NURS 6541 Final Exams (Latest Graded)

NURS 6541 Final Exams (Latest Graded) This is a complete and an all-inclusive guide to NURS 6541 Final Exams (Latest Graded). 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: d. Diabetes mellitus  Question 6 1 out of 1 points Children in child care facilities are at greater risk of being exposed to which of the following infections? Selected Answer: b. HAV  Question 7 1 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: b. Esophageal foreign body  Question 8 1 out of 1 points A 14-month-old child has lower extremity bowing, a waddling gait, genu varum, and is at the 5 th percentile for height. Laboratory data include low-normal serum calcium, moderately low serum phosphate, and elevated serum alkaline phosphatase levels, hyperphosphaturia, and normal parathyroid levels. Which of the following is the most likely diagnosis? Selected Answer: e. Genetic primary hypophosphatemia  Question 9 1 out of 1 points The most common trigger for an acute asthma episode in the very young child is Selected Answer: d. Respiratory infections  Question 10 1 out of 1 points What is the primary treatment for testicular torsion? Selected Answer: c. Immediate surgical referral  Question 11 1 out of 1 points When Jason, age 12, slid into homeplate while playing baseball, he injured his ankle. You are trying to differentiate between a strain and a sprain. You know that a sprain Selected Answer: b. Is an injury to the ligaments that attach to the bones in a joint.  Question 12 1 out of 1 points The most common presentation of Hirschprung disease is which of the following? Selected Answer: b. Infrequent bowel movements  Question 13 0 out of 1 points Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes. She is worried that she will not fit in with her friends anymore because she does not think she can have all the same snacks they have. How do you respond? Selected Answer: c. Be sure to stick to snacks that are high in simple carbohydrates.  Question 14 1 out of 1 points Which of the following is not a sign or symptom of congenital hypothyroidism? Selected Answer: a. Frequent stooling  Question 15 0 out of 1 points You see a 7-year-old boy a day after he was bitten by his pet dog. According to the mother, the dog bit the child after he snuck up on the dog and grabbed his tail. The dog has had all its vaccinations, including rabies. The child has had no fever, has full movement of the injured limb, and has no sign of neurologic or vascular injury. The wound is on the child’s forearm, is not deep, and is not bleeding, but has developed about 2 cm of erythema surrounding the site. Which of the following is the most appropriate treatment? Selected Answer: d. Oral amoxicillin-clavulanate for 3-5 days  Question 16 1 out of 1 points Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram. Which of the following diagnosis would you suspect Robert as having? Selected Answer: b. Marfan syndrome  Question 17 1 out of 1 points An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000, but is otherwise normal. Serum electrolytes are normal. The next step is Selected Answer: a. Refer to surgery for evaluation for appendicitis.  Question 18 1 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: b. Sausage-shaped mass in abdomen  Question 19 1 out of 1 points Which of the following is a characteristic physical sign of fragile X syndrome in adolescent males? Selected Answer: a. Macro-orchidism  Question 20 1 out of 1 points A 3-week old presents to the office in January with a 1-week history of nasal congestion and occastional cough. On the night prior to the visit in infant developed a fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethergic with wheezing, tachypnea, and intercostal retractions. The infant is home with the mom at this time; however, has a sibling who is 4-years-old and is in daycare and recently had cold symptoms. If the patient has been diagnosed with RSV bronchiolitis, which of the following would be the treatment of choice? Selected Answer: b. Fluids and nutritional support and close monitoring  Question 21 1 out of 1 points An adolescent who has tall stature, increased arm span, laxity of joints, pectus excavatum, and abnormal echocardiogram woudl be expected to have Selected Answer: d. Marfan syndrome  Question 22 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 23 1 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: c. Patau syndrome (trisomy 13)  Question 24 1 out of 1 points A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal. The most likely etiology is Selected Answer: b. Chlamydia pneumonia  Question 25 1 out of 1 points A common cause of in-toeing in childhood is Selected Answer: d. Internal tibial torsion  Question 26 1 out of 1 points Individuals with chronic adrenal insufficiency often have Selected Answer: d. A craving for salt  Question 27 1 out of 1 points Which of the following should be done annually after 1 year of age in a child with Down syndrome? Selected Answer: d. Thyroid screenings