NURS 6541 MIDTERM ...QUESTIONS AND ANSWERS ... 95%

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: Selected b. Answer: 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 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? 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 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 developme