Chapter 3 NBCSN Practice questions well answered to pass, Exams of Nursing

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Chapter 3 NBCSN Practice questions

Heart murmurs are characterized in relation to : - correct answer ✔✔-Age, gender, apical pulse, and pressure -the type of cardiac problems causing the murmurs rate, rhythm, and discomfort -timing, duration, and pitch The typical presentation of the rash of ringworm (tina corporis) in children in which of the following? - correct answer ✔✔-annular -confluent -clustered -grouped Growth charts are most helpful assessment tools because - correct answer ✔✔-children will generally follow their own curve as they grow -they provide a diagnosis of a growth abnormality -CDC provides them without cost to the school nurse -lay people can take a good measurement an plot the numbers. Which of the following is the ideal setting to evaluate hyperactivity? - correct answer ✔✔-children's classroom -pediatricians office -community playground -school nurse office Which of the following is correct about the best way to measure height? - correct answer ✔✔-It is best measured using a sphygmomanometer at 1/4 inch increments -It requires the child to have 2 points of contact against the wall

-It is best measured using a stadiometer at 1/8 inch increments -It is best measured using a retractable tape measure. Which of the following is true regarding the Body Mass Index? - correct answer ✔✔-CDC recommends BMI for determining overweight -It is most helpful in differentiating muscle mass form obesity in student athletes -BMI is a diagnostic tool that can help determine bone density -A lower BMI indicates a healthier weight and higher bone density The primary purpose of screening is which of the following? - correct answer ✔✔-Identify the prevalence of a condition -Use reliable and valid tools -form the basis for a medical diagnosis -Identify conditions that have morbidity for the age group What may be indicated by hard area of marked swelling at the tibial tubercle and pain directly below the patella (that decreases during rest)? - correct answer ✔✔-Legg-Cave-Perthess Disease -Slipped Capital Femoral Epiphysis -Juvenile Arthritis -Osgood-Schlatter Disease Strabismus may be evaluated with a: - correct answer ✔✔-Cover/Uncover test -HOTV Test -Grade level reading test -Ishihara Pesudoisochromatic test The best screening tool to measure distance vision for an 8 year old is why of the following? - correct answer ✔✔-LEA symbols -Tumbling E chart -Sloan Chart

-HOTV

A 16 year old is diagnosed with hyperthyroid disease. Which symptoms would concern you the most for this student? - correct answer ✔✔-Increase weight gain -Fever of 102F -A pulse rate of 80 -Fatigue How would you best describe a vestibular rash? - correct answer ✔✔-elevated, palpable, firm, confluent lesions >1cm -flat, non-palpable discrete lesions <1cm -elevated, discrete, fluid filled lesions <1cm -transient, firm edematous papules A sensorineural hearing loss is due to impairment of the : - correct answer ✔✔-inner ear -middle ear -external ear -eustachian tube During posture and gait screening, the School Nurse notes acanthosis nigricans. This could indicate which of the following the would results in a referral? - correct answer ✔✔-Scoliosis -habitual poor posture -malignancy -Type 2 Diabetes A student comes to you to have their TB skin test read. You note significant erythema on the forearm about 100mm in diameter. There is no induration. Your interpretation is which of the following? - correct answer ✔✔-This is a negative response and is recorded as "zero" on the students record" -This is a positive response of 100mm and referral to the provider is necessary -the student has active TB but is likely not contagious

-The student has been exposed to TB but will need an x-ray to determine if she has the disease.- The primary role of the School Nurse in pediculosis management is to: - correct answer ✔✔-Enforce the No-Nit Policy -Screen whole classes periodically for live infestations -teach measures to reduce the spread of lice -provide treatment and resources to families You are assessing a 9 year old for sore throat. You notice his teeth are mottled. What might have caused this discoloration? - correct answer ✔✔-Excessive fluoride use -dental caries -chronic asthma that results in mouth breathing -gingivitis A 9 year old presents to your office. The child has a developmental age of 3 and the child is nonverbal. Which of the following tools/scales should be used to assess the child's pain level? - correct answer ✔✔- FLACC Scale -Numeric Scale -FACES Scale -Visual analog scale The principles of taking an accurate blood pressure includes which of the following? - correct answer ✔✔-The bladder cuff should cover over 50% of the arm circumference -Note the first Korotkoff sound and record as the diastolic reading -record the diastolic reading when the sound changes from loud to soft but can still be heard -The width of the bladder cuff should be about 40% of the circumference being measured One way from the School Nurse to assess cerebellar function is to ask the child to : - correct answer ✔✔- visually track a moving object -read out loud -recite his/her phone number

-walk heel to toe Which can be used to describe pubertal sexual development? - correct answer ✔✔-Tanner Stages -Connor's Tool -The ages and stages tool -Kohlberg Level Which of the following is NOT detected by vision screening programs? - correct answer ✔✔-Myopia -Dyslexia -Amblyopia -Estropia Normal vital signs for a 10 year old female at rest are: - correct answer ✔✔AP=66, BP=80/60, R- AP=80, BP= 102/60, R22 AP=100, BP=90/60, R- AP=120, BP=120/80, R= Nasal mucosa, which is pale and boggy, is associated with which of the following? - correct answer ✔✔- Common cold -Injury to nasal turbinates -allergic rhinitis -sinusitis A child cannot hear the tones of 4000 HZ. How do you interpret this information? The child cannot hear:

• correct answer ✔✔-Loud sounds -soft sounds -low sounds -High sounds-

The Adams Bend test is used to screen for which of the following? - correct answer ✔✔-ataxia -spinal curvature -cranial nerve XI -alignment of the knees and feet Which of the following students is in the most reparatory distress? - correct answer ✔✔-A crying child whose position of comfort is curled up in a fetal position on the cot -A child with a hoarse voice (laryngitis) -a child with a paroxysmal productive cough -a child whose expiratory phase is 2/3 of their respiratory cycle For what purpose is the HEADSS tool used? - correct answer ✔✔-To guide a psychosocial assessment -to assess the family 's health and functioning -to assess the mental age of a student -to measure the developmental level of the student You have a 6 year old student who is scheduled to start wearing an eye patch over her good eye because of amblyopia. The mom does not understand the reason for this practice. How will you explain this to the mother? - correct answer ✔✔-They start patching the strong eye, and then they will change and patch the weak eye -It allows the physician to see how the good eye responds to the stress -It is a way to seeing if the bad eye will get worse with the strain -It forces the student to strengthen the muscles of the affected eye Which of the following is most characteristics of the tympanic membrane? - correct answer ✔✔-light reflex is rarely present -It is bright red and bulging -it is translucent and pearly gray -the connection to the inner ear bones are at the lower margin of the membrane

A 15 year old comes to our office complaining of a headache, fever and stiff neck. What additional test might be helpful before you call the parent? - correct answer ✔✔A kernig's sign -Romber test -Gower sign -Trendelenburg sign Steatorrhea is best described as: - correct answer ✔✔-black hard stool often indicating either iron ingestion or blood -liquid ribbon like stool accompanied with abdominal pain -foul smelling stool accompanied with gas/flatus -fatty/greasy and often foul smelling, often indicating malabsorption The most serious consequence of chronic lead exposure is which of the following? - correct answer ✔✔- osteoporosis due to accumulation in the bones -atrophy of the muscles due to accumulation in the muscles -nausea, vomiting and abdominal pain due to accumulation in the GI tract -Permanent neurologic deficits due to accumulation in the brain Accommodation as related to the eye is best described as - correct answer ✔✔-blindness caused by a disease -ability to focus at different distances -a difference in the refractive index of each eye -an inward deviation from point of fixation