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PNCB 2 – Questions & Precise Solutions (Complete)
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PNCB 2 – Questions & Precise Solutions (Complete)
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PNCB 2 – Questions & Precise Solutions (Complete)Healthy People 2020 Right Ans - Goals determined by communities,
individuals, and organizations
Autonomy Right Ans - Sense of independence, according to Erickson's
Development Theory.
Not developing autonomy Right Ans - can cause shame in regards to
Eriksons development theory
Somogyi Right Ans - Decreased blood sugar at 3:00 AM and increased
blood sugar at 7:00 AM
Treatment, hold the nighttime insulin or decrease the dose
Hepatitis A Right Ans - Asymptomatic or mild flu-like illnesses in young
children with fever, nausea, or abdominal discomfort
Hepatitis C Right Ans - Bloodborne virus with 4-12 week incubation period
HIPAA Right Ans - Privacy rule for patient information, not followed by life
insurance companies
Ortolani test Right Ans - Maneuver to confirm dislocation of the hip joint in
infants, The ortolani replaces the head of the femur into the hip joint, is used
to confirm positive findings
Scoliosis Right Ans - Screenings begin at age 9
S1 Heart sound Right Ans - Closure of the mitral and tricuspid valves at the
beginning of systole
Down syndrome Right Ans - Specific appearances at birth, including inner
epicanthal folds, hypotonia, protruding tongue, hearing and/or vision
impairment, seizures, and congenital heart defects
Holosystolic thrill Right Ans - Auscultatory finding at left lower sternal
border tricuspid area indicating ventricular septal defect (VSD)
, Which of the following is not a credential of nurse practitioners that is related
to level of performance? Right Ans - prescriptive authority
Galeazzi sign Right Ans - Uneven knee level in the supine position,
indicating abnormality
You conduct a physical exam on an infant. During physical exam reflexes
infant's knees in the supine position so that the ankles touch out his buttocks.
You notice that the knees are not level. You would note the finding as Right
Ans - A positive Galeazzi sign or an uneven knee level.
RSV Right Ans - Respiratory syncytial virus, is more susceptible in
premature infants. Give Palivizumab for prevention
Rheumatic fever Right Ans - Requires at least one major manifestation,
such as erythema marginatum, joint involvement
Jones Criteria Right Ans - J = migratory polyarthritis
O = carditis
N = subcutaneous nodules
E = erythema marginatum (rash)
S = Sydenham chorea (involuntary movements !)
Congenital hypothyroidism Right Ans - Most cases due to iodine deficiency
in mother and baby
Toilet training Right Ans - Some children may not be ready until 30
months, signs of readiness between 18-24 months
Type one diabetes Right Ans - Immediate intervention is referral to
endocrinology
Your new patient 1 1/2 month old Melody, a formula fed infant presents with
lethargy, poor feeding, and inadequate weight gain for her age. Melody also
has poor muscle tone and strength, and a slower than normal heart rate. Her
newborn screening for hypothyroidism is negative. Which of the following is
most likely her diagnosis? Right Ans - Hypothyroidism.
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