NSG6435 / NSG 6435: Practicum III Family Health - Pediatrics Midterm Exam Latest 2020 / 2021 South University

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NSG6435 Practicum III Family Health - Pediatrics NSG 6435 Mid Term 1. A 5 yr. old female present for a follow up emergency room visit with a diagnosis of bronchitis. you would expect which... treatment to have been prescribed? - increase rest and fluid 2. An adolescent which a chronic asthma cough notes that symptoms are usually worse - 3. An average adolescent female usually experiences her biggest growth spurt at approximately what age? - 4. If an adolescent has a bone age of 10 but is actually 13 years of age, this patient has - 5. Gardasil results in greater antibody responses for females who are administered the 3-dose series between what ages? - 6. An 8yr old has chronic intermittent nasal congestion. all but which of the following support allergic rhinitis? - 7. A 15-month-old failed treatment with amoxicillin for an otitis media. at his 2 weeks recheck, his tympanic membrane remained red with distorted landmarks and he persisted with nasal discharge that is thick and yellowish. the best action for the NP should be to prescribe - 8. An infant should be able to say his or her first work by - 9. The latter part of adolescence includes the ability to develop ___ and _____ means to be a part of society - 10. A 14 yr. old adolescent present with fatigue, endocarditis, pulmonary hypertension, arrhythmias, and congestive heart failure. you suspect he may have - 11. A 4 yr. old male patient presents with his mother with a school referral regarding red eyes. which questions would not assist in establishing a list of differential diagnoses? - 12. _____ adolescents should be screened for sexually transmitted diseases - 13. An infant should no longer have a head lag when pulled from the supine to sitting position at what age? - 14. _____ should be given as a supplement in the management of delays puberty - 15. Parents or guardians of adolescents should - 16. How does cultural sensitivity impact the care of infants in the primary care setting? - 17. The most typical chest radiographic finding consistent with the diagnosis of asthma is - 18. A 10 yr. old has a single painful ulcerated lesion on an erythematous base on the inner buccal mucosa. the most likely diagnosis and treatment would be - 19. A 9-month-old is noted to have a bifid uvula. this would increase his risk of developing which disorder? - 20. All of the following may predispose a patient to thrush except - 21. Patients with sinusitis should be instructed not to participate in what activity - 22. What complication of sinusitis are adolescent males more prone to - 23. Acceptable management options for allergic rhinitis include all of the following except - 24. A 7 yr. old has experienced recurrent nose bleeds in the past 2 months. what finding on the physical exam would suggest an underlying medical cause for the epistaxis? - 25. A 2yr old male with a history of chronic serous otitis media is noted to have a pearly white opacity in the upper outer quadrant of his tympanic membrane. he currently has no symptoms and appears to be ok. the most likely diagnosis and appropriate management would be - 26. All but which one of the following patients are at an increased risk of developing otitis media - 27. A 10 yr. old has marked ear pain, not wanting anyone to touch his ear. the canal is edematous and exudate is present. the tympanic membrane is normal. how should this be managed? - 28. A 16 yr. old was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids with 5/10 eye pain. all but which of the following would be appropriate to obtain at this time? - 29. The greatest risk in a patient with a hyphen is which of the following - 30. Corneal abrasions can be managed with topical application of which of the following - 31. Trauma to the eye increased the risk of developing all but which one of the following - 32. Fluorescein staining of the eye is used to detect a - 33. Prematurity increases the risk of developing which one of the following? - 34. A 3-month-old has a mild asymmetrical corneal light reflex on physical exam. what is the next appropriate step? - 35. Which of the following may cause microcephaly? - 36. What finding may accompany macrocephaly? - 37. Obtaining a CT of the head would be indicated in which of the conditions? - 38. Which one of the following conditions increases the risk of developing hydrocephalus? - 39. A conjunctivitis appearing in a 2-day old newborn is likely due to - 40. Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by obtaining which one of the following? - 41. Which of the following eye findings would be considered an ophthalmic emergency? - 42. The most appropriate management of a 5 yr. old with a firm, contender nodule in the mid-upper eyelid for 3 weeks would be - 43. Daily eyelid cleansing with diluted baby shampoo and a cotton-tipped applicator would be appropriate in the treatment of which one of the following conditions? - 44. A 3 yr. old has an edematous, mildly erythematous right upper eyelid for one day with a fever of 103F. an important eye assessment would be - 45. Concurrent otitis media and conjunctivitis is likely due to which organism - 46. A 16 yo girl makes the following statements to you during her health visit. Which of the following pieces of information should not be kept confidential? - 47. In performing a physical examination on a nine-month-old infant, which of the following developmental fears would not be appropriate for you to consider? - 48. When performing a physical examination on a toddler, which of the following body parts would you examine last: - 49. Role play with equipment during the course of a physical examination would be most beneficial with which of the following age groups: - 50. Providing reassurance of "normalcy" during the course of an examination would be most important for - 51. Which of the following would not elevate the pulse of a child? - 52. The PNP recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk? - 53. Blood pressure should be measured at WCC beginning at age - 54. A wide pulse pressure that results from a high systolic blood pressure is usually not due to which of the following - 55. Head and chest circumferences should be equal at - 56. The anterior fontanel usually closes by - 57. Diffuse edema of the soft tissue of the scalp which usually crosses suture lines in the newborn is - 58. "Boggy" nasal mucous membranes with serous drainage upon examination usually suggests - 59. A white instead of red reflex upon eye examination of a 1 yo child would suggest - 60. A cobblestone appearance of the palpebral conjunctiva usually indicates - 61. An eye that deviates in when covered but returns to midline when uncovered is an - 62. Pain produced by manipulation of the auricle or pressure on the tragus suggests - 63. A hyper nasal voice and snoring in a child is suggestive of - 64. Physiological splitting of the second heart sound during inspiration in a child - 65. Which of the following is not characteristic of innocent heart murmurs in children? - 66. A grade II musical or vibratory murmur heard best at the lower left sternal border that changes with positioning is suggestive of a - 67. Wheezing in a child may not be found in which of the following conditions - 68. Gynecomastia in a male may not be a finding in which of the following - 69. Which of the following would usually not be considered a sign of a pituitary tumor in an adolescent female? - 70. Which of the following is not a specific examination test for a dislocated hip? - 71. In addition to the knee, which of the following should be examined in a child complaining of knee pain? - 72. Which of the following infant reflexes should not disappear by 6 months of age? - 73. Spasticity in an infant may be an early sign of - 74. A shift to the left is present when which of the following are elevated - 75. Which of the following is usually elevated with viral infections? - 76. Decreased platelets may not be found in which of the following - 77. Which of the following does not suggest a urinary tract infection? - 78. What should a cultural assessment of the family and child include? - 79. What question should the provider ask to elicit information about the internal structure of the family? - 80. "culture is a social construction of the relationships within and among groups of human beings..." which of the following is not a part of the products of culture? - 81. the provider understands that children who show signs of aggressive behavior, depression, anxiety, and poor school performance may have been exposed to which of the following during childhood? - 82. Which of the following best defines the role of the APN in health care? - 83. Which of the following is considered a development red flag? - 84. What would be the most likely weight of a 1yr old child whose weight at birth was 7 pounds? - 85. The pincer grasp is a fine motor skill the involves the ability to pick up a small object such as cold cereal, with the thumb and forefinger. when is this usually mastered? - 86. The nurse practitioner is completing an examination of an 11 yr. old female. it is noted during inspection that there is an appearance of breast buds. which of the following would most likely occur in approximately 2 years? - 87. When reviewing immunization protocols at your clinic, the nurse practitioner should be aware that the varicella vaccine can be administered at what age? - 88. Which of the following is the correct order for introduction of solid foods to an infant? - 89. Which of the following information is most important to ask about while performing a sports physical? - 90. The mother of a 16-month-old child informs you that she feeds the baby skim milk. what is the best rationale for not using skim milk? - 91. Which adolescent would be at greater risk for developing anorexia nervosa? - 92. The NP is reviewing strategies to increase physical activity. the patient should also be educated that which of the following are commonly associated with sports injuries? - 93. A pediatric patient has just been diagnosed with otitis external. which of the following should the patient be instructed to do? - 94. The NP is performing a fluorescein staining of the eye. which of the following is this intervention used to detect? - 95. The incidence of epiglottitis has decreased due to which of the following immunizations? - 96. You are examining a patient who you suspect has 5th disease. which of the following is true regarding this disease? - 97. Which specific viral organism causes hand, foot, and mouth syndrome? - 98. A NP is completing a cardiac assessment on a child and detects a murmur. which of the following is true regarding innocent murmur? - 99. A child presents to the primary care clinic with chest pain. the provider is aware that chest pain in children is usually a symptom of - 100. Which of the following is a common cause of acquired coronary artery disease during childhood? - 101. What type of hemorrhage would be expected with severe factor VIII deficiency? - 102. The NP suspects that a pediatric patient is exhibiting the signs and symptoms consistent with leukemia to confirm this diagnosis, which test/procedure should be ordered? - 103. The incidence of congenital heart defects is estimated to be ___ of all live births. - 104. Breastmilk can be safely stored in a freezer below 0 degrees F for how long? - 105. Which foreign body needs immediate removal from a 5yr old boys’ nose? - 106. Themes useful diagnostic test in deleted puberty is - 107. An average vision of a 2yr old child is approximately - [Show More]

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