NUR 500 EXAM 1 Review Complete

NUR 500 EXAM 1 REVIEW 1. When an adolescent males’ penis grows more in length than width, at which of the following Tanner states is he classified A. Tanner stage II B. Tanner Stage III C. Tanner Stage IV D. Tanner Stage V 2. All of the following are false statements about atopic dermatitis except: a. Contact with cold objects may exacerbate the condition b. It does not have a linear distribution c. It is associated with bullae d. The lesions have vesicles that are full of serous exudate 3. A 14-year-old female who is sexually active is brought in by her mother for an immunization update. According to her mother, her daughter had 1 dose of hepatitis B vaccine. Which of the following vaccines would you administer at this visit? A. Td and hepatitis B B. DTap and hepatitis B C. Hepatitis B only D. MMR and Td 4. Koplik’s spots are associated with A. Poxvirus infections B. Measles C. Kawasaki’s disease D. Reye’s syndrome 5. The first teeth to erupt during infancy are which of the following A. First molars B. Second molars C. Incisors D. Canines 6. You would advise an 18-year-old female student who has been given a booster dose of MMR at the college health clinic that: A. She might have a low-grade fever during the first 24-48 hours B. She should not get pregnant within the next 4 weeks C. Her arm will be very sore on the injection site for 24-48 hours D. Her arm will have some induration on the injection site in 24-48 hours 7. A 14-year-old teen is worried that she has not started to menstruate like most of her friends. During the gynelogicla exam, the NP tells the mother who is in the room with the patient, that her daughter is starting Tanner stage II. What are the physical exam findings during this stage? A. Breast buds and some straight pubic hair B. Fully developed breasts and curly pubic hair C. Breast tissue with areola on separate mound with curly pubic hair D. No breast tissue and no pubic hair 8. Café-au-lait spots look like tan-to-light brown stains that have irregular borders. They can be located anywhere on the body. Which of the following is a correct statement? A. They are associated with neurofibromatosis or von Recklinghausen’s disease B. They may be considered as precancerous after a biopsy C. They are more common in darker-skinned children D. They are associated with Wilson’s disease 9. The red reflex is elicited by shining a light in the eyes of the infant at an anfle with the light about 15 in. away. The NP is screening for? A. Cataracts B. Strabismus C. Blindness D. The blinking response 10. The following children are considered at higher risk for TB except: A. As child who has recently been diagnosed with leukemia B. An infant whose family is homeless C. A child who was born in Japan D. A Hispanic child with asthma who is using a steroid inhaler 11. The mother of a 4-week-old infant is concerned that her infant’s eyes are crossed for a few seconds occasionally. The NP would: A. Recommend referral to a pediatric ophthalmologist B. Adcise the mother that this is a normal finding in infants up to 2 months of age C. Recommend that MVI supplements be given to the infant daily D. Educate her on how to patch the infant’s eye every 4 hours. 12. All of the following children are within the parameters of normal growth and development for their age group except: A. A 2-month-old who coos and smiles B. A 14-month-old who understands complex commands C. A 20-month-old who can walk without support D. A 3-year-old who can speak in three-to four-word sentences 13. All of the following statements are correct regarding the Td vaccine except: A. Fever occurs in up to 80% if the patients B. A possible side effect is induration on the injection site C. The Td is given every 10 years D. The DPT and DT should not be given beyond the 7th birthday 14. The following skin findings are considered macules except: A. A freckle B. Petechiae C. Acne D. A flat, 0.5-cm brown birthmark 15. Clara is a 20-year-old college student who reports to the student health clinic with a laceration in her left hand. She tells the NP that she cut her hand while working in her garden. Her last Td booster was 5.5 years ago. Which of the following is correct? A. Administer a booster dose of the Td vaccine B. Administer the Td vaccine and the Td immunoglobulin (HyperTet) C. Administer Td immunoglobulin (HyperTet) only D. She does not need any Td immunoglobulin (HyperTet) or Td Booster. 16. Which of the following statements if false regarding jaundice in breastfed infants? A. Breastfed infants have a higher incidence of hyperbilirubinemia compared with formula-fed infants B. The mechanism of breast mild jaundices is still not known C. Phytotherapy is usually not indicated for these infants D. It usually starts in the first week of life 17. A 72-year-old female complains to you of a crusty and nonhealing small ulcer on her upper lip that she has had for several years. Which of the following would you recommend? A. Triamcinolone acetonide (Kenalog) cream BID for 2 weeks B. TAO BID for 2 weeks C. Hydrocortisone 1% cream BID for 2 weeks D. The patient needs to be evaluated by a dermatologist 18. A new patient is complaining of severe pruritus that is worse at night. Several family members also have the same symptoms. Upon examination, areas of excoriated papules are noted on some of the interdigital webs of both hands and on the axillae. This finding is most consistent with: A. Contact dermatitis B. Impetigo C. Larva migrans D. Scabies 19. Ted, who is 15 years old, has just moved into the community and is staying in a foster home temporarily. There is no record of his immunizations. His foster mother wants him to be checked before he enters the local high school. Which of the following does this patient need? A. Meningococcal B. MMR C. TDaP D. All of the above 20. During a well child visit, a new father wants to know if he can give fresh whole mild to his 6-month-old son. The NP would recommend that: A. He can start giving whole milk but not skim milk by 6 months of age B. He should not give whole milk to his son until the boy is at least 12 months of age C. He can give whole milk to his son at anytime D. He should not give whole milk to his son without diluting it with water. 21. Which of the following foods would you advise a new mother to introduce to her 6- month-old infant first? A. Iron-fortified rice cereal B. Plain rice cereal C. Iron fortified pureed chicken meat D. Plain pureed carrots 22. A bulla is defined as: A. A solid nodule less than 1 cm in soze B. A superficial vesicle filled with serous fluid greater than 1 cm in size C. A maculopapular lesion D. A shallow ulcer 23. A newborn’s mother is discovered to be HBsAg (hep B surface antigen) positive. Which of the following would you recommend for this infant? A. Give the baby hepatitis B immunoglobulin B. Give the baby both hepatitis B vaccine and immunoglobulin C. Give the baby hepatitis B vaccine only D. Send the baby home because he is not infected 24. A NP is evaluating an 80-year-old woman from a nursing home. She is instructing the patient to remember the words “orange”, “house”, and “world”. A few minutes later, the patient is told to recall these 3 words. Which of the following is being described? A. The Lachman test B. A newurologic exam C. The Romberg test D. MMSE 25. A first-grader presents to a school NP with a few blisters on one arm and on the face. The child keeps scratching the affected areas. Some of the lesions have ruptured with yellow serous fluid that crusts easily. This best describes: A. Acute cellulitis B. Herpes zoster C. Bullous impetigo D. Erysipelas 26. The posterior fontanel should be completely closed by: A. 3 mo B. 4 mo C. 5 mo D. 6 mo 27. At what age can a child copy a cross and ride a bike? A. 1 year B. 2 years