NSG 6435 Wk 10 Test

NSG 6435 Wk 10 Test A 5 year old boy presents to the clinic with his mother who states the chief complaint of "painful limping on the right leg for 2 days." Today he has a low grade fever. Which of the following would be the most likely diagnosis? - Transient synovitis of the hip A 11 year old child presents with fever, sore throat, and swollen lymph nodes. The abdominal exam reveals a spleen tip that is palpable. A throat culture and Monospot test results are negative. What would be the next step in the plan of care: - Epstein-Barr titer A 13 year old presents with several vesicles and honey colored crusted lesions on the face. The initial injury was a scratch. What would be the most likely diagnosis? - Impetigo A child presents to the primary care clinic with chest pain. The provider is aware that chest pain in children is usually a symptom of? - Noncardiac condition A child who is enrolled in Head Start is suspected of having developmental delays based on Denver II results at two separate clinic visits. What would be the next step in the plan of care? - Refer the child for a more definitive dx. A child with Tourette Syndrome presents to the pediatric clinic. Which of the following should the NP be aware of? - Symptoms become more UNPREDICTABLE during adolescence. A male patient presents with symptoms consistent for testicular torsion. What would be the first priority for this patient? - A surgical referral A newborn has a vascular lesion that will not fade as the child gets older. What is your diagnosis? - Port wine stain A NP has a follow-up visit with a child who experienced a febrile seizure. Which of the following statements would be the most accurate when educating the parents on febrile seizures? - Child may experience repeat seizures. A NP is completing a cardiac assessment on a child and detects a murmur. Which of the following is true regarding innocent murmur? - The murmur is of low intensity A pediatric patient has just been diagnosed with otitis externa. Which of the following should the patient be instructed to do? - Keep ear dry until symptoms improve. A pediatric patient presents with symptoms consistent with the early phase of appendicitis. Which of the following would be the most likely presentation? - Anorexia and diffuse pain An adolescent boy presents to the clinic with a painless mass in the left side of his scrotum. The diagnosis would most likely be which condition? - Hydrocele An exam reveals foul-smelling vaginal discharge that emits a fishy odor when combined with 10% potassium hydroxide. What would be the diagnosis? - Gardnerella vaginalis During the examination of a 3-week old, it is noted that the infant is irritable when lifted, has asymmetrical moro reflex, and spasms along the right sternocleidomastoid. What does this suggest? - Fractured clavicle The incidence of epiglottitis has decreased due to which of the following immunizations? - Hib The mother of a 16 month old child informs you that she feeds the baby skim milk. What is the best rationale for not using skim milk? - Provides an inadequate amount of fatty acids. The NP has a differential diagnosis of Lyme disease. Which of the following skin lesions would confirm the diagnosis? - Erythema migrans The NP is completing education with parents of a child with celiac disease. Which of the following foods would be most appropriate? - Boiled rice and butter. The NP is performing a Fluorescein staining of the eye. Which of the following is this intervention used to detect? - Corneal abrasion The NP is reviewing strategies to increase physical activity. The patient should also be educated that which of the following are commonly associated