NUR 612 UPDATED COMPREHENSIVE QUESTIONS AND
SOLUTIONS GUARANTEE A+
✔✔A 17-year-old gymnast presents following her competition with a resolving headache
rated 3/10, after her spotter missed her and she fell 4 feet and struck her head.
Although she did not lose consciousness and seems fine now, her parents are
concerned because she does not remember how she got off the gym floor. Which of the
following would NOT be indicated.
A. Prescribe bedrest, acetaminophen and recommend sunglasses if light sensitive
B. Teach warning signs of head injuryand send home on bedrest
C. Order a CT of the Head
D. Recommend return to school, but no contact sports until headache resolved. - ✔✔C.
Order a CT of the Head
✔✔An 11-year-old male presents with a history head trauma resulting from a "hard hit"
while playing football 2 days ago. His GCS score is 14. Despite 20/15 vision recorded 3
months ago during his sports physical he states he has blurred vision and is unable to
read fine print, otherwise his neuro exam is normal. What is your best plan of care?
A. You assess this is not a mild concussion and order a CT because he exhibits a focal
neurological sign
B. You assess this is a moderate concussion and discharge the patient home
prescribing bedrest, acetaminophen and recommend sunglasses if light sensitive
C. You assess this is a mild concussion discharge the patient home and teaching family
members signs warning signs of head injury, send home on bedrest
D. You assess this is a mild concussion discharge the patient home and recommend
return to school, but no contact sports until headache resolved - ✔✔A. You assess this
is not a mild concussion and order a CT because he exhibits a focal neurological sign
✔✔You are examining a 4-month-old with a fever who suddenly stares blankly and her
limbs start twitching. You time the episode which lasts 3 minutes. What are next steps?
A. Administer IV antibiotic following obtaining lumbar puncture and blood culture
B. Order a STAT EEG
C. Lie child on their side and time the event, administer antipyretic
D. Administer rectal valium - ✔✔C. Lie child on their side and time the event, administer
antipyretic
✔✔Your are treating a 16-year-old female with chronic headaches. Effective
management of headache in an adolescent patient includes which of the following
A. Appropriate medication or other pain relieving intervention
B. Explanation of the likely cause and expected course of the headache
C. Elimination of headache triggers
D. All answers are correct - ✔✔D. All answers are correct
✔✔Your 12-year-old male patient has a history of cord compression and anoxia at birth
presents with spasticity and partial paralysis. His likely diagnosis is:
, A. erb's palsy
B. brachial plexus palsy
C. cerebral palsy
D. muscular dystrophy - ✔✔C. cerebral palsy
✔✔A 3 year-old-femaie presents with loss of the use of her left arm since her forcep
delivery birth. Which of the following is her most likely diagnosis?
A. brachial plexus palsy
B. cerebral palsy
C. Bell's palsy
D. none are likely diagnoses - ✔✔A. brachial plexus palsy
✔✔9-year-old Sarah presents with her normal-height parents who are concerned about
her short stature. Physical exam is unremarkable except for height and weight are in the
3rd percentile, you note she is Tanner Stage 1, her endocrine work-up is normal except
for a delayed bone age (8 years). The treatment for Sarah's suspected diagnosis:
A. Reassurance, close observation, with anticipated growth acceleration
B. Urgent endocrine referral for growth hormone, with anticipated growth acceleration
C. Urgent endocrine referral for Turner syndrome
D. Reassurance, close observation, with anticipated short stature - ✔✔A. Reassurance,
close observation, with anticipated growth acceleration
✔✔16-year-old Michael presents with his 60-year-old father with a concern about
delayed puberty, physical exam is remarkable for scant body hair, tall stature, mild
gynecomastia and hypogonadism. The treatment for Michael's suspected diagnosis is:
A. Reassurance, close observation, with anticipated catch up sexual maturity
B. Endocrine referral for growth hormone, with anticipated catch up sexual maturity
C. Endocrine referral for likely Klinefelter syndrome and consideration of testosterone
therapy
D. Endocrine referral for likely Klinefelter syndrome for consideration of growth hormone
therapy - ✔✔C. Endocrine referral for likely Klinefelter syndrome and consideration of
testosterone therapy
✔✔15-year-old Dana presents with her 60-year-old mother w a concern about delayed
puberty with amenorrhea, physical exam is remarkable noting short stature, low set ears
and hair line, cubitus valgus and web necked. The treatment for Dana's suspected
diagnosis is:
A. Reassurance, close observation, with anticipated catch up sexual maturity
B. Endocrine referral for likely Turner's syndrome and consideration of estrogen,
progesterone AND growth hormone therapy
C. Endocrine referral for likely Turner's syndrome and consideration of estrogen, and
progesterone hormone therapy
D. Endocrine referral for growth hormone, with anticipated catch up sexual maturity -
✔✔B. Endocrine referral for likely Turner's syndrome and consideration of estrogen,
progesterone AND growth hormone therapy
SOLUTIONS GUARANTEE A+
✔✔A 17-year-old gymnast presents following her competition with a resolving headache
rated 3/10, after her spotter missed her and she fell 4 feet and struck her head.
Although she did not lose consciousness and seems fine now, her parents are
concerned because she does not remember how she got off the gym floor. Which of the
following would NOT be indicated.
A. Prescribe bedrest, acetaminophen and recommend sunglasses if light sensitive
B. Teach warning signs of head injuryand send home on bedrest
C. Order a CT of the Head
D. Recommend return to school, but no contact sports until headache resolved. - ✔✔C.
Order a CT of the Head
✔✔An 11-year-old male presents with a history head trauma resulting from a "hard hit"
while playing football 2 days ago. His GCS score is 14. Despite 20/15 vision recorded 3
months ago during his sports physical he states he has blurred vision and is unable to
read fine print, otherwise his neuro exam is normal. What is your best plan of care?
A. You assess this is not a mild concussion and order a CT because he exhibits a focal
neurological sign
B. You assess this is a moderate concussion and discharge the patient home
prescribing bedrest, acetaminophen and recommend sunglasses if light sensitive
C. You assess this is a mild concussion discharge the patient home and teaching family
members signs warning signs of head injury, send home on bedrest
D. You assess this is a mild concussion discharge the patient home and recommend
return to school, but no contact sports until headache resolved - ✔✔A. You assess this
is not a mild concussion and order a CT because he exhibits a focal neurological sign
✔✔You are examining a 4-month-old with a fever who suddenly stares blankly and her
limbs start twitching. You time the episode which lasts 3 minutes. What are next steps?
A. Administer IV antibiotic following obtaining lumbar puncture and blood culture
B. Order a STAT EEG
C. Lie child on their side and time the event, administer antipyretic
D. Administer rectal valium - ✔✔C. Lie child on their side and time the event, administer
antipyretic
✔✔Your are treating a 16-year-old female with chronic headaches. Effective
management of headache in an adolescent patient includes which of the following
A. Appropriate medication or other pain relieving intervention
B. Explanation of the likely cause and expected course of the headache
C. Elimination of headache triggers
D. All answers are correct - ✔✔D. All answers are correct
✔✔Your 12-year-old male patient has a history of cord compression and anoxia at birth
presents with spasticity and partial paralysis. His likely diagnosis is:
, A. erb's palsy
B. brachial plexus palsy
C. cerebral palsy
D. muscular dystrophy - ✔✔C. cerebral palsy
✔✔A 3 year-old-femaie presents with loss of the use of her left arm since her forcep
delivery birth. Which of the following is her most likely diagnosis?
A. brachial plexus palsy
B. cerebral palsy
C. Bell's palsy
D. none are likely diagnoses - ✔✔A. brachial plexus palsy
✔✔9-year-old Sarah presents with her normal-height parents who are concerned about
her short stature. Physical exam is unremarkable except for height and weight are in the
3rd percentile, you note she is Tanner Stage 1, her endocrine work-up is normal except
for a delayed bone age (8 years). The treatment for Sarah's suspected diagnosis:
A. Reassurance, close observation, with anticipated growth acceleration
B. Urgent endocrine referral for growth hormone, with anticipated growth acceleration
C. Urgent endocrine referral for Turner syndrome
D. Reassurance, close observation, with anticipated short stature - ✔✔A. Reassurance,
close observation, with anticipated growth acceleration
✔✔16-year-old Michael presents with his 60-year-old father with a concern about
delayed puberty, physical exam is remarkable for scant body hair, tall stature, mild
gynecomastia and hypogonadism. The treatment for Michael's suspected diagnosis is:
A. Reassurance, close observation, with anticipated catch up sexual maturity
B. Endocrine referral for growth hormone, with anticipated catch up sexual maturity
C. Endocrine referral for likely Klinefelter syndrome and consideration of testosterone
therapy
D. Endocrine referral for likely Klinefelter syndrome for consideration of growth hormone
therapy - ✔✔C. Endocrine referral for likely Klinefelter syndrome and consideration of
testosterone therapy
✔✔15-year-old Dana presents with her 60-year-old mother w a concern about delayed
puberty with amenorrhea, physical exam is remarkable noting short stature, low set ears
and hair line, cubitus valgus and web necked. The treatment for Dana's suspected
diagnosis is:
A. Reassurance, close observation, with anticipated catch up sexual maturity
B. Endocrine referral for likely Turner's syndrome and consideration of estrogen,
progesterone AND growth hormone therapy
C. Endocrine referral for likely Turner's syndrome and consideration of estrogen, and
progesterone hormone therapy
D. Endocrine referral for growth hormone, with anticipated catch up sexual maturity -
✔✔B. Endocrine referral for likely Turner's syndrome and consideration of estrogen,
progesterone AND growth hormone therapy
