NUR 652 FINAL WITH RELEVANT
QUESTIONS AND CORRECT
ANSWERS HIGHLY GRADED A+
what types of chronic noninfectious diarrhea will cause fatty stools. select all that apply-
CORRECT ANSWERS--celiac disease
pancreatic insufficiency
cystic fibrosis
*not DM or lactose intolerance
A school age child has recurrent diarrhea with foul smelling stools, excessive flatus,
abdominal distension. Tried a 2 week lactose free diet which failed to reduce symptoms.
what is the next step?-CORRECT ANSWERS--serologic testing fro celiac disease
12 yo weight and BMI is 75th% has diastolic BP in 99% on 3 separate occasions - initial
tests?-CORRECT ANSWERS--renal function and plasma renin tests
Pt reports recurrent CP that occurs regardless of activity and is not relieved by nitro.
What is the next action?-CORRECT ANSWERS--Beta blocker
school age child with 3 month hx of dull achy epigastric pain that worsens with eating
and awakens the child from sleep. CBC shows hemoglobin of 8. what is the next step-
CORRECT ANSWERS--referral for EGD
2 month old cries up to 4 hours per day and is inconsolable, legs stiff and tense. BF.
weight gain is normal-CORRECT ANSWERS--eliminating certain foods fro the mother's
diet
Pt's who meet the criteria for statin therapy to prevent CAD. select all that apply-
CORRECT ANSWERS--3 answers:
10 year risk score of 8% with and LDL of 80
low density LDL > 190
previous MI
what factors can cause a heart murmur. select all that apply-CORRECT ANSWERS--
high rates of flow through a normal valve
backward flow through a septal defect
,forward flow into a dilated vessel
which symptoms in a patient with abdominal pain are suggestive of appendicitis? select
all that apply-CORRECT ANSWERS--abdominal ridigity
pain occuring prior to N/V
pain with low grade fever
not the answer:
prolonged pain
pain to LLQ
pt has jaundice and bili reveals elevated direct bili. which testing may help determine
the cause? select all that apply-CORRECT ANSWERS--serology viral tests
liver function
iron and ferritin
new grade II vibratory mid-systolic murmur at the mid sternal border in a 4yo that is
louder when supine. what type of murmur?-CORRECT ANSWERS--still's murmur
6 week old infant notes poor weight gain, acrocyanosis of hands and feet, RR of 60, 02
93%-CORRECT ANSWERS--refer to pediatric cardiologist
pt who has recently traveled has acute diarrhea which began when coming home. mark
all that apply-CORRECT ANSWERS--oral fluid replacement
ciprofloxacin x 3 days
loperamide and bedtime and after each stool
pt reports decrease in stools and asks about tx for constipation. which findings are part
of the Rome III for diagnosing? all that apply-CORRECT ANSWERS--lumpy stools
feeling incomplete evacuation
symptoms persist for 3 months
toddler 2 days hisotry of intermitten vomiting and diarrhea. assessment show irritable,
dry mucous membranes, 3 second cap refill, 2 second recoil of skin, mild tachy,
tachypnea, cool hands and feet. 2 wet diapers in 24 hours.-CORRECT ANSWERS--oral
hydration and follow up in 24 hours
child that had repair of tetrology of fallot. what is important for this childs heath
maintenance-CORRECT ANSWERS--cardio clearance for sports
12 yo BMI greater that 95% with BP at 98%. afte lifestyle changes BMI drops to 90%
but BP remains the same. what is next step?-CORRECT ANSWERS--referral to neph
or cardio
5 yo grade III/IV harsh late systolic ejection murmur at the upper left sternal border that
transmits to both lung fields. normal growth-CORRECT ANSWERS--Pulmonic stenosis
, 13 yo with abdominal pain x 2 days. RLQ. vomited and now has pain relief and + fever.
likely diagnisis-CORRECT ANSWERS--appendicitis with perforation
Dx with ulcerative colitis, which medication to establish remission?-CORRECT
ANSWERS--sulfasalazine
pt with esophageal reflux reports difficulty swallowing. fixed cervical and axillary
lymphadenopathy. what is significant is cancer is suspected-CORRECT ANSWERS--
prognosis is poor
pt reports sustained irregular heart palpitations. which is mostly likely cause-CORRECT
ANSWERS--a fib
3 month old arches and gags while feeding, spits up undigested formular frequently.
weight has dropped to 5th% from 12%-CORRECT ANSWERS--begin trial of extensively
hydrolyzed protein formula for 2-4 weeks
elderly pt with recent weight loss, choking and coughing with eating. likely cause?-
CORRECT ANSWERS--pharyngeal dysphagia
older person with asymmetric red reflux indicates what?-CORRECT ANSWERS--
possible symptom of cataracts
what is the labs to diagnose hyperthyroidism-CORRECT ANSWERS--TSH is low
normal TSH is 0.5 - 5 microunits per mm
African american infant - red reflex is brown and the other is red-CORRECT
ANSWERS--refer to ophthalmology
pt has dry non-productvie cough diagnosed with bronchitis, and later becomes
productive-CORRECT ANSWERS--anttussives are the answer, but this is old info
now we would do musinex meds
obese woman, large neck circumference-CORRECT ANSWERS--sleep study ordered -
polysomnography
school age child previously healthy, now cough and low grade fever with wheezing.
what kind of pneumonia?-CORRECT ANSWERS--atypical pneumonia - mycoplasma is
most common cause
why is this atypical?
QUESTIONS AND CORRECT
ANSWERS HIGHLY GRADED A+
what types of chronic noninfectious diarrhea will cause fatty stools. select all that apply-
CORRECT ANSWERS--celiac disease
pancreatic insufficiency
cystic fibrosis
*not DM or lactose intolerance
A school age child has recurrent diarrhea with foul smelling stools, excessive flatus,
abdominal distension. Tried a 2 week lactose free diet which failed to reduce symptoms.
what is the next step?-CORRECT ANSWERS--serologic testing fro celiac disease
12 yo weight and BMI is 75th% has diastolic BP in 99% on 3 separate occasions - initial
tests?-CORRECT ANSWERS--renal function and plasma renin tests
Pt reports recurrent CP that occurs regardless of activity and is not relieved by nitro.
What is the next action?-CORRECT ANSWERS--Beta blocker
school age child with 3 month hx of dull achy epigastric pain that worsens with eating
and awakens the child from sleep. CBC shows hemoglobin of 8. what is the next step-
CORRECT ANSWERS--referral for EGD
2 month old cries up to 4 hours per day and is inconsolable, legs stiff and tense. BF.
weight gain is normal-CORRECT ANSWERS--eliminating certain foods fro the mother's
diet
Pt's who meet the criteria for statin therapy to prevent CAD. select all that apply-
CORRECT ANSWERS--3 answers:
10 year risk score of 8% with and LDL of 80
low density LDL > 190
previous MI
what factors can cause a heart murmur. select all that apply-CORRECT ANSWERS--
high rates of flow through a normal valve
backward flow through a septal defect
,forward flow into a dilated vessel
which symptoms in a patient with abdominal pain are suggestive of appendicitis? select
all that apply-CORRECT ANSWERS--abdominal ridigity
pain occuring prior to N/V
pain with low grade fever
not the answer:
prolonged pain
pain to LLQ
pt has jaundice and bili reveals elevated direct bili. which testing may help determine
the cause? select all that apply-CORRECT ANSWERS--serology viral tests
liver function
iron and ferritin
new grade II vibratory mid-systolic murmur at the mid sternal border in a 4yo that is
louder when supine. what type of murmur?-CORRECT ANSWERS--still's murmur
6 week old infant notes poor weight gain, acrocyanosis of hands and feet, RR of 60, 02
93%-CORRECT ANSWERS--refer to pediatric cardiologist
pt who has recently traveled has acute diarrhea which began when coming home. mark
all that apply-CORRECT ANSWERS--oral fluid replacement
ciprofloxacin x 3 days
loperamide and bedtime and after each stool
pt reports decrease in stools and asks about tx for constipation. which findings are part
of the Rome III for diagnosing? all that apply-CORRECT ANSWERS--lumpy stools
feeling incomplete evacuation
symptoms persist for 3 months
toddler 2 days hisotry of intermitten vomiting and diarrhea. assessment show irritable,
dry mucous membranes, 3 second cap refill, 2 second recoil of skin, mild tachy,
tachypnea, cool hands and feet. 2 wet diapers in 24 hours.-CORRECT ANSWERS--oral
hydration and follow up in 24 hours
child that had repair of tetrology of fallot. what is important for this childs heath
maintenance-CORRECT ANSWERS--cardio clearance for sports
12 yo BMI greater that 95% with BP at 98%. afte lifestyle changes BMI drops to 90%
but BP remains the same. what is next step?-CORRECT ANSWERS--referral to neph
or cardio
5 yo grade III/IV harsh late systolic ejection murmur at the upper left sternal border that
transmits to both lung fields. normal growth-CORRECT ANSWERS--Pulmonic stenosis
, 13 yo with abdominal pain x 2 days. RLQ. vomited and now has pain relief and + fever.
likely diagnisis-CORRECT ANSWERS--appendicitis with perforation
Dx with ulcerative colitis, which medication to establish remission?-CORRECT
ANSWERS--sulfasalazine
pt with esophageal reflux reports difficulty swallowing. fixed cervical and axillary
lymphadenopathy. what is significant is cancer is suspected-CORRECT ANSWERS--
prognosis is poor
pt reports sustained irregular heart palpitations. which is mostly likely cause-CORRECT
ANSWERS--a fib
3 month old arches and gags while feeding, spits up undigested formular frequently.
weight has dropped to 5th% from 12%-CORRECT ANSWERS--begin trial of extensively
hydrolyzed protein formula for 2-4 weeks
elderly pt with recent weight loss, choking and coughing with eating. likely cause?-
CORRECT ANSWERS--pharyngeal dysphagia
older person with asymmetric red reflux indicates what?-CORRECT ANSWERS--
possible symptom of cataracts
what is the labs to diagnose hyperthyroidism-CORRECT ANSWERS--TSH is low
normal TSH is 0.5 - 5 microunits per mm
African american infant - red reflex is brown and the other is red-CORRECT
ANSWERS--refer to ophthalmology
pt has dry non-productvie cough diagnosed with bronchitis, and later becomes
productive-CORRECT ANSWERS--anttussives are the answer, but this is old info
now we would do musinex meds
obese woman, large neck circumference-CORRECT ANSWERS--sleep study ordered -
polysomnography
school age child previously healthy, now cough and low grade fever with wheezing.
what kind of pneumonia?-CORRECT ANSWERS--atypical pneumonia - mycoplasma is
most common cause
why is this atypical?
