NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM 2023/2024
ACTUAL COMPLETE FORM A AND B VERSIONS WITH 300
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADEDA+
What is the difference between croup and Bronchiolitis? -
ANSWER -Croup targets the upper respiratory track, bronchitis
threatens the small and medium lower respiratory tract
passages
Croup: harsh barky (seal-like) cough, inspiratory stridor,
hoarseness.
Bronchiolitis: clear rhinorrhea, cough, tachypnea, wheezing,
retractions, resp distress. Poor appetite and feeding. Think RSV!
A 12 year old boy presents with his mother post pre-diabetes
diagnosis. Upon reviewing the chart the patient is at 85
percentile For height and weight. The mother ask what they can
do to prevent the patient from moving to full-blown diabetes.
What would be your response? - ANSWER --patient should be
,encouraged to participate in at least 60 minutes of moderate to
vigorous physical activity daily
-muscle and bone strength training at least three days a week
-Decrease sedentary behavior
What is an A1c target for most children and adolescents with
type two diabetes treated with oral agents? - ANSWER -<7%
Pre-diabetes in children is defined as? - ANSWER -Impaired
fasting glucose 100125
-random glucose 140-199
What are the risk factors for dyslipidemia in children? - ANSWER
-Family history of lipid abnormalities
Family history of type two diabetes mellitus
At what age does screening cholesterol levels in children with
one or more risk factors begin at? - ANSWER -Age 2
A 17-year-old male presents post lipid labs, his total cholesterol
Level is 150. What education would you provide? - ANSWER -
This is an acceptable total cholesterol level (<170),
Will recheck in 3 years
,Low birthweight and poor infant growth are risk factors for type
two diabetes.
True or false? - ANSWER -True
When should body mass index be measured? - ANSWER -At age
2
A mother of a 14-month-old presents with concerns for her child
being overweight. When you review the growth chart the patient
is in the 99th percentile. What recommendation can be made? -
ANSWER -Patient can be switched to reduced fat milk instead of
whole milk.
A seven-year-old boy who plays football presents with
complaints of left knee pain. He denies any recent trauma but
reports pain is worse with activity or when applying pressure to
the knee over tibial tubercle. He endorses there has been
intermittent swelling. What is the dx and tx? - ANSWER -
Osgood-schlatter disease- common in athletic boys.
TX:
-RICE
-Patellar tendon strap
-Stretching before activity
-NSAIDs
, * Should resolve spontaneously in 12 to 18 months
3 year old female presents in March with diarrhea. Mother states
started with slight fever and vomiting which resolved. Mother
concerned with dehydration. What is the diagnosis and
education? - ANSWER -Rotavirus
-usually last 3-8 days
-rotavirus vaccine
-hand hygiene
-s/s of dehydration
What test is used to confirm iron deficiency anemia? - ANSWER
-Serum ferritin
Spoon-shaped Fingernails (koilonychia) is a presentation for
which type of anemia? - ANSWER -Iron deficiency deficiency list
it
A 13-year-old female presents with the following labs: decreased
Hgb & Hct, decreased ferritin, Decreased serum iron, increased
TIBC. What is the most likely type of anemia? - ANSWER -Iron
deficiency anemia
ACTUAL COMPLETE FORM A AND B VERSIONS WITH 300
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADEDA+
What is the difference between croup and Bronchiolitis? -
ANSWER -Croup targets the upper respiratory track, bronchitis
threatens the small and medium lower respiratory tract
passages
Croup: harsh barky (seal-like) cough, inspiratory stridor,
hoarseness.
Bronchiolitis: clear rhinorrhea, cough, tachypnea, wheezing,
retractions, resp distress. Poor appetite and feeding. Think RSV!
A 12 year old boy presents with his mother post pre-diabetes
diagnosis. Upon reviewing the chart the patient is at 85
percentile For height and weight. The mother ask what they can
do to prevent the patient from moving to full-blown diabetes.
What would be your response? - ANSWER --patient should be
,encouraged to participate in at least 60 minutes of moderate to
vigorous physical activity daily
-muscle and bone strength training at least three days a week
-Decrease sedentary behavior
What is an A1c target for most children and adolescents with
type two diabetes treated with oral agents? - ANSWER -<7%
Pre-diabetes in children is defined as? - ANSWER -Impaired
fasting glucose 100125
-random glucose 140-199
What are the risk factors for dyslipidemia in children? - ANSWER
-Family history of lipid abnormalities
Family history of type two diabetes mellitus
At what age does screening cholesterol levels in children with
one or more risk factors begin at? - ANSWER -Age 2
A 17-year-old male presents post lipid labs, his total cholesterol
Level is 150. What education would you provide? - ANSWER -
This is an acceptable total cholesterol level (<170),
Will recheck in 3 years
,Low birthweight and poor infant growth are risk factors for type
two diabetes.
True or false? - ANSWER -True
When should body mass index be measured? - ANSWER -At age
2
A mother of a 14-month-old presents with concerns for her child
being overweight. When you review the growth chart the patient
is in the 99th percentile. What recommendation can be made? -
ANSWER -Patient can be switched to reduced fat milk instead of
whole milk.
A seven-year-old boy who plays football presents with
complaints of left knee pain. He denies any recent trauma but
reports pain is worse with activity or when applying pressure to
the knee over tibial tubercle. He endorses there has been
intermittent swelling. What is the dx and tx? - ANSWER -
Osgood-schlatter disease- common in athletic boys.
TX:
-RICE
-Patellar tendon strap
-Stretching before activity
-NSAIDs
, * Should resolve spontaneously in 12 to 18 months
3 year old female presents in March with diarrhea. Mother states
started with slight fever and vomiting which resolved. Mother
concerned with dehydration. What is the diagnosis and
education? - ANSWER -Rotavirus
-usually last 3-8 days
-rotavirus vaccine
-hand hygiene
-s/s of dehydration
What test is used to confirm iron deficiency anemia? - ANSWER
-Serum ferritin
Spoon-shaped Fingernails (koilonychia) is a presentation for
which type of anemia? - ANSWER -Iron deficiency deficiency list
it
A 13-year-old female presents with the following labs: decreased
Hgb & Hct, decreased ferritin, Decreased serum iron, increased
TIBC. What is the most likely type of anemia? - ANSWER -Iron
deficiency anemia
