NSG 6435 Final Exam Study Guide 3 with Answers-ALREADY GRADED A
NSG 6435 Final Exam Study Guide 3 with Answers
A congenital heart abnormality often discovered during the newborn period is coarctation of the aorta. How is this assessed?
A child who can stack a maximum of 5 blocks is probably:
A 6 yr old child who has moderate persistent asthma is diagnosed with pneumonia after chest x-ray and lab studies. He developed a sudden onset of fever with chills. He is in no distress. What is the preferred treatment for him?
A healthy appearing 3-yr old female presents with non-blanchable redness over both knees and elbows. During the exam, she is found to have normal growth and development, and she interacts appropriately with the NP. She had an upper respiratory infection about 4 wks ago that cleared without incident. A CBC and UA were obtained. The most likely diagnosis is:
An adolescent has acne. The NP prescribed a benzoyl peroxide product for him. What important teaching point should be given to this adolescent regarding the benzoyl peroxide?
a 6-wk old male infant is brought to the NP because of vomiting. The mother describes vomiting after feeding and feeling a knot in his abdomen especially after he vomits. The child appears adequately nourished. What is the likely etiology?
Which suggestion below is the standard for treating iron deficiency anemia in infants and children?
A young child has developed a circumferential lesion on her inner forearm. It is slightly raised, red and is puritic. It is about 2.5 cm in diameter. This is probably related to:
A 7-yr old entered clinic 1 month ago. There was no evidence that he had any immunizations. He was given the vaccinations listed on his vaccination record at the time of his visit. if he returns today, which immunizations can he receive?
What would be appropriate anticipatory guidance for the parent of a 9-month old infant?
An infant is diagnosed with diaper dermatitis. Satelite lesions are visible. This should be treated with a:
The NP sees a child who reports fatigue and presents with purpura on his lower extremities. His temperature is normal. The differential includes:
Prenatal/ environmental factors
Height, Skin, Hair, Eye color
Social contract and cohabitation
25.Single parent family
Blended ( reconstituted)
Basic trust v mistrust
Autonomy v shame and doubt
Initiative v guilt
Industry v inferiority
Identity v role confusion
Intimacy v isolation
Generativity v stagnation
Ego integrity v despair
male- Tanner stage I
45.Male-Tanner stage 4
earliest age child able to copy triangle, know colors and count on fingers
earliest age avg child would appropriately receive paper and scissors with rounded points
usual age for vision screening
female Tanner stage 4
Female – Tanner stage 5
14 yr old male- acute painless swelling of groin. which tool will yield the most info
Age of precocious puberty
avg age of pubertal growth spurt in american boys
Female – Tanner stage II
12 yr old male, hip pain w/ activitiy, worsening, involves knee, no trauma, ?In office eval?
Trendelenburg test used to id
what age should oral health risk assessment begin?
4 yr child not allergic to chickens but allergic to duck feathers, immunizations contraindicated?
child can walk backwards
child can stand on one foot
Can stack 5 blocks
child can stack 3 blocks
Positive support reflex ceases after
In school aged child (6-12)___considered tachycardia
Normal heart rate 60-100 after age
Male-First sign of sexual maturation
Male- average age of sexual maturation
Most common cause of delayed puberty
to eval for hip dysplasia
6mo male-palpable cystic mass in scrotum, size varies
6 mo- disconjugate gaze- tilts head when looking at object
Should be avoided in ITP
Intussception can follow?
NOT a sign of congenital hypothyroidism
Adolescent -wt loss, chronic diarrhea, anemia, weakness
Describe the s/s of small and large VSDs
Acynotic heart murmur d/t increased pulmonary flow
Pauciarthritis (most common subgroup of juvi-idiopathic arthritis)
side effects of ADHD meds
Parents/guardian of adolescents should receive health guidance
Age of onset of irritable bowel disease
characteristics of infant with bronchopulmonary dysplasia
child with insulin pump is more likely to experience
palpable thrill in L upper sternal border
Which heart defect produces a systolic ejection click at the upper left sternal border with a thrill palpated at the upper left sternal border?
sit before standing is example of
Maternal iron stores are depleted by
In adolescents with IBD, it is important to monitor
What are important thing to monitor in patient taking corticosteroids to control inflammation in IBD?
treatment for Atypical pneumonia
Best tools for treating adolescents
The adolescent growth spurt is triggered by
Best way to screen for gonorrhea – FEMALE
Best way to screen for gonorrhea – MALE
HPV screening in female
Newborns of diabetic mothers are at risk for
gardasil results in greater antibody response for adolescents who receive 3 dose series between ages
VISION OF 2 YR OLD
13 yr old pt with bone maturity of 10 yrs
treatment for delayed puberty
Mother voices concern with 3 yr old stuttering
Common symptom of ASD (anterior septal defect)
Biomedical issues that may create academic performance issues
Bipolar disease requires
Joe, a 13 year old with asthma, developed a runny nose, coughing and wheezing on expiration. Joe takes Flovent 2 puffs BID. You would suggest he:
Janet is a 16 year old with moderate persistant asthma. She takes Advair discus 250/50 one inhalation BID in her green zone.
Which of the following medications would be most appropriate to intensify her controller therapy for yellow zone treatment?
•When completing Beth’s physical exam which would be inconsistent with a dx of asthma?
•Beth is a 12 year old with suspected asthma. Which of following findings in her hx would support this dx?
Asthma Clinical Manifestations
Pulmonary function tests
Degrees of Asthma
Mild Persistent Asthma-
Moderate Persistent/Severe Asthma
Asthma not controlled if:
Inhalers by age group
LABA long acting B2 Adrenergic Agonists
Which of the following asthma medications contains a blackbox warning for usage in regards to increased risk of asthma-related deaths
Long acting medications
Metered dose inhaler – AGE?
Otitis externa RX TX
Acute Otitis Media- Prevalence/incidence
Pathogen Acute Otits Media
AOM physical exam
Diagnose AOM Physical exam
OM with Effusion TX?
1st line Tx AOM
AOM tx failure next?
Risk factors of Acute Otitis Media include_____, ______ and ____________.
Conductive Hearing loss
Conductive hearing loss Physical Exam- Weber-
causes of SensoriNeural inner ear causes
Sensori Neural loss Weber Rinne
Conjuctivitis- RED EYE
Rx Bacterial Conjuctivitis
Orbital Cellulitis Tx
MISCELLANEOUS AIRWAY CONSIDERATIONS IN KIDS
Childs airway is the size of a _____.
Childs airway is _____ & ______
Infants breath thru _______
Ped Respiratroy Assessment
Wet diapers/stools a day
Sx, PE, DDx
Complications of the common cold
Group A Strep
Bacterial Pharyngitis Ddx
Allergic Rhinnitis-MGMT RX
Sinusitis xrays? CT?
Croup- Steeple sign nsg 6435 final exam
Laryngitis, Laryngotrachetis, Laryngotracheobronchitis, Bacterial tracheitis, Spasmodit croup, croup-Viral, Bacterial causes
Croup most common in ages______
Bacterial Pneumonia Rx less than 5
Bacterial Pneumo greater than 5 years
Bacterial Pneumo Hospitialize when?
Epstein Barr Virus (MONO)
Epstein-Barr virus (mono)
Polio vaccine given @
Parents ask the NP why their baby will receive an IM polio injection instead of the oral vaccine. The best response would be:
Meningeal signs– tests
Enterovirus- types, routes, incubation shedding
Herpangina, Hand foot mouth
What causes Hand-Foot-Mouth disease?
Coxsackie A virus
Erythema Infectiosum-Fifth Disease
Erythema Infectiosum (fifth disease)
5ths disease Stage1 and 2
fifths disease Tx Management nsg 6435 final exam
¨The nurse is educating parents re: fifth disease. What explanation takes priority?
Lyme dz Tx Rx
Kawasaki disease (KD)
¨Leading cause of Acquired heart disease in children?
Kawasaki disease stage 1
Kawasaki Dz stage 2 and 3
Kawasaki dz Diagnosis
strawberry tongue nsg 6435 final exam
A 3 year old with KD is admitted to the hospital for fever. The nurse knows that the following tx will be started to shorten the fever and decrease the risk of complications?
High dose ASA therapy