Summer 2024 NRNP 6568 Final Exam Revision Material: Pediatric and Geriatric Case Studies, Exams of Nursing

Download Summer 2024 NRNP 6568 Final Exam Revision Material: Pediatric and Geriatric Case Studies and more Exams Nursing in PDF only on Docsity! • Question 2 1 out of 1 points NRNP 6568 (SUMMER 2024 FINAL EXAM REVISION MATERIAL30/30POINTS) John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” Differential diagnoses for John would include all the following except: Selected Answer: Laziness Answers: Autism spectrum disorder Language delay Dysfunctional family situation Laziness Carter, a 74 y/o male, comes for his annual physical exam and the NP notes that he has a very loud murmur with her scope off his chest, and that there is also an obvious thrill. This would describe which grade of murmur? Selected Answer: Grad e 6 Answers: Grad e III • Question 3 1 out of 1 points • Question 4 1 out of 1 points • Question 5 1 out of 1 points Grad e IV Grad e V Grad e 6 Which vaccine is required at birth of a newborn? Selected Answer: Hepatitis B Answers: Hepatitis A Hepatitis B DTAP Tdap Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The NP, based on these data, diagnoses Andrew with: Selected Answer: Rocky Mountain Spotted Fever (RMSF) Answer s: Rocky Mountain Spotted Fever (RMSF) Atopic dermatitis Erythema migrans Brown recluse spider bite Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is: • Question 11 40:60 to 45:55 None of the above • Question 12 1 out of 1 points • Question 13 0 out of 1 points Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. Additionally, she has oliguria, nausea, and vomiting. Her urine protein is >1+. Her most likely diagnosis is: Selected Answer: Severe preeclampsia Answers: Placentia previa Hemolysis, elevated liver enzymes, and low platelets (HEELP) syndrome Placental abruption Severe preeclampsia Mark is an alcoholic who is stopped for drunk driving. When the officers approach him he states that he wants to die. The officers decide that for his own protection they will Baker Act him. The Baker Act allows for involuntary detention for what period. Selected Answer: 72 hours Answers: Until the person sobers up 48 hours 72 hours 96 hours Michael is 2 months old and his mother brings him to the clinic for his 2- month vaccinations. Which is the correct combination of vaccines that he needs? Selected Answer: Hep B, DTaP, IPV Answers: Hep A, Tdap, PCV, Polio Hep B, Tdap, Hib, Hep A Hep B, DTaP, 1 out of 1 points Hib, PCV Cellulitis is usually caused by a gram-negative bacterium. Selected ° • Question 20 1 out of 1 points • Question 21 0 out of 1 points • Question 22 1 out of 1 points Answer: True Answers: True Fal s e John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” After evaluation, the NP determines that he probably has which of the following: Selected Answer: Attention-deficit/hyperactive disorder (ADHD) Answers: Attention-deficit/hyperactive disorder (ADHD) Developmental delays Learning disability Poor parenting Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Selected Answer: Ultrasound of the uterus Answers: Vaginal exam Ultrasound of the uterus C-section Intravenous magnesium The use of steroids in the treatment of fungal infections will worsen the infection. • Question 23 1 out of 1 points • Question 24 1 out of 1 points • Question 25 1 out of 1 points Selected Answer: True Answers: True Fal s e Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10–15 watery stools per day. The NP recognizes this as: Selected Answer: Clostridium difficile colitis Answers: Crohn’s disease Ulcerative colitis Clostridium difficile colitis None of the above The CDC recommends that after a child receives a vaccine (s)he should be monitored for: Selected Answer: 15 minutes Answers: 15 minutes 20 minutes 30 minutes 60 minutes Andre is a 52 y/o construction worker who stayed home today because he was • Question 29 1 out of 1 points • Question 30 0 out of 1 points notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following? Selected Answer: All of the above Answers: Topical steroids Triamcinolone Calamine lotion Oatmeal baths (Aveeno) All of the above All of the above except D Diagnostic studies for Type II diabetes mellitus would include which of the following: Selected Answer: All of the above Answers: HbA1C (>6.5%) Fasting plasma glucose (= to or >126 mg/dL) Random plasma glucose (>200 mg/dL) All of the above None of the above Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. Knowing that her cervix is not dilated, the most appropriate treatment would be: Selected Answer: All of the above Answers: An emergency room visit @ Strict bedrest Hospitalizatio n All of the above