NURS 6541N FINAL EXAM 3 – QUESTION AND ANSWERS (100/100)

NURS 6541N FINAL EXAM 3 – QUESTION AND ANSWERS (100/100)

NURS 6541N FINAL EXAM 3 – QUESTION AND

ANSWERS (100/100)

Question 1

1 out of 1 points

An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a

routine part of the clinical management?

Selected

Answer:

c.

School excuse to not participate in recess and/or physical education activities

Question 2

1 out of 1 points

A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional

symptom would cause the NP to suspect Crohn's disease?

Selected

Answer:

b.

Blood, mucous diarrhea

Question 3

1 out of 1 points

A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most

appropriate next step is

Selected

Answer:

a.

Trial of ranitidine (Zantac)

Question 4

1 out of 1 points

Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action?

Selected

Answer:

a.

Rule out a neurologic disorder.

Question 5

0 out of 1 points

A 15-year-old girl has experienced abdominal pain, vomiting, and lethargy for 3 days. Her chest and

throat examinations are clear, but her abdominal examination is significant for right lower quadrant

pain. Rectal examination is equivocal for pain, and her pelvic examination is remarkable for pain

upon movement of her cervix. Laboratory data include elevated white blood cell count, serum

glucose level of 145 mg/dL, and serum bicarbonate level of 21mEq/dL. Her urinalysis is remarkable

for 1+ white blood cells, 1+ glucose, and 1+ ketones. Which of the following is the most likely

diagnosis?

Selected

Answer:

a.

Appendicitis

Question 6

0 out of 1 points

A previously healthy male has a 3-month history of increasing headaches, blurred vision, and

personality changes. Previously he admitted to marijuana experimentation more than 1 year ago.

On examination he is a healthy, athletic-appearing 17-year-old with decreased extraocular range of

motion and left eye visual acuity. Which of the following is the best next step in his management?

Selected Answer: e.

Urine drug screen

Question 7

1 out of 1 points

Kelly, your 11-year-old well visit patient, presents to the office with weight loss, polyuria, and

polydipsia. Which of the following do you need to rule out?

Selected

Answer:

c.

Diabetes mellitus

Question 8

0 out of 1 points

Lisa has Cushing's syndrome. You would suspect her to have or to develop

Selected Answer: d.

Generalized increased pigmentations of the skin

Question 9

1 out of 1 points

Tracy, the mother of a 2-year-old, is concerned because her daughter walks on her toes all the time.

What do you tell her?

Selected Answer: b.

Toe walking is considered normal until age 3.

Question 10

1 out of 1 points

The peak incidence for adolescent gynecomastia occurs at age

Selected Answer: d.

13 to 14 years of age

Question 11

0 out of 1 points

A 12-year-old girl was brought to the emergency department because of severe sore throat, muffled

voice, drooling, and fatigue. She had been sick for the past 3 days and is unable to eat because of

painful swallowing. The parents deny any history of recurrent pharyngitis. The patient still managed

to open her mouth and you were able to see an abscess at the upper pole of the right tonsil with

deviation of the uvula toward the midline. Examination of the neck reveals enlarged and tender

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