NUR 6551 final 2 pediatrics-1
Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code of Conduct including the
expectations for academic integrity?
Selected Answer: Yes
Question 2
0 out of 1 points
Lisa has Cushing's syndrome. You would suspect her to have or to develop
Selected Answer: d.
Excitability and nervousness
Question 3
0 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: e.
Esophageal foreign body
Question 4
1 out of 1 points
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing?
Selected Answer: d.
Epiglottitis
Question 5
1 out of 1 points
An 18-month-old African American girl is brought to your office because she has
been crying and stopped walking today. She will crawl, however. Her mom denies
any injury to the child. On examination, she is crying but consolable in her mother’s
arms. She has bruising and swelling just proximal to the left ankle. An x-ray reveals a
spiral fracture of the tibia. At this time, you advise the mother that:
Selected Answer: a.
This is a common fracture resulting from twisting on a planted foot.
Question 6
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: c.
Toe walking is considered normal until age 3.
Question 7
0 out of 1 points
Vomiting in infancy has a long list of differential diagnoses. Which of the following other symptoms would
mostly likely point to pyloric stenosis?
Selected Answer: a.
Hungry after vomiting
Question 8
1 out of 1 points
The following clinical description best matches which genetic disorder? An
institutionalized male juvenile delinquent upon close examination has severe
nodulocystic acne, mild pectus excavatum, large teeth, prominent glabella, and
relatively long face and fingers. His family says he has poor fine motor skills (such as
penmanship), an explosive temper, and a low-normal IQ.
Selected Answer: d.
XYY male
Question 9
1 out of 1 points
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis?
Selected Answer: a.
Port-wine stain (nervus flammeus)
Question 10
0 out of 1 points
A 6-year-old boy is left alone for 10 hours, now with hematemesis and pneumomediastinum on chest x-ray.
Which of the following is the most likely etiology?
Selected Answer: a.
Insecticide ingestion
Question 11
1 out of 1 points
In mild to moderate attacks of acute asthma, Albuterol should be given every 4-6 hours prn and routine
medication should be
Selected Answer: c.
Continued as usual
Question 12
1 out of 1 points
A 2-year-old presents to your office with the following symptoms: nasal congestion and rhinorrhea for 48 hours,
, low-grade fever, and a harsh/barky cough that is significantly worse at night. Inspiratory stridor is present and
she has clear but slightly decreased breath sounds. Which of the following treatments is best?
Selected Answer: c.
One dose of oral dexamethasone
Question 13
0 out of 1 points
A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping forehead, cutis aplasia
(missing portion of the skin and hair) of the scalp, polydactyly, microphthalmia, and omphalocele. Which of
these is the most likely diagnosis?
Selected Answer: e.
Edwards syndrome (trisomy 18)
Question 14
1 out of 1 points
Which of the following physical stigmata are common in newborns with Down syndrome?
Selected Answer: b.
Hypotonia, large-appearing tongue and small mouth, upward slant to eyes
Question 15
1 out of 1 points
You have a patient that you think may have intussusception. Which of the following finding may you see?
Selected Answer: b.
Inconsolable screaming
Question 16
0 out of 1 points
Which of the following is true regarding the diagnosis of epiglottitis?
Selected a.
Answer: Every effort should be made to visualize the epiglottitis in the office and confirm the
diagnosis
Question 17
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: d.
Send the child to the hospital for admission and call child protective services.
Question 18
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