NURS612 Practice Test Questions with Complete Solutions

NURS612 Practice Test Questions with Complete Solutions On your patient schedule see a diagnosis of plagiocephaly on your patient schedule. You vaguely recall learning something about this in Nurs 612 so you check UpToDate and are able to explain the etiology of this head growth disturbance is to the parents of this 4-month-old : A. Your child's head appears small. His head size is 2 SD below the mean, this can result abnormal brain development from a genetic or teratogenic exposure B. Your child's head appears flat. This form of craniostenosis can result from premature fusion of lambdoidal or coronal skull sutures and often results in brain injury. C. Your child's head appears large. His head size is 2 SD above the mean, this can result from hydrocephalus while skull sutures are open. D. Your child's head appears flat. This form of craniostenosis can result from premature fusion of lambdoidal or coronal skull sutures and is often only cosmetic and can be treated with a special helmet. - ANSWER D. Your child's head appears flat. This form of craniostenosis can result from premature fusion of lambdoidal or coronal skull sutures and is often only cosmetic and can be treated with a special helmet. During a 1-week-old male well child check the head circumference is 3 S.D. (standard deviations) below the predicted mean. What risk factors increases the risk of this finding? A. Positioning infant on their back B. Prenatal Zika virus exposure C. Hydrocephaly D. Subdural hematoma or tumor - ANSWER B. Prenatal Zika virus exposure You are seeing a 6-month-old today for follow-up after a febrile seizure yesterday. On exam you expect to find: A. the anterior fontanel closed. B. the posterior fontanel closed C. sleepiness from a post-ictal state D. nuchal rigidity - ANSWER B. the posterior fontanel closed You are examining a 22-month-old today for follow-up after a with a new sudden onset of jerking movements while febrile earlier today. Which of the following is not typical of this type seizure? A. Positive family history B. Age onset between 3 months and 5 years C. Seizure lasting more than 15 minutes D. Most likely to occur with a rapid rise in body temperature - ANSWER C. Seizure lasting more than 15 minutes A 15-year-old with a diagnosis of epilepsy had a seizure in your office lasting 12 minutes requiring rectal diazepam (Valium). He is stable in a postictal state. His parents express concern as his last seizure was 2 years ago and he wanted to be weaned off his phenytoin (Dilantin).Which of the following may have contributed to this seizure? A. Experimentation with alcohol consumption which lowers seizure threshold. B. Recent growth spurt resulting in decreased kg/mg dosage C. Adolescent may be challenging diagnosis and non-compliant with phenytoin regimen D. All choices are correct - ANSWER D. All choices are correct What question in an adolescent's history is the MOST important to ask concerning new onset of headaches? A. Alcohol use B. Caffeine use C. History of headache most severe when arising from sleep D. Positive family history for headaches - ANSWER C. History of headache most severe when arising from sleep A 17-year-old arrives for evaluation of a headache. He states it is worse in the morning and does not respond to ibuprofen. His caffeine intake has not changed, he has no known head trauma. On exam you note he is slow to respond to questions and your fundoscopic exam the optic disc borders are blurred (papilledema). You explain your next action A. He exhibits a focal neurological sign, order a CT B. He exhibits a focal neurological sign, discharge the patient home prescribing bedrest, acetaminophen and recommend sunglasses C. He exhibits no focal neurological signs, discharge the patient home on bedrest, teaching family members signs warning signs of increased ICP D. He exhibits no focal neurological signs. discharge the patient home recommending return to school, but no contact sports until headache resolved - ANSWER A. He exhibits a focal neurological sign, order a CT