NSG6435 Week 8 Questions and
Answers Graded A+
A 16-year-old client presents to the clinic complaining of frequent headaches with bouts
of nausea, vomiting, abdominal pain, photophobia & throbbing unilateral pain that is
only relieved with sleep. What is the most likely diagnosis? - ANSWER-Migraine
headache
A 16-year-old client, new to the clinic, presents with complaints of weakness & Landry
ascending paralysis progressing over the last few weeks. The provider suspects
Guillain-Barré syndrome based on the reported symptoms. However, as the collection
of the client's health history continues, a past infection with which virus supports the
providers suspicions? - ANSWER-Epstein-Barr virus
A 2-year-old client, who is unknown to the clinic, presented as a walk-in after
experiencing 2 seizures last night when the temperature spiked to 102°F. During the
visit, the provider learns that the client is currently being treated for a viral illness. In the
clinic, the client's temperature is 100°F. The provider informs the parent that febrile
seizures may reoccur. Although rarely required, what prophylactic medication can the
provider prescribe? (SATA) - ANSWER-Diazepam 0.33 mg/kg by mouth every 8 hours
for 2 to 3 days
Diazepam 0.5mg/kg by suppositories once per day
A 4-year-old client, who is new to the clinic, presents for a sick visit. However, upon
exam the provider discovers that the client has flaccid paralysis over the lower
extremities, absent deep tendon reflexes, lack of response to touch & pain, & has a
saclike cyst on the lower back. What is the most probable diagnosis? - ANSWER-
Myelomeningocele
A 7-month old female presents to the clinic to establish care. During the visit, the
parents report that their daughter was developing as expected during the 1st 5 months
of life but they fear that her development has plateaued. Over the last two months she
has become withdrawn & has lost skills previously performed like partial hand skills &
acquired spoken language. The provider notes on exam excessive bruxism, periods of
apnea followed by hyperpnea, hand wringing, & spastic paraparesis. What is the most
likely diagnosis? - ANSWER-Rett Syndrome
An apparently healthy 7-year-old client, presents to the clinic complaining of left-sided
facial paralysis that occurred suddenly. The client denies any sensory loss but reports
difficulty closing the left eyelid. The provider suspects the client has Bell's Palsy. Which
cranial nerve is most likely affected in this condition? - ANSWER-VII
Seventy-two hours after an emergency delivery, a newborn develops respiratory
insufficiency, dysphagia, hypotonia, ptosis, weakness, weak cry, poor sucking, choking,
Answers Graded A+
A 16-year-old client presents to the clinic complaining of frequent headaches with bouts
of nausea, vomiting, abdominal pain, photophobia & throbbing unilateral pain that is
only relieved with sleep. What is the most likely diagnosis? - ANSWER-Migraine
headache
A 16-year-old client, new to the clinic, presents with complaints of weakness & Landry
ascending paralysis progressing over the last few weeks. The provider suspects
Guillain-Barré syndrome based on the reported symptoms. However, as the collection
of the client's health history continues, a past infection with which virus supports the
providers suspicions? - ANSWER-Epstein-Barr virus
A 2-year-old client, who is unknown to the clinic, presented as a walk-in after
experiencing 2 seizures last night when the temperature spiked to 102°F. During the
visit, the provider learns that the client is currently being treated for a viral illness. In the
clinic, the client's temperature is 100°F. The provider informs the parent that febrile
seizures may reoccur. Although rarely required, what prophylactic medication can the
provider prescribe? (SATA) - ANSWER-Diazepam 0.33 mg/kg by mouth every 8 hours
for 2 to 3 days
Diazepam 0.5mg/kg by suppositories once per day
A 4-year-old client, who is new to the clinic, presents for a sick visit. However, upon
exam the provider discovers that the client has flaccid paralysis over the lower
extremities, absent deep tendon reflexes, lack of response to touch & pain, & has a
saclike cyst on the lower back. What is the most probable diagnosis? - ANSWER-
Myelomeningocele
A 7-month old female presents to the clinic to establish care. During the visit, the
parents report that their daughter was developing as expected during the 1st 5 months
of life but they fear that her development has plateaued. Over the last two months she
has become withdrawn & has lost skills previously performed like partial hand skills &
acquired spoken language. The provider notes on exam excessive bruxism, periods of
apnea followed by hyperpnea, hand wringing, & spastic paraparesis. What is the most
likely diagnosis? - ANSWER-Rett Syndrome
An apparently healthy 7-year-old client, presents to the clinic complaining of left-sided
facial paralysis that occurred suddenly. The client denies any sensory loss but reports
difficulty closing the left eyelid. The provider suspects the client has Bell's Palsy. Which
cranial nerve is most likely affected in this condition? - ANSWER-VII
Seventy-two hours after an emergency delivery, a newborn develops respiratory
insufficiency, dysphagia, hypotonia, ptosis, weakness, weak cry, poor sucking, choking,
