NURS 6541 MIDTERM EXAM AND PRACTICE EXAM TEST BANK WITH STUDY GUIDE | ACCURATE REAL EXAM, Exams of Nursing

Download NURS 6541 MIDTERM EXAM AND PRACTICE EXAM TEST BANK WITH STUDY GUIDE | ACCURATE REAL EXAM and more Exams Nursing in PDF only on Docsity! NURS 6541 MIDTERM EXAM AND PRACTICE EXAM TEST BANK WITH STUDY GUIDE | ACCURATE REAL EXAM QUESTIONS WITH DETAILED ANSWERS | VERIFIED FOR GUARANTEED PASS | GRADED A | 2024 UPDATED What is the most common form of child abuse seen in pediatric primary care? Selected Answer: c. Shaken baby syndrome Which of the following conditions requires urgent inpatient admission? Selected Answer: b. Cervic al adeniti s An eye that deviates in when covered but that returns to midline when uncovered is an Selected Answer: b. esopho r ia All of the following are consistent with peritonsillar abscess except: Selected Answer: c. Trism u s Which adolescent would be at greatest risk for developing anorexia nervosa? Selected Answer: d. 14-year-old female gymnast • • Question 3 1 out of 1 points • Question 4 1 out of 1 points • Question 5 1 out of 1 points A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as: Selected Answer: b. Bruxi s m • Question 6 1 out of 1 points Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? Selected Answer: d. Haemophilus influenza Which of the following children has abnormal language development? • Question 18 1 out of 1 points Selected Answer: b. Speech is 50% understandable at 36 Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following? Selected Answer: b. Sleep in the supine position is recommended A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: Selected Answer: d. Obtaining a psychiatric consultation. Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist Selected Answer: b. Apply bilateral eye patches. A 4-month-old presents with both eyes turning inward. What is this called? Selected Answer: c. Esotro pi a Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge. You cannot transilluminate the sinuses. You suspect which common sinus to be affected? Selected Answer: d. Maxillar y sinus • • Question 20 0 out of 1 points • Question 21 1 out of 1 points • Question 22 1 out of 1 points • Question 23 1 out of 1 points A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28- year-old mother who had received no prenatal care. An evaluation is likely to suggest his MR is related to which of the following? Selected Answer: b. Congenital infection with cytomegalovirus You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected Answer: c. Counts to 4 and draws a person with three parts. A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none sense. Which of the following statements about him is correct? Selected Answer: a. He is too old to receive the Haemophilus influenzae Type B vaccine. Conductive hearing loss can be caused by Selected Answer: a. Serous otitis A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential? Selected Answer: d. "Sometimes I feel like ending my life." • • • Question 32 1 out of 1 points • Question 33 1 out of 1 points • ¢ Question 35 1 out of 1 points  Which of the following eye findings would be considered an ophthalmic emergency? Selected Answer: a. Unilateral vesicular lesions on the upper eyelid in a 3-week old. You see a 7-year-old with complaints of "having accidents at night." Physical exam and history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His parents ask about the best treatment for this problem. The best response is Selected Answer: c. Fluid restriction and voiding prior to the night may be effective. During a domestic health assessment, the CDC recommends screening every refugee child for which of the following diseases? Selected Answer: b. tuberculo s is The diagnostic criteria for autism spectrum disorder include all of the following except Selected Answer: c. Tolerance of flexibility with routines A 19-month-old says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? Selected Answer: c. Encourage early intervention services for speech. While assessing the skin of an infant, you note cafe-au-lait spots. Which disease • Question 36 1 out of 1 points • • Question 38 1 out of 1 points • Question 39 0 out of 1 points • Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? Selected Answer: c. Sitting up and leaning forward Hannah, age 4, is brought into the office by her father. She complains of a sore throat, difficulty swallowing, copious oral secretions, stridor, and a temperature of 102F. She does not have pharyngeal erythema or cough. What do you suspect? Selected Answer: c. Epiglottit is John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon exam? Selected Answer: a. Stringy and white The first sign of the onset of female puberty is usually: Selected Answer: c. Breas t buds A 6-month-old infant has been growing poorly. His parents have changed his formula three times without success. His examination is remarkable for a pale, emaciated child with little subcutaneous fat and anterior fontanelle fullness. His laboratory test results are notable for a hemolytic anemia and prolonged bleeding times. Which of the following is the most appropriate next step? Selected Answer: d. Obtain a sweat chloride concentration Which of the following statements about "routine" screening tests is true? Selected Answer: d. Lead testing is obtained on all 12- and 14- month- old children. • • • Question 49 1 out of 1 points • • Question 51 0 out of 1 points • Question 52 1 out of 1 points that he eat a variety of foods. The meals are marked by much frustration for everyone. His examination is normal. Which of the following is the best next step in his care? Selected Answer: a. Sweat chloride testing The parent of a 2-year-old tells you her daughter recently started having breath- holding spells. She tells you the older sibling “did the same thing” and asks you for help. You advise her that after a breath-holding event: Selected Answer: c. Act as if nothing abnormal happened. Which of the following represents normal sequencing of development in a toddler? Selected Answer: d. Feeds self, can undress self with help, washes hands, imitates housework. You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose? Selected Answer: d. amoxicillin and potassium clavulanate (Augmentin) A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and a bit disoriented. He has nystagmus and hypersalivation. Many notice his abusive language. Which of the following agents is most likely responsible for his condition? Selected Answer: d. Phencyclidin e (PCP) Medicaid provides health insurance coverage to • • • • Question 61 0 out of 1 points • Question 62 0 out of 1 points Selected d. • Question 63 1 out of 1 points Answer: Anyone whose personal income falls below federal poverty level. Which of the following vaccines is routinely recommended at 4 months of age? Selected Answer: b. Diphtheria, tetanus, acellular pertussis (DTaP) A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. She currently takes phenobarbital for seizures. Which of the following would most likely explain this child’s small size? Selected Answer: a. Congenital cytomegalovirus infection A 3-year-old (37 months) refuses to have bowel movements on the toilet. He is bladder trained. He goes and hides and squats when having bowel movements. Positive encouragement and praise is not working. You advise: Selected Answer: a. Toilet refusal in 3-year-olds is largely due to caregivers overemphasizing toilet training. Which of the following children should be referred for a comprehensive developmental evaluation? Selected Answer: d. A 3-year-old who consistently tracks at the 5th percentile for height and weight since birth. Which of the following injuries is most likely to be caused by abuse of a toddler? Selected Answer: b. Spiral fracture of the • Question 64 1 out of 1 points • • • Which of the following are important considerations when screening child refugees for tuberculosis? SELECT TWO (2) Selected Answers: b. Mantoux TST should not be used in a child who has received a Bacille Calmette-Guerin vaccination. • c. IGRA may be falsely positive in children who have autoimmune disorders. Which of the following statements is true regarding lying and stealing by the school-age child? Selected Answer: c. They represent a common, transient problem. Which of the following foreign body in the nose requires immediate removal? Selected Answer: c. batter y During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of information. Which of the following bits of information is of most concern? Selected Answer: d. Limited eye contact with parents. You assess a 15-year-old's visual acuity and note her vision to be 20/50 in the right eye. She asks you what that means and you respond Selected Answer: b. "You can see at 20 feet with your right eye what most people can see at 50 feet." An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, tachycardia, and facial flushing. She says she can "see" sound and "hear" colors. The agent likely to be responsible is which of the following? Selected Answer: e. • • Question 76 1 out of 1 points • Question 77 1 out of 1 points • Question 78 1 out of 1 points L y s e r gic acid diethylamide (LSD) • A breastfed infant is expected to have a lower incidence of which of the following? Selected Answer: b. Asth m a The results of the hemoglobin A1c test are LESS reliable in children with which of the following conditions? (Hint: select two) Selected Answers: d. Sickle Cell Disease e. Cystic Fibrosis Which of the following statements about bullying is true? Selected Answer: b. It occurs most commonly during unstructured times (lunch, recess, etc.). An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider? Selected Answer: a. Ocular mobilit y What method can be safely used to remove cerumen in a 15-month-old child's ear? Selected Answer: d. Irrigation using warm water from a soft bulb syringe • • • Question 87 1 out of 1 points • Question 88 1 out of 1 points • Question 89 1 out of 1 points You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower lateral incisor bulges. You recommend: Selected e. • D Sandy, age 18 months, crosses her legs when lifted from behind rather than pulling them up. Her legs are also hard to separate, making diaper changing difficult. She persistently uses only one hand. What condition do you suspect? Selected Answer: a. Cerebra l palsy By what age should most children be able to sit well without support? Selected Answer: c. 9 months Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? Selected Answer: a. Using a small suction device to try and remove the object. A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian syndrome? Selected Answer: b. free testosterone Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. Test Results Fasting blood glucose 112 mg/dL 2 hour postprandial glucose 138 mg/dL • Question 91 1 out of 1 points • Question 92 1 out of 1 points • Question 93 0 out of 1 points • • Question 95 0 out of 1 points p earls • Question 100 A 2-day-old newbornwith conjunctivitis is likely due to Selected Answer: c. Gonorr h ea NURS 6541 Midterm Exam (Latest): Walden University (FOR 100% CORRECT ANSWER CHECK THE LAST PAGE) · Question 1 1 out of 1 points 0 out of 1 points Medicaid provides health insurance coverage to Selecte d Answer : b. Certain categories of people whose personal income falls below a certain percentage of the federal poverty level. · Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. Selected Answer: c. Prader-Wlli syndrome · Question 3 1 out of 1 points Counts to 4 and draws a person with three parts. · Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: Selected Answer: b. Breast buds · Question 1 1 out of 1 points Medicaid provides health insurance coverage to Selecte d Answer : b. Certain categories of people whose personal income falls below a certain percentage of the federal poverty level. · Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. Selected Answer: c. Prader-Wlli syndrome · Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? Selected Answer: d. A displaced posterior rib fracture. · Question 4 1 out of 1 points You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected Answer: a. Counts to 4 and draws a person with three parts. · Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: Selected Answer: b. Breast buds · Question 1 1 out of 1 points Medicaid provides health insurance coverage to Selecte d Answer : b. Certain categories of people whose personal income falls below a certain · Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. Selected Answer: c. Prader-Wlli syndrome · Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? Selected Answer: d. A displaced posterior rib fracture. · Question 4 1 out of 1 points You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected Answer: a. Counts to 4 and draws a person with three parts. Selecte d Answer : b. Certain categories of people whose personal income falls below a certain percentage of the federal poverty level. · Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. Selected Answer: c. Prader-Wlli syndrome · Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? Selected Answer: d. A displaced posterior rib fracture. · Question 4 1 out of 1 points You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected Answer: a. • Question 2 1 out of 1 points Counts to 4 and draws a person with three parts. · Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: Selected Answer: b. Breast buds Course NUNP-6541N-10,Primary Care Adolescnt & Child.2020 Spring Qtr 02/24- 05/17-PT27 Test Week 6 - Midterm Exam Started 3/31/20 2:52 AM Submitted 3/31/20 5:11 AM Due Date 4/6/20 1:59 AM Status Completed Attempt Score 84 out of 100 points Time Elapsed 2 hours, 18 minutes out of 3 hours and 20 minutes Results Display ed Submitted Answers When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and • Question 1 0 out of 0 points confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist Selected a. internal clock. • Question 10 0 out of 1 points A 15-month-old boy says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? Selecte d Answer : c. Reevaluate the child at the 24 -month visit. At what age would a child be expected to remember a string of numbers and repeat them backwards? Selecte d Answer : b. 12 years A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. She currently takes phenobarbital for seizures. Which of the following would most likely explain this child’s small size? Selecte d Answer : e. Congenital cytomegalovirus infection A child's head circumference is routinely measured on each well visit until what age? Selecte d Answer : a. 2 years A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: • Question 11 1 out of 1 points • Question 12 1 out of 1 points • Question 13 1 out of 1 points • Question 14 1 out of 1 points Selecte d Answer : a. Assessing the family supports available to the child. All of the following are consistent with peritonsillar abscess except: Selecte d Answer : b. Exudate on tonsils • Question 15 0 out of 1 points • Question 16 1 out of 1 points he noticed an enlargement of his testes and scrotum. When counseling him about the lopment, you state: • Question 19 1 out of 1 points Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? Selecte d Answer : b. Glomerulon ephri tis A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget? Selecte d Answer : b. Conserv ati on Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage Selected d. Answer: II A breastfed infant is expected to have a lower incidence of which of the following? Selected Answer: e. Diarr he a A 12-year-old male states next step in pubertal deve Selected Answer: d. The penis will grow in length and width. • Question 17 1 out of 1 points • Question 18 1 out of 1 points • Question 20 1 out of 1 points d . Ocula r mobil ity Role-play with equipment during the course of the physical exam would be the most beneficial with which age group? Selecte d Answer : b. Prescho ole rs Conductive hearing loss can be caused by Selecte d Answer : c. Sero us otitis • Question 28 1 out of 1 points • Question 29 1 out of 1 points • Question 31 1 out of 1 points You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child’s development will not be normal because she mixes up the two languages. You respond: Selected d. "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age." Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? Selecte d Answer : d. Sitting up and leaning forward The mother of a 4-year-old tells you he likes to "play with himself" while playing and watching television. You advise the mother to Selecte d Answer : a. Explain to the child that masturbation is something that should be done in private. Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th percentile for height, weight and head circumference. He was born at 30 weeks’ gestation and weighed 1000g. He was a planned pregnancy, and his mother’s prenatal course was uneventful until an automobile accident initiated the labor. He was ventilated for 3 days in the intensive care unit but otherwise did well without ongoing problems. He was discharged at 8 weeks of life. Which of the following is the most likely explanation for his small size? Selecte d Answer : e. Normal ex-preemie infant growth You assess a 15-year-old's visual acuity and note her vision to be 20/50 in the right eye. She asks you what that means and you respond • Question 30 1 out of 1 points • Question 32 1 out of 1 points • Question 33 1 out of 1 points • Question 34 1 out of 1 points Selecte d Answer : d. "You can see at 20 feet with your right eye what most people can see at 50 feet." During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of information. Which of the following bits of information is of most concern? Selecte d Answer : a. Limited eye contact with parents. You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate further evaluation? Selecte d Answer : d. Weight plots in the 50th percentile, while height plots at the 75th percentile. • Question 35 1 out of 1 points • Question 36 0 out of 1 points • Question 37 1 out of 1 points Which of the following substances is associated with pupillary constriction? Selecte d Answer : b. Her oi n A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents report that she is doing poorly in school and is disruptive in the classroom. They ask you what they can do. Your best response is: Selecte d Answer : a. "Use a consistent approach with behavioral cues both at home and at school." Flourescein staining of the eye is used to detect a Selecte d Answer : c. Forei gn body Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the two-week recheck, his TM was still erythematous and you cannot see the landmarks. He has persistent nasal congestion, he is not sleeping at night, and he has a 101°F fever. What is the next best step for Luke? Selecte d Answer : a. Ceftriaxone and an antihistamine All of the following may predispose a patient to thrush except: Selecte d Answer : c. Poor oral hygien e • Question 45 1 out of 1 points • Question 46 0 out of 1 points • Question 47 0 out of 1 points • Question 48 1 out of 1 points Head and chest circumferences should be equal at: Selecte d Answer : c. 1 year of age The diagnostic criteria for autism spectrum disorder include all of the following except Selecte d Answer : c. Tolerance of flexibility with routines • Question 49 1 out of 1 points • Question 50 1 out of 1 points • Question 51 1 out of 1 points Which of the following statements about bullying is true? Selecte d Answer : b. It occurs most commonly during unstructured times (lunch, recess, etc.). The most likely weight of a 1-year-old whose birth weight was 6-1/2 pounds would be: Selecte d Answer : a. 19 to 20 pounds An eye that deviates in when covered but that returns to midline when uncovered is an Selecte d Answer : c. esoph or ia A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28- year-old mother who had received no prenatal care. An evaluation is likely to suggest his MR is related to which of the following? Selecte d Answer : e. Complicatio ns of prematurity The most common substance used in middle school is Selecte d Answer : a. Alc oh ol • Question 52 1 out of 1 points • Question 53 1 out of 1 points • Question 54 1 out of 1 points • Question 55 1 out of 1 points • Question 56 1 out of 1 points b. 9 months An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, techycardia, and facial flushing. She says she can "see" sound and "hear" colors. The agent likely to be responsible is which of the following? Selecte d Answer : d. Lysergic acid diethylamide (LSD) • Question 63 • Question 62 1 out of 1 points 1 out of 1 points An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis? Selecte d Answer : c. Viral pharyngi tis Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following? Selecte d Answer : c. Sleep in the supine position is recommended What is the most traumatic, yet common form and of child abuse seen in pediatric primary care? Selecte d Answer : d. Soft tissue injuries Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development? Selecte d Answer : a. Begin anticipatory guidance related to sexuality and normal pubertal development in the early school-age visits. Appropriate anticipatory guidance for the parents of an 8-year-old girl includes Selecte d Answer : • Question 64 1 out of 1 points • Question 65 0 out of 1 points • Question 66 1 out of 1 points • Question 67 1 out of 1 points c. I n f o r m ation that the child will start to value personal idols and role models. Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing signs of Selecte d Answer : d. A D H D Which of the following injuries is most likely to be caused by abuse of a toddler? Selected c. • Question 68 1 out of 1 points • Question 69 1 out of 1 points Most children can independently get dressed by themselves by age: Selecte d Answer : d. 5 years A differential diagnosis for child abuse would include all of the following except. Selecte d Answer : b. Prader- Wlli syndrom e Which of the following eye findings would be considered an ophthalmic emergency? Selecte d Answer : b. Unilateral vesicular lesions on the upper eyelid in a 3-week old. A 2-year-old child weighs 34 lb. What type of car seat should the child use? Selecte d Answer : b. A forward-facing car seat in the back of the vehicle. An expected milestone of a 4-year-old is the ability to Selecte d Answer : c. Cop y a cross • Question 77 1 out of 1 points • Question 78 1 out of 1 points • Question 79 1 out of 1 points • Question 80 1 out of 1 points • Question 81 1 out of 1 points • Question 82 1 out of 1 points Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? Selecte d Answer : a. Haemophi lus influenza • Question 83 0 out of 1 points A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and disoriented. Many notice his abusive language. Which of the following agents is most likely responsible for his condition? Selecte d Answer : a. Phencycli dine (PCP) • Question 84 1 out of 1 points What method can be safely used to remove cerumen in a 15-month-old child's ear? Selecte d Answer : d. Irrigation using warm water from a soft bulb syringe The appropriate lab tests in assessment of cervical adenitis include all of the following except: Selecte d Answer : a. Bloo d cultu re Which of the following represents normal sequencing of development in a toddler? Selecte d Answer : b. Feeds self, can undress self with help, washes hands, imitates housework. You see a young child who has tripled her birth weight and looks for hidden objects. When given blocks, she places one in each hand. She has a fine pincer grasp. On the floor, she walks around holding objects and is trying to take independent steps. This child is most likely how old? Selecte d Answer : c. 12 months During a domestic health assessment, the CDC recommends screening every refugee child for which of the following diseases? Selecte d Answer : • Question 85 1 out of 1 points • Question 86 1 out of 1 points • Question 87 1 out of 1 points • Question 88 1 out of 1 points a . Rhythm ici ty You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type B (Hib) fourth dose. Which of the following do you order today? Selecte d Answer : c. DTaP, varicella, hepatitis A, and hepatitis B The results of the hemoglobin A1c test are LESS reliable in children with which of the following conditions? (Hint: select two) Selecte d Answer s: a. Cystic Fibrosis • Question 96 1 out of 1 points • Question 97 1 out of 1 points • Question 98 1 out of 1 points D isease You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower lateral incisor bulges. You recommend: Selecte d Answer : e. A and D • Question 99 0 out of 1 points A 7-month-old male is found to have a spiral fracture of the femur that his father says he got by climbing onto a chair and then jumping off. Which of the following statements is true regarding this situation? Selecte d Answer : d. You should anonymously report the abuse to the authorities. The nurse practitioner role was initially established to Selecte d Answer : b. Improve access to care and partially solve physician shortage. Which of the following is a true contraindication of vaccinating a child? Selecte d Answer : d. Previous vaccination reaction that consisted of wheezing and hypotension • Question 100 1 out of 1 points • Question 101 1 out of 1 points Tuesday, March 31, 2020 5:11:35 AM EDT OK