Download NSG6435 FINAL EXAM 1 | NSG 6435 FINAL EXAM 1 {75 Questions and Answers} and more Exams Nursing in PDF only on Docsity! NSG6435 FINAL EXAM 1 | NSG 6435 FINAL EXAM 1 {75 Questions and Answers} 1) Which of the following is not found in an adolescent with untreated Graves' disease? Correct answer- Tendefncy to gain weight easily 2) 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 answer- rapid streptococcal antigen test 3) The adolescent should be screened for Type 1 diabetes Correct answer- never 4) What is one of the most important components of a presports participation physical exam? Correct answer- thorough history, including family medical history and past medical history 5) What factors can negatively impact children's access to medical homes and adequate health care services? Correct answer- all of the above 6) The nurse practitioner recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk from the mother? Correct answer- sleepiness, jaundice, decreased urine, and stool 7) The sexual development of a fourteen-year-old girl is notably delayed. She is very short, slightly obese, and complains of constipation and fatigue. Her skin is sallow and coarse in texture, and her hair is brittle. Which of the following tests should be obtained? Correct answer- serum thyroxine and thyroid-stimulating hormone 8) children are less likely to be diagnosed with attention deficit disorder than others. Correct answer- hispanic 9) The most common form of juvenile rheumatoid arthritis is . Correct answer- pauciarticular 10) Indications for immediate dialysis in the pediatric patient is of the above 26) Which of the following medications should be avoided in a patient with idiopathic thrombocytopenic purpura (ITP Correct answer- aspirin . Correct answer- Crohn's disease; ulcerative colitis The two primary sources of inflammatory bowel disease areand 31. Bipolar disease may be. Correct answer- all of the above 27) 27. 28) An otherwise healthy two-year-old boy is brought to the emergency room with a four-week history of wheezing and persistent cough. Prior to the start of these symptoms, the parent recalls a coughing event that resolved spontaneously. Of the following the most likely diagnosis is: Correct answer- foreign body aspiration 29) Which of the following is not a sign or symptoms of congenital hypothyroidism? Correct answer- frequent stooling 30) Secondary epilepsy may occur at any age but is more likely to be found in . Correct answer- infants and elderly 32. A fourteen-year-old child without a spleen is at increased risk for which of the following? Correct answer- bacterial infections 33. 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? Correct answer- Tdap 34. 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? Correct answer- transport immediately to the ER 35. Genu Varum is considered an abnormal condition when extreme knock knees continues Correct answer- extreme bowing continues after two years of age 36. The reliving of a very personal, negative, or traumatic event, over and over again is known as . Correct answer- post-traumatic stress disorder 37. 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 . Correct answer- school phobia 38. Some children with attention deficit hyperactivity disorder have been found to have . Correct answer- tourette's syndrome 39. Possible side effects from attention deficit hyperactivity disorder medications include . Correct answer- all of the above 53. Which group of adolescents is more likely to develop Type 1 diabetes? Correct answer- non-hispanic white adolescents 54. Which of the following is most accurate regarding pain assessment in the pediatric patient? Correct answer- Behavioral pain assessment measures are useful for measuring pain in infants or children with impaired communication skills 55. The best way to screen for gonorrhea in an adolescent female is Correct answer- 56. The primary age of onset for inflammatory bowel disease is between ages of and . Correct answer- fifteen; twenty- five years 57. creates higher costs than all other medical problems Correct answer- chronic illnesses 58. 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 answer- peritonsillar abscess 59. Health guidance regarding sexual activity should be discussed with Correct answer- 60. Which group of adolescents is more likely to develop Type 2 diabetes? Correct answer- American-Indian adolescents 61. Symptoms of attention deficit hyperactivity disorder are present prior to years of age. Correct answer- seven 62. Secondary hypothyroidism results from Correct answer- disease or disorder of the hypothalamus or pituitary gland compromising thyroid function 63. 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 Correct answer- is a normal characteristic of language development 64. Symptoms of the attention deficit hyperactivity disorder must have been present at least before a diagnosis can be made. Correct answer- six months 65. ADHDs are likely to affect . Correct answer- males more than females 66. is the leading cause of renal failure. Correct answer- diabetes mellitus 67. Adolescents prefer to be Correct answer- taken seriously 68. An adolescent with which of the following would not be considered at an increased risk for dental erosion? Correct answer- anorexia nervosa 69. Diet of an infant four to six months old should include Correct answer- formula/breastmilk and iron-fortified cereal 70. Maturity onset diabetes of youth (MODY) is usually found before the age of . Correct answer- twenty-five years 71. The Board of Nursing for each state . Correct answer- all of the above 72. The insulin requirement for a Type 1 diabetic is determined by: Correct answer- the quantity of ketones in the urine 73. In a newborn, a diagnosis of hip dislocation is suspected when Correct answer- positive galeazzi, barlow and ortolani 74. Thoughts that are false but persistent are known as ideations Correct answer- compulsive 75. Age related or primary epilepsy usually presents . Correct answer- early school years to adolescence