NR-602 MIDTERM EXAM

NR-602 MIDTERM EXAM The Tanner scale (5 stages) of sexual maturity rating allows for accurate classification of physical pubertal maturation. During the examination of your patient, you notice that the pubic hair is increased in quantity, is darker, and is present in the typical female triangle but in a smaller quantity. Which of the following Tanner Stages does this description meet? a. Tanner stage 1 b. Tanner stage 11 c. Tanner stage 111 d. Tanner stage 1V - CORRECT ANSWER-c. Tanner stage 111 John, age 5, was diagnosed with ruptured tympanic membrane as a result of acute otitis media 2 weeks ago. He was treated with oral antibiotics at the time of diagnosis and has finished his course. He has no purulent drainage. His plan of care should include: a. Refer to an ENT for evaluation and treatment b. Educate the parents about the strategies to prevent water from entering the middle ear c. continue the oral antibiotics to prevent infetion until the tympanic membrane heals d. use topical antibiotic drops to prevent infection until the tympanic membrane heals - CORRECT ANSWER-b. Educate the parents about the strategies to prevent water from entering the middle ear You see a healthy 18 month old for a well child visit. At the 12 month visiti he received the diptheria, tetanus and accellular pertussis (DTaP) third dose, hepatitis B second dose, measelm, mumps and rubella (MMR), injected poliovirus (IPV) second dose, pneumococcao conjugate (PCV13) fourth dose and Haemophilus influenzae type B 9HIB) fourth dose. Which of the following do you a. Varicella adn DTaP b. DTap, varicella, hepatitis A and hepatitis B c. DTaP, IPV, varicella, PCV13 and hepatitis B d. Hib, PCV13 and hepatitis A - CORRECT ANSWER-b. DTap, varicella, hepatitis A and hepatitis B A 7 year old presents with a complaint of ear pain with purulent discharge. He states it hurts when he is lying on the affected side and when anyone touches his pinna. The most likely diagnosis is: a. Otitis media with effusion b. Otitis externa c. Acute Otitis media d. Otitis interna - CORRECT ANSWER-b. Otitis externa