NURS 612 FINAL EXAM MARYVILLE UNIVERSITY ADVANCED
HEALTH ASSESSMENT NEWEST 2024 ACTUAL EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
On your patient schedule see a diagnosis of plagiocephaly on your patient schedule.
You vaguely recall learning something about this in Nurs 612 so you check UpToDate
and are able to explain the etiology of this head growth disturbance is to the
parents of this 4-month-old :
A. Your child's head appears small. His head size is 2 SD below the mean, this
can result abnormal brain development from a genetic or teratogenic exposure
B. Your child's head appears flat. This form of craniostenosis can result from
premature fusion of lambdoidal or coronal skull sutures and often results in brain
injury.
C. Your child's head appears large. His head size is 2 SD above the mean, this
can result from hydrocephalus while skull sutures are open.
D. Your child's head appears flat. This form of craniostenosis can result from
premature fusion of lambdoidal or coronal skull sutures and is often only cosmetic
and can be treated with a s - answer-D. Your child's head appears flat. This form of
craniostenosis can result from premature fusion of lambdoidal or coronal skull
sutures and is often only cosmetic and can be treated with a special helmet.
During a 1-week-old male well child check the head circumference is 3 S.D.
(standard deviations) below the predicted mean. What risk factors increases the risk
of this finding?
A. Positioning infant on their back
B. Prenatal Zika virus exposure
C.Hydrocephaly
D.Subdural hematoma or tumor - answer-B. Prenatal Zika virus exposure
You are seeing a 6-month-old today for follow-up after a febrile seizure yesterday.
On exam you expect to find:
A. the anterior fontanel closed.
B. the posterior fontanel closed
C.sleepiness from a post-ictal state
D.nuchal rigidity - answer-B. the posterior fontanel closed
NURS 612
,You are examining a 22-month-old today for follow-up after a with a new sudden
onset of jerking movements while febrile earlier today. Which of the following is not
typical of this type seizure?
A.Positive family history
B.Age onset between 3 months and 5 years
C.Seizure lasting more than 15 minutes
D. Most likely to occur with a rapid rise in body temperature - answer-C. Seizure
lasting more than 15 minutes
A 15-year-old with a diagnosis of epilepsy had a seizure in your office lasting 12
minutes requiring rectal diazepam (Valium). He is stable in a postictal state. His
parents express concern as his last seizure was 2 years ago and he wanted to be
weaned off his phenytoin (Dilantin).Which of the following may have contributed to
this seizure?
A.Experimentation with alcohol consumption which lowers seizure threshold.
B.Recent growth spurt resulting in decreased kg/mg dosage
C.Adolescent may be challenging diagnosis and non-compliant with phenytoin
regimen D. All choices are correct - answer-D. All choices are correct
What question in an adolescent's history is the MOST important to ask concerning
new onset of headaches?
A.Alcohol use
B.Caffeine use
C.History of headache most severe when arising from sleep
D. Positive family history for headaches - answer-C. History of headache most
severe when arising from sleep
A 17-year-old arrives for evaluation of a headache. He states it is worse in the
morning and does not respond to ibuprofen. His caffeine intake has not changed, he
has no known head trauma. On exam you note he is slow to respond to questions
and your fundoscopic exam the optic disc borders are blurred (papilledema). You
explain your next action
A.He exhibits a focal neurological sign, order a CT
NURS 612
, B.He exhibits a focal neurological sign, discharge the patient home prescribing
bedrest, acetaminophen and recommend sunglasses
C.He exhibits no focal neurological signs, discharge the patient home on bedrest,
teaching family members signs warning signs of increased ICP
D. He exhibits no focal neurological signs. discharge the patient home
recommending return to school, but no contact sports until headache resolved -
answer-A. He exhibits a focal neurological sign, order a CT
A 17-year-old gymnast presents following her competition with a resolving headache
rated 3/10, after her spotter missed her and she fell 4 feet and struck her head.
Although she did not lose consciousness and seems fine now, her parents are
concerned because she does not remember how she got off the gym floor. Which of
the following would NOT be indicated.
A.Prescribe bedrest, acetaminophen and recommend sunglasses if light sensitive
B.Teach warning signs of head injuryand send home on bedrest
C.Order a CT of the Head
D. Recommend return to school, but no contact sports until headache resolved. -
answer-C. Order a CT of the Head
An 11-year-old male presents with a history head trauma resulting from a "hard hit"
while playing football 2 days ago. His GCS score is 14. Despite 20/15 vision recorded
3 months ago during his sports physical he states he has blurred vision and is
unable to read fine print, otherwise his neuro exam is normal. What is your best
plan of care?
A.You assess this is not a mild concussion and order a CT because he exhibits a
focal neurological sign
B.You assess this is a moderate concussion and discharge the patient home
prescribing bedrest, acetaminophen and recommend sunglasses if light sensitive
C.You assess this is a mild concussion discharge the patient home and teaching
family members signs warning signs of head injury, send home on bedrest
D. You assess this is a mild concussion discharge the patient home and
recommend return to school, but no contact sports until headache resolved -
answer-A. You assess this is not a mild concussion and order a CT because he
exhibits a focal neurological sign
NURS 612
HEALTH ASSESSMENT NEWEST 2024 ACTUAL EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
On your patient schedule see a diagnosis of plagiocephaly on your patient schedule.
You vaguely recall learning something about this in Nurs 612 so you check UpToDate
and are able to explain the etiology of this head growth disturbance is to the
parents of this 4-month-old :
A. Your child's head appears small. His head size is 2 SD below the mean, this
can result abnormal brain development from a genetic or teratogenic exposure
B. Your child's head appears flat. This form of craniostenosis can result from
premature fusion of lambdoidal or coronal skull sutures and often results in brain
injury.
C. Your child's head appears large. His head size is 2 SD above the mean, this
can result from hydrocephalus while skull sutures are open.
D. Your child's head appears flat. This form of craniostenosis can result from
premature fusion of lambdoidal or coronal skull sutures and is often only cosmetic
and can be treated with a s - answer-D. Your child's head appears flat. This form of
craniostenosis can result from premature fusion of lambdoidal or coronal skull
sutures and is often only cosmetic and can be treated with a special helmet.
During a 1-week-old male well child check the head circumference is 3 S.D.
(standard deviations) below the predicted mean. What risk factors increases the risk
of this finding?
A. Positioning infant on their back
B. Prenatal Zika virus exposure
C.Hydrocephaly
D.Subdural hematoma or tumor - answer-B. Prenatal Zika virus exposure
You are seeing a 6-month-old today for follow-up after a febrile seizure yesterday.
On exam you expect to find:
A. the anterior fontanel closed.
B. the posterior fontanel closed
C.sleepiness from a post-ictal state
D.nuchal rigidity - answer-B. the posterior fontanel closed
NURS 612
,You are examining a 22-month-old today for follow-up after a with a new sudden
onset of jerking movements while febrile earlier today. Which of the following is not
typical of this type seizure?
A.Positive family history
B.Age onset between 3 months and 5 years
C.Seizure lasting more than 15 minutes
D. Most likely to occur with a rapid rise in body temperature - answer-C. Seizure
lasting more than 15 minutes
A 15-year-old with a diagnosis of epilepsy had a seizure in your office lasting 12
minutes requiring rectal diazepam (Valium). He is stable in a postictal state. His
parents express concern as his last seizure was 2 years ago and he wanted to be
weaned off his phenytoin (Dilantin).Which of the following may have contributed to
this seizure?
A.Experimentation with alcohol consumption which lowers seizure threshold.
B.Recent growth spurt resulting in decreased kg/mg dosage
C.Adolescent may be challenging diagnosis and non-compliant with phenytoin
regimen D. All choices are correct - answer-D. All choices are correct
What question in an adolescent's history is the MOST important to ask concerning
new onset of headaches?
A.Alcohol use
B.Caffeine use
C.History of headache most severe when arising from sleep
D. Positive family history for headaches - answer-C. History of headache most
severe when arising from sleep
A 17-year-old arrives for evaluation of a headache. He states it is worse in the
morning and does not respond to ibuprofen. His caffeine intake has not changed, he
has no known head trauma. On exam you note he is slow to respond to questions
and your fundoscopic exam the optic disc borders are blurred (papilledema). You
explain your next action
A.He exhibits a focal neurological sign, order a CT
NURS 612
, B.He exhibits a focal neurological sign, discharge the patient home prescribing
bedrest, acetaminophen and recommend sunglasses
C.He exhibits no focal neurological signs, discharge the patient home on bedrest,
teaching family members signs warning signs of increased ICP
D. He exhibits no focal neurological signs. discharge the patient home
recommending return to school, but no contact sports until headache resolved -
answer-A. He exhibits a focal neurological sign, order a CT
A 17-year-old gymnast presents following her competition with a resolving headache
rated 3/10, after her spotter missed her and she fell 4 feet and struck her head.
Although she did not lose consciousness and seems fine now, her parents are
concerned because she does not remember how she got off the gym floor. Which of
the following would NOT be indicated.
A.Prescribe bedrest, acetaminophen and recommend sunglasses if light sensitive
B.Teach warning signs of head injuryand send home on bedrest
C.Order a CT of the Head
D. Recommend return to school, but no contact sports until headache resolved. -
answer-C. Order a CT of the Head
An 11-year-old male presents with a history head trauma resulting from a "hard hit"
while playing football 2 days ago. His GCS score is 14. Despite 20/15 vision recorded
3 months ago during his sports physical he states he has blurred vision and is
unable to read fine print, otherwise his neuro exam is normal. What is your best
plan of care?
A.You assess this is not a mild concussion and order a CT because he exhibits a
focal neurological sign
B.You assess this is a moderate concussion and discharge the patient home
prescribing bedrest, acetaminophen and recommend sunglasses if light sensitive
C.You assess this is a mild concussion discharge the patient home and teaching
family members signs warning signs of head injury, send home on bedrest
D. You assess this is a mild concussion discharge the patient home and
recommend return to school, but no contact sports until headache resolved -
answer-A. You assess this is not a mild concussion and order a CT because he
exhibits a focal neurological sign
NURS 612
