South University Savannah,NSG6435/Final Ped Exam Best Exam Solutions Tested And Verified Q, Exams of Nursing

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c) Tendency to gain weight easily

South University

Savannah

,NSG6435/Final Ped Exam

Best Exam Solutions Tested And

Verified Questions With Answers

Question 1 (2 points) Which of the following is not found in an adolescent with untreated Graves' disease?

Question 1 options:

a) Behavioral problems b) Sleep disturbances d) Tachycardia Save Question 2 (2 points) 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?

Question 2 options:

a) Antistreptolysin O titer

d) Rapid streptococcal antigen test d) never b) Cytomegalovirus titer c) Monospot and complete blood count Save Question 3 (2 points) The adolescent should be screened for Type 1 diabetes_____________.

Question 3 options:

a) every year b) every two years c) once every five years Save Question 4 (2 points) What is one of the most important components of a presports participation physical exam?

Question 4 options:

c) Thorough history, including family medical history and past medical history d) All of the above a) Hydration status b) Type of sport being played d) Previous drug use Save Question 5 (2 points) What factors can negatively impact children's access to medical homes and adequate health care services?

Question 5 options:

a) Ethnicity b) Poverty c) Disability

a) Sleepiness, jaundice, decreased urine, and stool Save Question 6 (2 points) The nurse practitioner recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk from the mother?

Question 6 options:

b) Diarrhea, nausea, and vomiting c) Bulging fontanel and irritability d) Sleeplessness and excitability Save Question 7 (2 points) 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?

Question 7 options:

a) Chromosome analysis and serum thyroxine

b)Serum thyroxine and thyroid-stimulating hormone d) Hispanic c) Serum luteinizing hormone and chromosome analysis d) Serum luteinizing hormone and thyroid-stimulating hormone Save Question 8 (2 points) _____________children are less likely to be diagnosed with attention deficit disorder than others.

Question 8 options:

a) African American b) Non-Hispanic White c) Asian Save Question 9 (2 points)

b) pauciarticular c) hypercalcemia The most common form of juvenile rheumatoid arthritis is________.

Question 9 options:

a) systemic c) osteoarticular d) polyarticular Save Question 10 (2 points) Indications for immediate dialysis in the pediatric patient is

Question 10 options:

a) hypotension b) hyperkalemia d) dehydration

d) lifetime medication Save Question 11 (2 points)

Question 11 options:

An early adolescent patient is more likely to have regarding body image. Save Question 12 (2 points) Bipolar disease requires _____________ for successful treatment.

Question 12 options:

a) no medication only cognitive therapy b) a limited amount of medication for a short period of time c) no intervention Save Question 13 (2 points) The number one psychological disorder in the United States has been identified as _.

b) anxiety a) ulcerative colitis

Question 13 options:

a) depression c) schizophrenia d) bipolar disorder Save Question 14 (2 points) Weight loss, chronic diarrhea, anemia, and weakness in an adolescent are symptoms of _.

Question 14 options:

b) Crohn's disease c) irritable bowel syndrome d) appendicitis Save Question 15 (2 points)

a) MMR d) post puberty to early adulthood An immunocompromised four-year-old patient presents for his vaccinations. Which vaccination would you hold on this patient?

Question 15 options:

b) Hib c) Pneumococcal conjugate vaccine (PCV) 13 d) DtaP Save Question 16 (2 points) Bipolar disease is often diagnosed in_____________________.

Question 16 options:

a) childhood years b) the fifth or sixth decade c) mid puberty

d) fetal alcohol syndrome Save Question 17 (2 points) Biomedical issues that may create academic performance issues include _______________.

Question 17 options:

a) substance abuse b) familial stressors c) cultural differences Save Question 18 (2 points) ___________ increases a child’s risk of being diagnosed with attention deficit hyperactivity disorder.

Question 18 options:

a) Exposure to paternal tobacco use

d) Exposure to maternal tobacco use a) familial b) Exposure to maternal antidepressant use c) Exposure to paternal antidepressant use Save Question 19 (2 points)

Question 19 options:

The best way to screen for human papilloma virus in an adolescent female is Save Question 20 (2 points) Attention deficit hyperactivity disorder may be________.

Question 20 options:

b) learned c) acquired d) triggered by a virus

d) more prevalent in females than males Save Question 21 (2 points) Eating disorders are_______________.

Question 21 options:

a) seen more often in men than women b) equal between males and females c) greater in adolescent males than females Save Question 22 (2 points)

Question 22 options:

adolescents should be asked about depression and suicide risk annually. Save Question 23 (2 points)

b) fractures The most common form of child abuse seen in pediatric primary care is

Question 23 options:

a) burns c) soft tissue injuries d) shaken baby syndrome Save Question 24 (2 points) Children with disabilities are guaranteed a free and appropriate education by three federal laws: Section 504 of the Rehabilitation Act, IDEA, and _______________.

Question 24 options:

a) the American Handicapped Act b) the American Attention Deficit Act c) the American Equal Education Act

d) the Americans with Disabilities Act d) all of the above Save Question 25 (2 points) It is important to monitor _______ in an adolescent with inflammatory bowel disease?

Question 25 options:

a) linear growth b) skeletal development c) pubertal changes Save Question 26 (2 points) Which of the following medications should be avoided in a patient with idiopathic thrombocytopenic purpura (ITP

Question 26 options:

a) Decongestants

d) Aspirin d) Crohn’s disease; ulcerative colitis b) Sulfa drugs c) Acetaminophen Save Question 27 (2 points) The two primary sources of inflammatory bowel disease are__________and ____________.

Question 27 options:

a) Helicobacter pylori ; Crohn’s disease b) diverticulosis; ulcerative colitis c) Crohn’s disease; diverticulosis Save Question 28 (2 points) 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

d) foreign body aspiration b) Frequent stooling symptoms, the parent recalls a coughing event that resolved spontaneously. Of the following the most likely diagnosis is:

Question 28 options:

a) acute laryngotracheobronchitis b) bronchiolitis c) viral pneumonia Save Question 29 (2 points) Which of the following is not a sign or symptoms of congenital hypothyroidism?

Question 29 options:

a) Hoarse cry c) Coarse features d) Lethargy

d) infants and elderly Save Question 30 (2 points) Secondary epilepsy may occur at any age but is more likely to be found in __________________.

Question 30 options:

a) infants and children b) infants and adolescents c) adolescents and elderly Save Question 31 (2 points) Bipolar disease may be____________________.

Question 31 options:

a) diagnosed in the adolescent period b) misdiagnosed c) genetic

d) all of the above a) Bacterial infections Save Question 32 (2 points) A fourteen-year-old child without a spleen is at increased risk for which of the following?

Question 32 options:

b) Fungal infections c) Viral infections d) Parasites Save Question 33 (2 points) 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?

b) Tdap (Adacel) a) Transport immediately to the ER

Question 33 options:

a) HPV2 (Cervarix) c) Meningococcal vaccine (MPSV) 4 (Menomune) d) Pneumococcal polysaccharide vaccine (PPSV) 23 (Pneumovax) Save Question 34 (2 points) 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?

Question 34 options:

b) Obtain CBC with diff, urinalysis, urine culture, blood culture c) Obtain CBC, urinalysis, urine culture and stool culture d) Observe since this is not considered a

b) extreme bowing continues after two years of age Save Question 35 (2 points) Genu Varum is considered an abnormal condition when extreme knock knees continues

Question 35 options:

a) after seven years of age c) parents are concerned about their child's appearance d) evident before two years of age Save Question 36 (2 points) The reliving of a very personal, negative, or traumatic event, over and over again is known as_______.

Question 36 options:

a) anxiety disorders

d) post-traumatic stress disorder d) school phobia b) flashbacks c) story telling Save Question 37 (2 points) 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 _.

Question 37 options:

a) attention deficit hyperactivity disorder b) truancy c) learning disabilities Save Question 38 (2 points)

c) Tourette’s syndrome d) all of the above Some children with attention deficit hyperactivity disorder have been found to have _.

Question 38 options:

a) Soubrette’s syndrome b) viral syndrome d) epilepsy Save Question 39 (2 points) Possible side effects from attention deficit hyperactivity disorder medications include__.

Question 39 options:

a) weight loss b) delayed puberty c) mood changes

b) Has the child ever fainted or lost consciousness during exercise? b) Long-acting stimulants Save Question 40 (2 points) Which of the following is a very important question to ask during the history taking for a sports evaluation?

Question 40 options:

a) Has the child ever had a head injury? c) Does the child ever get short of breath with exercise? d) Has the child ever had prior surgery Save Question 41 (2 points) ___________ are the first line choice for treatment of attention deficit hyperactivity disorders.

Question 41 options:

a) Selective serotonin reuptake inhibitors c) Tricyclics

b) beta cell production fails b) Leukopenia d) Dopamine agonist inhibitors Save Question 42 (2 points) Type 1 diabetes begins when______________________.

Question 42 options:

a) the adolescent is overweight c) insulin resistance is present d) poor nutrition is present Save Question 43 (2 points) Which of the following results would you most likely see in a child with a viral infection?

Question 43 options:

a) Leukocytosis