NURS 612 MODULE 1-8 QUIZ QUESTIONS WITH VERIFIED
ANSWERS
Correct 57
Incorrect 00
1 of 57
Definition
D. Legg Calve Perthes Disease (LCP)
Give this one a try later!
A 4-year-old presents with muffled R sided hearing 2 weeks after antimicrobial
therapy for otitis media. The child's ear pain and fever have resolved, but exam
reveals fluid remaining posterior to the TM. The best course of management is to:
A. Refer to an ENT for possible PE tube placement/tonsillectomy and
adenoidectomy
B. Treat with an antihistamine/decongestant medication
C. Review risk factors with guardian and plan to repeat the exam in two weeks
D. Treat with another course of antibiotic medication
,A 2-year-old presents with purulent ,foul-smelling nasal discharge from the right
nostril. Nasal visualization reveals a bead in the R nares. What is should the family
nurse practitioner should do next?
A. Attempt to remove the mass gently using alligator forceps. (assure good
positioning/lighting
B. Perform a saline nasal rinse using a water jet device.
C. Refer the child to a pediatric otolaryngologist
D. Instruct the child to blow her nose, then use a bulb syringe.
An 8-year-old female with a history of moderate asthma presents 3-day
history of limp which has occurred in the past but resolved spontaneously in
24 hours and were attributed to "growing pains" with no specific history of
trauma. Physical Exam reveals T 37°C (98.6°F), P 80, R 22. On physical
examination, she is well-appearing, you note a Trendelberg Gait and has
limited ROM of her left hip with moderate pain to passive movement.
Laboratory tests: CBC with differential is WNL and left hip x-ray reveals
sclerosis with changes of the of the femoral head and loss of structural
integrity of the epiphysis history, the most likely diagnosis is:
A. Osteosarcoma
B. Slipped capital epiphysis
C. Osteomyelitis
D. Legg Calve Perthes Disease (LCP)
, A 2-year-old female Annie presents for evaluation of a sudden onset of not using
her left arm for 3 hours. Her mother is perplexed because she is certain Annie did
not fall, she was just playing with her 9-year-old sister. Her vital signs are as follows:
BP 88/50, P 120, T 98.1, R 28. On physical examination, you observe she will only
extend her right hand when offered a lollipop. Using play and distraction with
palpation you find the tenderness is localized to the left elbow, but note no
swelling or erythema. Given your most likely diagnosis, your best next step is:
A. Order an x-ray L elbow
B. Order a sling and swathe or the L eDlb
o no'twknow?
C. Supporting the affected elbow and with your other hand supinate and flex the
elbow (attempt reduction)
2 of 57
D. Order acetaminophen 15 mg/kg and plan follow-up in 2-3 days.
Term
Which of the musculoskeletal pain presentations not associated with a
specific traumatic injury has risk factors of: ages 10-18 years, obesity
and occurs during rapid growth (adolescence).
A. Osteosarcoma
B. Slipped capital epiphysis
C. Subluxed radial head
D. Legg Calve Perthes Disease (LCP)
Give this one a try later!
C. Saline nasal rinses B. Strep. pneumoniae
, C. Least invasive to most invasive B. Slipped capital epiphysis
Don't know?
3 of 57
Definition
B. Trimethoprim-sulfamethoxazole 8-12mg/kg/day divided bid x 10 days
Give this one a try later!
Which of the musculoskeletal pain presentations not associated with a specific
traumatic injury has risk factors of: ages 10-18 years, obesity and occurs during rapid
growth (adolescence).
A. Osteosarcoma
B. Slipped capital epiphysis
C. Subluxed radial head
D. Legg Calve Perthes Disease (LCP)
ANSWERS
Correct 57
Incorrect 00
1 of 57
Definition
D. Legg Calve Perthes Disease (LCP)
Give this one a try later!
A 4-year-old presents with muffled R sided hearing 2 weeks after antimicrobial
therapy for otitis media. The child's ear pain and fever have resolved, but exam
reveals fluid remaining posterior to the TM. The best course of management is to:
A. Refer to an ENT for possible PE tube placement/tonsillectomy and
adenoidectomy
B. Treat with an antihistamine/decongestant medication
C. Review risk factors with guardian and plan to repeat the exam in two weeks
D. Treat with another course of antibiotic medication
,A 2-year-old presents with purulent ,foul-smelling nasal discharge from the right
nostril. Nasal visualization reveals a bead in the R nares. What is should the family
nurse practitioner should do next?
A. Attempt to remove the mass gently using alligator forceps. (assure good
positioning/lighting
B. Perform a saline nasal rinse using a water jet device.
C. Refer the child to a pediatric otolaryngologist
D. Instruct the child to blow her nose, then use a bulb syringe.
An 8-year-old female with a history of moderate asthma presents 3-day
history of limp which has occurred in the past but resolved spontaneously in
24 hours and were attributed to "growing pains" with no specific history of
trauma. Physical Exam reveals T 37°C (98.6°F), P 80, R 22. On physical
examination, she is well-appearing, you note a Trendelberg Gait and has
limited ROM of her left hip with moderate pain to passive movement.
Laboratory tests: CBC with differential is WNL and left hip x-ray reveals
sclerosis with changes of the of the femoral head and loss of structural
integrity of the epiphysis history, the most likely diagnosis is:
A. Osteosarcoma
B. Slipped capital epiphysis
C. Osteomyelitis
D. Legg Calve Perthes Disease (LCP)
, A 2-year-old female Annie presents for evaluation of a sudden onset of not using
her left arm for 3 hours. Her mother is perplexed because she is certain Annie did
not fall, she was just playing with her 9-year-old sister. Her vital signs are as follows:
BP 88/50, P 120, T 98.1, R 28. On physical examination, you observe she will only
extend her right hand when offered a lollipop. Using play and distraction with
palpation you find the tenderness is localized to the left elbow, but note no
swelling or erythema. Given your most likely diagnosis, your best next step is:
A. Order an x-ray L elbow
B. Order a sling and swathe or the L eDlb
o no'twknow?
C. Supporting the affected elbow and with your other hand supinate and flex the
elbow (attempt reduction)
2 of 57
D. Order acetaminophen 15 mg/kg and plan follow-up in 2-3 days.
Term
Which of the musculoskeletal pain presentations not associated with a
specific traumatic injury has risk factors of: ages 10-18 years, obesity
and occurs during rapid growth (adolescence).
A. Osteosarcoma
B. Slipped capital epiphysis
C. Subluxed radial head
D. Legg Calve Perthes Disease (LCP)
Give this one a try later!
C. Saline nasal rinses B. Strep. pneumoniae
, C. Least invasive to most invasive B. Slipped capital epiphysis
Don't know?
3 of 57
Definition
B. Trimethoprim-sulfamethoxazole 8-12mg/kg/day divided bid x 10 days
Give this one a try later!
Which of the musculoskeletal pain presentations not associated with a specific
traumatic injury has risk factors of: ages 10-18 years, obesity and occurs during rapid
growth (adolescence).
A. Osteosarcoma
B. Slipped capital epiphysis
C. Subluxed radial head
D. Legg Calve Perthes Disease (LCP)
