NURS 629 exam 4 latest questions and answers 2023
+ Ant/ Post Drawer sign - (correct answer)assess for injury of ant/post cruciate ligament
+ obturator sign - (correct answer)acute appendicitis
+ post drawer sign in 10/yo soccer player? - (correct answer)instability of knee
4 weeks, forceful vomiting, wt down, seems hungry, sucks on bottle no problem. poss cause and
findings= - (correct answer)round olive like mass in RUQ
7 y/o M tells NP that teacher says he daydreams a lot, mom says he doesnt hear her/blanks out. -
(correct answer)Absence seizures
8 months with intermittent random episodes of vomiting, AB bloating, currant jelly stools, irritability
with poor appetite. growth/lethargic, sausage like mass on Right side - (correct answer)intusseception
8 y/o with DM1 seen for 3 day hx of urinary frequency and nocturia. UA is neg blood and nitrites, + large
amt of leukocytes and ketones. Trace protein. Best initial test - (correct answer)Urine culture/sensitivity
10 y.o M with sudden scrotal pain upon awakening. severe N/V. Exam= tender, warm swollen L scrotum.
Cremasteric reflex negative and urine no findings. - (correct answer)Testicular torsion. Refer to ED
11 y/oM with sickle cell anemia woke up painful penile erection that wont go away. - (correct
answer)Recommend immediate referral to ED
12 month old with fever, suspected UTI, vomited 5x in last 7hours, last wet diaper ~6hrs ago. Prepare to
- (correct answer)arrange for child to be admitted to hospt
14 y/o M plays bball, complains of swelling and pain on bilat knees. Exam= tenderness over tibial
tuberosity bilat knees - (correct answer)Osgood-schlatter
14 y/o M with several months of recurrent bloating, stomach upset, occasional loose stools. Difficulty
gaining wt, short. Symptoms worse after crackers, cookies, and breads. No blood in stools. - (correct
answer)Celiac disease
17y/o M feeling something in L scrotum. Palpation is soft, movable, blood vessels that feels like 'bag of
worms' under scrotum skin. testicle not swollen or red. - (correct answer)Varicocele
Appendicits - (correct answer)Constant periumbilical pain shifting to RLQ. Worsens over period of 4hrs.
Pain subsides as it migrates to RLQ and then worsens with movement, deep respir, and
coughing.Pain/Fever are late sign, leading to perforation. Vomiting. *Elevated WBC.
avoid this with celiac spruce - (correct answer)Avoid gluten (wheat, barley, rye)
Bactrim - (correct answer)treatment of choice for UTI in children
Beta thalassemia minor considered - (correct answer)microcytic anemia
BG for 4y/o - (correct answer)goal of 90-130
Cardiac syncope - (correct answer)causes: bradycardia, tachycardia, hypotension, exercise triggered.
Palpitations. Residual findings: incontinence, disorientation, or injury.
child 2 months- 2 years with UTI, antibiotic therapy for - (correct answer)7-14 days
+ Ant/ Post Drawer sign - (correct answer)assess for injury of ant/post cruciate ligament
+ obturator sign - (correct answer)acute appendicitis
+ post drawer sign in 10/yo soccer player? - (correct answer)instability of knee
4 weeks, forceful vomiting, wt down, seems hungry, sucks on bottle no problem. poss cause and
findings= - (correct answer)round olive like mass in RUQ
7 y/o M tells NP that teacher says he daydreams a lot, mom says he doesnt hear her/blanks out. -
(correct answer)Absence seizures
8 months with intermittent random episodes of vomiting, AB bloating, currant jelly stools, irritability
with poor appetite. growth/lethargic, sausage like mass on Right side - (correct answer)intusseception
8 y/o with DM1 seen for 3 day hx of urinary frequency and nocturia. UA is neg blood and nitrites, + large
amt of leukocytes and ketones. Trace protein. Best initial test - (correct answer)Urine culture/sensitivity
10 y.o M with sudden scrotal pain upon awakening. severe N/V. Exam= tender, warm swollen L scrotum.
Cremasteric reflex negative and urine no findings. - (correct answer)Testicular torsion. Refer to ED
11 y/oM with sickle cell anemia woke up painful penile erection that wont go away. - (correct
answer)Recommend immediate referral to ED
12 month old with fever, suspected UTI, vomited 5x in last 7hours, last wet diaper ~6hrs ago. Prepare to
- (correct answer)arrange for child to be admitted to hospt
14 y/o M plays bball, complains of swelling and pain on bilat knees. Exam= tenderness over tibial
tuberosity bilat knees - (correct answer)Osgood-schlatter
14 y/o M with several months of recurrent bloating, stomach upset, occasional loose stools. Difficulty
gaining wt, short. Symptoms worse after crackers, cookies, and breads. No blood in stools. - (correct
answer)Celiac disease
17y/o M feeling something in L scrotum. Palpation is soft, movable, blood vessels that feels like 'bag of
worms' under scrotum skin. testicle not swollen or red. - (correct answer)Varicocele
Appendicits - (correct answer)Constant periumbilical pain shifting to RLQ. Worsens over period of 4hrs.
Pain subsides as it migrates to RLQ and then worsens with movement, deep respir, and
coughing.Pain/Fever are late sign, leading to perforation. Vomiting. *Elevated WBC.
avoid this with celiac spruce - (correct answer)Avoid gluten (wheat, barley, rye)
Bactrim - (correct answer)treatment of choice for UTI in children
Beta thalassemia minor considered - (correct answer)microcytic anemia
BG for 4y/o - (correct answer)goal of 90-130
Cardiac syncope - (correct answer)causes: bradycardia, tachycardia, hypotension, exercise triggered.
Palpitations. Residual findings: incontinence, disorientation, or injury.
child 2 months- 2 years with UTI, antibiotic therapy for - (correct answer)7-14 days
