Adolescent Health Services notes

NURS 6541 Week 1 Quiz 1. I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I? 2. Which of the following children has abnormal language development? 3. You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? 4. I can walk well on tiptoes, my speech is 50% understa...

1. You see a 6-month-old for a well-child visit and the mother tells you the child’s grandmother recommends that she give the infant whole milk and eggs when he starts solids. What should you tell the mother? 2. Most children can independently get dressed by themselves by age 3. I can walk well on tiptoes, my speech is 50% understandable. I know six body parts, but I can’t balance on one foot for 1 second. I am: 4. Which of the following children should be referred for a comprehen...

NURS 6541 Week 10 Quiz 1. A 7-month-old male presents with a bulge in the scrotal sac. It is only found in the scrotum and does not seem to bother the child. No difference in size is noted when the child strains or cries. His scrotum’s size is normal in the morning but increases as the day progresses. The scrotal mass is transilluminable and both testes are located in the scrotal sac. You anticipate: 2. A 12-year-old boy awakes with the onset of severe, unilateral scrotal pain, nausea, a...

NURS 6541 Week 2 Quiz 1 1. You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type B (Hib) fourth dose. Which of the following do you order today? 2. A common feature of 2-year-old behavior is: 3. You see...

NURS 6541 Week 3 Quiz 1. A 9-year-old who weighs 70 pounds asks why she can’t sit in the front passenger seat of the family car. Your best response is: 2. Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development? 3. For adolescent girls, peak height velocity should occur by Tanner Stage (SMR): 4. Which of the following statements regarding adolescent substance use is true? 5. Which of the following statement...

NURS 6541 Week 7 Quiz Set 2 1. A 3-year-old presents to your office with a history of wheezing over the last 3 months and has only been moderately responsive to therapy. Which of the following diagnostic tests would be appropriate? 2. A 16-year-old presents with pharyngitis, cough, and high fever. Her chest X-ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal. The most likely etiology is: 3. A 2-year-old presents to your ...

NURS 6541 Week 9 Quiz 1 1. A healthy 8-month-old infant presents with diarrhea but no dehydration. What is the best advice to give to the parents? 2. The most accurate way to determine the degree of dehydration in a vomiting child is to assess: 3. A healthy, thriving 4-month-old male has had sudden episodes of drawing his knees to his chest and crying like he is in acute pain for the last 5 hours. These episodes are separated by quiet times when he appears normal and comfortable. He is ...

NURS 6541 MIDTERM EXAM 6 1. What is the most common form of child abuse seen in pediatric primary care? 2. Which of the following conditions requires urgent inpatient admission? 3. An eye that deviates in when covered but that returns to midline when uncovered is an 4. All of the following are consistent with peritonsillar abscess except: 5. Which adolescent would be at greatest risk for developing anorexia nervosa? 6. A mother states that her 4-year-old son constantly grinds h...

NURS 6541 Final Exam 3 1. An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a routine part of the clinical management? 2. A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn's disease? 3. A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is 4. Jesse, age 5, has a diagnosis of encopresis. Af...

NURS 6541 Week 6 Quiz 3 1. A 65-year-old male recently had a cerebrovascular accident that resulted in dysphagia. He now has aspiration of gastric contents. The nurse assesses the patient for which complication? 2. A nurse is preparing to teach the staff about asthma. Which information should the nurse include? Airway obstruction contributing to increased airflow resistance and hypoventilation in asthma is caused by: 3. A 50-year-old male presents with hypotension, hypoxemia, and trache...

NURS 6541 Week 6 Quiz 1. A 3-year-old has a history of upper respiratory tract infection 2 weeks ago. She recently started awakening at night. Physical exam reveals a normothermic child. She is smiling, playful, and sitting on the father’s lap. The TMs are gray with scattered bubbles and good motility. What is the best treatment? 2. The mother of a 5-year-old wants to know what to do to decrease the discomfort of her daughter who has a URI. The mother should be instructed to: 3. A 7-y...

NURS 6541 Final Exam 3 1. An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a routine part of the clinical management? 2. A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn's disease? 3. A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is 4. Jesse, age 5, has a diagnosis of encopresis. Af...

NURS 6541 Week 10 Quiz 1. A 7-month-old male presents with a bulge in the scrotal sac. It is only found in the scrotum and does not seem to bother the child. No difference in size is noted when the child strains or cries. His scrotum’s size is normal in the morning but increases as the day progresses. The scrotal mass is transilluminable and both testes are located in the scrotal sac. You anticipate: 2. A 12-year-old boy awakes with the onset of severe, unilateral scrotal pain, nausea, a...

NURS 6541 Week 2 Quiz 1 1. You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type B (Hib) fourth dose. Which of the following do you order today? 2. A common feature of 2-year-old behavior is: 3. You see...

NURS 6541 Final Exam 2020 1. A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping forehead, cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly, microphthalmia, and omphalocele. Which of these is the most likely diagnosis? 2. A 16-year-old girl has enuresis, frequent urination, a white vaginal discharge, and a dark rash around her neck. Her serum glucose level is 250 mg/dL, and her urinalysis is positive for 2+ glucose but is otherw...

NURS 6541 Week 11 - Final Exam 1. Unilateral wheezing is a finding suggestive of 2. You are on call and receive a phone call from the parents of a 13-year-old known asthmatic. She has been having chest tightness and a worsening cough for 48 hours. She has significant nasal discharge that began 14 days ago and intermittent complaint of headache. She is now running a low-grade fever. Her peak flow the last 48 hours is 70–80% of personal best. Her temperature right now is 101.7°F. She is o...

1. You see a 6-month-old for a well-child visit and the mother tells you the child’s grandmother recommends that she give the infant whole milk and eggs when he starts solids. What should you tell the mother? 2. Most children can independently get dressed by themselves by age 3. I can walk well on tiptoes, my speech is 50% understandable. I know six body parts, but I can’t balance on one foot for 1 second. I am: 4. Which of the following children should be referred for a comprehen...

NURS 6541 Week 6 Quiz 3 1. A 65-year-old male recently had a cerebrovascular accident that resulted in dysphagia. He now has aspiration of gastric contents. The nurse assesses the patient for which complication? 2. A nurse is preparing to teach the staff about asthma. Which information should the nurse include? Airway obstruction contributing to increased airflow resistance and hypoventilation in asthma is caused by: 3. A 50-year-old male presents with hypotension, hypoxemia, and trache...

NURS 6541 MIDTERM EXAM 6 1. What is the most common form of child abuse seen in pediatric primary care? 2. Which of the following conditions requires urgent inpatient admission? 3. An eye that deviates in when covered but that returns to midline when uncovered is an 4. All of the following are consistent with peritonsillar abscess except: 5. Which adolescent would be at greatest risk for developing anorexia nervosa? 6. A mother states that her 4-year-old son constantly grinds h...

NURS 6541 Week 1 Quiz 1. I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I? 2. Which of the following children has abnormal language development? 3. You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? 4. I can walk well on tiptoes, my speech is 50% understa...