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WGU D119 PEDS QUESTIONS AND ANSWERS 2024
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WGU D119 PEDS QUESTIONS AND ANSWERS 2024
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WGU D119 PEDSA school-age child has an abrupt onset of sore throat, nausea, headache, and a
temperature of 102.3°F. An examination reveals petechiae on the soft palate,
beefy-red tonsils with yellow exudate, and a scarlet rash. A Rapid Antigen
Detection Test (RADT) is negative. What is the next step in management for this
child? - ANSWERS-Perform a follow-up throat culture
An adolescent has suspected infectious mononucleosis after exposure to the virus
in the past week. The primary care pediatric nurse practitioner examines the
adolescent and notes exudate on the tonsils, soft palate petechiae, and diffuse
adenopathy. Which test will the Family nurse practitioner perform to confirm the
diagnosis? - ANSWERS-EBV-specific antibody test
The parent of a toddler and a 4-week-old infant tells the Family nurse practitioner
that the toddler has just been diagnosed with pertussis. What will the nurse
practitioner do to prevent disease transmission to the infant? - ANSWERS-Order
azithromycin 10mg/kg/day in a single dose daily for 5 days
A previously healthy school-age child develops a cough and a low-grade fever. The
Family nurse practitioner auscultates wheezes in all lung fields. Which diagnosis
will the nurse practitioner suspect? - ANSWERS-atypical pneumonia
A child is diagnosed with community-acquired pneumonia and will be treated as
an outpatient. Which antibiotic will the Family nurse practitioner prescribe? -
ANSWERS-Amoxicillin
,an eight-year-old child comes to the clinic with a history of hard, painful bowel
movements. The child's physical examination yields normal findings and an x-ray
confirms constipation. The nurse practitioner instructs the parent to increase
fiber rich foods for the child and to: - ANSWERS-limit milk consumption to 16 oz
per day;
milk containing products in those high in carbohydrates tend to worse and
constipation. The recommendations for children for milk consumption should be
16 oz per day. Increasing the cheese intake could worsen constipation. Candy bar
should not be offered daily but only occasionally As a treat. Sports drinks are high
in carbohydrates which adds unnecessary calories to the child's diet. Children
should consume water and two glasses of milk daily with a boy dance of sugary
beverages
The viral gastroenteritis seen in older children and adults has a short incubation of
18 to 72 hours and a short duration of 24 to 48 hours, is characterized by abrupt
onset of nausea and abdominal cramps, followed by vomiting and diarrhea, and is
often accompanied by headache in myalgia. What causes this disorder? -
ANSWERS-enteric calicivirus
the family nurse practitioner is interpreting the notation of "string sign" on an
upper gastrointestinal series performed on an infant. What diagnosis is this
associated with? - ANSWERS-pyloric stenosis,
the string sign is indicative of a narrow pyloric Channel and its associated with
pyloric stenosis. Intussusception would be evaluated by a barium enema.
hirschsprung's disease or congenital aganglionic megacolon, can be diagnosed
with a Wagensteen-Rice series (air rises in the inflated colon). gastroesophageal
reflux is usually diagnosed by clinical findings and infants. Barium swallow will
,reveal free regurgitation of barium from stomach to esophagus. And upper GI
series would be performed to rule out causes of vomiting
an 18 month old child is brought to the clinic by her mother and is complaining of
abrupt onset of vomiting, followed by more than 10 liquid stools with mucus for
the last 48 hours. The temperature is 100° Fahrenheit orally. The stool smear
obtained by the fnp is negative for white blood cells. What is the most likely
etiologic pathogen for this young child gastroenteritis? - ANSWERS-rotavirus;
Rotavirus is the most frequent cause of gastroenteritis in children six months to
two years of age. the Norwalk virus is more predominant in school age children.
Up to 58% diarrhea in children results from viral infections, causing vomiting and
then diarrhea. The stool smear is negative for white blood cells and viral causes in
positive in bacterial causes. And viral diarrhea, the fever is mild, and diarrhea is
watery and non bloody.
what are the most consistent clinical findings in children with acute appendicitis?
- ANSWERS-low grade fever and Periumbilical abdominal pain;
appendicitis usually begins as Periumbilical abdominal pain accompanied by
anorexia and nausea but not necessarily vomiting or diarrhea. Within hours the
patient may develop a low-grade fever. Most laboratory tests are normal. A white
blood count greater than 15000/mm3 it's often noted but neither confirms nor
excludes the diagnosis of appendicitis. Pyuria is not indicative of appendicitis and
suggests renal disease
what physical findings would lead the family nurse practitioner to suspect
Hirschsprung's disease in a six-month-old infant? - ANSWERS-history of
constipation and current abd distention;
, classic signs and symptoms of Hirschsprung's disease in later infancy include
alternating diarrhea and constipation and abdominal distension. The stools are
expensive and ribbon like, the abdomen is enlarged, and the veins are prominent.
The other listed physical findings are not usually found in Hirschsprung's disease
but are prevalent and other gastrointestinal disorders.
the family nurse practitioner understands that common causes of recurrent
abdominal pain in children are: - ANSWERS-parasitic infestation, lactose
intolerance, and chronic stool retention;
parasitic infestation cause recurrent episodes of abdominal pain, often with
diarrhea, nausea, and vomiting, depending on the top of infestation. Lactose
intolerant can cause recurrent abdominal pain in the lower abdomen with
cramping and distention. chronic stool retention occurs in a child with a history of
ineffective toilet training. There is often a family history of constipation. All other
conditions present with acute symptoms, except for psychogenic pain, which is
recurrent and is a diagnosis of exclusion.
Which of the following children requires a language referral for further
evaluation? - ANSWERS-2 year old who cannot put two words together
While evaluating a three-day-old infant, the FNP turns the infant on the side to
examine the back and notes a sharp line of demarcation dividing the upper and
lower parts of the body. The dependent half is bright red and the superior half is
pale. The etiology of this phenomenon is: - ANSWERS-An immature autonomic
regulatory system, generally referred to as the "Harlequin" sign
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