NSG 6435 Final Exam Study Guide 3

1. A congenital heart abnormality often discovered during the newborn period is coarctation of the aorta. How is this assessed? By comparing right and left femoral pulses By comparing right and left pedal pulses By comparing upper and lower extremity blood pressures By auscultating an audible bruit in the carotid arteries 2. A child who can stack a maximum of 5 blocks is probably: 1 yr of age 15 months of age 2 years of age 3 years of age 3. A 6 yr old child who has moderate persistent asthma is diagnosed with pneumonia after chest x-ray and lab studies. He developed a sudden onset of fever with chills. He is in no distress. What is the preferred treatment for him? Supportive measures, it is probably viral Amoxicillin Azithromycin Doxycycline 4. A healthy appearing 3-yr old female presents with non-blanchable redness over both knees and elbows. During the exam, she is found to have normal growth and development, and she interacts appropriately with the NP. She had an upper respiratory infection about 4 wks ago that cleared without incident. A CBC and UA were obtained. The most likely diagnosis is: Septic arthritis Acute lymphocytic leukemia (ALL) von Willebrands disease idiopathic thrombocytopenia purpura (ITP) 5. An adolescent has acne. The NP prescribed a benzoyl peroxide product for him. What important teaching point should be given to this adolescent regarding the benzoyl peroxide? Don't apply this product more than once a day This often causes peeling of the skin Photosensitivity of the skin can occur Hypersensitivity can occur with repeat use 6. a 6-wk old male infant is brought to the NP because of vomiting. The mother describes vomiting after feeding and feeling a knot in his abdomen especially after he vomits. The child appears adequately nourished. What is the likely etiology?