NURS 6541 PEDS MIDTERM 3 LATEST VERSIONS (VERSION A, B
AND C) EXAM LATEST 2024 ACTUAL EXAM
A mantoux test in a child with no risk factors is considered postiive with a reaction of
A. at least 5 mm induration
B. at least 8 mm induration
C. At least 10 mm induration
D. at least 15 mm induration - ANSWER: D. at least 15 mm induration
You have ordered routine blood screening for a 2 year old girl who because of
dietary habits is at risk for IDA. Which of the following findings is not associated with
IDA.
A. Hypochromic RBC
B. Microcytic RBC
C. Low reticulocyte count
D. Low free erythrocyte protoporphin level - ANSWER: D. Low free erythrocyte
protoporphin level
A tenderness is detected over the tibial tuberosity of a 10 year old boy during a
routine examination at a school-based clinic. The PNP know that this may be a sign
of-
A. Osgood-Schlatter
B. Blount's disease
C. Plantar fascitis
D. Effusion in the joint space - ANSWER: A. Osgood-Schlatter disease
Which one of the following conditions increases the risk of developing
hydrocephalus?
A. Bilateral cephalohematomas
B. Craniosynostosis
C. Prematurity
D. Familial macrocephaly - ANSWER: C. Prematurity
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be
done by obtaining which one of the following?
A. Cervical swab of the mother
B. Urine PCR from the mother
C. culture of the eye discharge
D. culture of the conjunctival scrapings - ANSWER: D. Culture of the conjunctival
scrapings
A 3 year old has an edematous, mildly erythematous right upper eyelid for 1 day
with a fever of 103. An important eye assessment would be
A. ocular mobility
B. Conjunctival inflammation
, C. Pupillary reaction
D. Optic disc papilledema - ANSWER: A. ocular mobility
Concurrent otitis media and onjunctivitis is likely due to which organism?
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Moraxella catarrhalis
D. Staphyloccocus aureaus - ANSWER: B. Haemophilus influenzae
A 16 year old was hit in the eye 1 day ago and now has ecchymoses on the upper
and lower lids with 5 out of 10 eye pain. All but which of the following would be
appropriate to obtain at this time?
A. visual acuity
B. Intraocular pressure
C. CT scan
D. Fluoroscein test - ANSWER: B. intraocular pressure
a 7 year old has experience recurrent epistaxis in the past 2 months. Which finding
on the physical exam would suggest an underlying medical cause for the epistaxis?
A. Wheezing
B. Grade ii murmur
C. Petechiae
D. tonsil hypertrophy - ANSWER: C. Petechiae
What complication of sinusitis are adolescent males more prone to?
A. Intracranial abscess
B. Potts puffy tumor
C. Orbital cellulitis
D. Dental infection - ANSWER: A. Intracranial abscess
A 9 month old is noted to have a bifid uvula. This would increase his risk of
developing which disorder?
A. Otitis media
B. Retropharyngeal abscess
C. Sinusitis
D. Dental malocclusion - ANSWER: A. Otitis media
Initial exposure to the herpes virus may produce all of the following except:
A. Fever and dehydration
B. Submandibular lymph nodes
C. Vesicular lesions on tonsils
D. Friable and edematous gingiva - ANSWER: C. Vesicular lesions on tonsils
In addiction to penicillin, all of the following antibiotics can be used to treat strep
phayrngitis except:
A. clindamycin
B. Erythromycin
AND C) EXAM LATEST 2024 ACTUAL EXAM
A mantoux test in a child with no risk factors is considered postiive with a reaction of
A. at least 5 mm induration
B. at least 8 mm induration
C. At least 10 mm induration
D. at least 15 mm induration - ANSWER: D. at least 15 mm induration
You have ordered routine blood screening for a 2 year old girl who because of
dietary habits is at risk for IDA. Which of the following findings is not associated with
IDA.
A. Hypochromic RBC
B. Microcytic RBC
C. Low reticulocyte count
D. Low free erythrocyte protoporphin level - ANSWER: D. Low free erythrocyte
protoporphin level
A tenderness is detected over the tibial tuberosity of a 10 year old boy during a
routine examination at a school-based clinic. The PNP know that this may be a sign
of-
A. Osgood-Schlatter
B. Blount's disease
C. Plantar fascitis
D. Effusion in the joint space - ANSWER: A. Osgood-Schlatter disease
Which one of the following conditions increases the risk of developing
hydrocephalus?
A. Bilateral cephalohematomas
B. Craniosynostosis
C. Prematurity
D. Familial macrocephaly - ANSWER: C. Prematurity
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be
done by obtaining which one of the following?
A. Cervical swab of the mother
B. Urine PCR from the mother
C. culture of the eye discharge
D. culture of the conjunctival scrapings - ANSWER: D. Culture of the conjunctival
scrapings
A 3 year old has an edematous, mildly erythematous right upper eyelid for 1 day
with a fever of 103. An important eye assessment would be
A. ocular mobility
B. Conjunctival inflammation
, C. Pupillary reaction
D. Optic disc papilledema - ANSWER: A. ocular mobility
Concurrent otitis media and onjunctivitis is likely due to which organism?
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Moraxella catarrhalis
D. Staphyloccocus aureaus - ANSWER: B. Haemophilus influenzae
A 16 year old was hit in the eye 1 day ago and now has ecchymoses on the upper
and lower lids with 5 out of 10 eye pain. All but which of the following would be
appropriate to obtain at this time?
A. visual acuity
B. Intraocular pressure
C. CT scan
D. Fluoroscein test - ANSWER: B. intraocular pressure
a 7 year old has experience recurrent epistaxis in the past 2 months. Which finding
on the physical exam would suggest an underlying medical cause for the epistaxis?
A. Wheezing
B. Grade ii murmur
C. Petechiae
D. tonsil hypertrophy - ANSWER: C. Petechiae
What complication of sinusitis are adolescent males more prone to?
A. Intracranial abscess
B. Potts puffy tumor
C. Orbital cellulitis
D. Dental infection - ANSWER: A. Intracranial abscess
A 9 month old is noted to have a bifid uvula. This would increase his risk of
developing which disorder?
A. Otitis media
B. Retropharyngeal abscess
C. Sinusitis
D. Dental malocclusion - ANSWER: A. Otitis media
Initial exposure to the herpes virus may produce all of the following except:
A. Fever and dehydration
B. Submandibular lymph nodes
C. Vesicular lesions on tonsils
D. Friable and edematous gingiva - ANSWER: C. Vesicular lesions on tonsils
In addiction to penicillin, all of the following antibiotics can be used to treat strep
phayrngitis except:
A. clindamycin
B. Erythromycin
