NSG 6435 Final Review Exam PEDS 2022/2023, Exams of Nursing

Download NSG 6435 Final Review Exam PEDS 2022/2023 and more Exams Nursing in PDF only on Docsity! [Date] 1 NSG 6435 Final Review Exam PEDS 2022/2023 1. What medical term is used to identify inflammation disorder of the skin that is often considered synonymous with dermatitis and characterized by pruritus’ with lesion that have indistinct border:  Eczema. • Pityriasis versicolor • Pityriasis rosea • psoriasis 2. DERMATOPHYTE skin infection can be diagnosed from skin scraping and prepared with which solution for microscopic exam:  10% or 20% potassium hydroxide KOH solution. • Hydrochloric acid • Distilled water • Gram stain 3. ACIRCUMSCRIBED elevated lesion more than 1 cm in diameter in containing clear serous fluid is best described as:  Bullae • Pustule • Vesicle • papule 4. When assessing in children’s hydration status the best place to evaluate skin turgor on an adult is:  on the back of the hand • on the inside of the forearm • just below the clavicle [Date] 2 • the fleshy part of the arms and legs  4. what is the treatment for strawberry hemangioma?  Support involution. • Cosmetic medical removal • Oral antibiotics • Topical steroids 6- Which Of The Following causes condylomas acuminata or genital wart:  human papilloma virus (HPV). • Herpes simplex virus (HSV1) • Adenovirus • Chlamydia 7- A young Female presents to the Family Nurse Practitioner’s office stating that she has a red rash over her trunk for 2 weeks that does not itch, She Has [Date] 5 17-What term is used to identify an inflamed hair root:  Furuncle. • Tinea • Verruca • erysipelas 18-The family nurse practitioner has made a diagnosis of ONCHOMICOSIS. Which picture would the family nurse practitioner notes while performing physical exam of the patient: • A  B • C • D 19-Folliculitis is most commonly due to:  Staphylococcal infection. • Contact dermatitis • Dermatophytes ( fungus) • Varicella zoster ( chicken pox) 20-What is the recommended treatment for rosacea: a. low dose tetracycline b.topical 5-fluorouracil c. oral hydrocortisone d.oral ketoconazole [Date] 6 21-Your pediatric patient presents for an office visit with complaints of Measles like rash on his truck and spread to his extremities, he was seen several days ago for bronchitis and started on Bactrim Septra DS one tab PO BID. what is the recommended action for the family nurse practitioner: a. Discontinue TMP-SMX (Bactrim) b. Take medication for 3days and restart drug c. Instruct Pt to continue medication and see any changes occurs in the rash 22- A patient complains of Intolerance itching in the pubic hair an exam the family nurse practitioner notes Erythematous, papules and tiny white specks in the pubic hair . the differential diagnosis include all except : a. IMPETIGO, b. atopic dermatitis c. pediculosis pubis d. scabies 23- The family nurse practitioner is examining a patient with a diagnosis of PITYRIASIS ROSEA which three statements are correct about the condition a. salmon colored Patch with fine scales is commonly noted on face hands and feet b. Typical Christmas tree pattern lesion distribution is observed c. presence of Herold Patch before onset of generalized rash d. pruritis is not present e. vesicles progressing to progressing 2 pustule within two to three days of eruption 24-Which skin disorder begins with a single lesion that is circular demarcated and Salmon pink ,measures approximately 3 to 4 centimeter in diameter and is usually located on the trunk a. Acne rosacea b. psoriasis c. lichen planus d. PITYRIASIS rosea 25-What term is used to identify skin lesions that are elevated round and firm with irregular clawlike margin that extend beyond the original site of injury : a. keloid b. dermatitis [Date] 7 c. Psoriasis d. acne 26A young male patient present to the family nurse practitioner office complaining of flulike symptoms a large red spot in the right groin headed in generalized muscle pain these symptoms have persisted for about four to five weeks in taking the history he will be most important to determine whether the patient : a. has a recent insect bite or was potentially exposed to insects such as tick b. has been exposed to a person with tuberculosis c. was using new skin care products d. was taking new medication such as vitamins and herbal therapies 27-What is the cause of molluscum contagiosum a. virus b. bacteria c. rickettsia d. fungi 28.Which of the following would you treat with topical antibiotic No answer except for this pic 29- missing 30 missing 31-missing 32-missing 33-Clubbing of the nails commonly occurs in patients with chronic respiratory condition the family nurse practitioner access is for this condition by :  placing nailbed of each index finger together to determine angle of nail plate • evaluating the nail for transverse depression in ridges • determining if there's a diffuse discoloration of the nail bed from decrease oxygenation [Date] 10 D) Scabies 43. On exam of a patient’s skin, the family nurse practitioner finds a lesion that is about 0.75 cm in diameter, brown, circumscribed, flat, and nonpalpable. What is the correct term for this lesion? A) Macule B) Papule C) Nodule D) Wheal 44. Lesions on the elbows and knees that are well demarcated, thick, silvery, scaly, and erythematous characterized which type of psoriasis? A) Plaque B) Bullae C) Vesicle D) Lichen 45. The family nurse practitioner has made a diagnosis of psoria Vulgaris after noticing tiny bleeding points when one of the lesion is scrapped (Auspitz’s sign). Which image is consistent with the clinical presentation of psoriasis? [Date] 11 A) C B) A C) B D) D 46. What is true about Human Papilloma Virus (HPV). Please select all that apply: A) Viruses that cause warts. B) Wart viruses are contagious C) People with a weakened immune system (the body’s defense system) are prone to get them D) There are a few different types of warts. The type is determined by where it grows on the body and what it looks like. E) Children and teens are prone to get them. 47. The rash in syphilis has the following characteristics: A) Itch rash is a hallmark of syphilis B) Usually does not cause itching C) Always cause itching D) Itch rash is a hallmark of syphilis 48. What kind of lesions are caused by the herpes simplex virus? A) Scales [Date] 12 B) Vesicles C) Uticaria D) Plaques 49. Which statements are true regarding a Nevus? A) Nevi are characterized by irregular borders. B) Nevi share a relationship with melanoma. C) Nevi begin to form at the age of 3 to 5 years. D) A nevus is an aggregation of malanocytes E) Nevi always warrant being removed. 50. The Wood’s lamp may be used to evaluate skin lesions. When the light is shone on the patient’s skin, a green-yellow fluorescence indicates: A) Lichenification B) Bacterial colonies C) Keratinized cells D) Prescence of fungi 51. Please select all that apply regarding the following lesion describe as follows “ A pink or flesh- colored bumps on the skin. These bumps can appear anywhere on the skin”. A) People who have a weakened immune system are more prone to have it. B) it is highly contagious C) Wrestlers and gymnasts may get it from touching infected mats. D) Children have a high risk to contact this lesion. 52. What type of skin infection is tinea corporis ( ringworm)? A) Viral B) Bacterial C) Nematode D) Fungal 53. Optimal medical therapy for young infants with vomiting or regugitation of gastroesophageal reflux disease (GERD) consists of: A) Frequent small feedings and burping after each feeding. B) Placing the infant prone after frequent feedings. [Date] 15 B. Inspection, auscultation, percussion, palpitation C. Palpitations, percussion, auscultation, inspection. D. Inspection, Palpitation, percussion, auscultation 64. A family nurse practitioner knows. Normal breath sounds that have a low pitch and soft intensity and that all heard best on inspiration over the posterial long fields are called; A.Vesicular B. Bronchial C. Rhonchial D. Bronchovesicular 65. Which of the following best measure of toddler's development A. M-Chat B. Vineland scale C. Bayley scale6 D. Denver II 66. Cystic Fibrosis (CF) is the preliminary diagnosis For a young girl who was brought to the clinic for evaluation. The test that will be used to rule out CF is Glucose tolerance test Hemocult test Sweat chloride test Sputum culture and sensitivity 67. In a 17 year old man which of the following likely responsible for epididymitis? A. Chlamydia Trachomatis B. Candida Albicans C. Escherichia coli D. Treponema palladium 68. A patient from 12 to 60 years old who has a (FEV) Forced expiratory volume greater than 80%, has been experiencing night time awakenings (4-5 X/month) and using a short acting B2 agonists 3-4X/Week and report minimal limitation to normal activity would be classified as: A. Severe persistent. B. Mild persistent C. Intermittent [Date] 16 D. Severe persistent 69. An exam of the male genitalia that consist of inserting a finger into the Louis cordam and into the inguinal canal, and asking the patient to cough causes the nurse practitioner to feel a sudden presence of a viscus that lies within the inguinal canal and comes through the external canal passing into the scrotum is most likely called: A. A direct inguinal hernia B. An indirect inguinal hernia C. A strangulated inguinal hernia D. A femoral hernia 70. An illed pediatric patient with respiratory symptoms has the following CXR based onthis imagery what is the most likely microorganism? a. Haemophilus influenza b. streptococcus pneumonia c. rotavirus d. mycoplasma pneumonia 71. An 18-month-old child is brought to the clinic by her mother and is complaining ofabrupt onset of vomiting. Followed by more than 10 liquid stools with mucus for the past 48 hours. The temperature is 100 degrees F (37.8) orally. The stool smear by the family nurse practitioner is negative for WBC’s. What is the most likely etiologic pathogen for this young child’s gastroenteritis? a. Shigella dysenteriae b. Salmonella c. Campylobacter jejuni d. Rotavirus 72. Missing?????? 73. A 3-year-old child with up to date immunizations is brought to the office by his motherwith a fairly rapid onset stridor and high-pitched wheeze. In view of this information, what would be the least important condition to consider for the differential diagnosis? a. Croup b. Bacterial tracheitis c. Foreign body aspiration d. Epiglottitis [Date] 17 74. When determining the classification of asthma control in a patient from 12 to 60 yearsold, who has symptoms less than 2 days per week, no interference with normal activity, reports nighttime awakening 1 time or less per month and using a short acting B2 agonist 3-4 times per week, the family nurse practitioner would classify the patient as: a. Well-controlled b. Very poorly controlled c. Not well-controlled d. Out of control 75. A 3-year-old child is seen in the clinic for chronic, relapsing diarrhea. A stool for ovaand parasites is obtained and is positive for Giardia. What is the most appropriate pharmacologic intervention? a. Metronidazole (Flagyl) b. Erythromycin (E-Mycin) c. Ampicillin (Omnipen) 76. Match the description of the skin lesions with the disorder where it is found. 1. Nevus (flat mole): Flat circumscribed area that is less than 1 cm in diameter 2. Psoriasis or seborrheic and actinic keratosis: Elevated, firm, and rough lesion with a flat top surface greater than 1 cm in diameter 3. Varicella (Chickenpox), herpes zoster (shingles): Elevated circumscribed superficial lesion filled with serous fluid, less than 1 cm in diameter 4. Urticaria allergic reaction: Elevated irregular-shaped area of cutaneous edema; solid and transient with a variable diameter 77. During examination of a 3-week-old it is noted that the child has irritability when liftedor carried, asymmetrical Moro reflex and spasms along the right sternocleidomastoid. What does this suggest? a. Klippel-Feil syndrome b. Torticollitis c. Sprengel deformity d. Fractured clavicle 78. The family nurse practitioner is teaching a patient about the role of medications in thetreatment of asthma. Which statement by the patient would require further teaching? a. “The Salmeterol that I take provides me with long-term control” [Date] 20 c. Microcephaly, flattened philtrum, downward eye slant d. Lymphadenopathy, coarctation of the aorta, webbed neck. 90. Fill in the blank: Sickle cell disease is a_______ chromosomal disorder. a. autosomal dominant b. autosomal recessive c. X-linked recessive d. X-linked dominant 91. You are the nurse practitioner in the office today. A child comes in with their parentafter an injury that occurred this morning. The child had his hand in the door jam of the car and his brother accidentally closed the door on his brother’s hand. The child has multiple open lacerations and cannot move his fingers. You suspect there is a fracture. You examine the patient and decide you are going to a. order an x-ray. b. have your medical assistant prep the patient for a laceration repair. c. send the patient to the ED. d. clean the areas and apply a clean dressing. 92. A nurse practitioner is seeing a pediatric patient in a follow-up visit after the childexperience a febrile seizure. Which of the following statements would be the most accurate when educating the parents on febrile seizures? a. The child will be at an increased risk for epilepsy b. The child would benefit from Phenytoin c. The child would benefit from phenobarbital d. The risk for subsequent seizures is 30-50% 93. During a routine well-child examination of a 4-year-old, the family nurse practitionerlearns that the paternal grandmother has just been diagnosed with active TB. The mother states that the grandmother had stayed in their home for a week during the summer. The child has no signs of TB and has a negative PPD. What action should the family nurse practitioner take? a. Prescribe no medications, but schedule a repeat PPD in 2 months. b. Start combination therapy with isoniazid (INH) and rifampin (Rifadin) for 15 months. c. Administer 1 mL gamma globulin IM d. Start isoniazid (INH) therapy for 4 months and then reevaluate [Date] 21 94. Please identify the location of the abnormality A. Left uppert lobe B. Upper right lobe C. Middle and lower right lobe D. Middle and lower left lobe 95. What is an expected finding in young infants with Cerebral Palsy (CP)? a. Weight gain and increased appetite b. Reactions to initial Vaccines C. Hypotonia in the first weeks of life d. Hepatosplenomegaly 96. Fred is a six-year-old male brought to your practice by his foster mother. Fred’s mother reports that he is a very active boy and cannot seem to stay on task when given something to do. His teacher in his new school reports that he is disruptive in class. The foster mother has no PMH or family history on this child. You are presented with an animated and distractible male child. He has no negative physical findings. Which tool do you believe would be most appropriate for initial assessment of this child? a. Pediatric symptom checklist b. Vanderbilt scale c. M- CHAT d. Child depression inventory [Date] 22 97. a. Ambiguous CXR b. Abnormal CXR c. Normal CXR d. Bad quality of CXR/needs to repeat it 98. The family nurse practitioner understands that an appropriate medication regimen fora child with drug-susceptible pulmonary tuberculosis (TB) is: a. Montelukast therapy with pyrimethamine (Fansidar) b. Sterptomycin, pyrazinamide and rimantadine (Flumadine) c. Montelukast (Singulair) therapy with rifampin (Rifadin) d. Isoniazid (INH), pyrazinamide, and rifampin 99. The family nurse practitioner is interpreting the notation of “string sign” on an upperGI series performed on an infant. This is associated with a diagnosis of: a. Intussusception b. Pyloric stenosis c. Gastroesophageal reflux d. Hirschsprung’s disease 100. A parent calls the pediatric clinic questioning about what he should do about his child who tripped and fell on the sidewalk, and subsequently hit his head. Which of the following symptoms would require that the child needs to go to the emergency room? a. History of febrile seizure b. Scalp Bruise [Date] 25 106. What type of hemorrhage would be expected with severe factor VII deficiency? a. Severe hemorrhage following moderate trauma b. Gross bleeding following mild trauma c. Gynecologic hemorrhage d. Spontaneous hemarthroI click on it and then OK let's see sis 107. The nurse practitioner has a possible diagnosis of Leukemia in a pediatric patient. Which of the following test are required for that diagnosis? a) Bone marrow aspiration b) Chest radiograph c) CBC with differential d) Biopsy of an enlarged lymph node. 108. The primary care pediatric nurse practitioner reviews a child’s complete blood count with differential white blood cell values and recognizes a “left shift” because of a. A decrease eosinophil count. b. A decreased lymphocyte count. c. An elevated monocyte count. [Date] 26 d. An elevated neutrophil count. 109. The primary care pediatric nurse practitioner performs a well-baby examination on a 4-month-old infant who is exclusively breastfed and whose mother plans to introduce only small amount of fruits and vegetables in addition to breastfeeding. To ensure that the infant gets adequate amounts of iron. What will the nurse practitioner recommend? a) Elemental iron supplementation of 1 mg/kg/day until cereal are added. b) Elemental iron supplementation of 3 mg/kg/day for the duration of breastfeeding. c) Monitoring the infant’s hemoglobin and hematocrit at every well-baby check-up. d) Offering iron-fortified formula to ensure adequate iron intake. 110. A toddler who presents with anemia has a history of gradual decrease in energy and increase in pallor beginning after a recent viral infection. How will the primary care pediatric nurse practitioner treat this child? a) Closely observe the child symptoms and lab values. b) Consult with a pediatric hematologist. c) Prescribe supplemental iron for 4 to 6 months. d) Refer to transfusions to correct anemia. 111. A 15-year-old female reports fainting at school in class on two occasion. The adolescents orthostatic blood pressures are normal. The primary care pediatric nurse practitioner suspects a cardiac cause of these episodes and will order which test before referring her to a pediatric cardiologist? a. 12 lead Electrocardiogram b. Echocardiogram c. Tilt table testing d. Treadmill Exercise testing e) 112. The primary care pediatric nurse practitioner is performing a sport physical on an adolescent whose history reveals mild aortic stenosis. What will the nurse practitioner recommend? [Date] 27 a. Avoidance of all sports to prevent sudden death. b. Clearance for any sports since this is mild c) Evaluation by a cardiologist prior to participation. d) Low- intensity sports, such as golf or bowling. 113. What is the initial treatment of choice for children diagnosed with bronchiolitis? a. Amoxicillin over 10-14 days; aerosol humidification. b. Increase fluids; antipyretics as needed. c. Prednisone (Pediapred) Immediately and continue over 3-5 days. d. Diphenhydramine HCL (Benadryl) as long as symptoms persist. 114. A 13-year-old present with several vesicles and honey colored crusted lesions on the child’s face. The initial injury was a scratch. What would be the most likely diagnosis? a. Acne b. Impetigo c. Eczema d. Herpes Simplex