NURS MISC PEDS MIDTERM,100% CORRECT

Document Content and Description Below

NURS MISC PEDS MIDTERM You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles ... , mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today? • Question 4 0 out of 1 points A 6-month-old infant has been growing poorly. His parents have changed his formula three times without success. His examination is remarkable for a pale, emaciated child with little subcutaneous fat and anterior fontanelle fullness. His laboratory test results are notable for a hemolytic anemia and prolonged bleeding times. Which of the following is the most appropriate next step? • Question 5 1 out of 1 points Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing signs of • Question 6 1 out of 1 points You see a 3-year-old for a well-child visit. His mother informs you that potty training has been very easy because he “has an amazing internal clock. He falls asleep, gets hungry, and has bowel movements at the same time every day.” This describes which aspect of temperament? • Question 7 1 out of 1 points A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential? • Question 8 0 out of 1 points The appropriate lab tests in assessment of cervical adenitis include all of the following except: • Question 9 0 out of 1 points You would be concerned about the language development of a child who: • Question 10 0 out of 1 points An eye that deviates in when covered but that returns to midline when uncovered is an • Question 11 0 out of 1 points A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: • Question 12 0 out of 1 points You receive a phone call from the mother of a 2-year-old. She states her child has sleep refusal. You suggest the child should be able to: • Question 13 1 out of 1 points You see a 7-year-old with complaints of "having accidents at night." Physical exam and history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His parents ask about the best treatment for this problem. The best response is • Question 14 1 out of 1 points Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following? • Question 15 1 out of 1 points Which of the following statements about bullying is true? • Question 16 1 out of 1 points The most likely weight of a 1-year-old whose birth weight was 6-1/2 pounds would be: • Question 17 1 out of 1 points You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? • Question 18 1 out of 1 points Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? • Question 19 1 out of 1 points Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? • Question 20 0 out of 1 points During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of information. Which of the following bits of information is of most concern? • Question 21 1 out of 1 points Hannah, age 4, is brought into the office by her father. She complains of a sore throat, difficulty swallowing, copious oral secretions, stridor, and a temperature of 102F. She does not have pharyngeal erythema or cough. What do you suspect? • Question 22 1 out of 1 points Which of the following strategies would not be appropriate to include as part of your treatment plan of an 8-year-old boy who is obese? • Question 23 0 out of 1 points Sally, age 4, presents to the office with her mother for a well-child visit. To assess for age-appropriate fine motor skills, what activity would you ask her to perform? • Question 24 1 out of 1 points A 4-month-old presents with both eyes turning inward. What is this called? • Question 25 0 out of 1 points You assess a 15-year-old's visual acuity and note her vision to be 20/50 in the right eye. She asks you what that means and you respond • Question 26 1 out of 1 points Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots. What do you suspect? • Question 27 1 out of 1 points The parent of a 2-year-old tells you her daughter recently started having breath-holding spells. She tells you the older sibling “did the same thing” and asks you for help. You advise her that after a breath-holding event: • Question 28 0 out of 1 points Which of the following issues or concepts is relevant to the school-age child? • Question 29 0 out of 1 points Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is preswent. The TM is normal. What is the proper management for his patient? • Question 30 1 out of 1 points A new mom calls the NP on postpartum day 5. She reports her newborn wants to nurse for 30 minutes every 1-1/2 to 2 hours. Which of these is the best response? • Question 31 1 out of 1 points A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget? • Question 32 0 out of 1 points Head and chest circumferences should be equal at: • Question 33 1 out of 1 points The mother of a 4-year-old tells you he likes to "play with himself" while playing and watching television. You advise the mother to • Question 34 1 out of 1 points Parents bring their 16-year-old daughter for a “well-child” checkup. She looks normal on examination. As part of your routine care you plan a urinalysis. The father pulls you aside and asks you to secretly run a UDS on his daughter. Which of the following is the most appropriate course of action? • Question 35 1 out of 1 points Conductive hearing loss can be caused by • Question 36 1 out of 1 points Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development? • Question 37 1 out of 1 points A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best response is: • Question 38 1 out of 1 points A child's head circumference is routinely measured on each well visit until what age? • Question 39 1 out of 1 points Most children can independently get dressed by themselves by age: • Question 40 1 out of 1 points A 9-year-old who weighs 70 pounds asks why she can't sit in the front passenger seat of the family car. Your best response is • Question 41 1 out of 1 points A 12-year-old male states he noticed an enlargement of his testes and scrotum. When counseling him about the next step in pubertal development, you state: • Question 42 0 out of 1 points Which of the following screenings should adolescents have done annually? • Question 43 0 out of 1 points A 19-month-old says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? • Question 44 0 out of 1 points What method can be safely used to remove cerumen in a 15-month-old child's ear? • Question 45 0 out of 1 points I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot balance on one foot for 1 second. I am: • Question 46 1 out of 1 points Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage • Question 47 1 out of 1 points Which of the following vaccines is routinely recommended at 4 months of age? • Question 48 1 out of 1 points I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I? • Question 49 0 out of 1 points A 2-day-old newbornwith conjunctivitis is likely due to • Question 50 0 out of 1 points Which of the following conditions requires urgent inpatient admission? • Question 51 1 out of 1 points Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is present. The TM is normal. Mark should be instructed to do which of the following? • Question 52 1 out of 1 points The nurse practitioner role was initially established to • Question 53 1 out of 1 points A 7-month-old male is found to have a spiral fracture of the femur that his father says he got by climbing onto a chair and then jumping off. Which of the following statements is true regarding this situation? • Question 54 0 out of 1 points A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and a bit disoriented. He has nystagmus and hypersalivation. Many notice his abusive language. Which of the following agents is most likely responsible for his condition? • Question 55 0 out of 1 points The father of a 3-year-old is concerned because the child stutters. What should your approach be? • Question 56 1 out of 1 points While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out? • Question 57 0 out of 1 points What is the most common form of child abuse seen in pediatric primary care? • Question 58 0 out of 1 points Flourescein staining of the eye is used to detect a • Question 59 0 out of 1 points Role-play with equipment during the course of the physical exam would be the most beneficial with which age group? • Question 60 0 out of 1 points Which of the following substances is associated with pupillary constriction? • Question 61 1 out of 1 points A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at home; the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5 minutes. He has breastfed well and has not required a health care professional visit since birth. Which of the following vitamin deficiencies might explain his condition? • Question 62 0 out of 1 points Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. Test Results Fasting blood glucose 112 mg/dL 2 hour postprandial glucose 138 mg/dL • Question 63 0 out of 1 points Which of the following statements is true regarding lying and stealing by the school-age child? • Question 64 0 out of 1 points Which of the following would not suggest an eating disorder with a purging component? • Question 65 0 out of 1 points You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child’s development will not be normal because she mixes up the two languages. You respond: • Question 66 1 out of 1 points An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, techycardia, and facial flushing. She says she can "see" sound and "hear" colors. The agent likely to be responsible is which of the following? • Question 67 0 out of 1 points Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? • Question 68 0 out of 1 points All of the following are consistent with peritonsillar abscess except: • Question 69 1 out of 1 points The first sign of the onset of female puberty is usually: • Question 70 0 out of 1 points Which of the following are important considerations when screening child refugees for tuberculosis? SELECT TWO (2) • Question 71 0 out of 1 points Which of the following represents normal sequencing of development in a toddler? • Question 72 1 out of 1 points An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider? • Question 73 0 out of 1 points I like to use my pincer grasp that involves the ablitily to pick up a small object such as a raisin or piece of cereal with the thumb and forefinger, and that is mastered around what age? • Question 74 0 out of 1 points You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate further evaluation? • Question 75 0 out of 1 points Which of the following statements about "routine" screening tests is true? • Question 76 1 out of 1 points You see a 6-month-old for a well-child visit and the mother tells you the child’s grandmother recommends that she give the infant whole milk and eggs when he starts solids. What should you tell the mother? • Question 77 1 out of 1 points Which is the correct order for introduction of solid foods to an infant? • Question 78 1 out of 1 points For adolescent girls, peak height velocity should occur by Tanner Stage (SMR): • Question 79 1 out of 1 points Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge. You cannot transilluminate the sinuses. You suspect which common sinus to be affected? • Question 80 0 out of 1 points Acute otitis media can be diagnosed when there is • Question 81 0 out of 1 points A 3-year-old (37 months) refuses to have bowel movements on the toilet. He is bladder trained. He goes and hides and squats when having bowel movements. Positive encouragement and praise is not working. You advise: • Question 82 1 out of 1 points You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose? • Question 83 1 out of 1 points A mother brings her 4-week-old infant into the office because she noticed small yellow-white glistening bumps on her infant's gums. She says they look like teeth but is concerned that they may be cancer. You diagnose these bumps as • Question 84 1 out of 1 points By what age should most children be able to sit well without support? • Question 85 0 out of 1 points A child's central visual acuity is 20/30 by age • Question 86 1 out of 1 points A typically developing 8-year-old girl will have which of the following genital development? • Question 87 1 out of 1 points A Mantoux test in a child with no risk factors is considered positive with a reaction of: • Question 88 1 out of 1 points You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower lateral incisor bulges. You recommend: • Question 89 0 out of 1 points You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? • Question 90 0 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? • Question 91 1 out of 1 points FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is: • Question 92 1 out of 1 points A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile, height about the 10th percentile, and head circumference at the 50th percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity seems sufficient. The child has had no illness. The examination is unremarkable except for the child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances. Which of the following is the most appropriate therapy for this child? • Question 93 1 out of 1 points Epiglottitis has decreased due to which immunization? • Question 94 1 out of 1 points Tammy, age 3, is at the office for her well-child visit. She has trouble removing her own shirt as requested. Her mother yanks off her shirt after smacking her wrist and saying, "you must do as you're told quickly." Which action is indicated? • Question 95 1 out of 1 points A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as: • Question 96 1 out of 1 points Which of the following foreign body in the nose requires immediate removal? • Question 97 0 out of 1 points A common feature of 2-year-old behavior is: • Question 98 1 out of 1 points Which of the following eye findings would be considered an ophthalmic emergency? • Question 99 1 out of 1 points Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist • Question 100 1 out of 1 points An expected milestone of a 4-year-old is the ability to • Question 101 1 out of 1 points Which of the following children has abnormal language development? [Show More]

Last updated: 3 years ago

Preview 1 out of 28 pages