NURS 6551 FINAL EXAM 2 PEDIATRICS / NURS6551 FINAL EXAM 2 PEDIATRICS(LATEST)| -WALDEN UNIVERSITYNURS 6551 FINAL EXAM 2 PEDIATRICS
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When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
• Question 2
Lisa has Cushing's syndrome. You would suspect her to have or to develop
• Question 3
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?
• Question 4
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing?
• Question 5
• Question 6
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?
• Question 7
Vomiting in infancy has a long list of differential diagnoses. Which of the following other symptoms would mostly likely point to pyloric stenosis?
• Question 8
• Question 9
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis?
• Question 10
A 6-year-old boy is left alone for 10 hours, now with hematemesis and pneumomediastinum on chest x-ray. Which of the following is the most likely etiology?
• Question 11
In mild to moderate attacks of acute asthma, Albuterol should be given every 4-6 hours prn and routine medication should be
• Question 12
• Question 13
A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping forehead, cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly, microphthalmia, and omphalocele. Which of these is the most likely diagnosis?
• Question 14
Which of the following physical stigmata are common in newborns with Down syndrome?
• Question 15
You have a patient that you think may have intussusception. Which of the following finding may you see?
• Question 16
Which of the following is true regarding the diagnosis of epiglottitis?
• Question 17
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• Question 19
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?
• Question 20
Of the following patients, which child should not receive a tuberculin skin test?
• Question 21
• Question 22
The peak incidence for adolescent gynecomastia occurs at age
• Question 23
Which of the following statements is not true with slipped capital femoral epiphysis?
• Question 24
Which of the following patients least warrents a sweat chloride test?
d.
• Question 25
Which of the following objective data are associated with significantly better long-term outcomes in children born with open spina bifida?
• Question 26
Unilateral wheezing is a finding suggestive of
• Question 27
Which malignancy is associated with genitourinary anomalies?
• Question 28
except
• Question 29
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?
• Question 30
not
• Question 31
Fifth disease is usually
• Question 32
not
• Question 33
Which of the following conditions is most responsible for developmental delays in children?
• Question 34
Lyme disease is most closely associated with which of the following skin lesions?
• Question 35
Jason, age 14, appears with tender discoid breast tissue enlargement (2-3 cm in diameter) beneath the areola. Your next action would be to
• Question 36
Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a "Christmas tree" distribution. It is predominantly on her trunk. One lesion is on her buttock that is larger than the other, at about 4 cm in diameter. What is your diagnosis?
• Question 37
not
• Question 38
• Question 39
When a neonate is initially protected against measles, mumps, and rubella because the mother is immune, this is an example of which type of immunity?
• Question 40
A 2-year-old presents with a history of wheezing and persistent cough. The father reports the child had a coughing/choking episode about a week ago that was spontaneously resolved. A few days later she began to cough and wheeze. This scenario is most consistent with
• Question 41
While doing a 5-year-old well child exam, you notice two small patches of hair loss. Broken hair is present, as is erythema and scaling. On the basis of this information, which of these is the likely diagnosis?
• Question 42
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?
• Question 43
The most significant major contributor or contributors to asthma morbidity and mortality is/are
• Question 44
Individuals with chronic adrenal insufficiency often have
• Question 45
A healthy 8-month-old infant presents with diarrhea but no dehydration. What is the best advice to give to the parents?
• Question 46
Anthony is a known asthmatic. He has symptoms three times a week but never more than once a day. Exacerbations affect his normal activities occasionally. He awakens with cough three to four times a month. You classify his asthma as
• Question 47
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is
• Question 48
not
• Question 49
A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare facility. What is the likely cause of the illness?
• Question 50
• Question 51
A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal. The most likely etiology is
• Question 52
You see a 7-year-old with a positive stool culture for Salmonella enteriditis. The appropriate therapy for a non-dehydrated child is
• Question 53
The most common cause of primary amenorrhea is
• Question 54
• Question 55
When Jason, age 12, slid into homeplate while playing baseball, he injured his ankle. You are trying to differentiate between a strain and a sprain. You know that a sprain
• Question 56
Hypercholesterolemia in children older than 2 is defined as a total cholesterol at or above
• Question 57
The most accurate way to determine the degree of dehydration in a vomiting child is to assess
• Question 58
Primary dysmenorrhea is due to
• Question 59
The most common presentation of Hirschprung disease is which of the following?
• Question 60
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?
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• Question 62
What does shift to the left mean in a white blood count?
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• Question 65
Dave, age 17, has gynecomastia. You should also assess him for
• Question 66
An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000, but is otherwise normal. Serum electrolytes are normal. The next step is
• Question 67
The classic radiographic finding of croup is
• Question 68
An 8-month-old female infant with bilious vomiting, constant abdominal pain for 12 hours and upper GI study showing beaklike appearance of contrast. Which of the following is the most likely etiology?
• Question 69
Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action?
• Question 70
The peak incidence of osteosarcoma is
• Question 71
Ben has been diagnosed with folliculitis, an inflammatory condition involving the pilosebaceous follicle. What is the most common cause of this condition?
• Question 72
Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes. She is worried that she will not fit in with her friends anymore because she does not think she can have all the same snacks they have. How do you respond?
• Question 73
Which of the following is a characteristic physical sign of fragile X syndrome in adolescent males?
• Question 74
not
• Question 75
Tommy has bloody diarrhea. His family eats fast-food four to five times each week. Which organism may have caused the diarrhea?
• Question 76
Prophylactic penicillin should be started in children with sickle cell anemia by
• Question 77
Which chromosomal abnormality is associated with short stature in girls?
• Question 78
A child has developed her second perirectal abscess in 6 months. She should be evaluated for which of the following conditions?
• Question 79
th
• Question 80
• Question 81
Which of the following is true regarding innocent murmurs?
• Question 82
Which fo the following foods would be most appropriate for a child with celiac disease?
• Question 83
A common presenting symptom of inflammatory bowel disease is
• Question 84
• Question 85
Whitney is a 2-year-old female with dysuria. She has a fever of 102.4 and is nontoxic. She has no prior history of UTI. Urine dipstick reveals 1+ leukocyte esterase, 2+ nitrates, 1+ non-hemolyzed blood, pH of 6.0, and specific gravity 1.025. Her vulvovaginal area is slightly red with no discharge. Which of the following treatments is recommended.
• Question 86
• Question 87
A 14-year-old girl from another state was followed for 7 years for a history of insulin-dependent diabetes mellitus. Her hemoglobin A1C is 14.9%. This laboratory test indicates which of the following?
• Question 88
Which of the following is the primary diagnostic tool used in the evaluation of seizure disorders?
• Question 89
Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram. Which of the following diagnosis would you suspect Robert as having?
• Question 90
• Question 91
Which of the following is a measure of childhood intelligence?
• Question 92
John, age 12, injured his spinal cord by diving into a shallow lake. He is in a wheelchair but can self-transfer. He can use his shoulder and extend his wrist, but has no finger control. At what level of the spinal cord was the damage?
• Question 93
You are examining Beth, age 9 months, and note a palpable right supraclavicular node. You know that this finding is suspicious for
• Question 94
Maddie, age 2, had a complete blood count (CBC) drawn at her last visit. It indicates that she has a microcytic hypochromic anemia. What should you do now at this visit?
• Question 95
The most common central nervous system side effect of mumps in children is
• Question 96
Michael, age 16, sprained his ankle while playing ice hockey. He is confused as to whether to apply heat or cold. What do you tell him?
• Question 97
The organism that causes hand, foot, mouth syndrome is what virus?
• Question 98
• Question 99
A healthy, thriving 4-year-old male has had sudden episodes of drawing his knees to his chest and crying like he is in acute pain for the last 5 hours. These episodes are separated by quiet times when he appears normal and comfortable. He is not vomiting and has not had a bowel movement today. What is the most likely diagnosis.
• Question 100
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?
• Question 101
The diet of a 3-year-old with cystic fibrosis should be supplemented with which of the following? [Show Less]