NURS 535 ACTUAL FINALS QUESTIONS AND
ANSWERS SET A+
✔✔Juvenile Arthritis is considered an autoimmune or genetic disorder? -
✔✔Autoimmune
✔✔What is the most common clinical features of Wilms tumor? - ✔✔A.) Palpable tumor
of kidney, microscopic or gross hematuria, involving the intestines
B.) Palpable tumor of kidney, microscopic or gross hematuria, does not involve the
intestines
✔✔Child comes in after several days of high fever (resolved) and then child breaks out
in maculopapular rash that starts on trunk and chest and is now on face and arms. What
is probable diagnosis? - ✔✔A.) ITP
B.) Eczema
C.) Roseola
✔✔Painless gold sized lump in inguinal region. Suspect child could have cancer. What
would you expect? - ✔✔A.) neuroblastoma
B.) Ewings sarcoma
C.) Lymphoma
✔✔Fussy, febrile 1 year old comes in with ulcerations on soft palate, circumoral on
palms and soles of feet. What is likely diagnosis? - ✔✔A.) Erythema infectiosis
B.) Cox Sackie (hand, foot, mouth)
✔✔Febrile seizure-mom worries of risk of future febrile seizure. You would tell her -
✔✔A.) She is at high risk for another febrile seizure
B.) It is low risk and she will likely grow out of it
✔✔What would you find with Supportive Otitis Media - ✔✔A.) Grey tympanic membrane
with mobile TM and present landmarks
B.) TM purulent and bulging with immobile or absent landmarks, very painful
, ✔✔Eyelid redness and swelling , afebrile, non toxic appearing, focal erythemoutous
eruption with small pustule - ✔✔A.) Stye (Hardelum)
B.) Bacterial Conjunctivitis
✔✔Preadolescent girl with scoliosis. How is the test conducted? What are we looking
for? - ✔✔A.) Bend at waist, look for asymmetry in back and hip region
B.) Bend at waist, look for symmetry in back and hip region
✔✔Resistance or pain in low back or posterior thigh when knees extend from flexed
knee - ✔✔A.) + Babinski
B.) + Kernig
C.) + Romberg
✔✔Overweighht 14 year old coming to ED complaining of hip and thigh pain over the
past few weeks. No history of trauma. Externally rotated position of affected leg is
shorter than the other. What is the likely diagnosis? - ✔✔A.) SCFE (slipped capital
femoral ephysis)
B.) Osteoarthitis
C.) Juvenile arthritis
✔✔Describe Still's murmur/innocent murmer - ✔✔A.) Humming, vibratory, musical
B.) Wheezing
C.) Whooshing sound
✔✔9 year old with presistent asthma who is not taking inhaled corticosteroids, but uses
albuterol PRN to relieve cough and wheeze. Mom states she is using albuterol 4-6x
day. What is your biggest concern - ✔✔A.) Risk for airway obstruction
B.) Risk for hypoperfusion
C.) Risk for asthma related death
✔✔Risk for acute bronchiolitis is highest in which age group - ✔✔A.) Ages 2-8
B.) infants younger than age 2
C.) preadolescents
✔✔3 year old has accidentally fallen off her growth curb. Mom denies any change in
diet. Congenital growth hormone deficiency can be associated with - ✔✔A.) Abnormal
pituitary hormone or other syndrome
B.) SIADH
C.) Hypothyroidism
✔✔Falling off bike and presents with painful ROM in wrist. Initially XRAY was negative.
What type of salters fracture can look like this - ✔✔A.) Salter III
B.) Salter I
ANSWERS SET A+
✔✔Juvenile Arthritis is considered an autoimmune or genetic disorder? -
✔✔Autoimmune
✔✔What is the most common clinical features of Wilms tumor? - ✔✔A.) Palpable tumor
of kidney, microscopic or gross hematuria, involving the intestines
B.) Palpable tumor of kidney, microscopic or gross hematuria, does not involve the
intestines
✔✔Child comes in after several days of high fever (resolved) and then child breaks out
in maculopapular rash that starts on trunk and chest and is now on face and arms. What
is probable diagnosis? - ✔✔A.) ITP
B.) Eczema
C.) Roseola
✔✔Painless gold sized lump in inguinal region. Suspect child could have cancer. What
would you expect? - ✔✔A.) neuroblastoma
B.) Ewings sarcoma
C.) Lymphoma
✔✔Fussy, febrile 1 year old comes in with ulcerations on soft palate, circumoral on
palms and soles of feet. What is likely diagnosis? - ✔✔A.) Erythema infectiosis
B.) Cox Sackie (hand, foot, mouth)
✔✔Febrile seizure-mom worries of risk of future febrile seizure. You would tell her -
✔✔A.) She is at high risk for another febrile seizure
B.) It is low risk and she will likely grow out of it
✔✔What would you find with Supportive Otitis Media - ✔✔A.) Grey tympanic membrane
with mobile TM and present landmarks
B.) TM purulent and bulging with immobile or absent landmarks, very painful
, ✔✔Eyelid redness and swelling , afebrile, non toxic appearing, focal erythemoutous
eruption with small pustule - ✔✔A.) Stye (Hardelum)
B.) Bacterial Conjunctivitis
✔✔Preadolescent girl with scoliosis. How is the test conducted? What are we looking
for? - ✔✔A.) Bend at waist, look for asymmetry in back and hip region
B.) Bend at waist, look for symmetry in back and hip region
✔✔Resistance or pain in low back or posterior thigh when knees extend from flexed
knee - ✔✔A.) + Babinski
B.) + Kernig
C.) + Romberg
✔✔Overweighht 14 year old coming to ED complaining of hip and thigh pain over the
past few weeks. No history of trauma. Externally rotated position of affected leg is
shorter than the other. What is the likely diagnosis? - ✔✔A.) SCFE (slipped capital
femoral ephysis)
B.) Osteoarthitis
C.) Juvenile arthritis
✔✔Describe Still's murmur/innocent murmer - ✔✔A.) Humming, vibratory, musical
B.) Wheezing
C.) Whooshing sound
✔✔9 year old with presistent asthma who is not taking inhaled corticosteroids, but uses
albuterol PRN to relieve cough and wheeze. Mom states she is using albuterol 4-6x
day. What is your biggest concern - ✔✔A.) Risk for airway obstruction
B.) Risk for hypoperfusion
C.) Risk for asthma related death
✔✔Risk for acute bronchiolitis is highest in which age group - ✔✔A.) Ages 2-8
B.) infants younger than age 2
C.) preadolescents
✔✔3 year old has accidentally fallen off her growth curb. Mom denies any change in
diet. Congenital growth hormone deficiency can be associated with - ✔✔A.) Abnormal
pituitary hormone or other syndrome
B.) SIADH
C.) Hypothyroidism
✔✔Falling off bike and presents with painful ROM in wrist. Initially XRAY was negative.
What type of salters fracture can look like this - ✔✔A.) Salter III
B.) Salter I
