6541N
NURS 6541N, Week 11 Final Exam (2020)
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1. Question: Unilateral wheezing is a finding suggestive of
2. Question: You are on call and receive a phone call from _the_ parents of a 13-year-old
known asthmatic. She has been having chest tightness and a worsening cough for 48 hours. She
has significant nasal discharge that began 14 days ago and intermittent complaint of headache.
She is now running a low-grade fever. Her peak flow _the_ last 48 hours is 70–80% of personal
best. Her temperature right now is 101.7°F. She is on salmeterol with corticosteroid (Advair) and
PRN albuterol. Which of _the_ following is most appropriate?
3. Question: You see a patient you believe has folliculitis. What medication would ... _the_
best to treat this patient? _the_ patient has no allergies.
4. Question: _the_ most common cause of primary amenorrhea is
5. Question: Kelly, your 11-year-old well visit patient, presents to _the_ office with weight
loss, polyuria, and polydipsia. Which of _the_ following do you need to rule out?
6. Question: Children in child care facilities are at greater risk of being ... to which of _the_
following infections?
7. Question: A 6-year-old boy is left alone for 10 hours, now with hematemesis and
pneumomediastinum on chest x-ray. Which of _the_ following is _the_ most likely etiology?
8. Question: A 14-month-old child has lower extremity bowing, a waddling gait, genu
varum, and is at _the_ 5th percentile for height. Laboratory data include low-normal serum
calcium, moderately low serum phosphate, and ... serum alkaline phosphatase levels,
hyperphosphaturia, and normal parathyroid levels. Which of _the_ following is _the_ most likely
diagnosis?
9. Question: _the_ most common trigger for an acute asthma episode in _the_ very young
child is
10. Question: What is _the_ primary treatment for testicular torsion?
11. Question: When Jason, age 12, slid into homeplate while playing baseball, he ... his
ankle. You are trying to differentiate between a strain and a sprain. You know that a sprain
12. Question: _the_ most common presentation of Hirschprung disease is which of _the_
following?
13. Question: Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes.
She is ... that she will not fit in with her friends anymore because she does not think she can have
all _the_ same snacks _the_y have. How do you respond?
14. Question: Which of _the_ following is not a sign or symptom of congenital
hypothyroidism?
15. Question: You see a 7-year-old boy a day after he was bitten by his pet dog. According to
_the_ mo_the_r, _the_ dog bit _the_ child after he snuck up on _the_ dog and ... his tail. _the_
dog has ... all its vaccinations, including rabies. _the_ child has had no fever, has full movement
of _the_ injured limb, and has no sign of neurologic or vascular injury. _the_ wound is on _the_
child’s forearm, is not deep, and is not bleeding, but has developed about 2 cm of ery_the_ma
surrounding _the_ site. Which of _the_ following is _the_ most appropriate treatment?
16. Question: Robert, your 15-year-old male patient, is here today for a well visit. He is tall
in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal
echocardiogram. Which of _the_ following diagnosis would you suspect Robert as having?
17. Question: An adolescent female presents with a 2-day history of increasing lower
abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to
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https://www.coursehero.com/file/69691072/NURS-6541N-Week-11-Final-Exam-2020docx/
, defecate but has an urge to do so. CBC reveals a slightly ... WBC of 14,000, but is o_the_rwise
normal. Serum electrolytes are normal. _the_ next step is
18. Question: Vomiting in infancy has a long list of differential diagnoses. Which of _the_
following o_the_r symptoms would mostly likely point to pyloric stenosis?
19. Question: Which of _the_ following is a characteristic physical sign of fragile X
syndrome in adolescent males?
20. Question: A 3-week old presents to _the_ office in January with a 1-week history of
nasal congestion and occasional cough. On _the_ night prior to _the_ visit in infant developed a
fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored
breathing. On exam, you note an ill-appearing infant who is le_the_rgic with wheezing,
tachypnea, and intercostal retractions. _the_ infant is home with _the_ mom at this time;
however, has a sibling who is 4-years-old and is in daycare and recently ... cold symptoms. If
_the_ patient has been diagnosed with RSV bronchiolitis, which of _the_ following would be
_the_ treatment of choice?
21. Question: An adolescent who has tall stature, increased arm span, laxity of joints, pectus
excavatum, and abnormal echocardiogram would be expected to have
22. Question: An 18-month-old African American girl is brought to your office because she
has been crying and ... walking today. She will crawl, however. Her mom denies any injury to
_the_ child. On examination, she is crying but consolable in her mo_the_r’s arms. She has
bruising and swelling just proximal to _the_ left ankle. An x-ray reveals a spiral fracture of _the_
tibia. At this time, you advise _the_ mo_the_r that:
23. 23.Question: A small-for-gestational-age, dysmorphic newborn infant has microcephaly
and sloping forehead, cutis aplasia (missing portion of _the_ skin and hair) of _the_ scalp,
polydactyly, microphthalmia, and omphalocele. Which of _the_se is _the_ most likely diagnosis?
24. Question: A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-
ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and _the_
neutrophil count is normal. _the_ most likely etiology is
25. Question: A common cause of in-toeing in childhood is
26. Question: Individuals with chronic adrenal insufficiency often have
27. Question: Which of _the_ following ... be done annually after 1 year of age in a child
with Down syndrome?
28. Question: Sarah, age 13, is markedly obese and has a poor self-image. How do you
differentiate between compulsive eating and bulemia?
29. Question: _the_ peak incidence of osteosarcoma is
30. Question: A 10-year-old boy jumps off a 2-foot wall, twisting his foot and ankle upon
landing. His ankle x-ray reveals a fracture of _the_ distal tibia over _the_ articular surface into
_the_ epiphysis and physis. Based on _the_ Salter-Harris classification for growth plate injuries,
you know this as a
31. Question: One of _the_ most appropriate agents ... to treat influenza A is
32. Question: An essential test in _the_ evaluation of a 2-year-old being managed for
Kawasaki disease is
33. Question: You have a patient with pityriasis rosea. You will recommend all of _the_se
treatments, except
34. Question: A 14-year-old girl from ano_the_r state was followed for 7 years for a history
of insulin-dependent diabetes mellitus. Her hemoglobin A1C is 14.9%. This laboratory test
indicates which of _the_ following?
This study source was downloaded by 100000830772748 from CourseHero.com on 03-01-2022 04:01:03 GMT -06:00
https://www.coursehero.com/file/69691072/NURS-6541N-Week-11-Final-Exam-2020docx/
NURS 6541N, Week 11 Final Exam (2020)
Download 100% Correct Answer Here
1. Question: Unilateral wheezing is a finding suggestive of
2. Question: You are on call and receive a phone call from _the_ parents of a 13-year-old
known asthmatic. She has been having chest tightness and a worsening cough for 48 hours. She
has significant nasal discharge that began 14 days ago and intermittent complaint of headache.
She is now running a low-grade fever. Her peak flow _the_ last 48 hours is 70–80% of personal
best. Her temperature right now is 101.7°F. She is on salmeterol with corticosteroid (Advair) and
PRN albuterol. Which of _the_ following is most appropriate?
3. Question: You see a patient you believe has folliculitis. What medication would ... _the_
best to treat this patient? _the_ patient has no allergies.
4. Question: _the_ most common cause of primary amenorrhea is
5. Question: Kelly, your 11-year-old well visit patient, presents to _the_ office with weight
loss, polyuria, and polydipsia. Which of _the_ following do you need to rule out?
6. Question: Children in child care facilities are at greater risk of being ... to which of _the_
following infections?
7. Question: A 6-year-old boy is left alone for 10 hours, now with hematemesis and
pneumomediastinum on chest x-ray. Which of _the_ following is _the_ most likely etiology?
8. Question: A 14-month-old child has lower extremity bowing, a waddling gait, genu
varum, and is at _the_ 5th percentile for height. Laboratory data include low-normal serum
calcium, moderately low serum phosphate, and ... serum alkaline phosphatase levels,
hyperphosphaturia, and normal parathyroid levels. Which of _the_ following is _the_ most likely
diagnosis?
9. Question: _the_ most common trigger for an acute asthma episode in _the_ very young
child is
10. Question: What is _the_ primary treatment for testicular torsion?
11. Question: When Jason, age 12, slid into homeplate while playing baseball, he ... his
ankle. You are trying to differentiate between a strain and a sprain. You know that a sprain
12. Question: _the_ most common presentation of Hirschprung disease is which of _the_
following?
13. Question: Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes.
She is ... that she will not fit in with her friends anymore because she does not think she can have
all _the_ same snacks _the_y have. How do you respond?
14. Question: Which of _the_ following is not a sign or symptom of congenital
hypothyroidism?
15. Question: You see a 7-year-old boy a day after he was bitten by his pet dog. According to
_the_ mo_the_r, _the_ dog bit _the_ child after he snuck up on _the_ dog and ... his tail. _the_
dog has ... all its vaccinations, including rabies. _the_ child has had no fever, has full movement
of _the_ injured limb, and has no sign of neurologic or vascular injury. _the_ wound is on _the_
child’s forearm, is not deep, and is not bleeding, but has developed about 2 cm of ery_the_ma
surrounding _the_ site. Which of _the_ following is _the_ most appropriate treatment?
16. Question: Robert, your 15-year-old male patient, is here today for a well visit. He is tall
in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal
echocardiogram. Which of _the_ following diagnosis would you suspect Robert as having?
17. Question: An adolescent female presents with a 2-day history of increasing lower
abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to
This study source was downloaded by 100000830772748 from CourseHero.com on 03-01-2022 04:01:03 GMT -06:00
https://www.coursehero.com/file/69691072/NURS-6541N-Week-11-Final-Exam-2020docx/
, defecate but has an urge to do so. CBC reveals a slightly ... WBC of 14,000, but is o_the_rwise
normal. Serum electrolytes are normal. _the_ next step is
18. Question: Vomiting in infancy has a long list of differential diagnoses. Which of _the_
following o_the_r symptoms would mostly likely point to pyloric stenosis?
19. Question: Which of _the_ following is a characteristic physical sign of fragile X
syndrome in adolescent males?
20. Question: A 3-week old presents to _the_ office in January with a 1-week history of
nasal congestion and occasional cough. On _the_ night prior to _the_ visit in infant developed a
fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored
breathing. On exam, you note an ill-appearing infant who is le_the_rgic with wheezing,
tachypnea, and intercostal retractions. _the_ infant is home with _the_ mom at this time;
however, has a sibling who is 4-years-old and is in daycare and recently ... cold symptoms. If
_the_ patient has been diagnosed with RSV bronchiolitis, which of _the_ following would be
_the_ treatment of choice?
21. Question: An adolescent who has tall stature, increased arm span, laxity of joints, pectus
excavatum, and abnormal echocardiogram would be expected to have
22. Question: An 18-month-old African American girl is brought to your office because she
has been crying and ... walking today. She will crawl, however. Her mom denies any injury to
_the_ child. On examination, she is crying but consolable in her mo_the_r’s arms. She has
bruising and swelling just proximal to _the_ left ankle. An x-ray reveals a spiral fracture of _the_
tibia. At this time, you advise _the_ mo_the_r that:
23. 23.Question: A small-for-gestational-age, dysmorphic newborn infant has microcephaly
and sloping forehead, cutis aplasia (missing portion of _the_ skin and hair) of _the_ scalp,
polydactyly, microphthalmia, and omphalocele. Which of _the_se is _the_ most likely diagnosis?
24. Question: A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-
ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and _the_
neutrophil count is normal. _the_ most likely etiology is
25. Question: A common cause of in-toeing in childhood is
26. Question: Individuals with chronic adrenal insufficiency often have
27. Question: Which of _the_ following ... be done annually after 1 year of age in a child
with Down syndrome?
28. Question: Sarah, age 13, is markedly obese and has a poor self-image. How do you
differentiate between compulsive eating and bulemia?
29. Question: _the_ peak incidence of osteosarcoma is
30. Question: A 10-year-old boy jumps off a 2-foot wall, twisting his foot and ankle upon
landing. His ankle x-ray reveals a fracture of _the_ distal tibia over _the_ articular surface into
_the_ epiphysis and physis. Based on _the_ Salter-Harris classification for growth plate injuries,
you know this as a
31. Question: One of _the_ most appropriate agents ... to treat influenza A is
32. Question: An essential test in _the_ evaluation of a 2-year-old being managed for
Kawasaki disease is
33. Question: You have a patient with pityriasis rosea. You will recommend all of _the_se
treatments, except
34. Question: A 14-year-old girl from ano_the_r state was followed for 7 years for a history
of insulin-dependent diabetes mellitus. Her hemoglobin A1C is 14.9%. This laboratory test
indicates which of _the_ following?
This study source was downloaded by 100000830772748 from CourseHero.com on 03-01-2022 04:01:03 GMT -06:00
https://www.coursehero.com/file/69691072/NURS-6541N-Week-11-Final-Exam-2020docx/
