NSG 6435 Final Exam

1.A congenital heart abnormality often discovered during the newborn period is coarctation of the aorta. How is this assessed?

2. A child who can stack a maximum of 5 blocks is probably:

3. A 6 yr old child who has moderate persistent asthma is diagnosed with pneumonia after chest x-ray and lab studies. He developed a sudden onset of fever with chills. He is in no distress. What is the preferred treatment for him?

4.A healthy appearing 3-yr old female presents with non-blanchable redness over both knees and elbows. During the exam, she is found to have normal growth and development, and she interacts appropriately with the NP. She had an upper respiratory infection about 4 wks ago that cleared without incident. A CBC and UA were obtained. The most likely diagnosis is:

5.An adolescent has acne. The NP prescribed a benzoyl peroxide product for him. What important teaching point should be given to this adolescent regarding the benzoyl peroxide?

6. a 6-wk old male infant is brought to the NP because of vomiting. The mother describes vomiting after feeding and feeling a knot in his abdomen especially after he vomits. The child appears adequately nourished. What is the likely etiology?

7. Which suggestion below is the standard for treating iron deficiency anemia in infants and children?

8. A young child has developed a circumferential lesion on her inner forearm. It is slightly raised, red and is puritic. It is about 2.5 cm in diameter. This is probably related to: 

9. A 7-yr old entered clinic 1 month ago. There was no evidence that he had any immunizations. He was given the vaccinations listed on his vaccination record at the time of his visit. if he returns today, which immunizations can he receive?

10. What would be appropriate anticipatory guidance for the parent of a 9-month old infant?

11. An infant is diagnosed with diaper dermatitis. Satelite lesions are visible. This should be treated with a:

12.The NP sees a child who reports fatigue and presents with purpura on his lower extremities. His temperature is normal. The differential includes:

13.Genetics

14. Nutrition

15. Height, Skin, Hair, Eye color

16. Growth

17. Development

18. Teratogen

19. Autocratic

20. Patriarchal

21. Matriarchal

22. Democratic

23. Nuclear family

24. Social contract and cohabitation

25.Single parent family

26. Blended ( reconstituted)

27. Erick Erickson

28. Sigmond Freud

29.Jean Piaget

30. Extended family

31. Homosexual

32. Adoptive

33. Gradfamilies

34. Foster

35. Basic trust v mistrust

36. Autonomy v shame and doubt

37. Initiative v guilt

38. Industry v inferiority

39. Identity v role confusion

40. Intimacy v isolation

41. Generativity v stagnation

42. Ego integrity v despair

43. Mood swings

44. male- Tanner stage I

45.Male-Tanner stage 4

46. earliest age child able to copy triangle, know colors and count on fingers

47. earliest age avg child would appropriately receive paper and scissors with rounded points

48. usual age for vision screening

49. female Tanner stage 4

50. Female - Tanner stage 5 

51. 14 yr old male- acute painless swelling of groin. which tool will yield the most info

52. Age of precocious puberty

53. avg age of pubertal growth spurt in american boys

54. Female - Tanner stage II

55. 12 yr old male, hip pain w/ activitiy, worsening, involves knee, no trauma, ?In office eval?

56. Trendelenburg test used to id

57. what age should oral health risk assessment begin?

58. 4 yr child not allergic to chickens but allergic to duck feathers, immunizations contraindicated?

59. child can walk backwards

60. child can stand on one foot

61. Can stack 5 blocks

62. child can stack 3 blocks

63. Positive support reflex ceases after

64. In school aged child (6-12)___considered tachycardia

65. Normal heart rate 60-100 after age

66. Male-First sign of sexual maturation

67. Male- average age of sexual maturation

68. delayed puberty

69. Most common cause of delayed puberty

70. to eval for hip dysplasia

71. 6mo male-palpable cystic mass in scrotum, size varies

72. 6 mo- disconjugate gaze- tilts head when looking at object

73. Should be avoided in ITP

74. Intussception can follow?

75. NOT a sign of congenital hypothyroidism

76. Adolescent -wt loss, chronic diarrhea, anemia, weakness

77. Describe the s/s of small and large VSDs

78. Acynotic heart murmur d/t increased pulmonary flow

79. Pauciarthritis (most common subgroup of juvi-idiopathic arthritis)

80. side effects of ADHD meds

81. Parents/guardian of adolescents should receive health guidance

82. Age of onset of irritable bowel disease

83. characteristics of infant with bronchopulmonary dysplasia

84. child with insulin pump is more likely to experience

85. palpable thrill in L upper sternal border

86. Which heart defect produces a systolic ejection click at the upper left sternal border with a thrill palpated at the upper left sternal border?

87. sit before standing is example of 

88. Maternal iron stores are depleted by 

89. In adolescents with IBD, it is important to monitor 

90. What are important thing to monitor in patient taking corticosteroids to control inflammation in IBD?

91. treatment for Atypical pneumonia

92. Best tools for treating adolescents

93. The adolescent growth spurt is triggered by

94. Best way to screen for gonorrhea - FEMALE

95. Best way to screen for gonorrhea - MALE

96. HPV screening in female

97. Newborns of diabetic mothers are at risk for

98. gardasil results in greater antibody response for adolescents who receive 3 dose series between ages

99. VISION OF 2 YR OLD

100. 13 yr old pt with bone maturity of 10 yrs

101. treatment for delayed puberty

102. Mother voices concern with 3 yr old stuttering

103. Eating disorders

104. Common symptom of ASD (anterior septal defect)

105. Biomedical issues that may create academic performance issues

106. Bipolar disease requires

107. Joe, a 13 year old with asthma, developed a runny nose, coughing and wheezing on expiration. Joe takes Flovent 2 puffs BID. You would suggest he:

108.  Janet is a 16 year old with moderate persistant asthma. She takes Advair discus 250/50 one inhalation BID in her green zone.

109. Which of the following medications would be most appropriate to intensify her controller therapy for yellow zone treatment?

110. When completing Beth’s physical exam which would be inconsistent with a dx of asthma?

111. Beth is a 12 year old with suspected asthma. Which of following findings in her hx would support this dx?

112. ASTHMA

113. ASTHMA DDx

114. Asthma Clinical Manifestations

115. Physical Assessement

116. Pulmonary function tests

117. Degrees of Asthma

118. Mild Persistent Asthma-

119. Moderate Persistent/Severe Asthma

120. Diagnose asthma

121. O2 Sats

122. Therapeutic Mgmt

123. Asthma not controlled if:

124. Rescue medications

125. Anticholinergics

126. Inhaled Corticosteroids

127. Inhalers by age group

128. LABA long acting B2 Adrenergic Agonists

129. Which of the following asthma medications contains a blackbox warning for usage in regards to increased risk of asthma-related deaths

130. Long acting medications

131. Metered dose inhaler - AGE?

132. Aerochamber MDI

133. Status Asthmaticus

134. Otitis Externa

135. OE pathogens

136. Otitis externa RX TX

137. Acute Otitis Media- Prevalence/incidence

138. Pathogen Acute Otits Media

139. AOM physical exam

140. Eustachian Tube

Tympanic Membrane

141. Diagnose AOM Physical exam

142. OM with Effusion TX?

143. 1st line Tx AOM

144. AOM tx failure next?

145. Risk factors of Acute Otitis Media include_____, ______ and ____________.

146. Conductive Hearing loss

147. Conductive hearing loss Physical Exam- Weber-Rinne-

148. causes of SensoriNeural inner ear causes

149. Sensori Neural loss Weber Rinne

150. Hordeoleum

151. Management: Hordeolum

152. DDx Hordeolum

153. Chalazion

154. Blepharitis

155. chalazion mgmt

156. Conjuctivitis- RED EYE

157. Conjunctivitis

158. Viral conjuctivitis

159. Allergic Conjunctivitis

160. Gonococcal conjunctivitis

161. Rx Bacterial Conjuctivitis

162. PeriOrbital Cellulitis

163. Orbital Cellulitis Tx

164. MISCELLANEOUS AIRWAY CONSIDERATIONS IN KIDS

165. Pediatric airway

166. Ped Respiratroy Assessment

167. Wet diapers/stools a day

168. Common cold Sx, PE, DDx

169. Complications of the common cold

170. Pharyngitis

171. Bacterial Pharyngitis

172. Group A Strep

173. Bacterial Pharyngitis Ddx

174. Pharyngitis Ddx<3years >6years

175. GAS Rx

176. Allergic Rhinnitis-MGMT RX

177. Sinusitis xrays? CT?

178. Treat Sinusitis

179. Croup- Steeple sign

180. Laryngitis, Laryngotrachetis, Laryngotracheobronchitis, Bacterial tracheitis, Spasmodit Group

181. croup-Viral, Bacterial causes

182. Croup most common in ages______

183. Epiglottitis

184. Bacterial Pneumonia Rx less than 5

185. Bacterial Pneumo greater than 5 years

186. Bacterial Pneumo Hospitialize when?

187. TB Sx

188. Epstein Barr Virus (MONO)

189. Epstein-Barr virus (mono)

190. Mono S/Sx

191. Mono Mgmt

192. Polio vaccine given @

193. •Parents ask the NP why their baby will receive an IM polio injection instead of the oral vaccine. The best response would be:

194. Tetanus DTap

195. whooping cough

196. Hemophilis Influenzae

197. Meningeal signs-- tests

198. Enterovirus- types, routes, incubation shedding

199. Herpangina, Hand foot mouth

200. Herpangina

201. What causes Hand-Foot-Mouth disease?

202. Erythema Infectiosum-Fifth Disease

203. Erythema Infectiosum (fifth disease)

204. 5ths disease Stage1 and 2

205. fifths disease Tx Management

206. ¨The nurse is educating parents re: fifth disease. What explanation takes priority?

207. Lyme dz Tx Rx

208. Kawasaki disease (KD)

209. Kawasaki Disease(KD)

210. ¨Leading cause of Acquired heart disease in children?

211. Kawasaki disease stage 1

212. Kawasaki Dz stage 2 and 3

213. Kawasaki dz Diagnosis

214. Kawasaki rash

215. Hand swelling

216. nonexudative conjuctivitis

217. strawberry tongue

218. A 3 year old with KD is admitted to the hospital for fever. The nurse knows that the following tx will be started to shorten the fever and decrease the risk of complications?