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The groove of the metacarpophalangeal joint can be palpated by having the patient: When auscultating breath sounds in a patient who has left-sided heart failure, the breath sounds are: The ankle-brachial index is a screening test used to assess a person’s risk for: Olecranon bursitis may be caused by all of the following except: In patients who have allergic rhinitis, the nasal mucosa appears: A term used to describe an increase in muscular bulk with diminished strength is: If abdominal ...

The parent of a 2-year-old tells you her daughter recently started having breath-holding spells. She tells you the older sibling “did the same thing” and asks you for help. You advise her that after a breath-holding event: Which of the following represents normal sequencing of development in a toddler? You see a young child who has tripled her birth weight and looks for hidden objects. When given blocks, she places one in each hand. She has a fine pincer grasp. On the floor, she walks aro...

A 9-year-old who weighs 70 pounds asks why she can’t sit in the front passenger seat of the family car. Your best response is: Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development? For adolescent girls, peak height velocity should occur by Tanner Stage (SMR): Which of the following statements regarding adolescent substance use is true? Which of the following statements about bullying is true? The mother of a 5-yea...

A 7-year-old presents to your office with several linear, curved lines approximately 4 millimeters in length that end in a papule. The lines are near the umbilicus and waist area. He complains about severe itching that is worse at night. You suspect: You see a 10-year-old with warts on the hand. This is best treated with: Which of the following treatments is indicated for tineaversicolor? Jaime presents with lesions on his forearms. He was bit by mosquitos and he “just wouldn’t stop scrat...

A 3-year-old has a history of upper respiratory tract infection 2 weeks ago. She recently started awakening at night. Physical exam reveals a normothermic child. She is smiling, playful, and sitting on the father’s lap. The TMs are gray with scattered bubbles and good motility. What is the best treatment? The mother of a 5-year-old wants to know what to do to decrease the discomfort of her daughter who has a URI. The mother should instruct to: A 7-year-old presents with a complaint of ear pa...

You see a 9-year-old after he was hit in the eye with a foreign body. Flourescein staining reveals a vertical line abrasion lateral to the iris. The pupils are equal in size and reactive; a positive red reflex is present bilaterally. There are no abnormal extraocular movements. Visual acuity is normal. An appropriate plan of care includes follow-up in 48 to 72 hours and: A 3-year-old has a history of upper respiratory tract infection 2 weeks ago. She recently started awakening at night. Physica...

Shelby is a healthy 4-week-old who presents to your office in mid-January with a 3-day history of nasal congestion with occasional cough. She started running a low-grade fever last night (T max 101.5°F). Now she is refusing to nurse and has paroxysmal coughing and noisy/labored breathing. Physical exam reveals an ill-appearing infant with lethargy and tachypnea, intercostal retractions, expiratory wheezes, and occasional rales. She does not attend day care but has a 3-year-old sibling who does ...

Which of the following scenarios is suspicious for the development of neonatal jaundice with potential for kernicterus? Which of the following statements regarding infants with PKU is true? Abdominal pain and vomiting are troublesome in children with type 1 diabetes because these symptoms can occur in which of the following dangerous conditions? A 2-year-old with sickle-cell anemia presents to your office with a fever of 103.4°F, lethargy, and malaise. The mother tells you she stop giving th...

The most accurate way to determine the degree of dehydration in a vomiting child is to assess: A mother brings a 2-year-old to your office with the complaint that she passes 5 to 10 watery stools per day that often contain undigested food. The child appears healthy and has no other GI symptoms. She is acting, eating, and voiding normally. Weight gain is normal and the mother states she often drinks (her favorite drink is Kool-Aid) instead of eating. The best management for this condition is: A...

A 7-month-old male presents with a bulge in the scrotal sac. It is only found in the scrotum and does not seem to bother the child. No difference in size is noted when the child strains or cries. His scrotum’s size is normal in the morning but increases as the day progresses. The scrotal mass is transilluminable and both testes are located in the scrotal sac. You anticipate: A 12-year-old boy awakes with onset of severe, unilateral scrotal pain, nausea, and vomiting. He is afebrile. Inspectio...

Which of the following children is most likely to have a febrile seizure? The most definitive features of “growing pains” include: Which of the following diagnostic tests are indicated for a child with a first-time nontraumatic, non-febrile seizure? Which of the following is characteristic of slipped capital femoral epiphysis? Correct management of a dislocated hip in the newborn is likely to include: Which of the following signs is characteristic of Duchenne muscular dystrophy? Which ...

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire. Often decisions are not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources o...

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through ...

This week’s Discussion asks you to think about how the Walden mission and vision and the School of Nursing (SON) mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams that can help you along the way, as you begin to design the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success. To Prepare: Review the Walden and the Sch...

Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: – In older adults, overflow fecal incontinence is commonly due to A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and pyloric stenosis further differentiated in this child’s assessment? Auscultation of borborygmi is associated with When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems? Conve...

Which portion of the physical examination is best done with the patient standing? To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? Nerves that arise from the brain rather than the spinal cord are called: While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John’s wort. You make a short note to check for results of the: The finger-to-nose test allows assessment of: The difference in blood pressure readi...

The family history for a patient with joint pain should include information about siblings with: When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the: In the adult, the apical impulse should be most visible when the patient is in what position? When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this pos...

HEART, LUNGS, AND PERIPHERAL VASCULAR (WEEK 7: CH. 13, 14, & 15) Examination techniques of the Heart, Lungs, and PV systems (See Notes) Examination findings of arterial blood flow in infants (339) (345) Examination findings of the heart and lungs in a patient with illegal drug use (266) Description: shortness of breath (orthopnea, platypnea. Tachypnea, bradypnea) (265) Symptoms associated with intrathoracic infection Percussion techniques when examining the lungs (273-275) Examination fin...

1. Wound infections are often cause by all of the following organisms except: Adhesive skin glues are ….for closure of which of the following wounds? Lidocaine with epinephrine can safely be ….to anesthetize which of the following? A Dennie-Morgan fold is probably ….. A 29-year-old white woman appears jaundiced. An etiology of liver disease has been …… What history questions should the nurse ask? A simian line seen in the palm of a small child may imply: You are conducting a pres...

. A patient has come in with a chief complaint of facial pain and “sinus issues.” Transillumination of the right sinus produces no light. You consulted your preceptor to order a sinus x-ray and she agreed. Which of the following findings on x-ray would support your diagnosis of sinusitis?Air fluid in the Right side Which of the following is not a component of a management plan? Which variation may be an expected finding in the ear examination of a newborn? Nasal symptoms that imply an all...