurse
practitioner’s next step in treating this child?
A. Continued close monitoring of blood pressure
B. Ordering an echocardiogram or MRI
C. Prescribing an ACE inhibitor medication
D. Referral to a nephrologist or cardiologist Correct
- A 7-year-old child who has a history of a repaired congenital heart
defect has
ID: 13348441125
many dental caries along with gingival erythema and irritation and a temperature of
102.5°F. What will the primary care pediatric nurse practitioner do next?
A. Admit to the hospital with a pediatric cardiology consult. Correct
B. Obtain blood cultures and a CBC and consult a pediatric cardiologist.
C. Refer the child to a pediatric dental surgeon immediately.
D. Start prophylactic antibiotics such as penicillin twice daily for 2 weeks.
- A 15-year-old female reports fainting at school in class on two
occasions. The
ID: 13348441111
adolescent’s orthostatic blood pressures are normal. The primary care pediatric
nurse practitioner suspects a cardiac cause for these episodes and will order which
tests before referring her to a pediatric cardiologist?
A. 12-lead electrocardiogram Correct
B. Echocardiogram
C. Tilt table testing
D. Treadmill exercise testing
