NSG 6435 PEDS FINAL EXAM | Family Health III-Pediatrics - South University | Download To Score An A

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NSG 6435 PEDS FINAL EXAM Question 1 (2 points) Which of the following is not found in an adolescent with untreated Graves' disease? Question 1 options: a) Behavioral problems b) Sleep d... isturbances d) Tachycardia Save Question 2 (2 points) A fifteen-year-old male patient reports a three-day history of sore throat, fever, and malaise. Physical examination reveals pharyngitis, anterior cervical adenopathy, and an oral temperature of 101.6 degree Fahrenheit (38.7 degree Celsius). Which diagnostic test does a pediatric primary care nurse practitioner order next? Question 2 options: a) Antistreptolysin O titer b) Cytomegalovirus titer c) Monospot and complete blood count Save Question 3 (2 points) The adolescent should be screened for Type 1 diabetes _. Question 3 options: a) every year b) every two years c) once every five years Save Question 4 (2 points) What is one of the most important components of a presports participation physical exam? Question 4 options: a) Hydration status b) Type of sport being played d) Previous drug use Save Question 5 (2 points) What factors can negatively impact children's access to medical homes and adequate health care services? Question 5 options: a) Ethnicity b) Poverty c) Disability Save Question 6 (2 points) The nurse practitioner recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk from the mother? Question 6 options: b) Diarrhea, nausea, and vomiting c) Bulging fontanel and irritability d) Sleeplessness and excitability Save Question 7 (2 points) The sexual development of a fourteen-year-old girl is notably delayed. She is very short, slightly obese, and complains of constipation and fatigue. Her skin is sallow and coarse in texture, and her hair is brittle. Which of the following tests should be obtained? Question 7 options: a) Chromosome analysis and serum thyroxine c) Serum luteinizing hormone and chromosome analysis d) Serum luteinizing hormone and thyroid-stimulating hormone Save Question 8 (2 points) _____________children are less likely to be diagnosed with attention deficit disorder than others. Question 8 options: a) African American b) Non-Hispanic White c) Asian Save Question 9 (2 points) The most common form of juvenile rheumatoid arthritis is _. Question 9 options: a) systemic c) osteoarticular d) polyarticular Save Question 10 (2 points) Indications for immediate dialysis in the pediatric patient is Question 10 options: a) hypotension b) hyperkalemia d) dehydration Save Question 11 (2 points) Question 11 options: An early adolescent patient is more likely to have regarding body image. Save Question 12 (2 points) Bipolar disease requires _____________ for successful treatment. Question 12 options: a) no medication only cognitive therapy b) a limited amount of medication for a short period of time c) no intervention Save Question 13 (2 points) The number one psychological disorder in the United States has been identified as _. Question 13 options: a) depression c) schizophrenia d) bipolar disorder Save Question 14 (2 points) Weight loss, chronic diarrhea, anemia, and weakness in an adolescent are symptoms of _. Question 14 options: b) Crohn's disease c) irritable bowel syndrome d) appendicitis0 Save Question 15 (2 points) An immunocompromised four-year-old patient presents for his vaccinations. Which vaccination would you hold on this patient? Question 15 options: b) Hib c) Pneumococcal conjugate vaccine (PCV) 13 d) DtaP Save Question 16 (2 points) Bipolar disease is often diagnosed in _. Question 16 options: a) childhood years b) the fifth or sixth decade c) mid puberty Save Question 17 (2 points) Biomedical issues that may create academic performance issues include _______________. Question 17 options: a) substance abuse b) familial stressors c) cultural differences Save Question 18 (2 points) ___________ increases a child’s risk of being diagnosed with attention deficit hyperactivity disorder. Question 18 options: a) Exposure to paternal tobacco use b) Exposure to maternal antidepressant use c) Exposure to paternal antidepressant use Save Question 19 (2 points) Question 19 options: The best way to screen for human papilloma virus in an adolescent female is Save Question 20 (2 points) Attention deficit hyperactivity disorder may be _. Question 20 options: b) learned c) acquired d) triggered by a virus Save Question 21 (2 points) Eating disorders are _. Question 21 options: a) seen more often in men than women b) equal between males and females c) greater in adolescent males than females Save Question 22 (2 points) Question 22 options: adolescents should be asked about depression and suicide risk annually. Save Question 23 (2 points) The most common form of child abuse seen in pediatric primary care is Question 23 options: a) burns c) soft tissue injuries d) shaken baby syndrome Save Question 24 (2 points) Children with disabilities are guaranteed a free and appropriate education by three federal laws: Section 504 of the Rehabilitation Act, IDEA, and _______________. Question 24 options: a) the American Handicapped Act b) the American Attention Deficit Act c) the American Equal Education Act Save Question 25 (2 points) It is important to monitor _______ in an adolescent with inflammatory bowel disease? Question 25 options: a) linear growth b) skeletal development c) pubertal changes Save Question 26 (2 points) Which of the following medications should be avoided in a patient with idiopathic thrombocytopenic purpura (ITP Question 26 options: a) Decongestants b) Sulfa drugs c) Acetaminophen Save Question 27 (2 points) The two primary sources of inflammatory bowel disease are and ____________. Question 27 options: a) Helicobacter pylori; Crohn’s disease b) diverticulosis; ulcerative colitis c) Crohn’s disease; diverticulosis Save Question 28 (2 points) An otherwise healthy two-year-old boy is brought to the emergency room with a four-week history of wheezing and persistent cough. Prior to the start of these symptoms, the parent recalls a coughing event that resolved spontaneously. Of the following the most likely diagnosis is: Question 28 options: a) acute laryngotracheobronchitis b) bronchiolitis c) viral pneumonia Save Question 29 (2 points) Which of the following is not a sign or symptoms of congenital hypothyroidism? Question 29 options: a) Hoarse cry c) Coarse features d) Lethargy Save Question 30 (2 points) Secondary epilepsy may occur at any age but is more likely to be found in __________________. Question 30 options: a) infants and children b) infants and adolescents c) adolescents and elderly Save Question 31 (2 points) Bipolar disease may be _. Question 31 options: a) diagnosed in the adolescent period b) misdiagnosed c) genetic Save Question 32 (2 points) A fourteen-year-old child without a spleen is at increased risk for which of the following? Question 32 options: b) Fungal infections c) Viral infections d) Parasites Save Question 33 (2 points) A healthy eleven-year-old male had a Td booster two-year ago after stepping on a nail, but otherwise has had no immunizations since age six when his vaccinations were up to date. Which of the following vaccines would be indicated as a part of his well-child visit? Question 33 options: a) HPV2 (Cervarix) c) Meningococcal vaccine (MPSV) 4 (Menomune) d) Pneumococcal polysaccharide vaccine (PPSV) 23 (Pneumovax) Save Question 34 (2 points) The nurse practitioner sees a three-week-old infant in the clinic. Initial assessment findings show an infant with a 100.5 degree Fahrenheit rectal temperature, heart rate 120, respiratory rate 50. Upon physical exam no noted abnormalities are found. What would be the appropriate response of the primary care, clinic nurse practitioner? Question 34 options: b) Obtain CBC with diff, urinalysis, urine culture, blood culture c) Obtain CBC, urinalysis, urine culture and stool culture d) Observe since this is not considered a Save Question 35 (2 points) Genu Varum is considered an abnormal condition when extreme knock knees continues Question 35 options: a) after seven years of age c) parents are concerned about their child's appearance d) evident before two years of age Save Question 36 (2 points) The reliving of a very personal, negative, or traumatic event, over and over again is known as _. Question 36 options: a) anxiety disorders b) flashbacks c) story telling Save Question 37 (2 points) The parents of a twelve-year old are concerned about their daughter’s fear of school. She is reluctant to go and will “come home early because she is sick.” You suspect the patient suffers from _. Question 37 options: a) attention deficit hyperactivity disorder b) truancy c) learning disabilities Save Question 38 (2 points) Some children with attention deficit hyperactivity disorder have been found to have _. Question 38 options: a) Soubrette’s syndrome b) viral syndrome d) epilepsy Save Question 39 (2 points) Possible side effects from attention deficit hyperactivity disorder medications include _. Question 39 options: a) weight loss b) delayed puberty c) mood changes Save Question 40 (2 points) Which of the following is a very important question to ask during the history taking for a sports evaluation? Question 40 options: a) Has the child ever had a head injury? c) Does the child ever get short of breath with exercise? d) Has the child ever had prior surgery Save Question 41 (2 points) ___________ are the first line choice for treatment of attention deficit hyperactivity disorders. Question 41 options: a) Selective serotonin reuptake inhibitors c) Tricyclics d) Dopamine agonist inhibitors Save Question 42 (2 points) Type 1 diabetes begins when _. Question 42 options: a) the adolescent is overweight c) insulin resistance is present d) poor nutrition is present Save Question 43 (2 points) Which of the following results would you most likely see in a child with a viral infection? Question 43 options: a) Leukocytosis c) Elevated band count d) Increased neutrophils Save Question 44 (2 points) A fifteen-year-old male patient with cerebral palsy has been experiencing alteration in mood for the past two days, complains of an unusual odor, and then begins to have forceful muscle contractions followed by flaccidity then lethargy. You would describe this as a _. Question 44 options: a) prodrome b) postictal state d) petit mal seizure Save Question 45 (2 points) The feeling of loss of control over eating is known as _. Question 45 options: a) bulimia c) fad diets d) anorexia Save Question 46 (2 points) A sixteen-year-old male presents to your office accompanied by his parents. They are concerned about his absenteeism from school. You suspect the patient has ________. Question 46 options: b) suffers from attention deficit disorder c) social anxiety disorder d) panic attacks Save Question 47 (2 points) Short-acting insulin should be dosed _. Question 47 options: a) each evening/night before bed b) upon arising in the morning c) immediately after a meal Save Question 48 (2 points) A thirteen-year-old girl has several firm, small (2 mm) white skin-colored umbilicated papules on her neck. The lesions have been present for three months and have increased in number. What is your diagnosis? Question 48 options: a) Acne c) Warts d) Cellulitis Save Question 49 (2 points) Question 49 options: The best way to screen for gonorrhea in an adolescent male is Save Question 50 (2 points) The incidence of epiglottis has decreased because of which vaccine? Question 50 options: b) Prevnar c) Varicella d) Meningococcal Save Question 51 (2 points) Pauciarticular arthritis is identified by pain in joints. Question 51 options: a) multiple b) single c) zero Save Question 52 (2 points) Type 2 diabetes is found Question 52 options: a) in overweight adolescents b) when insulin resistance is present c) adequate endogenous insulin is present Save Question 53 (2 points) Which group of adolescents is more likely to develop Type 1 diabetes? Question 53 options: b) American-Indian adolescents c) African-American adolescents d) Pacific Islander adolescents Save Question 54 (2 points) Which of the following is most accurate regarding pain assessment in the pediatric patient? Question 54 options: b) Most pediatric patients can use self-report pain scales (e.g., Faces scale, 0–10 scales) by two years of age c) Premature neonates are neurologically less capable of feeling pain d) Parents are an unreliable source of pain assessment in the cognitively impaired pediatric patient Save Question 55 (2 points) Question 55 options: The best way to screen for gonorrhea in an adolescent female is Save Question 56 (2 points) The primary age of onset for inflammatory bowel disease is between ages of __________ and _. Question 56 options: a) ten; fifteen years b) fifteen; eighteen years c) twenty; twenty-five years Save Question 57 (2 points) _______ creates higher costs than all other medical problems. Question 57 options: a) Health prevention b) Episodic illnesses c) Acute illnesses Save Question 58 (2 points) A thirteen-year-old presents to your clinic with complaints of a sore throat. History reveals that he had a sore throat a couple of weeks ago and though he has gotten well, he has severe pharyngeal pain for two days duration and says he has been sweating and thinks he has fever. Pharyngeal exam reveals a temperature of 102 degree Fahrenheit and erythematous and edematous pharynx and soft palate. The right tonsil is swollen and inflamed without exudate, and the uvula is displaced to the left. Right cervical nodes are tender. Lungs are clear to auscultation. These signs and symptoms are suggestive of Question 58 options: a) acute uvulitis b) viral pharyngitis c) epiglottitis Save Question 59 (2 points) Question 59 options: Health guidance regarding sexual activity should be discussed with Save Question 60 (2 points) Which group of adolescents is more likely to develop Type 2 diabetes? Question 60 options: a) Non-Hispanic white adolescents c) African-American adolescents d) Pacific Islander adolescents Save Question 61 (2 points) Symptoms of attention deficit hyperactivity disorder are present prior to ________ years of age. Question 61 options: a) ten c) nine d) six Save Question 62 (2 points) Secondary hypothyroidism results from Question 62 options: a) excessive release of thyroid hormone beyond the newborn period b) intrauterine exposure to thyrotoxic drugs c) disease or disorder of the thyroid gland itself Save Question 63 (2 points) During a well-child visit, a mother expresses concern that her three-year-old child has recently started to stutter when excited. The pediatric primary care nurse practitioner informs the mother that stuttering in a preschool-aged child Question 63 options: b) is a sign of abnormal speech pattern development. c) occurs because the child does not know what to say. d) signals the presence of stress in the child's environment Save Question 64 (2 points) Symptoms of the attention deficit hyperactivity disorder must have been present at least ______ before a diagnosis can be made. Question 64 options: a) six weeks b) two weeks c) two months Save Question 65 (2 points) ADHDs are likely to affect _. . Question 65 options: b) females more than males c) adults more than adolescents d) both males and females the same Save Question 66 (2 points) _______ is the leading cause of renal failure. Question 66 options: a) Hypertension b) Traumatic injury c) Cerebral vascular accident Save Question 67 (2 points) Adolescents prefer to be Question 67 options: a) treated like a child b) treated like an adult c) treated like a teen ager Save Question 68 (2 points) An adolescent with which of the following would not be considered at an increased risk for dental erosion? Question 68 options: a) Gastroesophageal reflux disease (GERD) b) Asthma d) Bulimia Nervosa Save Question 69 (2 points) Diet of an infant four to six months old should include Question 69 options: b) formula/breastmilk, iron-fortified cereal, and baby foods two times daily c) formula/breastmilk, water, cereal, and table food d) Vitamin D whole milk and table food Save Question 70 (2 points) Maturity onset diabetes of youth (MODY) is usually found before the age of _____________. Question 70 options: b) twenty years c) fifteen years d) twelve years Save Question 71 (2 points) The Board of Nursing for each state _. Question 71 options: a) is responsible for its own rules and regulations b) may differ from other states c) is one of the agencies that assist in ensuring the health and welfare of the public Save Question 72 (2 points) The insulin requirement for a Type 1 diabetic is determined by: Question 72 options: a) The HgbA1C c) The quantity of glucose in the urine d) The fasting blood sugar average0 Save Question 73 (2 points) In a newborn, a diagnosis of hip dislocation is suspected when Question 73 options: b) wide hip abduction that is symmetric c) flaccidity of the left leg following extension of both legs with return to flexion d) tonic neck reflex in which the left leg is flexed Save Question 74 (2 points) Thoughts that are false but persistent are known as ideations. Question 74 options: a) anxiety b) obsessive c) schizophrenic Save Question 75 (2 points) Age related or primary epilepsy usually presents _. Question 75 options: a) middle adolescence to high school years c) mid-to-late adolescence d) middle school years to high school years Save [Show More]

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