NURS 612 FINAL EXAM QUESTIONS AND 100% CORRECT
ANSWERS(ALREADY GRADED A+) UPDATED 2022/2023
On your patient schedule see a diagnosis of plagiocephaly on your patient schedule
and are able to explain the etiology of this head growth disturbance is to the parents
of this 4-month-old : - ANSWER: Your child's head appears flat. This form of
craniostenosis can result from premature fusion of lambdoidal or coronal skull
sutures and is often only cosmetic and can be treated with a special helmet
During a 1-week-old male well child check the head circumference is 3 S.D. (standard
deviations) below the predicted mean. What risk factors increases the risk of this
finding? - ANSWER: Prenatal Zika virus exposure
You are seeing a 6-month-old today for follow-up after a febrile seizure yesterday.
On exam you expect to find: - ANSWER: Posterior Fontanel Closed
You are examining a 22-month-old today for follow-up after a with a new sudden
onset of jerking movements while febrile earlier today. Which of the following is not
typical of this type seizure? - ANSWER: Seizure lasting more than 15 minutes
A15-year-old with a diagnosis of epilepsy had a seizure in your office lasting 12
minutes requiring rectal diazepam (Valium). He is stable in a postictal state. His
parents express concern as his last seizure was 2 years ago and he wanted to be
weaned off his phenytoin (Dilantin).Which of the following may have contributed to
this seizure? - ANSWER: Experimentation with alcohol lowers seziure threshold.
Grow spurt may decreased kg/mg dosage.
Adolescent may be non-compliant with regimen.
What question in an adolescent's history is the MOST important to ask concerning
new onset of headaches? - ANSWER: History of headache most severe when arising
from sleep.
A 17-year-old arrives for evaluation of a headache. He states it is worse in the
morning and does not respond to ibuprofen. His caffeine intake has not changed, he
has no known head trauma. On exam you note he is slow to respond to questions
and your fundoscopic exam the optic disc borders are blurred (papilledema). You
explain your next action - ANSWER: He exhibits a focal neurological sign, order a CT.
A 17-year-old gymnast presents following her competition with a resolving headache
rated 3/10, after her spotter missed her and she fell 4 feet and struck her head.
Although she did not lose consciousness and seems fine now, her parents are
concerned because she does not remember how she got off the gym floor. Which of
the following would NOT be indicated. - ANSWER: Order of a CT of the head.
, Yes indicated: bedrest, accetaminophen, teach warning signs of head injury, return
to school, No contact sports.
An 11-year-old male presents with a history head trauma resulting from a "hard hit"
while playing football 2 days ago. His GCS score is 14. Despite 20/15 vision recorded
3 months ago during his sports physical he states he has blurred vision and is unable
to read fine print, otherwise his neuro exam is normal. What is your best plan of
care? - ANSWER: Focal neurological sign, order a CT.
You are examining a 4-month-old with a fever who suddenly stares blankly and her
limbs start twitching. You time the episode which lasts 3 minutes. What are next
steps? - ANSWER: Lie child on their side at time of event, administer antipyretic.
Your are treating a 16-year-old female with chronic headaches. Effective
management of headache in an adolescent patient includes which of the following -
ANSWER: Appropriate medication/pain relieving intervention, explanation of likely
cause and course of HA, elimination of HA triggers.
Your 12-year-old male patient has a history of cord compression and anoxia at birth
presents with spasticity and partial paralysis. His likely diagnosis is: - ANSWER:
Cerebral palsy
A 3 year-old-female presents with loss of the use of her left arm since her forcep
delivery birth. Which of the following is her most likely diagnosis? - ANSWER:
Brachial plexus palsy
9-year-old Sarah presents with her normal-height parents who are concerned about
her short stature. Physical exam is unremarkable except for height and weight are in
the 3rd percentile, you note she is Tanner Stage 1, her endocrine work-up is normal
except for a delayed bone age (8 years). The treatment for Sarah's suspected
diagnosis - ANSWER: Reassurance, observation with anticipated growth acceleration.
16-year-old Michael presents with his 60-year-old father with a concern about
delayed puberty, physical exam is remarkable for scant body hair, tall stature, mild
gynecomastia and hypogonadism. The treatment for Michael's suspected diagnosis
is: - ANSWER: Referal for likely Klinefelter syndrome and consideration for
testosterone therapy.
15-year-old Dana presents with her 60-year-old mother w a concern about delayed
puberty with amenorrhea, physical exam is remarkable noting short stature, low set
ears and hair line, cubitus valgus and web necked. The treatment for Dana's
suspected diagnosis is: - ANSWER: Endocrine referral for likely Turner's syndrome
and consideration of estrogen, progesterone and growth hormone.
A 4-year-old girl presents with her mother with concerned about her breast
development. Her family history is negative for endocrine disorders. Physical exam is
unremarkable except for stage 1 breast development, no pubic with no signs of
ANSWERS(ALREADY GRADED A+) UPDATED 2022/2023
On your patient schedule see a diagnosis of plagiocephaly on your patient schedule
and are able to explain the etiology of this head growth disturbance is to the parents
of this 4-month-old : - ANSWER: Your child's head appears flat. This form of
craniostenosis can result from premature fusion of lambdoidal or coronal skull
sutures and is often only cosmetic and can be treated with a special helmet
During a 1-week-old male well child check the head circumference is 3 S.D. (standard
deviations) below the predicted mean. What risk factors increases the risk of this
finding? - ANSWER: Prenatal Zika virus exposure
You are seeing a 6-month-old today for follow-up after a febrile seizure yesterday.
On exam you expect to find: - ANSWER: Posterior Fontanel Closed
You are examining a 22-month-old today for follow-up after a with a new sudden
onset of jerking movements while febrile earlier today. Which of the following is not
typical of this type seizure? - ANSWER: Seizure lasting more than 15 minutes
A15-year-old with a diagnosis of epilepsy had a seizure in your office lasting 12
minutes requiring rectal diazepam (Valium). He is stable in a postictal state. His
parents express concern as his last seizure was 2 years ago and he wanted to be
weaned off his phenytoin (Dilantin).Which of the following may have contributed to
this seizure? - ANSWER: Experimentation with alcohol lowers seziure threshold.
Grow spurt may decreased kg/mg dosage.
Adolescent may be non-compliant with regimen.
What question in an adolescent's history is the MOST important to ask concerning
new onset of headaches? - ANSWER: History of headache most severe when arising
from sleep.
A 17-year-old arrives for evaluation of a headache. He states it is worse in the
morning and does not respond to ibuprofen. His caffeine intake has not changed, he
has no known head trauma. On exam you note he is slow to respond to questions
and your fundoscopic exam the optic disc borders are blurred (papilledema). You
explain your next action - ANSWER: He exhibits a focal neurological sign, order a CT.
A 17-year-old gymnast presents following her competition with a resolving headache
rated 3/10, after her spotter missed her and she fell 4 feet and struck her head.
Although she did not lose consciousness and seems fine now, her parents are
concerned because she does not remember how she got off the gym floor. Which of
the following would NOT be indicated. - ANSWER: Order of a CT of the head.
, Yes indicated: bedrest, accetaminophen, teach warning signs of head injury, return
to school, No contact sports.
An 11-year-old male presents with a history head trauma resulting from a "hard hit"
while playing football 2 days ago. His GCS score is 14. Despite 20/15 vision recorded
3 months ago during his sports physical he states he has blurred vision and is unable
to read fine print, otherwise his neuro exam is normal. What is your best plan of
care? - ANSWER: Focal neurological sign, order a CT.
You are examining a 4-month-old with a fever who suddenly stares blankly and her
limbs start twitching. You time the episode which lasts 3 minutes. What are next
steps? - ANSWER: Lie child on their side at time of event, administer antipyretic.
Your are treating a 16-year-old female with chronic headaches. Effective
management of headache in an adolescent patient includes which of the following -
ANSWER: Appropriate medication/pain relieving intervention, explanation of likely
cause and course of HA, elimination of HA triggers.
Your 12-year-old male patient has a history of cord compression and anoxia at birth
presents with spasticity and partial paralysis. His likely diagnosis is: - ANSWER:
Cerebral palsy
A 3 year-old-female presents with loss of the use of her left arm since her forcep
delivery birth. Which of the following is her most likely diagnosis? - ANSWER:
Brachial plexus palsy
9-year-old Sarah presents with her normal-height parents who are concerned about
her short stature. Physical exam is unremarkable except for height and weight are in
the 3rd percentile, you note she is Tanner Stage 1, her endocrine work-up is normal
except for a delayed bone age (8 years). The treatment for Sarah's suspected
diagnosis - ANSWER: Reassurance, observation with anticipated growth acceleration.
16-year-old Michael presents with his 60-year-old father with a concern about
delayed puberty, physical exam is remarkable for scant body hair, tall stature, mild
gynecomastia and hypogonadism. The treatment for Michael's suspected diagnosis
is: - ANSWER: Referal for likely Klinefelter syndrome and consideration for
testosterone therapy.
15-year-old Dana presents with her 60-year-old mother w a concern about delayed
puberty with amenorrhea, physical exam is remarkable noting short stature, low set
ears and hair line, cubitus valgus and web necked. The treatment for Dana's
suspected diagnosis is: - ANSWER: Endocrine referral for likely Turner's syndrome
and consideration of estrogen, progesterone and growth hormone.
A 4-year-old girl presents with her mother with concerned about her breast
development. Her family history is negative for endocrine disorders. Physical exam is
unremarkable except for stage 1 breast development, no pubic with no signs of
