Peds Final All Semester Content
The parent of a 4-year-old points to a picture and says, "That's your sister." The child responds
by saying, "No! It's my baby!" This is an example of which type of thinking in preschool-age
children?
Select one:
a.Animism
b.Artificialism
c.Egocentrism
d.Realism - correct answer d.Realism
Jack, age 12, is diagnosed with attention deficit hyperactive disorder (ADHD). Which of the
following is most strongly recommended regarding Jack's medication regimen?
Select one:
a.
There should be a drug holiday at nighttime during the week
b.
There should be a drug holiday on the weekends
c.
There should be a drug holiday during holiday breaks from school
d.
There should be no drug holiday in the course of treatment. - correct answer d.
There should be no drug holiday in the course of treatment.
It is recommended that children do not take drug holidays from their ADHD medication.
Although some parents and providers of patients with ADHD encourage drug holidays on
nights, weekends, and school breaks, this is typically based on the belief that continuous
medication use will lead to dependency or significant adverse effects for which there is no
evidence.
Jamie, a 4-year-old male, presents to the clinic in a sleepy afebrile state. His mother mentions
that after his afternoon nap, he started screaming in their brightly lit den and began vomiting.
,When she tried to talk to him, he spoke nonsense, When you talk to Jamies, he rouses, exhibits
normal speech and says he feels fine. what is the most likely source of Jamie's symptoms?
Select one:
a.
Viral meningitis
b.
Brain tumor
c.
Neurofibromatosis
d.
Confusional migraine - correct answer d.
Confusional migraine
Confusional migraines may present with confusion, aphasia, vomiting, photophobia, and
agitation; once these symptoms pass, the patient may fall into a deep sleep, only to wake up
feeling well. Since confusional migraines is a diagnosis of exclusion, it warrants a work-up to
rule out organic causes.
Which of the following is true of adhesive capsulitis (frozen shoulder)?
Select one:
a.
It is correlated with RTC tears
b.
It is more likely to occur in patients under 30 years of age.
c.
It may take upward of 14 months to resolve
d.
It is treated with immobilization in the freezing stage - correct answer c.
It may take upward of 14 months to resolve
,A 10-year-old is hit in the head with a baseball during practice and is diagnosed with
concussion, even though no loss of consciousness occurred. The primary care pediatric nurse
practitioner is evaluating the child 2 weeks after the injury and learns that the child is still
experiencing some sleepiness every day. The neurological exam is normal. The child and the
parent are adamant that the child be allowed to return to play baseball. What will the nurse
practitioner recommend?
Select one:
A.
Continuation of cognitive rest only
B.
Continuation of physical and cognitive rest
C.
Continuation of physical rest only
D.
Returning to play - correct answer B.
Continuation of physical and cognitive rest
Shoulder pain radiating down the lateral side of the humerus to the elbow after a fall on to an
outstretched arm could be caused by what?
Select one:
a.
Adhesive capsulitis
b.
AC joint strain
c.
Rotator cuff tear
d.
Biceps tear - correct answer c.
Rotator cuff tear
, Which recommendation will a primary care pediatric nurse practitioner make when parents ask
about ways to discipline their 3-year-old child who draws on the walls with crayons?
Select one:
a.Give the child washable markers so the drawings can be removed easily.
b.Provide a roll of paper for drawing and teach the child to use this.
c.Put the child in "timeout" each time the child draws on the walls.
d.Take the crayons away from the child to prevent the behavior. - correct answer b.Provide a
roll of paper for drawing and teach the child to use this.
Shoulder pain radiating dow the lateral side of the humerus to the elbow after a fall on to an
out-stretched are could be cause by what?
Select one:
a.
Adhesive capsulitis
b.
AC joint strain
c.
Rotator cuff tear
d.
Biceps tear - correct answer c.
Rotator cuff tear
A patient with a meniscus tear may present with which of the following?
Select one:
a.
A history of patellar subluxation
b.
Mechanical catching and joint line tenderness
c.
Trauma involving valgus stress to the knee
The parent of a 4-year-old points to a picture and says, "That's your sister." The child responds
by saying, "No! It's my baby!" This is an example of which type of thinking in preschool-age
children?
Select one:
a.Animism
b.Artificialism
c.Egocentrism
d.Realism - correct answer d.Realism
Jack, age 12, is diagnosed with attention deficit hyperactive disorder (ADHD). Which of the
following is most strongly recommended regarding Jack's medication regimen?
Select one:
a.
There should be a drug holiday at nighttime during the week
b.
There should be a drug holiday on the weekends
c.
There should be a drug holiday during holiday breaks from school
d.
There should be no drug holiday in the course of treatment. - correct answer d.
There should be no drug holiday in the course of treatment.
It is recommended that children do not take drug holidays from their ADHD medication.
Although some parents and providers of patients with ADHD encourage drug holidays on
nights, weekends, and school breaks, this is typically based on the belief that continuous
medication use will lead to dependency or significant adverse effects for which there is no
evidence.
Jamie, a 4-year-old male, presents to the clinic in a sleepy afebrile state. His mother mentions
that after his afternoon nap, he started screaming in their brightly lit den and began vomiting.
,When she tried to talk to him, he spoke nonsense, When you talk to Jamies, he rouses, exhibits
normal speech and says he feels fine. what is the most likely source of Jamie's symptoms?
Select one:
a.
Viral meningitis
b.
Brain tumor
c.
Neurofibromatosis
d.
Confusional migraine - correct answer d.
Confusional migraine
Confusional migraines may present with confusion, aphasia, vomiting, photophobia, and
agitation; once these symptoms pass, the patient may fall into a deep sleep, only to wake up
feeling well. Since confusional migraines is a diagnosis of exclusion, it warrants a work-up to
rule out organic causes.
Which of the following is true of adhesive capsulitis (frozen shoulder)?
Select one:
a.
It is correlated with RTC tears
b.
It is more likely to occur in patients under 30 years of age.
c.
It may take upward of 14 months to resolve
d.
It is treated with immobilization in the freezing stage - correct answer c.
It may take upward of 14 months to resolve
,A 10-year-old is hit in the head with a baseball during practice and is diagnosed with
concussion, even though no loss of consciousness occurred. The primary care pediatric nurse
practitioner is evaluating the child 2 weeks after the injury and learns that the child is still
experiencing some sleepiness every day. The neurological exam is normal. The child and the
parent are adamant that the child be allowed to return to play baseball. What will the nurse
practitioner recommend?
Select one:
A.
Continuation of cognitive rest only
B.
Continuation of physical and cognitive rest
C.
Continuation of physical rest only
D.
Returning to play - correct answer B.
Continuation of physical and cognitive rest
Shoulder pain radiating down the lateral side of the humerus to the elbow after a fall on to an
outstretched arm could be caused by what?
Select one:
a.
Adhesive capsulitis
b.
AC joint strain
c.
Rotator cuff tear
d.
Biceps tear - correct answer c.
Rotator cuff tear
, Which recommendation will a primary care pediatric nurse practitioner make when parents ask
about ways to discipline their 3-year-old child who draws on the walls with crayons?
Select one:
a.Give the child washable markers so the drawings can be removed easily.
b.Provide a roll of paper for drawing and teach the child to use this.
c.Put the child in "timeout" each time the child draws on the walls.
d.Take the crayons away from the child to prevent the behavior. - correct answer b.Provide a
roll of paper for drawing and teach the child to use this.
Shoulder pain radiating dow the lateral side of the humerus to the elbow after a fall on to an
out-stretched are could be cause by what?
Select one:
a.
Adhesive capsulitis
b.
AC joint strain
c.
Rotator cuff tear
d.
Biceps tear - correct answer c.
Rotator cuff tear
A patient with a meniscus tear may present with which of the following?
Select one:
a.
A history of patellar subluxation
b.
Mechanical catching and joint line tenderness
c.
Trauma involving valgus stress to the knee
