NUR 624 Exam2 questions and answers
20 y/o female c/o of new onset lower abd pain during her last menses. She is sexually active with new
BF. She is using no form of contraception. After a complete hx you would first
do a pregnancy test
diagnostic criteria for PID
sexually active female, pelvic or lower abdominal pain and cervical motion tenderness or adnexal
tenderness
what is a cause of PID?
gonorrhea
Mr. Freeman brings his 4 y/o daughter to the clinic for her second diphtheria, tetanus, and pertussis
(DTP), HIB and polio vaccine. As you check her immunization records he says, "she has a cold, her rectal
temperature is 99.3 F and she is on her second day of anbx for an ear infx. Which action best reflects the
understanding of the guidelines for immunization?
administer the DTP, Hib, and polio vaccine
what vaccine can be given to a pregnant woman?
Dtap
Current recommendations for the MMR vaccination is:
give after 12 months old then at age 4-6 years old
William, age 6, who has had no immunizations is seen in the clinic with a raised deep red rash that
began on his face. He also has a cough and appears ill. Physical exam shows conjunctivitis. William most
likely has
rubeola (measles)
Mrs. T tells you that her child (2 y/o) had a fever of 103 F for three days. After her fever broke, daughter
broke out in a rash starting on her neck. She is active and has good appetite. You suspect
roseola
Anticipatory guidance for the parents of a child with measels (Rubeola) would include reporting the
onset of which symptoms after the child begins recovery
fever, drowsiness, vomiting
A child's daycare center calls to confirm when the child can return to the center since they have 5th's
disease (erythema infectiosum). The NP response is based on the knowledge that the period of
communicability lasts until:
, the rash appears
what is an important treatment with Kawasaki disease?
immunoglobin IV
Which of the following diseases is most harmful to the fetus?
1. Rubeola (measles)
2. Rubella
3. Roseola
4. Varicella
rubella
Care of a 3 y/o with simple febrile seizure involves which of the following
reassurance to the parents
Which of the following contagious exanthematous diseases needs to be treated with PCN?
scarlet fever
A mother of a child dx with chicken pox wants to know when her child can return to daycare
when all of the lesions have dried
Mrs. S in c/o problems hearing in her left ear. All of the following would be a possible dx EXCEPT
1. Cerumen impaction
2. Serous otitis media
3. otomycosis
4. Cholesteatoma
otomycosis
A bulging red tympanic membrane usually indicates
otitis media
Mr. X comes to you c/o fullness, crackling and popping sounds and lack of hearing in his right ear. He
denies ear pain. You would suspect?
cerumen impaction
symptom of serous otitis media
-purulent drainage
-fever
-acute pain
-reduced hearing
reduced hearing
what is related to alteration in the normal pH of the ear canal?
20 y/o female c/o of new onset lower abd pain during her last menses. She is sexually active with new
BF. She is using no form of contraception. After a complete hx you would first
do a pregnancy test
diagnostic criteria for PID
sexually active female, pelvic or lower abdominal pain and cervical motion tenderness or adnexal
tenderness
what is a cause of PID?
gonorrhea
Mr. Freeman brings his 4 y/o daughter to the clinic for her second diphtheria, tetanus, and pertussis
(DTP), HIB and polio vaccine. As you check her immunization records he says, "she has a cold, her rectal
temperature is 99.3 F and she is on her second day of anbx for an ear infx. Which action best reflects the
understanding of the guidelines for immunization?
administer the DTP, Hib, and polio vaccine
what vaccine can be given to a pregnant woman?
Dtap
Current recommendations for the MMR vaccination is:
give after 12 months old then at age 4-6 years old
William, age 6, who has had no immunizations is seen in the clinic with a raised deep red rash that
began on his face. He also has a cough and appears ill. Physical exam shows conjunctivitis. William most
likely has
rubeola (measles)
Mrs. T tells you that her child (2 y/o) had a fever of 103 F for three days. After her fever broke, daughter
broke out in a rash starting on her neck. She is active and has good appetite. You suspect
roseola
Anticipatory guidance for the parents of a child with measels (Rubeola) would include reporting the
onset of which symptoms after the child begins recovery
fever, drowsiness, vomiting
A child's daycare center calls to confirm when the child can return to the center since they have 5th's
disease (erythema infectiosum). The NP response is based on the knowledge that the period of
communicability lasts until:
, the rash appears
what is an important treatment with Kawasaki disease?
immunoglobin IV
Which of the following diseases is most harmful to the fetus?
1. Rubeola (measles)
2. Rubella
3. Roseola
4. Varicella
rubella
Care of a 3 y/o with simple febrile seizure involves which of the following
reassurance to the parents
Which of the following contagious exanthematous diseases needs to be treated with PCN?
scarlet fever
A mother of a child dx with chicken pox wants to know when her child can return to daycare
when all of the lesions have dried
Mrs. S in c/o problems hearing in her left ear. All of the following would be a possible dx EXCEPT
1. Cerumen impaction
2. Serous otitis media
3. otomycosis
4. Cholesteatoma
otomycosis
A bulging red tympanic membrane usually indicates
otitis media
Mr. X comes to you c/o fullness, crackling and popping sounds and lack of hearing in his right ear. He
denies ear pain. You would suspect?
cerumen impaction
symptom of serous otitis media
-purulent drainage
-fever
-acute pain
-reduced hearing
reduced hearing
what is related to alteration in the normal pH of the ear canal?
