NR 6663 Week 9 Quiz 2020 – Nevada State College | NR6663 Week 9 Quiz 2020 – A grade

NR 6663 Week 9 Quiz 2020 – Nevada State College Question 1 1. A healthy 8-month-old infant presents with diarrhea but no dehydration. What is the best advice to give to the parents? 2. a. Encourage half-strength formula for 12 hours. b. Administer oral electrolyte solutions. c. Give only fluids until stool returns to normal. d. Give bananas, cereal, vegetables, and full-strength formula as tolerated. Question 2 1. The most accurate way to determine the degree of dehydration in a vomiting child is to assess: 2. a. Urine output b. Skin turgor c. Level of consciousness d. Presence of tears Question 3 1. A healthy, thriving 4-month-old male has had sudden episodes of drawing his knees to his chest and crying like he is in acute pain for the last 5 hours. These episodes are separated by quiet times when he appears normal and comfortable. He is not vomiting and has not had a bowel movement today. What is the most likely diagnosis? 2. a. Gastroenteritis b. Pyloric stenosis c. Intussusception d. Hirschprung disease Question 4 1. A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn’s disease? 2. a. Mid-menstrual increase in abdominal pain b. Bloody, mucous diarrhea c. Pain with urination and mouth sores d. Pale, clay-colored stools Question 5 1. A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is: 2. a. Refer for endoscopy of the upper gastrointestinal tract b. Trial of omeprazole (Prilosec) c. Trial of ranitidine (Zantac) d. Upper GI series with contrast Question 6 1. Which of the following is important to determine in the recent history of a child with suspected Clostridium difficile infection? 2. a. Antibiotic use b. Travel c. Swimming in ponds/lakes d. Drinking unpasteurized milk or juice Question 7 1. The most common presentation of Hirschprung disease is which of the following? 2. a. An abdominal mass b. Diarrhea c. Infrequent bowel movements d. Sepsis Question 8 1. An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101°F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000 but is otherwise normal. Serum electrolytes are normal. The next step is: 2. a. Refer to gynecology for a pelvic exam. b. Refer to surgery for evaluation of appendicitis. c. Allow her to go home on clear fluids and reassess in the morning. d. Initiate oral rehydration therapy and evaluate for symptom progression. Question 9 1. A mother brings a 2-year-old to your office with the complaint that she passes 5 to 10 watery stools per day that often contain undigested food. The child appears healthy and has no other GI symptoms. She is acting, eating, and voiding normally. Weight gain is normal and the mother states she often drinks (her favorite drink is Kool-Aid) instead of eating. The best management for this condition is: 2. a. Refer to gastroenterology for assessment and treatment. b. Initiate treatment with metronidazole (Flagyl), after obtaining a stool O&P, and counsel to decrease fruit juice intake. c. Initiate treatment with erythromycin and counsel to increase dietary fiber. d. Counsel to decrease fluid intake, increase dietary fiber, and increase fats to 40% of calories. Question 10 1. A common presenting symptom of inflammatory bowel disease is: 2. a. Joint infection b. Accelerated growth c. Unexplained fever d. Kidney stones