NR602 APPB MIDTERM QUESTIONS WITH
COMPLETE SOLUTIONS
. the most common type of headache with onset in adolescence
is: Correct Answer tension headache
● Penicillin G is the drug of choice with modification based on
culture sensitivities Correct Answer ● Scarlet fever: begins
after flu like sx caused by GAS
● 1st day rash: papular rash, similar in appearance to sandpaper,
associated w/ throat pain/pharingitis, flushed cheeks, increased
density of neck,transverse lines /pastia sign, increased density in
the groin
● day 3: strawberry tongue, +blanching test
A nurse conducting a meeting on prevention of eye injuries.
Which statements by the group members indicate that the group
needs additional teaching? Select all that apply Correct Answer
-"If you get hit in the eye with something, apply direct pressure
with an ice pack."
"If your eyes feel gritty while you are wearing contact lenses,
put rewetting drops in them."
Abrasions Correct Answer ● red streaking. Assess circulation,
sensation, motion, ****function of surrounding area
Acute care PNPs Correct Answer ● provide care for acutely,
critically, and chronically ill children who are unstable,
experiencing life-threatening illness, are medically fragile and/or
technologically dependent.
,● is not the site where they practice, but the acuity of the patient
for whom they are caring
An 8-year-old has a painful limp. He reports that his knee hurts
medially. On exam he has pain with internal rotation of the hip.
How should the NP manage this situation? Correct Answer He
should be immediately referred to orthopedic
The NP should order a hip and knee x-ray, CBC and ESR.
He should be referred for synovial fluid aspiration.
asthma diagnostics Correct Answer ● Pulmonary function tests
- Spirometry (PEFR or FEV1)
● chest x-ray PA and lateral
● Oxygen saturation (SaO2)
● CBC if anemia is suspected
Atrial septal defect Correct Answer ● Left to right shunting
(Acyanotic)↑ Pulmonary blood flow
● Opening in septum between atria
● Signs: widely split S2, right ventricle heave, systolic murmur
at pulmonic or diastolic murmur at tricuspid
● Symptoms: asymptomatic; older children may have fatigue or
exercise intolerance
Best sports to play if you have asthma Correct Answer ● those
physical activities of short duration—golf, volleyball,
gymnastics, baseball, wrestling, football, and short-term track
and field events. While some swimming can be a high-
endurance event, the warmth and humidity around the pool
make breathing easier
, best way to differentiate severity of asthma Correct Answer ●
intermittent: less than 2 days a week
● mild: greater than 2 days a week
● moderate: daily
● severe: several times per day
Bronchitis Correct Answer ● Management: pain med.
hydration. bronchodilator if obstruction/wheezing
● SABA, atrovent, short term course of corticosteroids
Cataract Correct Answer Must see ophthalmologist if
amblyopia may develop.
Cath up immunizations Correct Answer ??
Cerebral palsy Correct Answer ● 75% of CP cases are spastic
or characterized by muscular rigidity, difficulty lifting his head
and stiff legs that cross when picked up.
Clinical findings of an ACL sprain? Correct Answer ●
Swelling/effusion and pain.
● Instability with lateral movement.
● POSITIVE Lachman test.
clinical findings of down syndrome Correct Answer ● round
flat face
● upward slanting eyes
● low set ears
● chronic open mouth d/t enlarged tongue
● simian crease
● cataracts
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