NSG6435 Midterm Questions and Answers
_____ should be given as a supplement in the management of delays puberty -
ANSWER-calcium and vitamin d
"Boggy" nasal mucous membranes with serous drainage upon examination usually
suggests - ANSWER-allergic rhinitis
"culture is a social construction of the relationships within and among groups of human
beings..." which of the following is not a part of the products of culture? - ANSWER-
none of the above
a 10 yr old has a single painful ulcerated lesion on an erythematous base on the inner
buccal mucosa. the most likely diagnosis and treatment would be - ANSWER-pathos
ulcer; triamcinolone in orabase
a 10 yr old has marked ear pain, not wanting anyone to touch his ear. the canal is
edematous and exudate is present. the tympanic membrane is normal. how should this
be managed? - ANSWER-topical fluoroquinolone
a 14 yr old adolescent present with fatigue, endocarditis, pulmonary hypertension,
arrhythmias, and congestive heart failure. you suspect he may have - ANSWER-a
ventricular septal defect (VSD)
a 15 month old failed treatment with amoxicillin for an otitis media. at his 2 week
recheck, his tympanic membrane remained red with distorted landmarks and he
persisted with nasal discharge that is thick and yellowish. the best action for the NP
should be to prescribe - ANSWER-a 10 day course of augmentin
A 16 yo girl makes the following statements to you during her health visit. Which of the
following pieces of information should not be kept confidential? - ANSWER-sometimes I
feel like ending my life
a 16 yr old was hit in the eye 1 day ago and now has ecchymoses on the upper and
lower lids with 5/10 eye pain. all but which of the following would be appropriate to
obtain at this time? - ANSWER-intraocular pressure
a 2yr old male with a history of chronic serous otitis media is noted to have a pearly
white opacity in the upper outer quadrant of his tympanic membrane. he currently has
no symptoms and appears to be ok. the most likely diagnosis and appropriate
management would be - ANSWER-cholesteatoma; refer to otolaryngology
a 3 month old has a mild asymmetrical corneal light reflex on physical exam. what is the
next appropriate step - ANSWER-observe and reevaluate at the next well check
, a 3 yr old has an edematous, mildly erythematous right upper eyelid for one day with a
fever of 103F. an important eye assessment would be - ANSWER-ocular mobility
a 4 yr old male patient presents with his mother with a school referral regarding red
eyes. which questions would not assist in establishing a list of differential diagnoses? -
ANSWER-history of a bacterial infection 1 month ago
a 5 yr old female present for a follow up emergency room visit with a diagnosis of
bronchitis. you would expect which treatment to have been prescribed? - ANSWER-
increase rest and fluid
a 7 yr old has experienced recurrent nose bleeds in the past 2 months. what finding on
the physical exam would suggest an underlying medical cause for the epistaxis? -
ANSWER-petechiae
a 9 month old is noted to have a bifid uvula. this would increased his risk of developing
which disorder? - ANSWER-otitis media
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 - ANSWER-non cardiac condition
A cobblestone appearance of the palpebral conjunctiva usually indicates - ANSWER-
severe allergy
a conjunctivitis appearing in a 2 day old newborn is likely due to - ANSWER-chemical
irritation from eye drops
A grade II musical or vibratory murmur heard best at the lower left sternal border that
changes with positioning is suggestive of a - ANSWER-vibratory or still's murmur
A hypernasal voice and snoring in a child is suggestive of - ANSWER-hypertrophied
adenoids
a NP is completing a cardiac assessment on a child and detects a murmur. which of the
following is true regarding innocent murmur? - ANSWER-the murmur is of low intensity
a pediatric patient has just been diagnosed with otitis external. which of the following
should the patient be instructed to do? - ANSWER-keep ear dry until symptoms improve
A shift to the left is present when which of the following are elevated - ANSWER-bands
or stabs
A white instead of red reflex upon eye examination of a 1 yo child would suggest -
ANSWER-retinoblastoma
_____ should be given as a supplement in the management of delays puberty -
ANSWER-calcium and vitamin d
"Boggy" nasal mucous membranes with serous drainage upon examination usually
suggests - ANSWER-allergic rhinitis
"culture is a social construction of the relationships within and among groups of human
beings..." which of the following is not a part of the products of culture? - ANSWER-
none of the above
a 10 yr old has a single painful ulcerated lesion on an erythematous base on the inner
buccal mucosa. the most likely diagnosis and treatment would be - ANSWER-pathos
ulcer; triamcinolone in orabase
a 10 yr old has marked ear pain, not wanting anyone to touch his ear. the canal is
edematous and exudate is present. the tympanic membrane is normal. how should this
be managed? - ANSWER-topical fluoroquinolone
a 14 yr old adolescent present with fatigue, endocarditis, pulmonary hypertension,
arrhythmias, and congestive heart failure. you suspect he may have - ANSWER-a
ventricular septal defect (VSD)
a 15 month old failed treatment with amoxicillin for an otitis media. at his 2 week
recheck, his tympanic membrane remained red with distorted landmarks and he
persisted with nasal discharge that is thick and yellowish. the best action for the NP
should be to prescribe - ANSWER-a 10 day course of augmentin
A 16 yo girl makes the following statements to you during her health visit. Which of the
following pieces of information should not be kept confidential? - ANSWER-sometimes I
feel like ending my life
a 16 yr old was hit in the eye 1 day ago and now has ecchymoses on the upper and
lower lids with 5/10 eye pain. all but which of the following would be appropriate to
obtain at this time? - ANSWER-intraocular pressure
a 2yr old male with a history of chronic serous otitis media is noted to have a pearly
white opacity in the upper outer quadrant of his tympanic membrane. he currently has
no symptoms and appears to be ok. the most likely diagnosis and appropriate
management would be - ANSWER-cholesteatoma; refer to otolaryngology
a 3 month old has a mild asymmetrical corneal light reflex on physical exam. what is the
next appropriate step - ANSWER-observe and reevaluate at the next well check
, a 3 yr old has an edematous, mildly erythematous right upper eyelid for one day with a
fever of 103F. an important eye assessment would be - ANSWER-ocular mobility
a 4 yr old male patient presents with his mother with a school referral regarding red
eyes. which questions would not assist in establishing a list of differential diagnoses? -
ANSWER-history of a bacterial infection 1 month ago
a 5 yr old female present for a follow up emergency room visit with a diagnosis of
bronchitis. you would expect which treatment to have been prescribed? - ANSWER-
increase rest and fluid
a 7 yr old has experienced recurrent nose bleeds in the past 2 months. what finding on
the physical exam would suggest an underlying medical cause for the epistaxis? -
ANSWER-petechiae
a 9 month old is noted to have a bifid uvula. this would increased his risk of developing
which disorder? - ANSWER-otitis media
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 - ANSWER-non cardiac condition
A cobblestone appearance of the palpebral conjunctiva usually indicates - ANSWER-
severe allergy
a conjunctivitis appearing in a 2 day old newborn is likely due to - ANSWER-chemical
irritation from eye drops
A grade II musical or vibratory murmur heard best at the lower left sternal border that
changes with positioning is suggestive of a - ANSWER-vibratory or still's murmur
A hypernasal voice and snoring in a child is suggestive of - ANSWER-hypertrophied
adenoids
a NP is completing a cardiac assessment on a child and detects a murmur. which of the
following is true regarding innocent murmur? - ANSWER-the murmur is of low intensity
a pediatric patient has just been diagnosed with otitis external. which of the following
should the patient be instructed to do? - ANSWER-keep ear dry until symptoms improve
A shift to the left is present when which of the following are elevated - ANSWER-bands
or stabs
A white instead of red reflex upon eye examination of a 1 yo child would suggest -
ANSWER-retinoblastoma
