NURS 6541 FINAL EXAM 2021/2022

NURS 6541 FINAL EXAM 2021/2022. This is a complete and an all-inclusive guide to NURS 6541 FINAL EXAM. A small-for-gestational-age infant is born to a 35-year-old woman. He has low-set and malformed ears, microcephaly, rocker-bottom feet, inguinal hernias, cleft lip/palate, and micrognathia. Chromosomal analysis is likely to reveal which of the following? Selected Answer: e. Edwards syndrome (trisomy 18)  Question 5 1 out of 1 points Primary dysmenorrhea is due to Selected Answer: a. Elevated prostaglandin level  Question 6 1 out of 1 points A 3-week-old male infant with 2 days of projectile, nonbilious vomiting and constant feeding. Which of the following is the most likely etiology? Selected Answer: f. Pyloric stenosis  Question 7 1 out of 1 points Which fo the following foods would be most appropriate for a child with celiac disease? Selected Answer: a. Rice with butter  Question 8 0 out of 1 points Which of the following is a measure of childhood intelligence? Selected Answer: a. Bayley scales  Question 9 1 out of 1 points An 8-month-old baby arrives to the office with his mother with a complaint of decreased left arm movement. He is a product of a normal term pregnancy, has had no medical problems, and was in good health when his mother dropped him off at the daycare center. Upper arm radiographs show a left humerus spiral fracture. Which of the following is the most appropriate next step in management? Selected Answer: b. Send the child to the hospital for admission and call child protective services.  Question 10 1 out of 1 points A 4-year-old female with profuse vomiting, sweating, lacrimation, and diarrhea, who seizes in the emergency room. Which of the following is the most likely etiology? Selected Answer: f. Insecticide ingestion  Question 11 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: d. Trial of ranitidine (Zantac)  Question 12 1 out of 1 points Which of the following therapeutic options is common for the treatment of both bee stings and bite wounds? Selected Answer: d. Tetanus vaccination  Question 13 1 out of 1 points You are examining Beth, age 9 months, and note a palpable right supraclavicular node. You know that this finding is suspicious for Selected Answer: d. Lymphoma of the mediastinum  Question 14 1 out of 1 points When examining a child with abdominal pain, what symptom would lead to a likely organic etiology? Selected Answer: c. Night waking  Question 15 1 out of 1 points Which of the following objective data are associated with significantly better long-term outcomes in children born with open spina bifida? Selected Answer: b. Perineal sensation  Question 16 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 17 1 out of 1 points A 3-year-old presents with macrocephaly, developmental delay, coarse facial features, large tounge, kyphosis, hip dislocation, tonsillar and adenoidal hypertrophy, and hepatomegaly. She is receiving early intervention services without improvement. What is the best next step? Selected Answer: a. Refer to genetics for further evaluations  Question 18 1 out of 1 points Ben has been diagnosed with folliculitis, an inflammatory condition involving the pilosebaceous follicle. What is the most common cause of this condition? Selected Answer: d. Staphylococcus aureus  Question 19 1 out of 1 points Which of the following is not true of insect stings from bees, wasps, and fire ants? Selected Answer: b. Greater reaction of hypersensitivity occurs most often with the initial exposure than with subsequent exposures.  Question 20 1 out of 1 points Unilateral wheezing is a finding suggestive of Selected Answer: c. Foreign body aspiration  Question 21 1 out of 1 points A 16-year-old is brought in as a walk-in by his parents. His parents state that he acutely developed a fever, chills and rash. He has been confused and not answering their questions. On examination he is toxically ill appearing, and is febrile, tachycardia and hypotensive. He is noted to have a diffuse petechial rash. What is the most likely diagnosis? Selected Answer: d. Meningococcemia  Question 22 1 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 lymph nodes. Which of the following is the most appropriate management? Selected Answer: c. Incision and drainage of the abscess  Question 23 1 out of 1 points A 15-day-old infant has respiratory distress. A quick observation suggests she has slight cyanosis, hepatosplenomegaly, and features consistent with Down Syndrome. The cardiac examination demonstrates a loud first heart sound, a low-pitched, middiastolic murmur at the lower left sternal border, and a harsh apical holosystolic murmur in the mitral area. Which of the following cardiac conditions most likely explains her heart findings? Selected Answer: c. Complete atrioventricular canal (endocardial cushion defect)  Question 24 1 out of 1 points The organism that causes hand, foot, mouth syndrome is what virus? Selected Answer: d. Coxsackie  Question 25 1 out of 1 points Your patient has inflammatory bowel disease. Which of the following finding is most consistent with ulcerative colitis? Selected Answer: a. Left-sided abdominal pain  Question 26 1 out of 1 points Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action? Selected Answer: b. Rule out a neurologic disorder.  Question 27 1 out of 1 points The parents of an 8-year-old Down Syndrome boy arrive for his annual well-child visit. He wants to participate in sports, including the Special Olympics. Until further examination can be completed, which of the following sports would you suggest as being safe? Selected Answer: e. Tennis