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NR602 FINAL EXAM (2 VERSIONS)
NEWEST COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS |BRAND NEW!!
The mother presents to the clinic with her nine-year-old child who was hit in the
head with a baseball bat. Upon exam, the patient is AAOX3 but complains of a
headache, fatigue, and slight nausea. The mother denies any loss of consciousness.
What is the diagnosis and treatment? - CORRECT ANSWER>>Traumatic brain
injury/concussion
TX: watchful waiting, have child return in 1-2 weeks for a recheck.
- gradually return to non-sports activities after no more than 2 to 3 days of rest
-May use Tylenol for headache
What are the red flags following a traumatic brain injury? - CORRECT ANSWER>>-
watery discharge from nose or ears
-vomiting more than two times
-seizures
-memory loss
-unequal pupils
`-increased drowsiness
What should pediatric patients be started on if they are positive for sickle cell? -
CORRECT ANSWER>>-referral to pediatric hematology
-begin penicillin VK 125 mg by mouth starting at 3 months. (Preventative for peds
under 5 or high risk)
-Do CBC, Retic count, and G6PD
- vaccinations
What additional preventative action should patients with sickle cell have? -
CORRECT ANSWER>>-routine blood pressure monitoring
-Transcranial Doppler's up to 16 years old
-Retinal exam starting at age 10
What vaccination should sickle cell patients have and why? - CORRECT
ANSWER>>-PCV13 (2m, 4m, 6m, 12m)
-PPSV23 (24m, 5y-7y)
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-influenza (6m starting..)
They are at higher risk for infection that could be deadly.
A four month old infant's Mother calls and states the patient has a fever of 101.8
rectally. The mother reports that the patient has received her penicillin
prophylaxis that was prescribed for sickle cell. There is no respiratory distress and
the patient has good oral intake and normal urine output. What advice would you
give the mother at this time? - CORRECT ANSWER>>The mother should be advised
to take the patient to the emergency department immediately for initiation of IV
antibiotics and further evaluation
Out of the following children who should be seen immediately?
A.) A four month old who has had a fever of 101.2 x 2 days but is still playing and
has good oral intake.
B.) A two month old with a fever of 100.6
C.) A 13 year old with a fever of 103
D.) A 3 year old with a fever of 101.1 - CORRECT ANSWER>>B
Babies <3 months with a fever greater than 100.4 should be seen immediately
Exclusively breast-fed infants should be started on what at four months of age? -
CORRECT ANSWER>>Iron supplementation
Iron-fortified cereal and/or purred meats at 6 months
What education should be provided for families of children taking iron
supplements? - CORRECT ANSWER>>-avoid administering with meals or milk
-vitamin C juice enhances absorption
-Child stores will turn black
-Any dental staining can be removed with dental cleaning
A mother presents with a six-year-old male with complaints of fever times one
week and rash. Upon exam you find conjunctival injection, red, tender, edematous
hands and feet, cracked red dry lips, cervical lymphadenitis, and a red strawberry
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tongue. What is the diagnosis and treatment? - CORRECT ANSWER>>Labs: CBC,
CMP, ESR, and CRP
Kawasaki Disease- vasculitis
Admit to hospital, needs: IVIG, ASA (antiplatlet therapy), antiplatlet
*no live vaccinations x 11 months post IVIG.
A mother presents with her 3 month old child and complains of goopy eye that is
sometimes matted shut after naps. Upon exam the conjunctiva is clear with some
mild crusting to eye lashes. What is the diagnosis and patient teaching? - CORRECT
ANSWER>>Probable lacrimal duct obstruction.
-The baby will likely grow out if it somewhere between six and 12 months.
-You can do a daily lacrimal duct massage and warm compresses to help open up
the duct.
-Watch for Periorbital cellulitis or bacterial conjunctivitis.
Nine-year-old patient presents with tender, swollen, erythemic bump to eyelid.
What is the diagnosis and patient education? - CORRECT ANSWER>>Hordeolum
(stye)
-warm moist compress
- scrub eye lashes with baby shampoo BID
- eye will feel better when stye pops, if doesn't will refer to optho.
What is blepharitis? - CORRECT ANSWER>>inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
What is the treatment for blepharitis? - CORRECT ANSWER>>Cleanse with baby
shampoo TID
- Warm, moist compress
- resistant can prescribe Doxy or Tertracycline but not to pediatrics who don't have
adult teeth, can cause discoloration. Pediatrics can have Bactrim.
NR602 FINAL EXAM (2 VERSIONS)
NEWEST COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS |BRAND NEW!!
The mother presents to the clinic with her nine-year-old child who was hit in the
head with a baseball bat. Upon exam, the patient is AAOX3 but complains of a
headache, fatigue, and slight nausea. The mother denies any loss of consciousness.
What is the diagnosis and treatment? - CORRECT ANSWER>>Traumatic brain
injury/concussion
TX: watchful waiting, have child return in 1-2 weeks for a recheck.
- gradually return to non-sports activities after no more than 2 to 3 days of rest
-May use Tylenol for headache
What are the red flags following a traumatic brain injury? - CORRECT ANSWER>>-
watery discharge from nose or ears
-vomiting more than two times
-seizures
-memory loss
-unequal pupils
`-increased drowsiness
What should pediatric patients be started on if they are positive for sickle cell? -
CORRECT ANSWER>>-referral to pediatric hematology
-begin penicillin VK 125 mg by mouth starting at 3 months. (Preventative for peds
under 5 or high risk)
-Do CBC, Retic count, and G6PD
- vaccinations
What additional preventative action should patients with sickle cell have? -
CORRECT ANSWER>>-routine blood pressure monitoring
-Transcranial Doppler's up to 16 years old
-Retinal exam starting at age 10
What vaccination should sickle cell patients have and why? - CORRECT
ANSWER>>-PCV13 (2m, 4m, 6m, 12m)
-PPSV23 (24m, 5y-7y)
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-influenza (6m starting..)
They are at higher risk for infection that could be deadly.
A four month old infant's Mother calls and states the patient has a fever of 101.8
rectally. The mother reports that the patient has received her penicillin
prophylaxis that was prescribed for sickle cell. There is no respiratory distress and
the patient has good oral intake and normal urine output. What advice would you
give the mother at this time? - CORRECT ANSWER>>The mother should be advised
to take the patient to the emergency department immediately for initiation of IV
antibiotics and further evaluation
Out of the following children who should be seen immediately?
A.) A four month old who has had a fever of 101.2 x 2 days but is still playing and
has good oral intake.
B.) A two month old with a fever of 100.6
C.) A 13 year old with a fever of 103
D.) A 3 year old with a fever of 101.1 - CORRECT ANSWER>>B
Babies <3 months with a fever greater than 100.4 should be seen immediately
Exclusively breast-fed infants should be started on what at four months of age? -
CORRECT ANSWER>>Iron supplementation
Iron-fortified cereal and/or purred meats at 6 months
What education should be provided for families of children taking iron
supplements? - CORRECT ANSWER>>-avoid administering with meals or milk
-vitamin C juice enhances absorption
-Child stores will turn black
-Any dental staining can be removed with dental cleaning
A mother presents with a six-year-old male with complaints of fever times one
week and rash. Upon exam you find conjunctival injection, red, tender, edematous
hands and feet, cracked red dry lips, cervical lymphadenitis, and a red strawberry
, 3|Page
tongue. What is the diagnosis and treatment? - CORRECT ANSWER>>Labs: CBC,
CMP, ESR, and CRP
Kawasaki Disease- vasculitis
Admit to hospital, needs: IVIG, ASA (antiplatlet therapy), antiplatlet
*no live vaccinations x 11 months post IVIG.
A mother presents with her 3 month old child and complains of goopy eye that is
sometimes matted shut after naps. Upon exam the conjunctiva is clear with some
mild crusting to eye lashes. What is the diagnosis and patient teaching? - CORRECT
ANSWER>>Probable lacrimal duct obstruction.
-The baby will likely grow out if it somewhere between six and 12 months.
-You can do a daily lacrimal duct massage and warm compresses to help open up
the duct.
-Watch for Periorbital cellulitis or bacterial conjunctivitis.
Nine-year-old patient presents with tender, swollen, erythemic bump to eyelid.
What is the diagnosis and patient education? - CORRECT ANSWER>>Hordeolum
(stye)
-warm moist compress
- scrub eye lashes with baby shampoo BID
- eye will feel better when stye pops, if doesn't will refer to optho.
What is blepharitis? - CORRECT ANSWER>>inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
What is the treatment for blepharitis? - CORRECT ANSWER>>Cleanse with baby
shampoo TID
- Warm, moist compress
- resistant can prescribe Doxy or Tertracycline but not to pediatrics who don't have
adult teeth, can cause discoloration. Pediatrics can have Bactrim.
