NR 602 WEEK 3 QUESTIONS V2 2023 (Answered)

NR 602 WEEK 3 QUESTIONS V2 2023 (Answered)

The primary care pediatric nurse practitioner performs a well child examination on 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

b. At 24 months of age

c. At 48 months of age

d. At 60 months of age

{{Correct Ans- a. At 12 months of age

During a well-baby assessment on a 1-week-old infant who had a normal exam when discharged from the newborn nursery 2 days prior, the primary care pediatric nurse practitioner notes moderate eyelid swelling, bulbar conjunctival injections, and moderate amounts of thick, purulent discharge. What is the likely diagnosis?

a. Chemical-induced conjunctivitis

b. Chlamydia trachomatis conjunctivitis

c. Herpes simplex virus (HSV) conjunctivitis

d. Neisseria gonorrhea conjunctivitis

{{Correct Ans- b. Chlamydia trachomatis conjunctivitis

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.

c. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.

d. Teach the parent how to perform tear duct massage.

{{Correct Ans- b. Admit the infant to the hospital immediately.

A preschool-age child who attends day care has a 2-day history of matted eyelids 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?

a. Culture the conjunctival discharge.

b. Observe the child for several days.

c. Order an oral antibiotic medication.

d. Prescribe topical antibiotic drops.

{{Correct Ans- d. Prescribe topical antibiotic drops.

A 14-year-old child has a 2-week history of severe itching and tearing of both 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?

a. Saline solution or artificial tears

b. Topical mast cell stabilizer

c. Topical NSAID drops

d. Topical vasoconstrictor drops

{{Correct Ans- c. Topical NSAID drops

The primary care pediatric nurse practitioner observes a tender, swollen red 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

{{Correct Ans- d. Warm, moist compresses 3 to 4 times daily

The primary care pediatric nurse practitioner is treating an infant with lacrimal duct obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment with topical antibiotics along with massage and frequent cleansing of secretions, the infant's symptoms have not improved. Which action is correct?

a. Perform massage more frequently.

b. Prescribe an oral antibiotic.

c. Recommend hot compresses.

d. Refer to an ophthalmologist.

{{Correct Ans- d. Refer to an ophthalmologist.