NSG 6340 FINAL EXAM 3 – QUESTION AND ANSWERS LATEST UPDATE 2024, Exams of Nursing

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NSG 6340 FINAL EXAM 3 – QUESTION AND ANSWERS LATEST

UPDATE 2024

1. An example of short-acting insulin is regular
   2. The National Youth Risk Behavior Survey (NYRBS) evaluates risk factors that contribute to violence or injuries. Which of the following has the highest percentage of noncompliance for safety? Not wearing a bicycle helmet 3.The top three causes of death in adolescents are accidents, homicide, and suicide
2. The Board of Nursing in each state is responsible for. CORRECT advanced practice nurses
3. An example of rapid-acting insulin is. CORRECT lispro
4. 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? Tdap (Adacel)
5. In boys, lack of secondary sexual characteristics after seventeen years suggests: CORRECT Abnormal testicular function
   8. What factors can negatively impact children's access to medical homes and adequate health care services? CORRECT All of the above
   9. children are less likely to be diagnosed with attention deficit disorder than others. CORRECT Hispanic
   10. An antidepressant should be taken by a patient for at least to adequately treat depressive symptoms. CORRECT six months

11. What is one of the most important components of a presports participation physical exam?

CORRECT Thorough history, including

family medical history and past medical history

12. Indications for immediate dialysis in the pediatric patient is hyperkalemia
    13. Of the following advice, which would be most helpful for the parents of a baby with GERD? Laying prone after eating will decrease the amount of vomiting.
    14. Bipolar disease may be . CORRECT all of the above
13. Adolescents prefer their office visit to be

CORRECT very flexible

16. The majority of childhood abuse occurs under which category? CORRECT Neglect
17. Health guidance regarding sexual activity should be discussed with . CORRECT all adolescence groups
18. Biomedical issues that may create academic performance issues include . CORRECT fetal alcohol syndrome
19. Other diagnoses that must be ruled out before diagnosing a child with attention deficit hyperactivity disorder include CORRECT All of the above
20. A twelve-year-old female patient has been described as having “staring spells” and “daydreaming” in classes. These episodes seem to last for less than a minute or so, but she cannot tell you what has happened in the classroom during this “spell.” You suspect the patient may have. CORRECT petit mal seizures
21. The two primary sources of inflammatory bowel disease are and .

CORRECT Crohn’s disease; ulcerative colitis

22. Weight loss, chronic diarrhea, anemia, and weakness in an adolescent are symptoms of . Student Answer: CORRECT ulcerative colitis
23. Which of the following is most accurate regarding pain assessment in the pediatric patient?

Student Answer: CORRECT Behavioral pain

assessment measures are useful for measuring pain in

infants or children with impaired communication skills

23. Bipolar disease requires _ lifetime medication for successful treatment.
24. The inability to access care during childhood has

can have a negative impact on the health of a child when

they become an adult

25. The best way to screen for gonorrhea in an adolescent male is _ urinalysis

26. Which group of adolescents is more likely to develop Type 2 diabetes? CORRECT American-Indian adolescents
27. Short-acting insulin should be dosed. CORRECT immediately before a meal
28. The feeling of loss of control over eating is known as. CORRECT binge eating disorder
29. The Board of Nursing for each state . CORRECT all of the above
30. Antidepressant medication use in the adolescent age group should be monitored due to

. risk of suicidal ideations

31. A functional cause of delayed puberty is. CORRECT severe environmental stressors
32. 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? CORRECT Rapid streptococcal antigen test
33. Which group of adolescents is more likely to develop Type 1 diabetes? Student Answer: CORRECT Non-Hispanic white adolescents
34. Three subtypes of attention deficit hyperactivity disorder are CORRECT

inattentive, hyperactive-impulsive, and combined

35. An early adolescent patient is more likely to have regarding body image.

CORRECT uncertainty regarding appearance and

attractiveness

36. A nurse practitioner is conducting a four-year old’s well-child exam. Which recommendations would be made for this child?

CORRECT Hgb, UA, hearing, vision, DtaP, IPV, MMR,

Varivax

37. Diet of an infant four to six months old should include Student Answer: CORRECT formula/breastmilk and iron-fortified cereal
38. The adolescent should be screened for Type 1 diabetes _ never 40.A two-year-old patient presents to the office with a sudden onset fever of 104 degree Fahrenheit by history. Mother reports that he suffered seizure this morning at home with his eyes rolling back that lasted for about 30 seconds. The most probable diagnosis is Student Answer: CORRECT febrile seizure

41. Which of the following is not a sign or symptoms of congenital hypothyroidism? CORRECT Frequent stooling. ?????
42. Age related or primary epilepsy usually presents.

CORRECT early school years to adolescence

43. The most common gonadal failure in females is. CORRECT Turner’s syndrome
44. Type 2 diabetes is found CORRECT All of the above 45.A two-day-old infant in the nursery has yet to pass meconium. This is a red flag for which condition? CORRECT Hirschsprung's disease 46.If you have concerns that a patient has suicidal ideations you should. Student Answer: CORRECT ask the patient about possible suicidal ideations in a frank and open manner 47.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? CORRECT Molluscum contagiosum
45. Secondary hypothyroidism results from

CORRECT disease or disorder of the hypothalamus

or pituitary gland compromising thyroid function

49. Eating disorders are more prevalent in females than males
50. The most common form of juvenile rheumatoid arthritis is polyarticular.
51. The symptoms of the attention deficit hyperactivity disorder must have.

CORRECT interfered with all daily activities

52. Concrete suicidal ideations include.

CORRECT method, location, and time of

planned suicide attempt

53. The reliving of a very personal, negative, or traumatic event, over and over again is known as . CORRECT post-traumatic stress disorder

54.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 tonic- clonic seizure.

55. Pauciarticular arthritis is identified by pain in few joints.
56. Possible side effects from attention deficit hyperactivity disorder medications include. all of the above. 57.A patient who has multiple ideas regarding suicide attempt should be encouraged to discuss these thoughts and triggers for these ideations. 58.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.

made a conscious decision to miss school (truancy).

59. Insulin therapy should be initiated if the patient has an HgbA1c greater than _9..
60. Adolescents prefer to be taken seriously.
61. Secondary epilepsy may occur at any age but is more likely to be found in infants and elderly.
62. Children who belong to an ethnic group, not Caucasian, are less likely to receive health care services.
63. The best tools for treating adolescents are _ mutual trust and patient education.
64. An eating disorder is more likely to present in the phase. CORRECT middle adolescence
65. Attention deficit hyperactivity disorder may be familial.
66. 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 school phobia.
67. Eating disorders are.

treated in a team approach with patient, provider,

nutritionist, counselor, and family involvement

68. According to the NYRBS, which of the following items may be used for sniffing or huffing?

CORRECT Paints

69. Two of the most common forms of headaches in children are CORRECT migraines and tension headaches
70. The presence of repetitive physical or mental rituals is known as a(an). Student Answer: CORRECT compulsive disorder
71. Which of the following medications should be avoided in a patient with idiopathic thrombocytopenic purpura (ITP)? Aspirin
72. Symptoms of the attention deficit hyperactivity disorder must have been present at least six months before a diagnosis can be made.

73. The Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV-TR) has regarding ADHD. a list of nine inattention and nine hyperactivity criteria.
74. 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? Transport immediately to the ER.
75. Which of the following results would you most likely see in a child with a viral infection? CORRECT Leukopenia.
76. Symptoms of attention deficit hyperactivity disorder are present prior to Seven. years of age.
77. The best way to screen for human papilloma virus in an adolescent female is.

visual inspection and pap smear

78. The nurse practitioner would not apply which of the following strategies included as part of the initial healthcare management of a ten-year-old boy who is obese? Student Answer: CORRECT Referral to a nutritionist for weight reduction plan 79.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

is a normal characteristic of language development.

80.A fourteen-year-old child without a spleen is at increased risk for which of the following? Student Answer: CORRECT Bacterial infections 81.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 CORRECT peritonsillar abscess

82. The insulin requirement for a Type 1 diabetic is determined by: The quantity of ketones in the urine
83. Juvenile rheumatoid arthritis is believed to be autoimmune.
84. Ventricular septal defect (VSD) would be considered an acyanotic heart murmur due to increase pulmonary flow
85. Failure to thrive with weight loss, hematochezia, abdominal pain, and diarrhea in an adolescent is suggestive of Crohn’ s disease

86. increases a child’s risk of being diagnosed with attention deficit hyperactivity disorder. Exposure to maternal tobacco use
87. Which of the following findings could be expected to occur in a baby with intussusception? Student Answer: CORRECT Inconsolable screaming 88.A fifteen-year-old Type 1 diabetic patient requires fifty units of insulin daily. You will divide this insulin requirement into _ half basal and half bolus.
88. The nurse practitioner recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk from the mother? Student Answer: CORRECT Sleepiness, jaundice, decreased urine, and stool
89. In newborn period, infants of diabetic mothers are particularly at risk for hypoglycemia
90. The first line of treatment for juvenile rheumatoid arthritis is.

CORRECT nonsteroidal anti-inflammatory

drugs

92.A two-week-old infant is in the clinic for a scheduled weight check. The best indication that the infant is receiving adequate breastmilk is that the baby has regained birthweight

93. ADHDs are likely to affect males more than females
94. Bipolar disease is often diagnosed in post puberty to early adulthood
95. An adolescent with which of the following would not be considered at an increased risk for dental erosion? Anorexia Nervosa
96. The most common form of child abuse seen in pediatric primary care is sof t tissue injuries.

97. Some children with attention deficit hyperactivity disorder have been found to have is

Tourette’s syndrome.

98. Children with disabilities are guaranteed a free and appropriate education by three federal laws: Section 504 of the Rehabilitation Act, IDEA, and the Americans with Disabilities Act.
99. Which of the following is not found in an adolescent with untreated Graves' disease?

Tendency to gain weight easily

100. The best way to screen for gonorrhea in an adolescent female is _ cervical culture.