Pediatric Health Assessment, Exams of Advanced Education

Download Pediatric Health Assessment and more Exams Advanced Education in PDF only on Docsity! NSG 6435 Midterm Exam With 100% Correct Answers 2023 What should a cultural assessment of the family and child include? - Correct Answer-an assessment of a patient's dominant culture including the accompanying health beliefs, and beliefs about birth, illness, and deaths What question should the provider ask to elicit information about the internal structure of the family? - Correct Answer-has any family member recently moved in or out of the home? if so, how has this move affected the family? "culture is a social construction of the relationships within and among groups of human beings..." which of the following is not a part of the products of culture? - Correct Answer-none of the above the provider understands that children who show signs of aggressive behavior, depression, anxiety, and poor school performance may have been exposed to which of the following during childhood? - Correct Answer-domestic violence which of the following best defines the role of the APN in health care? - Correct Answer- provides continuity of care for underserved populations Which of the following is considered a development red flag? - Correct Answer-loss of milestones what would be the most likely weight of a 1yr old child whose weight at birth was 7 pounds? - Correct Answer-20-23 pounds the pincer grasp is a fine motor skill the involves the ability to pick up a small object such as cold cereal, with the thumb and forefinger. when is this usually mastered? - Correct Answer-9 months the nurse practitioner is completing an examination of an 11 yr old female. it is noted during inspection that there is an appearance of breast buds. which of the following would most likely occur in approximately 2 years? - Correct Answer-onset of menses when reviewing immunization protocols at your clinic, the nurse practitioner should be aware that the varicella vaccine can be administered at what age? - Correct Answer-12 months which of the following is the correct order for introduction of solid foods to an infant? - Correct Answer-cereal, vegetables, fruits, and meats which of the following information is most important to ask about while performing a sports physical? - Correct Answer-has the child fainted during exercise the mother of a 16 month old child informs you that she feeds the baby skim milk. what is the best rationale for not using skim milk? - Correct Answer-provides an inadequate amount of fatty acids which adolescent would be at greater risk for developing anorexia nervosa? - Correct Answer-14 yr old competitive gymnast the NP is reviewing strategies to increase physical activity. the patient should also be educated that which of the following are commonly associated with sports injuries? - Correct Answer-improper training a pediatric patient has just been diagnosed with otitis external. which of the following should the patient be instructed to do? - Correct Answer-keep ear dry until symptoms improve the NP is performing a fluorescein staining of the eye. which of the following is this intervention used to detect? - Correct Answer-corneal abrasion the incidence of epiglottitis has decreased due to which of the following immunizations? - Correct Answer-Hib you are examining a patient who you suspect has 5th disease. which of the following is true regarding this disease? - Correct Answer-seen in children 5-14 yrs of age which specific viral organism causes hand, foot, and mouth syndrome? - Correct Answer-coxsackie a NP is completing a cardiac assessment on a child and detects a murmur. which of the following is true regarding innocent murmur? - Correct Answer-the murmur is of low intensity a child presents to the primary care clinic with chest pain. the provider is aware that chest pain in children is usually a symptom of - Correct Answer-non cardiac condition which of the following is a common cause of acquired coronary artery disease during childhood? - Correct Answer-kawasaki disease what type of hemorrhage would be expected with severe factor VIII deficiency? - Correct Answer-Gross bleeding from mild trauma the NP suspects that a pediatric patient is exhibiting the signs and symptoms consistent with leukemia to confirm this diagnosis, which test/procedure should be ordered? - Correct Answer-bone marrow aspiration a 7 yr old has experienced recurrent nose bleeds in the past 2 months. what finding on the physical exam would suggest an underlying medical cause for the epistaxis? - Correct Answer-petechiae a 2yr old male with a history of chronic serous otitis media is noted to have a pearly white opacity in the upper outer quadrant of his tympanic membrane. he currently has no symptoms and appears to be ok. the most likely diagnosis and appropriate management would be - Correct Answer-cholesteatoma; refer to otolaryngology all but which one of the following patients are at an increased risk of developing otitis media - Correct Answer-9 month old with lactose intolerance a 10 yr old has marked ear pain, not wanting anyone to touch his ear. the canal is edematous and exudate is present. the tympanic membrane is normal. how should this be managed? - Correct Answer-topical fluoroquinolone a 16 yr old was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids with 5/10 eye pain. all but which of the following would be appropriate to obtain at this time? - Correct Answer-intraocular pressure the greatest risk in a patient with a hyphen is which of the following - Correct Answer- glaucoma corneal abrasions can be managed with topical application of which of the following - Correct Answer-antibiotics to prevent infection trauma to the eye increased the risk of developing all but which one of the following - Correct Answer-strabismus fluorescein staining of the eye is used to detect a - Correct Answer-corneal abrasion Prematurity increases the risk of developing which one of the following? - Correct Answer-myopia a 3 month old has a mild asymmetrical corneal light reflex on physical exam. what is the next appropriate step - Correct Answer-observe and reevaluate at the next well check which of the following may cause microcephaly - Correct Answer-craniosynostosis What finding may accompany macrocephaly? - Correct Answer-widened suture lines Obtaining a CT of the head would be indicated in which of the conditions? - Correct Answer-macrocephaly which one of the following conditions increases the risk of developing hydrocephalus - Correct Answer-prematurity a conjunctivitis appearing in a 2 day old newborn is likely due to - Correct Answer- chemical irritation from eye drops Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by obtaining which one of the following? - Correct Answer-culture of the conjunctival scrapings which of the following eye findings would be considered an ophthalmic emergency - Correct Answer-unilateral vesicular lesion on upper eyelid of a 3 wk old the most appropriate management of a 5 yr old with a firm, contender nodule in the mid- upper eyelid for 3 weeks would be - Correct Answer-topical ophthalmic ointment Daily eyelid cleansing with diluted baby shampoo and a cotton-tipped applicator would be appropriate in the treatment of which one of the following conditions? - Correct Answer-blepharitis a 3 yr old has an edematous, mildly erythematous right upper eyelid for one day with a fever of 103F. an important eye assessment would be - Correct Answer-ocular mobility concurrent otitis media and conjunctivitis is likely due to which organism - Correct Answer-haemophilus influenza (Hib) A 16 yo girl makes the following statements to you during her health visit. Which of the following pieces of information should not be kept confidential? - Correct Answer- sometimes I feel like ending my life In performing a physical examination on a nine month old infant, which of the following developmental fears would not be appropriate for you to consider? - Correct Answer- bodily harm When performing a physical examination on a toddler, which of the following body parts would you examine last: - Correct Answer-ears and throat Role play with equipment during the course of a physical examination would be most beneficial with which of the following age groups: - Correct Answer-preschoolers Providing reassurance of "normalcy" during the course of an examination would be most important for - Correct Answer-adolescents Which of the following would not elevate the pulse of a child: - Correct Answer- hypothyroidism The PNP recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk? - Correct Answer-sleepiness, jaundice, decreased urine and stool Blood pressure should be measured at WCC beginning at age - Correct Answer-3 years A wide pulse pressure that results from a high systolic blood pressure is usually not due to which of the following - Correct Answer-a patent ductus arteriosus Head and chest circumferences should be equal at - Correct Answer-1 year The anterior fontanel usually closes by - Correct Answer-6 months Diffuse edema of the soft tissue of the scalp which usually crosses suture lines in the newborn is - Correct Answer-caput seccedaneum "Boggy" nasal mucous membranes with serous drainage upon examination usually suggests - Correct Answer-allergic rhinitis A white instead of red reflex upon eye examination of a 1 yo child would suggest - Correct Answer-retinoblastoma A cobblestone appearance of the palpebral conjunctiva usually indicates - Correct Answer-severe allergy An eye that deviates in when covered but returns to midline when uncovered is an - Correct Answer-esophoria Pain produced by manipulation of the auricle or pressure on the tragus suggests - Correct Answer-otitis externa A hypernasal voice and snoring in a child is suggestive of - Correct Answer- hypertrophied adenoids Physiological splitting of the second heart sound during inspiration in a child - Correct Answer-normal Which of the following is not characteristic of innocent heart murmurs in children - Correct Answer-usually transmitted to the neck A grade II musical or vibratory murmur heard best at the lower left sternal border that changes with positioning is suggestive of a - Correct Answer-vibratory or still's murmur Wheezing in a child may not be found in which of the following conditions - Correct Answer-pleural friction rub Gynecomastia in a male may not be a finding in which of the following - Correct Answer- hyperthyroidism