NURS 6531 _PEDS_MIDTERM...QUESTIONS AND ANSWERS...

• Question 6 1 out of 1 points 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: b. Fluid restriction and voiding prior to the night may be effective. • Question 7 1 out of 1 points Which of the following statements about bullying is true? Selected Answer: d. It occurs most commonly during unstructured times (lunch, recess, etc.). • Question 8 0 out of 1 points The mother of a 5-year-old informs you that her daughter cheats when playing board games. What is the best response? Selected Answer: d. Tell the mother to spend time clarifying board game rules before starting games. • Question 9 0 out of 1 points Which of the following conditions requires urgent inpatient admission? Selected Answer: d. Epiglottis • Question 10 1 out of 1 points All of the following are consistent with peritonsillar abscess except: Selected Answer: d. Trismus • Question 11 1 out of 1 points The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical findings are not usually associated with the diagnosis of school phobia? Selected Answer: d. Chronic medical illness • Question 12 0 out of 1 points You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate further evaluation? Selected Answer: c. Heart rate increases during inspiration and decreases during expiration. • Question 13 1 out of 1 points A child's head circumference is routinely measured on each well visit until what age? Selected Answer: a. 2 years • Question 14 1 out of 1 points Which of the following children has abnormal language development? Selected Answer: c. Speech is 50% understandable at 36 months of age • Question 15 1 out of 1 points Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. Test Results Fasting blood glucose 112 mg/dL 2 hour postprandial glucose 138 mg/dL Selected Answer: d. Impaired fasting glucose, postprandial glucose within normal limits • Question 16 1 out of 1 points Which of the following issues or concepts is relevant to the school-age child? Selected Answer: c. Erikson's initiative versus guilt • Question 17 1 out of 1 points The diagnostic criteria for autism spectrum disorder include all of the following except Selected Answer: d. Tolerance of flexibility with routines • Question 18 1 out of 1 points Conductive hearing loss can be caused by Selected Answer: d. Serous otitis • Question 19 1 out of 1 points The most common substance used in middle school is Selected Answer: a. Alcohol • Question 20 0 out of 1 points The results of the hemoglobin A1c test are LESS reliable in children with which of the following conditions? (Hint: select two) Selected Answers: a. Crohn's Disease b. Celiac Disease • Question 21 1 out of 1 points A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian syndrome? Selected Answer: d. free testosterone • Question 22 1 out of 1 points Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? Selected Answer: a. Sitting up and leaning forward • Question 23 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: b. "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age." • Question 24 1 out of 1 points Which of the following characterizes middle adolescence (14 to 16 years old)? Selected Answer: b. Intense peer group involvement, feelings of immortality, sexual experimentation • Question 25 1 out of 1 points You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today? Selected Answer: c. DTaP, IPV, MMR, and Varivax • Question 26 1 out of 1 points A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and a bit disoriented. He has nystagmus and hypersalivation. Many notice his abusive language. Which of the following agents is most likely responsible for his condition? Selected Answer: d. Alcohol • Question 27 1 out of 1 points Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th percentile for height, weight and head circumference. He was born at 30 weeks’ gestation and weighed 1000g. He was a planned pregnancy, and his mother’s prenatal course was uneventful until an automobile accident initiated the labor. He was ventilated for 3 days in the intensive care unit but otherwise did well without ongoing problems. He was discharged at 8 weeks of life. Which of the following is the most likely explanation for his small size? Selected Answer: b. Normal ex-preemie infant growth • Question 28 1 out of 1 points 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: c. "Sometimes I feel like ending my life." • Question 29 1 out of 1 points Most children can independently get dressed by themselves by age: Selected Answer: b. 5 years • Question 30 0 out of 1 points A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. S