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NR602 Midterm- My Study Set. Questions and Answers
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NR602 Midterm- My Study Set. Questions and Answers
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NR602 Midterm- My Study Set.Questions and Answers
An 8yearold child is diagnosed with systemic lupus erythematosus (SLE), and the child's parent
asks if there is a cure. What will the primary care pediatric nurse practitioner tell the parent?
Correct Ans-. Periods of remission may occur but there is no permanent cure.
The primary care pediatric nurse practitioner examines a child who has had stiffness and
warmth in the right knee and left ankle for 7 or 8 months but no back pain. The nurse
practitioner will refer the child to a rheumatology specialist to evaluate for Correct Ans-
oligoarticular JIA
The primary care pediatric nurse practitioner is managing care for a child who has JIA who has a
positive ANA. Which specialty referral is critical for this child? Correct Ans-Ophthalmology
. The primary care pediatric nurse practitioner is prescribing ibuprofen for a 25 kg child with JIA
who has oligoarthitis. If the child will take 4 doses per day, what is the maximum amount the
child will receive per dose? Correct Ans-. 250 mg C
The parent of a schoolage child who is diagnosed with oligoarticular JIA asks the primary care
pediatric nurse practitioner what exercises the child may do to help reduce symptoms. What
will the nurse practitioner recommend? Correct Ans-Swimming
A 12yearold child is brought to the clinic with joint pain, a 3week history of lowgrade fever, and
a facial rash. The primary care pediatric nurse practitioner palpates an enlarged liver 2 cm below
the subcostal margin along with diffuse lymphadenopathy. An ANA test is positive. Which test
may be ordered to confirm a diagnosis of SLE? Correct Ans-Antidoublestrand DNA antibodies
The primary care pediatric nurse practitioner is reviewing the rheumatology plan of care for a
child who is diagnosed with SLE. Besides reinforcing information about prescribed medications,
what will the nurse practitioner teach the family to help minimize flaring of episodes?
Correct Ans-Use UVA and UVB sunscreen daily
,. An adolescent female reports poor sleep, fatigue, muscle and joint paint, and anxiety lasting
for several months. The primary care pediatric nurse practitioner notes point tenderness at
several sites. What will the nurse practitioner do next? Correct Ans-Refer the adolescent to a
rheumatologist for further evaluation
A child has a fever and arthralgia. The primary care pediatric nurse practitioner learns that the
child had a sore throat 3 weeks prior and auscultates a murmur in the clinic. Which test will the
nurse practitioner order Correct Ans-ASO titer
The primary care pediatric nurse practitioner sees a child for followup care after hospitalization
for ARF. The child has polyarthritis but no cardiac involvement. What will the nurse practitioner
teach the family about ongoing care for this child? Correct Ans-Aspirin is given for 2 weeks
and then tapered to discontinue the medication
. A 10yearold child has a 1week history of fever of 104°C that is unresponsive to antipyretics.
The primary care pediatric nurse practitioner examines the child and notes bilateral conjunctival
injection and a polymorphous exanthema, with no other symptoms. Lab tests show elevated
ESR, CRP, and platelets. Cultures are all negative. What will the nurse practitioner do?
Correct Ans-Order a baseline echocardiogram today and another in 2 weeks
The primary care pediatric nurse practitioner is evaluating an 11monthold infant who has had
three viral respiratory illnesses causing bronchiolitis. The child's parents both have seasonal
allergies and ask whether the infant may have asthma. What will the nurse practitioner tell the
parents? Correct Ans-"Although it is likely, based on family history, it is too soon to tell."
What is Tertiary Care of nursing Correct Ans-tertiary care requires both specialized expertise
and equipment; and quaternary care requires highly specialized expertise and highly unusual or
specialized equipment
A child gets an animal bite how should you treat the wound Correct Ans-1. Leave animal and
human bites open for healing by granulation
2. Administer tetanus booster and rabies prophylaxis if indicated
,3. Using normal saline, irrigate the wounds using high pressure
4. Prescribe a 3- to 5-day course of prophylactic antibiotics
Prescribe a broad-spectrum antibiotic, such as amoxicillin clavulanate (first choice)
Treat penicillin-allergic individuals with an extended-spectrum cephalosporin or trimethoprim-
sulfamethoxazole plus clindamycin
What is the Rotavirus Correct Ans-Rotavirus disease is common among infants and young
children. Rotavirus can cause severe watery diarrhea, vomiting, fever, and abdominal pain.
Some children with rotavirus disease lose a lot of fluids and become very dehydrated.
What is enterovirus? Correct Ans-The red sores known as hand-foot-and-mouth disease
usually go away in 7 to 10 days
Symptoms on Enterovirus Correct Ans-Muscle aches
Fever
Sore throat
Red sores known as hand-foot-and-mouth disease
What is a sprain? Correct Ans-stretching or tearing of ligaments
What is patellofemoral pain syndrome? Correct Ans-"Anterior knee pain" or "runner's knee".
3 categories; overuse, biomechanical, muscle dysfunction.
What is Osgood-Schlatter disease? Correct Ans-common cause of knee pain in adolescent
male athletes
- periods of rapid growth in which the quadriceps tendon puts traction on the apophysis of the
tibial tubercle where the patellar tendon inserts
- traction apophysitis is worsened by sports that involve repetitive running, jumping, or kneeling
and improves with rest
, DX: radiographic finding: anterior soft tissue swelling, lifting of tubercle from the shaft,
irregularity or fragmentation of the tubercle.
PE: edema and tenderness over the tibial tubercle. may feel a mass because of heterotopic
bone formation. Pain reproduced by extending the knee against resistance
TX: activity restriction, stretching exercises, NSAIDs
What is hydrocephalus? Correct Ans-a condition in which fluid accumulates in the brain,
typically in young children, enlarging the head and sometimes causing brain damage.
What is cerebral palsy? Correct Ans-A permanent impairment affecting automatic postural
control and movement as a result of a non-progressive brain disorder
symptoms of migraine headache Correct Ans-dull to throbbing head pain
sensitivity to light, sound
nausea, vomiting
visual aura
Treatment for Migraine Correct Ans-1. Avoid Triggers (stress, foods, alcohol etc)
2. Take NSAIDs
3.*Triptans* if more severe
4. *Topiramate*
5. Follow-up 4-6 weeks if treating
6. AVOID Opiods
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