Exam (elaborations)
NURS 6551 Final Exam 5 – Pediatrics
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NURS 6551 Final Exam 5 – Pediatrics
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• Question 1 I0 Iout Iof I0 Ipoints
When Icompleting Ithis Iquiz, Idid Iyou Icomply Iwith IWalden IUniversity’s ICode Iof IConduct Iincluding Ithe
Iexpectations Ifor Iacademic Iintegrity?
Selected IAnswer: Yes
• Question 2 I
1 Iout Iof I1 Ipoints
Lisa Ihas ICushing's Isyndrome. IYou Iwould Isuspect Iher Ito Ihave Ior Ito Idevelop
Selected IAnswer: d. I
Excitability Iand Inervousness
• Question 3 I
1 Iout Iof I1 Ipoints
A I4-year-old Ifemale Iwith Iprofuse Ivomiting, Isweating, Ilacrimation, Iand Idiarrhea, Iwho Iseizes Iin Ithe
Iemergency Iroom. IWhich Iof Ithe Ifollowing Iis Ithe Imost Ilikely Ietiology?
Selected IAnswer: e. I
Esophageal Iforeign Ibody
• Question 4 I
1 Iout Iof I1 Ipoints
Antibiotic Itherapy Iis Ione Iof Ithe Imainstays Iof Itreatment Ifor Iwhich Iof Ithe Ifollowing Icauses Iof Iwheezing?
Selected IAnswer: d. I
Epiglottitis
• Question 5 I
1 Iout Iof I1 Ipoints
An I18-month-old IAfrican IAmerican Igirl Iis Ibrought Ito Iyour Ioffice Ibecause Ishe Ihas Ibeen
Icrying Iand Istopped Iwalking Itoday. IShe Iwill Icrawl, Ihowever. IHer Imom Idenies Iany
Iinjury Ito Ithe Ichild. IOn Iexamination, Ishe Iis Icrying Ibut Iconsolable Iin Iher Imother’s Iarms.
IShe Ihas Ibruising Iand Iswelling Ijust Iproximal Ito Ithe Ileft Iankle. IAn Ix-ray Ireveals Ia Ispiral
Ifracture Iof Ithe Itibia. IAt Ithis Itime, Iyou Iadvise Ithe Imother Ithat:
Selected IAnswer: a. I
This Iis Ia Icommon Ifracture Iresulting Ifrom Itwisting Ion Ia Iplanted Ifoot.
• Question 6 I
1 Iout Iof I1 Ipoints
Tracy, Ithe Imother Iof Ia I2-year-old, Iis Iconcerned Ibecause Iher Idaughter Iwalks Ion Iher Itoes Iall Ithe Itime.
IWhat Ido Iyou Itell Iher?
Selected IAnswer: c. I
, Toe Iwalking Iis Iconsidered Inormal Iuntil Iage I3.
• Question 7 I
0 Iout Iof I1 Ipoints
Vomiting Iin Iinfancy Ihas Ia Ilong Ilist Iof Idifferential Idiagnoses. IWhich Iof Ithe Ifollowing Iother Isymptoms
Iwould Imostly Ilikely Ipoint Ito Ipyloric Istenosis?
Selected IAnswer: a. I
Hungry Iafter Ivomiting
• Question 8 I
1 Iout Iof I1 Ipoints
The Ifollowing Iclinical Idescription Ibest Imatches Iwhich Igenetic Idisorder? IAn
Iinstitutionalized Imale Ijuvenile Idelinquent Iupon Iclose Iexamination Ihas Isevere
Inodulocystic Iacne, Imild Ipectus Iexcavatum, Ilarge Iteeth, Iprominent Iglabella, Iand
Irelatively Ilong Iface Iand Ifingers. IHis Ifamily Isays Ihe Ihas Ipoor Ifine Imotor Iskills I(such Ias
Ipenmanship), Ian Iexplosive Itemper, Iand Ia Ilow-normal IIQ.
Selected IAnswer: d. I
XYY Imale
• Question 9 I
1 Iout Iof I1 Ipoints
Newborn IR.T. Ihas Ia Ivascular Ilesion Ithat Iwill Inot Ifade Ias Ishe Igets Iolder. IWhat Iis Iyour Idiagnosis?
Selected IAnswer: a. I
Port-wine Istain I(nervus Iflammeus)
• Question 10 I
0 Iout Iof I1 Ipoints
A I6-year-old Iboy Iis Ileft Ialone Ifor I10 Ihours, Inow Iwith Ihematemesis Iand Ipneumomediastinum Ion Ichest Ix-
ray. IWhich Iof Ithe Ifollowing Iis Ithe Imost Ilikely Ietiology?
Selected IAnswer: a. I
Insecticide Iingestion
• Question 11 I
1 Iout Iof I1 Ipoints
In Imild Ito Imoderate Iattacks Iof Iacute Iasthma, IAlbuterol Ishould Ibe Igiven Ievery I4-6 Ihours Iprn Iand Iroutine
Imedication Ishould Ibe
Selected IAnswer: c. I
Continued Ias Iusual
• Question 12 I
1 Iout Iof I1 Ipoints
, A I2-year-old Ipresents Ito Iyour Ioffice Iwith Ithe Ifollowing Isymptoms: Inasal Icongestion Iand Irhinorrhea Ifor
I48 Ihours, Ilow-grade Ifever, Iand Ia Iharsh/barky Icough Ithat Iis Isignificantly Iworse Iat Inight. IInspiratory
Istridor Iis Ipresent Iand Ishe Ihas Iclear Ibut Islightly Idecreased Ibreath Isounds. IWhich Iof Ithe Ifollowing
Itreatments Iis Ibest?
Selected IAnswer: c. I
One Idose Iof Ioral Idexamethasone
• Question 13 I
0 Iout Iof I1 Ipoints
A Ismall-for-gestational-age, Idysmorphic Inewborn Iinfant Ihas Imicrocephaly Iand Isloping Iforehead, Icutis
Iaplasia I(missing Iportion Iof I the Iskin Iand Ihair) Iof Ithe Iscalp, Ipolydactyly, Imicrophthalmia, Iand
Iomphalocele. IWhich Iof Ithese Iis Ithe Imost Ilikely Idiagnosis?
Selected IAnswer: e. I
Edwards Isyndrome I(trisomy I18)
• Question 14 I
1 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Iphysical Istigmata Iare Icommon Iin Inewborns Iwith IDown Isyndrome?
Selected IAnswer: b. I
Hypotonia, Ilarge-appearing Itongue Iand Ismall Imouth, Iupward Islant Ito Ieyes
• Question 15 I
1 Iout Iof I1 Ipoints
You Ihave Ia Ipatient Ithat Iyou Ithink Imay Ihave Iintussusception. IWhich Iof Ithe Ifollowing Ifinding Imay Iyou
Isee?
Selected IAnswer: b. I
Inconsolable Iscreaming
• Question 16 I
0 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Iis Itrue Iregarding Ithe Idiagnosis Iof Iepiglottitis?
Selected a. I
IAnswer: Every Ieffort Ishould Ibe Imade Ito Ivisualize Ithe Iepiglottitis Iin Ithe Ioffice Iand Iconfirm
Ithe Idiagnosis
• Question 17 I
1 Iout Iof I1 Ipoints
An I8-month-old Ibaby Iarrives Ito Ithe Ioffice Iwith Ihis Imother Iwith Ia Icomplaint Iof
Idecreased Ileft Iarm Imovement. IHe Iis Ia Iproduct Iof Ia Inormal Iterm Ipregnancy, Ihas Ihad
Ino Imedical Iproblems, Iand Iwas Iin Igood Ihealth Iwhen Ihis Imother Idropped Ihim Ioff Iat Ithe
Idaycare Icenter. IUpper Iarm Iradiographs Ishow Ia Ileft Ihumerus Ispiral Ifracture. IWhich Iof
Ithe Ifollowing Iis Ithe Imost Iappropriate Inext Istep Iin Imanagement?
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