NURS 6541 Final Exam
Question 1
1 out of 1 points
An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a
routine part of the clinical management?
Selected Answer: c.
School excuse to not participate in recess and/or physical education activities
Question 2
1 out of 1 points
A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom
would cause the NP to suspect Crohn's disease?
Selected Answer: b.
Blood, mucous diarrhea
Question 3
1 out of 1 points
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most
appropriate next step is
Selected Answer: a.
Trial of ranitidine (Zantac)
Question 4
1 out of 1 points
Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action?
,Selected Answer: a.
Rule out a neurologic disorder.
Question 5
0 out of 1 points
A 15-year-old girl has experienced abdominal pain, vomiting, and lethargy for 3 days. Her chest and
throat examinations are clear, but her abdominal examination is significant for right lower quadrant
pain. Rectal examination is equivocal for pain, and her pelvic examination is remarkable for pain
upon movement of her cervix. Laboratory data include elevated white blood cell count, serum
glucose level of 145 mg/dL, and serum bicarbonate level of 21mEq/dL. Her urinalysis is remarkable
for 1+ white blood cells, 1+ glucose, and 1+ ketones. Which of the following is the most likely
diagnosis?
Selected Answer: a.
Appendicitis
Question 6
0 out of 1 points
A previously healthy male has a 3-month history of increasing headaches, blurred vision, and
personality changes. Previously he admitted to marijuana experimentation more than 1 year ago. On
examination he is a healthy, athletic-appearing 17-year-old with decreased extraocular range of
motion and left eye visual acuity. Which of the following is the best next step in his management?
Selected Answer: e.
Urine drug screen
Question 7
1 out of 1 points
Kelly, your 11-year-old well visit patient, presents to the office with weight loss, polyuria, and
polydipsia. Which of the following do you need to rule out?
Selected Answer: c.
, Diabetes mellitus
Question 8
0 out of 1 points
Lisa has Cushing's syndrome. You would suspect her to have or to develop
Selected Answer: d.
Generalized increased pigmentations of the skin
Question 9
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: b.
Toe walking is considered normal until age 3.
Question 10
1 out of 1 points
The peak incidence for adolescent gynecomastia occurs at age
Selected Answer: d.
13 to 14 years of age
Question 11
0 out of 1 points
A 12-year-old girl was brought to the emergency department because of severe sore throat, muffled
voice, drooling, and fatigue. She had been sick for the past 3 days and is unable to eat because of
painful swallowing. The parents deny any history of recurrent pharyngitis. The patient still managed
to open her mouth and you were able to see an abscess at the upper pole of the right tonsil with
Question 1
1 out of 1 points
An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a
routine part of the clinical management?
Selected Answer: c.
School excuse to not participate in recess and/or physical education activities
Question 2
1 out of 1 points
A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom
would cause the NP to suspect Crohn's disease?
Selected Answer: b.
Blood, mucous diarrhea
Question 3
1 out of 1 points
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most
appropriate next step is
Selected Answer: a.
Trial of ranitidine (Zantac)
Question 4
1 out of 1 points
Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action?
,Selected Answer: a.
Rule out a neurologic disorder.
Question 5
0 out of 1 points
A 15-year-old girl has experienced abdominal pain, vomiting, and lethargy for 3 days. Her chest and
throat examinations are clear, but her abdominal examination is significant for right lower quadrant
pain. Rectal examination is equivocal for pain, and her pelvic examination is remarkable for pain
upon movement of her cervix. Laboratory data include elevated white blood cell count, serum
glucose level of 145 mg/dL, and serum bicarbonate level of 21mEq/dL. Her urinalysis is remarkable
for 1+ white blood cells, 1+ glucose, and 1+ ketones. Which of the following is the most likely
diagnosis?
Selected Answer: a.
Appendicitis
Question 6
0 out of 1 points
A previously healthy male has a 3-month history of increasing headaches, blurred vision, and
personality changes. Previously he admitted to marijuana experimentation more than 1 year ago. On
examination he is a healthy, athletic-appearing 17-year-old with decreased extraocular range of
motion and left eye visual acuity. Which of the following is the best next step in his management?
Selected Answer: e.
Urine drug screen
Question 7
1 out of 1 points
Kelly, your 11-year-old well visit patient, presents to the office with weight loss, polyuria, and
polydipsia. Which of the following do you need to rule out?
Selected Answer: c.
, Diabetes mellitus
Question 8
0 out of 1 points
Lisa has Cushing's syndrome. You would suspect her to have or to develop
Selected Answer: d.
Generalized increased pigmentations of the skin
Question 9
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: b.
Toe walking is considered normal until age 3.
Question 10
1 out of 1 points
The peak incidence for adolescent gynecomastia occurs at age
Selected Answer: d.
13 to 14 years of age
Question 11
0 out of 1 points
A 12-year-old girl was brought to the emergency department because of severe sore throat, muffled
voice, drooling, and fatigue. She had been sick for the past 3 days and is unable to eat because of
painful swallowing. The parents deny any history of recurrent pharyngitis. The patient still managed
to open her mouth and you were able to see an abscess at the upper pole of the right tonsil with
