NURS 535 EXAM 2 QUESTIONS AND ANSWERS
SET A+
✔✔Tender, hot, swollen knee, fell x 2 weeks, abrasion of skin at site, pain with weight
bearing, pain with flexion of knee, decreased appetite, irritable - ✔✔A.) Septic Arthritis
B.) Juvenile Artritis
✔✔Pruritic eruption, more itchy at night, interdigit spaces of hands and/or feet, no
drainage, duper itchy - ✔✔Scabies
✔✔1 month old for eval delivered breech, weight 10 lb. on exam symmetry of gluteal
fold and limited hip adduction. a + ortolini click would indicate - ✔✔Hip Dysplasia
✔✔Persistent pain of plantar aspect of foot 2 months ago stepped on something at
beach while barefoot. Pain, erythema, swelling, was treated for infection with amoxicillin
for 10 days. What are the the most likely differential diagnoses/diagnosis - ✔✔A.)
Foreign Body
B.) Osteomyelitis
C.) Cellulitis
D.) All of the above
✔✔3 year old presents with left arm pain, was playing with brother prior but mom is
unsure of mechanism. She notes he is always pulling on his arm. Most likely diagnosis
is - ✔✔A.) Fracture
B.) Nursemaid
C.) Dislocation
✔✔4 year old with sever headache and multiple episodes of projectile vomiting, denies
recent illness or sick exposure and wont take anything. lethargic, minimal simple
commands. Next best action is - ✔✔Go to ED for questionable tumor or increased ICP
, ✔✔22 month old presents for evaluation. Mom is concerned because he doesn't speak
yet and seems withdrawn. He does not like to play with other children and has intense
melt downs. What is most likely diagnosis - ✔✔A.) ADHD
B.) Oppositional defiant disorder
C.) Autism
✔✔With regards to salter harris what structure is - ✔✔A.) Ephysis
B.) Physis
✔✔12 year old with cat bite best abx - ✔✔A.) Augmentin
B.) PCN
C.) Doxycyline
✔✔17 year old presents with facial swelling, itching after eating protein bar. She speaks
in full sentences but reports throat feels tight. On eval uvula is midline and airway is
unobstructed. She has no history of or allergy or allergic reaction. Best next action -
✔✔A.) Benedryl
B.) Epi
✔✔4 year old with cystic fibrosis (autosomal recessive disorder). While counseling
family we explain that autosomal recessive means there are how many copies - ✔✔A.)
1
B.) 2
C.) 3
✔✔3 week old with temp of 103.8F w/ no significant findings. What would your next step
be? - ✔✔A.) Tylenol for temp
B.) Encourage breast feedings
C.) Septic Workup in the ED
✔✔Female teen in ED fainting in gym. Your assessment indicates she is underweight,
skin dry, complains of feeling cold despite wearing 2 sweaters. Your concern is
anorexia. As an NP what is the most important question to ask? - ✔✔A.) Why are you
wearing 2 sweaters?
B.) Do you ever lose lapses in time?
C.) When was your last menstrual period?
✔✔9month old infant presents with history of complications at birth. What would you
expect to be abnormal? - ✔✔A.) Sits unsupported
B.) Moro Reflex is present
✔✔Child comes in with pain x 2 weeks in left knee, fatigue, temp 101F, limping, joint
pain. What would your next diagnostic test be? - ✔✔A.) Synovial fluid aspiration
B.) XRAY of Knee to rule out fracture
SET A+
✔✔Tender, hot, swollen knee, fell x 2 weeks, abrasion of skin at site, pain with weight
bearing, pain with flexion of knee, decreased appetite, irritable - ✔✔A.) Septic Arthritis
B.) Juvenile Artritis
✔✔Pruritic eruption, more itchy at night, interdigit spaces of hands and/or feet, no
drainage, duper itchy - ✔✔Scabies
✔✔1 month old for eval delivered breech, weight 10 lb. on exam symmetry of gluteal
fold and limited hip adduction. a + ortolini click would indicate - ✔✔Hip Dysplasia
✔✔Persistent pain of plantar aspect of foot 2 months ago stepped on something at
beach while barefoot. Pain, erythema, swelling, was treated for infection with amoxicillin
for 10 days. What are the the most likely differential diagnoses/diagnosis - ✔✔A.)
Foreign Body
B.) Osteomyelitis
C.) Cellulitis
D.) All of the above
✔✔3 year old presents with left arm pain, was playing with brother prior but mom is
unsure of mechanism. She notes he is always pulling on his arm. Most likely diagnosis
is - ✔✔A.) Fracture
B.) Nursemaid
C.) Dislocation
✔✔4 year old with sever headache and multiple episodes of projectile vomiting, denies
recent illness or sick exposure and wont take anything. lethargic, minimal simple
commands. Next best action is - ✔✔Go to ED for questionable tumor or increased ICP
, ✔✔22 month old presents for evaluation. Mom is concerned because he doesn't speak
yet and seems withdrawn. He does not like to play with other children and has intense
melt downs. What is most likely diagnosis - ✔✔A.) ADHD
B.) Oppositional defiant disorder
C.) Autism
✔✔With regards to salter harris what structure is - ✔✔A.) Ephysis
B.) Physis
✔✔12 year old with cat bite best abx - ✔✔A.) Augmentin
B.) PCN
C.) Doxycyline
✔✔17 year old presents with facial swelling, itching after eating protein bar. She speaks
in full sentences but reports throat feels tight. On eval uvula is midline and airway is
unobstructed. She has no history of or allergy or allergic reaction. Best next action -
✔✔A.) Benedryl
B.) Epi
✔✔4 year old with cystic fibrosis (autosomal recessive disorder). While counseling
family we explain that autosomal recessive means there are how many copies - ✔✔A.)
1
B.) 2
C.) 3
✔✔3 week old with temp of 103.8F w/ no significant findings. What would your next step
be? - ✔✔A.) Tylenol for temp
B.) Encourage breast feedings
C.) Septic Workup in the ED
✔✔Female teen in ED fainting in gym. Your assessment indicates she is underweight,
skin dry, complains of feeling cold despite wearing 2 sweaters. Your concern is
anorexia. As an NP what is the most important question to ask? - ✔✔A.) Why are you
wearing 2 sweaters?
B.) Do you ever lose lapses in time?
C.) When was your last menstrual period?
✔✔9month old infant presents with history of complications at birth. What would you
expect to be abnormal? - ✔✔A.) Sits unsupported
B.) Moro Reflex is present
✔✔Child comes in with pain x 2 weeks in left knee, fatigue, temp 101F, limping, joint
pain. What would your next diagnostic test be? - ✔✔A.) Synovial fluid aspiration
B.) XRAY of Knee to rule out fracture
