NURS 6900 Midterm To Final Exam Questions With
Complete Answers
The parents of a newborn with an umbilical hernia ask about treatment options. The
providers response should be based on which knowledge? - ANSWER The defect
usually resolves spontaneously by three to five years of age
Which of the following symptoms are most common in early phase of appendicitis in
children? - ANSWER Anorexia, vague diffuse pain
Which of the following findings could be expected to occur in a baby with
intussusception? - ANSWER Inconsolable screaming
What measure has the greatest impact on incidence of hepatitis A ? - ANSWER
Sanitation
When caring for a child with probable appendicitis, the provider should be alert to
recognize which signs or symptoms as manifestation of perforation? - ANSWER Sudden
relief from pain
an 8 year old presents the clinic with his fourth episode of diarrhea in the past month.
He also complaints of frequent flatulence and a decreased appetite. His history reveals
he was camping six weeks ago. What is his most likely diagnosis? - ANSWER Giardiasis
what clinical signs may you expect to see in a dehydrated infant? - ANSWER Dry mucous
membranes
Which of the following foods would be appropriate for a child with celiac disease? -
ANSWER Boiled rice and butter
Which of the following is linked to the cause of Reye syndrome? - ANSWER Aspirin
,What clinical manifestation should Expected to be observed in a six year old child with
IBS? 3 - ANSWER Flatulence, Constipation, feeling of incomplete evacuation of the
bowel- Bloating, abdominal distension, lower abdominal pain, Urgency to defecate
Which of the following causes of chronic diarrhea would present with failure to thrive? -
ANSWER Celiac disease
the nurse is preparing to admit a six month old child with gastroesophageal reflux
disease. What clinical manifestation should be expected to be observed in a six month
old with GERD? 4 - ANSWER spitting up, failure to thrive, excessive crying, respiratory
problems
A child is being seen in a clinic with acute gastroenteritis. The health care provider
prescribes an antiemetic. What antimetic is being prescribed? - ANSWER Zofran
Which of the following would not be included in the management of pinworms? -
ANSWER Nutritional support and iron supplementation
What food should be Included in the teaching of foods that can exacerbate acid reflux? -
ANSWER citrus, spicy foods, peppermint
A five year old male patient is experiencing involuntary urination during waking hours.
His parents point out that he historically exhibited bladder control until two weeks ago.
He does not demonstrate many signs of psychological distress and you suspect that his
condition may be neurogenic in origin. How would you best classify his enuresis? -
ANSWER Diurnal enuresis
Upon examination of a male infant, it is determined that the urethral meatus is located
on the under surface of the penis. The nurse practitioner knows this condition as: -
ANSWER Hypospadias
It is appropriate to educate teens about emergency contraception - ANSWER as
, anticipatory guidance during well teen visits
On physical examination of a two year old male, you notice that the foreskin is retracted
and discolored. There is swelling of the glans. The most likely diagnosis is: - ANSWER
Paraphimosis
One of the most commonly suggested reasons for primary enuresis is: - ANSWER
Delayed maturation of voiding inhibitory reflux
A 16 year old female presents to the clinic for a while child visit. She wants
contraceptives, but she requested the health care provider not tell her mother. What
would be the best response in this situation? - ANSWER Prescribe her contraceptives
without involving her parents
Cryptorchidism is more prevalent in: - ANSWER Preterm infants
An 8 year old boy has been having bed wetting problems for the past five years. His
mother has tried everything and request treatment. Which of the following medications
is most appropriate for this child? - ANSWER Imipramine
In males, Tanner stage 2 can be distinguished from Tanner stage 3 by: - ANSWER penile
growth in length
a five year old female was successfully toilet trained 18 months ago. She had developed
daytime and enuresis one week ago. The parent report no new stress, fevers, or other
symptoms. Physical exam is normal. What is the next best step in this patient's
management? - ANSWER Urinalysis and culture
The mother of a 14 year old girl is concerned because the girl has not yet started to
menstruate. The history is non contributory, and the physical examination is normal.
Breast development and some pubic hair have been present for 12 months at Tanner
stage 2. The most appropriate initial step would be to: - ANSWER reassure, educate the
family, and follow up at the next well teen visit
Complete Answers
The parents of a newborn with an umbilical hernia ask about treatment options. The
providers response should be based on which knowledge? - ANSWER The defect
usually resolves spontaneously by three to five years of age
Which of the following symptoms are most common in early phase of appendicitis in
children? - ANSWER Anorexia, vague diffuse pain
Which of the following findings could be expected to occur in a baby with
intussusception? - ANSWER Inconsolable screaming
What measure has the greatest impact on incidence of hepatitis A ? - ANSWER
Sanitation
When caring for a child with probable appendicitis, the provider should be alert to
recognize which signs or symptoms as manifestation of perforation? - ANSWER Sudden
relief from pain
an 8 year old presents the clinic with his fourth episode of diarrhea in the past month.
He also complaints of frequent flatulence and a decreased appetite. His history reveals
he was camping six weeks ago. What is his most likely diagnosis? - ANSWER Giardiasis
what clinical signs may you expect to see in a dehydrated infant? - ANSWER Dry mucous
membranes
Which of the following foods would be appropriate for a child with celiac disease? -
ANSWER Boiled rice and butter
Which of the following is linked to the cause of Reye syndrome? - ANSWER Aspirin
,What clinical manifestation should Expected to be observed in a six year old child with
IBS? 3 - ANSWER Flatulence, Constipation, feeling of incomplete evacuation of the
bowel- Bloating, abdominal distension, lower abdominal pain, Urgency to defecate
Which of the following causes of chronic diarrhea would present with failure to thrive? -
ANSWER Celiac disease
the nurse is preparing to admit a six month old child with gastroesophageal reflux
disease. What clinical manifestation should be expected to be observed in a six month
old with GERD? 4 - ANSWER spitting up, failure to thrive, excessive crying, respiratory
problems
A child is being seen in a clinic with acute gastroenteritis. The health care provider
prescribes an antiemetic. What antimetic is being prescribed? - ANSWER Zofran
Which of the following would not be included in the management of pinworms? -
ANSWER Nutritional support and iron supplementation
What food should be Included in the teaching of foods that can exacerbate acid reflux? -
ANSWER citrus, spicy foods, peppermint
A five year old male patient is experiencing involuntary urination during waking hours.
His parents point out that he historically exhibited bladder control until two weeks ago.
He does not demonstrate many signs of psychological distress and you suspect that his
condition may be neurogenic in origin. How would you best classify his enuresis? -
ANSWER Diurnal enuresis
Upon examination of a male infant, it is determined that the urethral meatus is located
on the under surface of the penis. The nurse practitioner knows this condition as: -
ANSWER Hypospadias
It is appropriate to educate teens about emergency contraception - ANSWER as
, anticipatory guidance during well teen visits
On physical examination of a two year old male, you notice that the foreskin is retracted
and discolored. There is swelling of the glans. The most likely diagnosis is: - ANSWER
Paraphimosis
One of the most commonly suggested reasons for primary enuresis is: - ANSWER
Delayed maturation of voiding inhibitory reflux
A 16 year old female presents to the clinic for a while child visit. She wants
contraceptives, but she requested the health care provider not tell her mother. What
would be the best response in this situation? - ANSWER Prescribe her contraceptives
without involving her parents
Cryptorchidism is more prevalent in: - ANSWER Preterm infants
An 8 year old boy has been having bed wetting problems for the past five years. His
mother has tried everything and request treatment. Which of the following medications
is most appropriate for this child? - ANSWER Imipramine
In males, Tanner stage 2 can be distinguished from Tanner stage 3 by: - ANSWER penile
growth in length
a five year old female was successfully toilet trained 18 months ago. She had developed
daytime and enuresis one week ago. The parent report no new stress, fevers, or other
symptoms. Physical exam is normal. What is the next best step in this patient's
management? - ANSWER Urinalysis and culture
The mother of a 14 year old girl is concerned because the girl has not yet started to
menstruate. The history is non contributory, and the physical examination is normal.
Breast development and some pubic hair have been present for 12 months at Tanner
stage 2. The most appropriate initial step would be to: - ANSWER reassure, educate the
family, and follow up at the next well teen visit
