NURS 6541 MIDTERM EXAM

NURS 6541 MIDTERM EXAM NURS 6541 MIDTERM EXAM QUESTIONS AND ANSWERS (LATEST) 100 Questions and answers What is the most common form of child abuse seen in pediatric primary care? Selected Answer: c. Shaken baby syndrome Which of the following conditions requires urgent inpatient admission? Selected Answer: b. Cervical adenitis An eye that deviates in when covered but that returns to midline when uncovered is an Selected Answer: b. esophor ia All of the following are consistent with peritonsillar abscess except: Selected Answer: c. Trismu s Which adolescent would be at greatest risk for developing anorexia nervosa? Selected Answer: d. 14-year-old female gymnast A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as: •Question 1 1 out of 1 points • Question 6 1 out of 1 points • Question 5 1 out of 1 points • Question 4 1 out of 1 points • Question 3 1 out of 1 points • Question 2 1 out of 1 points Selected Answer: b. Bruxis m FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is: Selected Answer: c. Behavior therapy A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents report that she is doing poorly in school and is disruptive in the classroom. They ask you what they can do. Your best response is: Selected Answer: c. "Use a consistent approach with behavioral cues both at home and at school." The most common substance used in middle school is Selected Answer: b. Alcoh ol The most likely weight of a 1-year-old whose birth weight was 6-1/2 pounds would be: Selected Answer: b. 19 to 20 pounds Which of the following characterizes middle adolescence (14 to 16 years old)? Selected Answer: c. Concrete thinking, present orientation, intense preoccupation with body image Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is present. The TM is normal. Mark • Question 12 1 out of 1 points • Question 11 0 out of 1 points • Question 10 1 out of 1 points • Question 9 1 out of 1 points • Question 8 1 out of 1 points • Question 7 1 out of 1 points should be instructed to do which of the following? Selected Answer: a. Keep ear dry until symptoms improve. A 2-year-old child weighs 34 lb. What type of car seat should the child use? Selected Answer: d. A forward-facing car seat in the back of the vehicle. An expected milestone of a 4-year-old is the ability to Selected Answer: b. Copy a cross A child's central visual acuity is 20/30 by age Selected Answer: b. 4 years Early reflexive responses that are not related to survival include all but: Selected Answer: c. Swimmi ng Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? Selected Answer: d. Haemophilus influenza Which of the following children has abnormal language development? • Question 18 1 out of 1 points • Question 17 1 out of 1 points • Question 16 0 out of 1 points • Question 15 0 out of 1 points • Question 14 1 out of 1 points • Question 13 1 out of 1 points Selected Answer: b. Speech is 50% understandable at 36 months of age Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following? Selected Answer: b. Sleep in the supine position is recommended A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: Selected Answer: d. Obtaining a psychiatric consultation. Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist Selected Answer: b. Apply bilateral eye patches. A 4-month-old presents with both eyes turning inward. What is this called? Selected Answer: c. Esotropi a Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge. You cannot transilluminate the sinuses. You suspect which common sinus to be affected? Selected Answer: d. Maxillary sinus • Question 23 1 out of 1 points • Question 22 1 out of 1 points • Question 21 1 out of 1 points • Question 20 0 out of 1 points • Question 19 1 out of 1 points You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child’s development will not be normal because she mixes up the two languages. You respond: Selected Answer: a. "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age." Sarah, 7 years old, is in the office today. All of the following are acceptable management options for allergic rhinitis, except Selected Answer: d. Nasal neosynephrine The mother of a 4-year-old tells you he likes to "play with himself" while playing and watching television. You advise the mother to Selected Answer: d. Explain to the child that masturbation is something that should be done in private. Which of the following would not suggest an eating disorder with a purging component? Selected Answer: d. Diarrhe a I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I? Selected Answer: b. 6 months You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? • Question 29 1 out of 1 points • Question 28 1 out of 1 points • Question 27 1 out of 1 points • Question 26 1 out of 1 points • Question 25 1 out of 1 points • Question 24 1 out of 1 points Selected Answer: d. Formal operational A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28- year-old mother who had received no prenatal care. An evaluation is likely to suggest his MR is related to which of the following? Selected Answer: b. Congenital infection with cytomegalovirus You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected Answer: c. Counts to 4 and draws a person with three parts. A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none sense. Which of the following statements about him is correct? Selected Answer: a. He is too old to receive the Haemophilus influenzae Type B vaccine. Conductive hearing loss can be caused by Selected Answer: a. Serous otitis A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential? Selected Answer: d. "Sometimes I feel like ending my life." • Question 35 1 out of 1 points • Question 34 1 out of 1 points • Question 33 1 out of 1 points • Question 32 1 out of 1 points • Question 31 1 out of 1 points • Question 30 0 out of 1 points Which of the following eye findings would be considered an ophthalmic emergency? Selected Answer: a. Unilateral vesicular lesions on the upper eyelid in a 3-week old. You see a 7-year-old with complaints of "having accidents at night." Physical exam and history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His parents ask about the best treatment for this problem. The best response is Selected Answer: c. Fluid restriction and voiding prior to the night may be effective. During a domestic health assessment, the CDC recommends screening every refugee child for which of the following diseases? Selected Answer: b. tuberculos is The diagnostic criteria for autism spectrum disorder include all of the following except Selected Answer: c. Tolerance of flexibility with routines A 19-month-old says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? Selected Answer: c. Encourage early intervention services for speech. While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out? Selected Answer: a. Neurofibromato sis • Question 40 1 out of 1 points • Question 39 0 out of 1 points • Question 38 1 out of 1 points • Question 37 1 out of 1 points • Question 36 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. Selected Answer: c. Prader-Wlli syndrome Which of the following screenings should adolescents have done annually? Selected Answer: d. Psychosocial screening, blood pressure, body mass index The nurse practitioner role was initially established to Selected Answer: c. Improve access to care and partially solve physician shortage. An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis? Selected Answer: b. Strep pharyngitis Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage Selected d. Answer: II Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? • Question 45 1 out of 1 points • Question 44 0 out of 1 points • Question 43 1 out