1l|lP a g e
NU 665 FINAL EXAM|| ACTUAL FINAL EXAM ALL QU
l l l l l l l l
ESTIONS AND CORRECT ANSWERS ALREADY GRA l l l l l
DED A+|| LATEST AND COMPLETE VERSION 2024 WI l l l l l l l
TH EXPERT VERIFIED SOLUTIONS|| ASSURED PASS!
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!!
A toddler has begun hitting and biting other children at a day care center and is exhibitin
l l l l l l l l l l l l l l l l
g temper tantrums and bad language at home. The parent reports that these behaviors be
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gan shortly after a sibling was born. What will the primary care pediatric nurse practitio
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ner do? - l l
ANSWER: Engage the parent in positive parenting strategies to facilitate appropriate c
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hild coping. l
A 14-year-
l
old female comes to the clinic with amenorrhea for 3 months. A pregnancy test is negati
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ve. The adolescent's body weight is at 82% of expected for height and age. The mother re
l l l l l l l l l l l l l l l l
ports that her daughter often throws up and refuses to eat most foods. Which condition d
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oes the primary care pediatric nurse practitioner suspect? -
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ANSWER: Anorexia nervosa
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Which type of heat- l l l
related illness involves a core body temperature of at least 104.9°F, acute mental status c
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hanges, absent sweat, and tachypnea? - ANSWER: Heat stroke
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What percentage of burns is involved using the rule of nines if both front legs are burned
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? - ANSWER: 18%
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Which drug commonly prescribed for burns is active against a wide spectrum of microb
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ial pathogens and is the most frequently used agent for partial- and full-
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thickness thermal injuries? - ANSWER: Silver sulfadiazine (Silvadene)
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,2l|lP a g e
A sunscreen with a sun-
l l l l
protection factor of at least what number will block most harmful ultraviolet radiation? -
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ANSWER: 15
l l
Which clinical feature is the first to be affected in increased intracranial pressure? -
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ANSWER: Decrease in level of consciousness
l l l l l l
What is the normal number for the Glasgow Coma Scale? - ANSWER: 15
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Which diagnostic test is the best to diagnose a subdural hematoma? -
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ANSWER: Magnetic resonance imaging (MRI)
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Patients with a spontaneous pneumothorax should be counseled that up to what percent
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age may experience a reoccurrence at some point? - ANSWER: 30%
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Most adult poisonings are: - ANSWER: Intentional and self-inflicted
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Which method is used to remove heavy metals, such as lead, that are ingested as poisons
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? - ANSWER: Chelation
l l l
If a previously frostbitten area becomes frostbitten again after it has healed, what might
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occur? - l
ANSWER: Permanent tissue damage may occur, resulting in necrosis to that body part
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.
What percentage of all visits to the emergency department (ED) are related to wounds? -
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ANSWER: 12%
l l
,3l|lP a g e
Which solution should be used when irrigating lacerated tissue over a wound on the arm
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? - ANSWER: Saline irrigation or soapy water
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Which type of burn injury results in destruction of the epidermis with most of the dermis
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, yet the epidermal cells lining hair follicles and sweat glands remain intact? -
l l l l l l l l l l l l l
ANSWER: Deep partial-thickness burns
l l l l
Which carboxyhemoglobin (COHb) level correlates with the clinical symptoms of conf
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usion, lethargy, and ST-segment depression on the electrocardiogram? -
l l l l l l l l
ANSWER: 30% COHb
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Which causes the greatest percentage of mammalian bites? - ANSWER: Dogs
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Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tissu
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e? - ANSWER: Brown recluse spider
l l l l l
Which of the following characteristics separates anaphylaxis from a vasovagal reaction
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? - ANSWER: Severe bronchoconstriction
l l l l
Delayed serum sickness- l l
type reactions in response to multiple bee, wasp, or fire ant stings can be managed with
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which of the following? - l l l l
ANSWER: A corticosteroid such as prednisone (Deltasone), 60 to 100 mg, tapered ove
l l l l l l l l l l l l l
r 2 weeks
l l
After a head injury, what is it called when air enters into the cerebrospinal fluid (CSF)-
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filled spaces within the head? - ANSWER: Pneumocephalus
l l l l l l l
, 4l|lP a g e
Cerebrospinal fluid (CSF) may leak through the cribriform plate region of the skull foll l l l l l l l l l l l l l
owing a head injury and cause which of the following? -
l l l l l l l l l l
ANSWER: Nasal CSF rhinorrhea
l l l l
Which classic feature of an epidural hematoma may distinguish it from other skull hema
l l l l l l l l l l l l l
tomas? - l
ANSWER: A brief loss of consciousness, then a brief "lucid" moment, followed by mo
l l l l l l l l l l l l l l
mentary unconsciousness minutes after the injury l l l l l
A patient with a basilar skull fracture may experience an impaired downward gaze or di
l l l l l l l l l l l l l l
plopia from which affected cranial nerve? - ANSWER: CN IV
l l l l l l l l l
A history of overuse or excessive force, as opposed to a fall, hyperextension, or the twist
l l l l l l l l l l l l l l l
ing of a joint, is more likely related to which musculoskeletal injury? -
l l l l l l l l l l l l
ANSWER: A strain
l l l
In a healthy adult, the process of remodeling after a fracture of the humerus takes how lo
l l l l l l l l l l l l l l l l
ng? - ANSWER: 2 months
l l l l
A patient who sustains blunt chest trauma and/or penetrating chest trauma must have w
l l l l l l l l l l l l l
hich of the following imaging examinations? - ANSWER: Upright chest x-ray film
l l l l l l l l l l l
Josie, age 30, has a pneumothorax. It may be treated conservatively without a chest tube
l l l l l l l l l l l l l l l
if it is deflated by what percentage? - ANSWER: 30%
l l l l l l l l l
Hepatic necrosis with jaundice may occur after ingesting massive doses of which medic
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ation? - ANSWER: Acetaminophen l l l
Pink, cherry red tissues and skin may result from which type of poisoning? -
l l l l l l l l l l l l l
ANSWER: Carbon monoxide
l l l
NU 665 FINAL EXAM|| ACTUAL FINAL EXAM ALL QU
l l l l l l l l
ESTIONS AND CORRECT ANSWERS ALREADY GRA l l l l l
DED A+|| LATEST AND COMPLETE VERSION 2024 WI l l l l l l l
TH EXPERT VERIFIED SOLUTIONS|| ASSURED PASS!
l l l l l
!!
A toddler has begun hitting and biting other children at a day care center and is exhibitin
l l l l l l l l l l l l l l l l
g temper tantrums and bad language at home. The parent reports that these behaviors be
l l l l l l l l l l l l l l
gan shortly after a sibling was born. What will the primary care pediatric nurse practitio
l l l l l l l l l l l l l l
ner do? - l l
ANSWER: Engage the parent in positive parenting strategies to facilitate appropriate c
l l l l l l l l l l l l
hild coping. l
A 14-year-
l
old female comes to the clinic with amenorrhea for 3 months. A pregnancy test is negati
l l l l l l l l l l l l l l l
ve. The adolescent's body weight is at 82% of expected for height and age. The mother re
l l l l l l l l l l l l l l l l
ports that her daughter often throws up and refuses to eat most foods. Which condition d
l l l l l l l l l l l l l l l
oes the primary care pediatric nurse practitioner suspect? -
l l l l l l l l
ANSWER: Anorexia nervosa
l l l
Which type of heat- l l l
related illness involves a core body temperature of at least 104.9°F, acute mental status c
l l l l l l l l l l l l l l
hanges, absent sweat, and tachypnea? - ANSWER: Heat stroke
l l l l l l l l
What percentage of burns is involved using the rule of nines if both front legs are burned
l l l l l l l l l l l l l l l l
? - ANSWER: 18%
l l l
Which drug commonly prescribed for burns is active against a wide spectrum of microb
l l l l l l l l l l l l l
ial pathogens and is the most frequently used agent for partial- and full-
l l l l l l l l l l l l
thickness thermal injuries? - ANSWER: Silver sulfadiazine (Silvadene)
l l l l l l l
,2l|lP a g e
A sunscreen with a sun-
l l l l
protection factor of at least what number will block most harmful ultraviolet radiation? -
l l l l l l l l l l l l l
ANSWER: 15
l l
Which clinical feature is the first to be affected in increased intracranial pressure? -
l l l l l l l l l l l l l
ANSWER: Decrease in level of consciousness
l l l l l l
What is the normal number for the Glasgow Coma Scale? - ANSWER: 15
l l l l l l l l l l l l
Which diagnostic test is the best to diagnose a subdural hematoma? -
l l l l l l l l l l l
ANSWER: Magnetic resonance imaging (MRI)
l l l l l
Patients with a spontaneous pneumothorax should be counseled that up to what percent
l l l l l l l l l l l l
age may experience a reoccurrence at some point? - ANSWER: 30%
l l l l l l l l l l
Most adult poisonings are: - ANSWER: Intentional and self-inflicted
l l l l l l l l
Which method is used to remove heavy metals, such as lead, that are ingested as poisons
l l l l l l l l l l l l l l l
? - ANSWER: Chelation
l l l
If a previously frostbitten area becomes frostbitten again after it has healed, what might
l l l l l l l l l l l l l l
occur? - l
ANSWER: Permanent tissue damage may occur, resulting in necrosis to that body part
l l l l l l l l l l l l l
.
What percentage of all visits to the emergency department (ED) are related to wounds? -
l l l l l l l l l l l l l l
ANSWER: 12%
l l
,3l|lP a g e
Which solution should be used when irrigating lacerated tissue over a wound on the arm
l l l l l l l l l l l l l l
? - ANSWER: Saline irrigation or soapy water
l l l l l l l
Which type of burn injury results in destruction of the epidermis with most of the dermis
l l l l l l l l l l l l l l l
, yet the epidermal cells lining hair follicles and sweat glands remain intact? -
l l l l l l l l l l l l l
ANSWER: Deep partial-thickness burns
l l l l
Which carboxyhemoglobin (COHb) level correlates with the clinical symptoms of conf
l l l l l l l l l l
usion, lethargy, and ST-segment depression on the electrocardiogram? -
l l l l l l l l
ANSWER: 30% COHb
l l l
Which causes the greatest percentage of mammalian bites? - ANSWER: Dogs
l l l l l l l l l l
Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tissu
l l l l l l l l l l l l
e? - ANSWER: Brown recluse spider
l l l l l
Which of the following characteristics separates anaphylaxis from a vasovagal reaction
l l l l l l l l l l
? - ANSWER: Severe bronchoconstriction
l l l l
Delayed serum sickness- l l
type reactions in response to multiple bee, wasp, or fire ant stings can be managed with
l l l l l l l l l l l l l l l l
which of the following? - l l l l
ANSWER: A corticosteroid such as prednisone (Deltasone), 60 to 100 mg, tapered ove
l l l l l l l l l l l l l
r 2 weeks
l l
After a head injury, what is it called when air enters into the cerebrospinal fluid (CSF)-
l l l l l l l l l l l l l l l
filled spaces within the head? - ANSWER: Pneumocephalus
l l l l l l l
, 4l|lP a g e
Cerebrospinal fluid (CSF) may leak through the cribriform plate region of the skull foll l l l l l l l l l l l l l
owing a head injury and cause which of the following? -
l l l l l l l l l l
ANSWER: Nasal CSF rhinorrhea
l l l l
Which classic feature of an epidural hematoma may distinguish it from other skull hema
l l l l l l l l l l l l l
tomas? - l
ANSWER: A brief loss of consciousness, then a brief "lucid" moment, followed by mo
l l l l l l l l l l l l l l
mentary unconsciousness minutes after the injury l l l l l
A patient with a basilar skull fracture may experience an impaired downward gaze or di
l l l l l l l l l l l l l l
plopia from which affected cranial nerve? - ANSWER: CN IV
l l l l l l l l l
A history of overuse or excessive force, as opposed to a fall, hyperextension, or the twist
l l l l l l l l l l l l l l l
ing of a joint, is more likely related to which musculoskeletal injury? -
l l l l l l l l l l l l
ANSWER: A strain
l l l
In a healthy adult, the process of remodeling after a fracture of the humerus takes how lo
l l l l l l l l l l l l l l l l
ng? - ANSWER: 2 months
l l l l
A patient who sustains blunt chest trauma and/or penetrating chest trauma must have w
l l l l l l l l l l l l l
hich of the following imaging examinations? - ANSWER: Upright chest x-ray film
l l l l l l l l l l l
Josie, age 30, has a pneumothorax. It may be treated conservatively without a chest tube
l l l l l l l l l l l l l l l
if it is deflated by what percentage? - ANSWER: 30%
l l l l l l l l l
Hepatic necrosis with jaundice may occur after ingesting massive doses of which medic
l l l l l l l l l l l l
ation? - ANSWER: Acetaminophen l l l
Pink, cherry red tissues and skin may result from which type of poisoning? -
l l l l l l l l l l l l l
ANSWER: Carbon monoxide
l l l