NU 665 FINAL EXAM|| ACTUAL FINAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+|| LATEST AND COMPLETE VERSION
2024 WITH EXPERT VERIFIED SOLUTIONS||
ASSURED PASS!!!
A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that these
behaviors began shortly after a sibling was born. What will the primary care
pediatric nurse practitioner do? - ANSWER: Engage the parent in positive
parenting strategies to facilitate appropriate child coping.
A 14-year-old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative. The adolescent's body weight is at 82% of expected for
height and age. The mother reports that her daughter often throws up and refuses to
eat most foods. Which condition does the primary care pediatric nurse practitioner
suspect? - ANSWER: Anorexia nervosa
Which type of heat-related illness involves a core body temperature of at least
104.9°F, acute mental status changes, absent sweat, and tachypnea? - ANSWER:
Heat stroke
What percentage of burns is involved using the rule of nines if both front legs are
burned? - ANSWER: 18%
Which drug commonly prescribed for burns is active against a wide spectrum of
microbial pathogens and is the most frequently used agent for partial- and full-
thickness thermal injuries? - ANSWER: Silver sulfadiazine (Silvadene)
A sunscreen with a sun-protection factor of at least what number will block most
harmful ultraviolet radiation? - ANSWER: 15
,2|Pag e
Which clinical feature is the first to be affected in increased intracranial pressure? -
ANSWER: Decrease in level of consciousness
What is the normal number for the Glasgow Coma Scale? - ANSWER: 15
Which diagnostic test is the best to diagnose a subdural hematoma? - ANSWER:
Magnetic resonance imaging (MRI)
Patients with a spontaneous pneumothorax should be counseled that up to what
percentage may experience a reoccurrence at some point? - ANSWER: 30%
Most adult poisonings are: - ANSWER: Intentional and self-inflicted
Which method is used to remove heavy metals, such as lead, that are ingested as
poisons? - ANSWER: Chelation
If a previously frostbitten area becomes frostbitten again after it has healed, what
might occur? - ANSWER: Permanent tissue damage may occur, resulting in
necrosis to that body part.
What percentage of all visits to the emergency department (ED) are related to
wounds? - ANSWER: 12%
Which solution should be used when irrigating lacerated tissue over a wound on
the arm? - ANSWER: Saline irrigation or soapy water
,3|Pag e
Which type of burn injury results in destruction of the epidermis with most of the
dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
- ANSWER: Deep partial-thickness burns
Which carboxyhemoglobin (COHb) level correlates with the clinical symptoms of
confusion, lethargy, and ST-segment depression on the electrocardiogram? -
ANSWER: 30% COHb
Which causes the greatest percentage of mammalian bites? - ANSWER: Dogs
Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy
tissue? - ANSWER: Brown recluse spider
Which of the following characteristics separates anaphylaxis from a vasovagal
reaction? - ANSWER: Severe bronchoconstriction
Delayed serum sickness-type reactions in response to multiple bee, wasp, or fire
ant stings can be managed with which of the following? - ANSWER: A
corticosteroid such as prednisone (Deltasone), 60 to 100 mg, tapered over 2 weeks
After a head injury, what is it called when air enters into the cerebrospinal fluid
(CSF)-filled spaces within the head? - ANSWER: Pneumocephalus
Cerebrospinal fluid (CSF) may leak through the cribriform plate region of the skull
following a head injury and cause which of the following? - ANSWER: Nasal
CSF rhinorrhea
Which classic feature of an epidural hematoma may distinguish it from other skull
hematomas? - ANSWER: A brief loss of consciousness, then a brief "lucid"
moment, followed by momentary unconsciousness minutes after the injury
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A patient with a basilar skull fracture may experience an impaired downward gaze
or diplopia from which affected cranial nerve? - ANSWER: CN IV
A history of overuse or excessive force, as opposed to a fall, hyperextension, or the
twisting of a joint, is more likely related to which musculoskeletal injury? -
ANSWER: A strain
In a healthy adult, the process of remodeling after a fracture of the humerus takes
how long? - ANSWER: 2 months
A patient who sustains blunt chest trauma and/or penetrating chest trauma must
have which of the following imaging examinations? - ANSWER: Upright chest x-
ray film
Josie, age 30, has a pneumothorax. It may be treated conservatively without a chest
tube if it is deflated by what percentage? - ANSWER: 30%
Hepatic necrosis with jaundice may occur after ingesting massive doses of which
medication? - ANSWER: Acetaminophen
Pink, cherry red tissues and skin may result from which type of poisoning? -
ANSWER: Carbon monoxide
In which type of burn is the injury more extensive than it appears, and the cardiac
conduction system may be affected, leading to sudden death or arrhythmias? -
ANSWER: Electrical burns