NURS 6541 FINAL EXAM User Course Test Started
NURS-6541N-5,Primary Care Adolescnt & Child.2020 Spring Qtr 02/2405/17-PT27
Week 11 - Final Exam 5/8/20
... [Show More] 1:00 AM
Submitted 5/8/20 3:47 AM Due Date
5/11/20 1:59 AM Status Completed
Attempt Score 93 out of 100 points Time Elapsed 2 hours, 47 minutes out of 3 hours and 20 minutes Results
Submitted Answers Displayed
Question 1 0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Selected Answer: Yes
Question 2 1 out of 1 points
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing?
Selected Answer: c. Epiglottitis
Question 3 1 out of 1 pointsDave, age 17, has gynecomastia. You should also assess him for
Selected Answer: c.
Testicular cancer
Question 4
1 out of 1 points
A small-for-gestational-age infant is born to a 35-year-old woman. He has low-set and
malformed ears, microcephaly, rocker-bottom feet, inguinal hernias, cleft lip/palate, and
micrognathia. Chromosomal analysis is likely to reveal which of the following?
Selected Answer: e.
Edwards syndrome (trisomy 18)
Question 5
1 out of 1 points
Primary dysmenorrhea is due to
Selected Answer: a.
Elevated prostaglandin level
Question 6
1 out of 1 points
A 3-week-old male infant with 2 days of projectile, nonbilious vomiting and constant feeding.
Which of the following is the most likely etiology?Selected Answer: f.
Pyloric stenosis
Question 7
1 out of 1 points
Which fo the following foods would be most appropriate for a child with celiac disease?
Selected Answer: a.
Rice with butter
Question 8
0 out of 1 points
Which of the following is a measure of childhood intelligence?
Selected Answer: a.
Bayley scales
Question 9
1 out of 1 points
An 8-month-old baby arrives to the office with his mother with a complaint of
decreased left arm movement. He is a product of a normal term pregnancy, has had
no medical problems, and was in good health when his mother dropped him off at
the daycare center. Upper arm radiographs show a left humerus spiral fracture.
Which of the following is the most appropriate next step in management?
Selected
Answer:
b.Send the child to the hospital for admission and call child protective
services.
Question 10
1 out of 1 points
A 4-year-old female with profuse vomiting, sweating, lacrimation, and diarrhea, who seizes
in the emergency room. Which of the following is the most likely etiology?
Selected Answer: f.
Insecticide ingestion
Question 11
1 out of 1 points
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The
most appropriate next step is
Selected Answer: d.
Trial of ranitidine (Zantac)
Question 12
1 out of 1 points
Which of the following therapeutic options is common for the treatment of both bee stings
and bite wounds?
Selected Answer: d.Tetanus vaccination
Question 13
1 out of 1 points
You are examining Beth, age 9 months, and note a palpable right supraclavicular node. You
know that this finding is suspicious for
Selected Answer: d.
Lymphoma of the mediastinum
Question 14
1 out of 1 points
When examining a child with abdominal pain, what symptom would lead to a likely organic
etiology?
Selected Answer: c.
Night waking
Question 15
1 out of 1 points
Which of the following objective data are associated with significantly better long-term
outcomes in children born with open spina bifida?
Selected Answer: b.
Perineal sensation Question 16
1 out of 1 points
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?
Selected Answer: b.
Blood, mucous diarrhea
Question 17
1 out of 1 points
A 3-year-old presents with macrocephaly, developmental delay, coarse facial
features, large tounge, kyphosis, hip dislocation, tonsillar and adenoidal hypertrophy,
and hepatomegaly. She is receiving early intervention services without improvement.
What is the best next step?
Selected Answer: a.
Refer to genetics for further evaluations
Question 18
1 out of 1 points
Ben has been diagnosed with folliculitis, an inflammatory condition involving the
pilosebaceous follicle. What is the most common cause of this condition?
Selected Answer: d.
Staphylococcus aureus
Question 191 out of 1 points
Which of the following is not true of insect stings from bees, wasps, and fire ants?
Selected
Answer:
b.
Greater reaction of hypersensitivity occurs most often with the initial
exposure than with subsequent exposures.
Question 20
1 out of 1 points
Unilateral wheezing is a finding suggestive of
Selected Answer: c.
Foreign body aspiration
Question 21
1 out of 1 points
A 16-year-old is brought in as a walk-in by his parents. His parents state that he
acutely developed a fever, chills and rash. He has been confused and not answering
their questions. On examination he is toxically ill appearing, and is febrile,
tachycardia and hypotensive. He is noted to have a diffuse petechial rash. What is
the most likely diagnosis?
Selected Answer: d.
Meningococcemia
Question 22
1 out of 1 pointsA 12-year-old girl was brought to the emergency department because of severe sore
throat, muffled voice, drooling, and fatigue. She had been sick for the past 3 days
and is unable to eat because of painful swallowing. The parents deny any history of
recurrent pharyngitis. The patient still managed to open her mouth and you were
able to see an abscess at the upper pole of the right tonsil with deviation of the uvula
toward the midline. Examination of the neck reveals enlarged and tender lymph
nodes. Which of the following is the most appropriate management?
Selected Answer: c.
Incision and drainage of the abscess
Question 23
1 out of 1 points
A 15-day-old infant has respiratory distress. A quick observation suggests she has
slight cyanosis, hepatosplenomegaly, and features consistent with Down Syndrome.
The cardiac examination demonstrates a loud first heart sound, a low-pitched, mid-
diastolic murmur at the lower left sternal border, and a harsh apical holosystolic
murmur in the mitral area. Which of the following cardiac conditions most likely
explains her heart findings?
Selected Answer: c.
Complete atrioventricular canal (endocardial cushion defect)
Question 24
1 out of 1 points
The organism that causes hand, foot, mouth syndrome is what virus?
Selected Answer: d.
Coxsackie Question 25
1 out of 1 points
Your patient has inflammatory bowel disease. Which of the following finding is most
consistent with ulcerative colitis?
Selected Answer: a.
Left-sided abdominal pain
Question 26
1 out of 1 points
Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next
action?
Selected Answer: b.
Rule out a neurologic disorder.
Question 27
1 out of 1 points
The parents of an 8-year-old Down Syndrome boy arrive for his annual well-child visit. He
wants to participate in sports, including the Special Olympics. Until further examination can
be completed, which of the following sports would you suggest as being safe?
Selected Answer: e.
Tennis
Question 28
1 out of 1 pointsSix months after being diagnosed with what appears to be insulin-dependent diabetes, the 5-
year-old in the case presentation has a significant decrease in his insulin requirement. Which
of the following is the most likely explanation?
Selected Answer: a.
He has entered the "honeymoon phase" of his diabetes.
Question 29
1 out of 1 points
The classic radiographic finding of croup is
Selected Answer: d.
Steeple sign
Question 30
1 out of 1 points
A common cause of in-toeing in childhood is
Selected Answer: a.
Internal tibial torsion
Question 31
1 out of 1 points
Mrs. Bay is upset. She is convinced something is seriously wrong with her son. He is a 2-
month-old and frequently vomits after feeding. Which of the following is most suggestive of
GERD (gastroesophageal reflux disease)?Selected Answer: d.
He drinks 7 to 8 ounces every 3 hours.
Question 32
0 out of 1 points
Which of the following is true regarding the diagnosis of epiglottitis?
Selected
Answer:
a.
Every effort should be made to visualize the epiglottitis in the office and
confirm the diagnosis
Question 33
1 out of 1 points
Of the following patients, which child should not receive a tuberculin skin test?
Selected
Answer:
d.
A 2-year-old who was infected with RSV 2 months ago and is currently
asymptomatic.
Question 34
1 out of 1 points
Hope is a 7-month-old who presents in January with a 1-day history of cough, yellow
nasal discharge, and low-grade temp (T max 100°F). She was previously healthy.
She does have 2+ edema of the nasal turbinates and cloudy rhinorrhea. She is
afebrile in the office. Her chest, mouth, and ears are clear. You prescribe:
Selected Answer: b.Saline drops, bulb suction, humidified air, and increased PO fluids
Question 35
1 out of 1 points
An ex-preemie with bronchopulmonary dysplasia has been discharged to home from the
NICU. One potential problem area that requires close monitoring is
Selected Answer: d.
Insufficient caloric intake.
Question 36
1 out of 1 points
Which of the following symptoms are most suggestive of pneumonia in a young child?
Selected Answer: a.
Fever, tachypnea, coryza, cough, scattered rales
Question 37
1 out of 1 points
A 14-month-old child has lower extremity bowing, a waddling gait, genu varum, and
is at the 5th
percentile for height. Laboratory data include low-normal serum calcium,
moderately low serum phosphate, and elevated serum alkaline phosphatase levels,
hyperphosphaturia, and normal parathyroid levels. Which of the following is the most
likely diagnosis?
Selected Answer: c.Genetic primary hypophosphatemia
Question 38
0 out of 1 points
Lisa has Cushing's syndrome. You would suspect her to have or to develop
Selected Answer: b.
Generalized increased pigmentations of the skin
Question 39
1 out of 1 points
You have a patient that you think may have intussusception. Which of the following finding
may you see?
Selected Answer: b.
Inconsolable screaming
Question 40
1 out of 1 points
An 11-month-old male with intermittent bouts of crying and nonbilious vomiting, has a
history of Meckel diverticulum. A small elongated mass is felt on the right side of his
abdomen. Which of the following is the most likely etiology?
Selected Answer: e.
Intussusception Question 41 1 out of 1 points
Tracy, the mother of a 2-year-old, is concerned because her daughter walks on her toes all the time. What do you tell her?
Selected Answer: d. [Show Less]