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NSG 6435 Mid Term questions and answer
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NSG 6435 Mid Term questions and answer
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NSG 6435 Mid Term_____ adolescents should be screened for sexually transmitted diseases - correct answer-all
sexually active
_____ should be given as a supplement in the management of delays puberty - correct
answer-calcium and vitamin d
"Boggy" nasal mucous membranes with serous drainage upon examination usually suggests
- correct answer-allergic rhinitis
"culture is a social construction of the relationships within and among groups of human
beings..." which of the following is not a part of the products of culture? - correct
answer-none of the above
a 10 yr old has a single painful ulcerated lesion on an erythematous base on the inner
buccal mucosa. the most likely diagnosis and treatment would be - correct answer-pathos
ulcer; triamcinolone in orabase
a 10 yr old has marked ear pain, not wanting anyone to touch his ear. the canal is
edematous and exudate is present. the tympanic membrane is normal. how should this be
managed? - correct answer-topical fluoroquinolone
a 14 yr old adolescent present with fatigue, endocarditis, pulmonary hypertension,
arrhythmias, and congestive heart failure. you suspect he may have - correct answer-a
ventricular septal defect (VSD)
a 15 month old failed treatment with amoxicillin for an otitis media. at his 2 week recheck, his
tympanic membrane remained red with distorted landmarks and he persisted with nasal
discharge that is thick and yellowish. the best action for the NP should be to prescribe -
correct answer-a 10 day course of augmentin
A 16 yo girl makes the following statements to you during her health visit. Which of the
following pieces of information should not be kept confidential? - correct answer-sometimes I
feel like ending my life
a 16 yr old was hit in the eye 1 day ago and now has ecchymoses on the upper and lower
lids with 5/10 eye pain. all but which of the following would be appropriate to obtain at this
time? - correct answer-intraocular pressure
a 2yr old male with a history of chronic serous otitis media is noted to have a pearly white
opacity in the upper outer quadrant of his tympanic membrane. he currently has no
symptoms and appears to be ok. the most likely diagnosis and appropriate management
would be - correct answer-cholesteatoma; refer to otolaryngology
, a 3 month old has a mild asymmetrical corneal light reflex on physical exam. what is the next
appropriate step - correct answer-observe and reevaluate at the next well check
a 3 yr old has an edematous, mildly erythematous right upper eyelid for one day with a fever
of 103F. an important eye assessment would be - correct answer-ocular mobility
a 4 yr old male patient presents with his mother with a school referral regarding red eyes.
which questions would not assist in establishing a list of differential diagnoses? - correct
answer-history of a bacterial infection 1 month ago
a 5 yr old female present for a follow up emergency room visit with a diagnosis of bronchitis.
you would expect which treatment to have been prescribed? - correct answer-increase rest
and fluid
a 7 yr old has experienced recurrent nose bleeds in the past 2 months. what finding on the
physical exam would suggest an underlying medical cause for the epistaxis? - correct
answer-petechiae
a 9 month old is noted to have a bifid uvula. this would increased his risk of developing
which disorder? - correct answer-otitis media
a child presents to the primary care clinic with chest pain. the provider is aware that chest
pain in children is usually a symptom of - correct answer-non cardiac condition
A cobblestone appearance of the palpebral conjunctiva usually indicates - correct
answer-severe allergy
a conjunctivitis appearing in a 2 day old newborn is likely due to - correct answer-chemical
irritation from eye drops
A grade II musical or vibratory murmur heard best at the lower left sternal border that
changes with positioning is suggestive of a - correct answer-vibratory or still's murmur
A hypernasal voice and snoring in a child is suggestive of - correct answer-hypertrophied
adenoids
a NP is completing a cardiac assessment on a child and detects a murmur. which of the
following is true regarding innocent murmur? - correct answer-the murmur is of low intensity
a pediatric patient has just been diagnosed with otitis external. which of the following should
the patient be instructed to do? - correct answer-keep ear dry until symptoms improve
A shift to the left is present when which of the following are elevated - correct answer-bands
or stabs
A white instead of red reflex upon eye examination of a 1 yo child would suggest - correct
answer-retinoblastoma
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