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NURS 6551 FINAL EXAM 6 – QUESTION AND ANSWERS

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NURS 6551 FINAL EXAM 6 – QUESTION AND ANSWERS• Question 1 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes • Question 2 0 out of 1 points Lisa has Cushing's syndrome. You would suspect her to have or to develop Selected Answer: d. Excitability and nervousness • Question 3 0 out of 1 points A 4-year-old female with profuse vomiting, sweating, lacrimation, and diarrhea, who seizes in the emergency room. Which of the following is the most likely etiology? Selected Answer: e. Esophageal foreign body • Question 4 1 out of 1 points Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing? Selected Answer: d. Epiglottitis • Question 5 1 out of 1 points An 18-month-old African American girl is brought to your office because she has been crying and stopped walking today. She will crawl, however. Her mom denies any injury to the child. On examination, she is crying but consolable in her mother’s arms. She has bruising and swelling just proximal to the left ankle. An x-ray reveals a spiral fracture of the tibia. At this time, you advise the mother that: Selected Answer: a. This is a common fracture resulting from twisting on a planted foot. • Question 6 1 out of 1 points Tracy, the mother of a 2-year-old, is concerned because her daughter walks on her toes all the time. What do you tell her? Selected Answer: c. Toe walking is considered normal until age 3. • Question 7 0 out of 1 points Vomiting in infancy has a long list of differential diagnoses. Which of the following other symptoms would mostly likely point to pyloric stenosis? Selected Answer: a. Hungry after vomiting • Question 8 1 out of 1 points The following clinical description best matches which genetic disorder? An institutionalized male juvenile delinquent upon close examination has severe nodulocystic acne, mild pectus excavatum, large teeth, prominent glabella, and relatively long face and fingers. His family says he has poor fine motor skills (such as penmanship), an explosive temper, and a low-normal IQ. Selected Answer: d. XYY male • Question 9 1 out of 1 points Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis? Selected Answer: a. Port-wine stain (nervus flammeus) • Question 10 0 out of 1 points A 6-year-old boy is left alone for 10 hours, now with hematemesis and pneumomediastinum on chest x-ray. Which of the following is the most likely etiology? Selected Answer: a. Insecticide ingestion • Question 11 1 out of 1 points In mild to moderate attacks of acute asthma, Albuterol should be given every 4-6 hours prn and routine medication should be Selected Answer: c. Continued as usual

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NURS 6551 FINAL EXAM 6 – QUESTION AND
ANSWERS

 Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?


Selected Ye
Answer: s

 Question 2
0 out of 1 points
Lisa has Cushing's syndrome. You would suspect her to have or to develop


Selected d.
Answer: Excitability and
nervousness

 Question 3
0 out of 1 points
A 4-year-old female with profuse vomiting, sweating, lacrimation, and diarrhea, who
seizes in the emergency room. Which of the following is the most likely etiology?


Selected e.
Answer: Esophageal foreign
body

 Question 4
1 out of 1 points
Antibiotic therapy is one of the mainstays of treatment for which of the following causes
of wheezing?


Selected d.
Answer: Epiglotti
tis

 Question 5
1 out of 1 points
An 18-month-old African American girl is brought to your office because she has
been crying and stopped walking today. She will crawl, however. Her mom denies
any injury to the child. On examination, she is crying but consolable in her mother’s
arms. She has bruising and swelling just proximal to the left ankle. An x-ray reveals a
spiral fracture of the tibia. At this time, you advise the mother that:
Selected a.

, Answer: This is a common fracture resulting from twisting on
a planted foot.

 Question 6
1 out of 1 points
Tracy, the mother of a 2-year-old, is concerned because her daughter walks on her toes
all the time. What do you tell her?


Selected c.
Answer: Toe walking is considered normal
until age 3.

 Question 7
0 out of 1 points
Vomiting in infancy has a long list of differential diagnoses. Which of the following other
symptoms would mostly likely point to pyloric stenosis?


Selected a.
Answer: Hungry after
vomiting

 Question 8
1 out of 1 points
The following clinical description best matches which genetic disorder? An
institutionalized male juvenile delinquent upon close examination has severe
nodulocystic acne, mild pectus excavatum, large teeth, prominent glabella, and
relatively long face and fingers. His family says he has poor fine motor skills (such as
penmanship), an explosive temper, and a low-normal IQ.
Selected d.
Answer: XYY
male

 Question 9
1 out of 1 points
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your
diagnosis?


Selected a.
Answer: Port-wine stain (nervus
flammeus)

 Question 10
0 out of 1 points
A 6-year-old boy is left alone for 10 hours, now with hematemesis and
pneumomediastinum on chest x-ray. Which of the following is the most likely etiology?


Selected a.
Answer: Insecticide

, ingestion

 Question 11
1 out of 1 points
In mild to moderate attacks of acute asthma, Albuterol should be given every 4-6 hours
prn and routine medication should be


Selected c.
Answer: Continued as
usual

 Question 12
1 out of 1 points
A 2-year-old presents to your office with the following symptoms: nasal congestion and
rhinorrhea for 48 hours, low-grade fever, and a harsh/barky cough that is significantly
worse at night. Inspiratory stridor is present and she has clear but slightly decreased
breath sounds. Which of the following treatments is best?

Selected c.
Answer: One dose of oral
dexamethasone

 Question 13
0 out of 1 points
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?


Selected e.
Answer: Edwards syndrome
(trisomy 18)

 Question 14
1 out of 1 points
Which of the following physical stigmata are common in newborns with Down syndrome?


Selected b.
Answer: Hypotonia, large-appearing tongue and small mouth,
upward slant to eyes

 Question 15
1 out of 1 points
You have a patient that you think may have intussusception. Which of the following
finding may you see?


Selected b.
Answer: Inconsolable
screaming

 Question 16

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