NSG 6435 PEDS FINAL EXAM LATEST 2023-2024 EXAM SESSION NEWEST EXAM GUARANTEED PASS GRADED, Exams of Nursing

Download NSG 6435 PEDS FINAL EXAM LATEST 2023-2024 EXAM SESSION NEWEST EXAM GUARANTEED PASS GRADED and more Exams Nursing in PDF only on Docsity! NSG 6435 NEWEST 2023-24 NSG 6435 PEDS FINAL EXAM LATEST 2023-2024 EXAM SESSION NEWEST EXAM GUARANTEED PASS GRADED A+ SPRING-SUMMER SESSION Question 1 (2 points) Which of the following is not found in an adolescent with untreated Graves' disease? Question 1 options: a) Behavioral problems b) Sleep disturbances d) Tachycardia Save Question 2 (2 points) A fifteen-year-old male patient reports a three-day history of sore throat, fever, and malaise. Physical examination reveals pharyngitis, anterior cervical adenopathy, and an oral temperature of 101.6 degree Fahrenheit (38.7 degree Celsius). Which diagnostic test does a pediatric primary care nurse practitioner order next? Question 2 options: c) Tendency to gain weight easily NSG 6435 NEWEST 2023-24 a) Antistreptolysin O titer NSG 6435 NEWEST 2023-24 Save Question 6 (2 points) The nurse practitioner recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk from the mother? Question 6 options: b) Diarrhea, nausea, and vomiting c) Bulging fontanel and irritability d) Sleeplessness and excitability Save Question 7 (2 points) The sexual development of a fourteen-year-old girl is notably delayed. She is very short, slightly obese, and complains of constipation and fatigue. Her skin is sallow and coarse in texture, and her hair is brittle. Which of the following tests should be obtained? Question 7 options: a) Chromosome analysis and serum thyroxine a) Sleepiness, jaundice, decreased urine, and stool NSG 6435 NEWEST 2023-24 c) Serum luteinizing hormone and chromosome analysis d) Serum luteinizing hormone and thyroid-stimulating hormone Save Question 8 (2 points) _____________children are less likely to be diagnosed with attention deficit disorder than others. Question 8 options: a) African American b) Non-Hispanic White c) Asian Save Question 9 (2 points) b) Serum thyroxine and thyroid-stimulating hormone d) Hispanic NSG 6435 NEWEST 2023-24 The most common form of juvenile rheumatoid arthritis is _____________ _. Question 9 options: a) systemic c) osteoarticular d) polyarticular Save Question 10 (2 points) Indications for immediate dialysis in the pediatric patient is Question 10 options: a) hypotension b) hyperkalemia d) dehydration b) pauciarticular c) hypercalcemia NSG 6435 NEWEST 2023-24 An immunocompromised four-year-old patient presents for his vaccinations. Which vaccination would you hold on this patient? Question 15 options: b) Hib c) Pneumococcal conjugate vaccine (PCV) 13 d) DtaP Save Question 16 (2 points) Bipolar disease is often diagnosed in ______________________ _. Question 16 options: a) childhood years b) the fifth or sixth decade c) mid puberty a) MMR d) post puberty to early adulthood NSG 6435 NEWEST 2023-24 Save Question 17 (2 points) Biomedical issues that may create academic performance issues include _______________. Question 17 options: a) substance abuse b) familial stressors c) cultural differences Save Question 18 (2 points) ___________ increases a child’s risk of being diagnosed with attention deficit hyperactivity disorder. Question 18 options: a) Exposure to paternal tobacco use d) fetal alcohol syndrome NSG 6435 NEWEST 2023-24 b) Exposure to maternal antidepressant use c) Exposure to paternal antidepressant use Save Question 19 (2 points) Question 19 options: The best way to screen for human papilloma virus in an adolescent female is Save Question 20 (2 points) Attention deficit hyperactivity disorder may be ____________ _. Question 20 options: b) learned c) acquired d) triggered by a virus d) Exposure to maternal tobacco use a) familial NSG 6435 NEWEST 2023-24 Save Question 25 (2 points) It is important to monitor _______ in an adolescent with inflammatory bowel disease? Question 25 options: a) linear growth b) skeletal development c) pubertal changes Save Question 26 (2 points) Which of the following medications should be avoided in a patient with idiopathic thrombocytopenic purpura (ITP Question 26 options: a) Decongestants d) the Americans with Disabilities Act d) all of the above NSG 6435 NEWEST 2023-24 b) Sulfa drugs c) Acetaminophen Save Question 27 (2 points) The two primary sources of inflammatory bowel disease are _________________ and ____________. Question 27 options: a) Helicobacter pylori; Crohn’s disease b) diverticulosis; ulcerative colitis c) Crohn’s disease; diverticulosis Save Question 28 (2 points) An otherwise healthy two-year-old boy is brought to the emergency room with a four-week history of wheezing and persistent cough. Prior to the start of these d) Aspirin d) Crohn’s disease; ulcerative colitis NSG 6435 NEWEST 2023-24 symptoms, the parent recalls a coughing event that resolved spontaneously. Of the following the most likely diagnosis is: Question 28 options: a) acute laryngotracheobronchitis b) bronchiolitis c) viral pneumonia Save Question 29 (2 points) Which of the following is not a sign or symptoms of congenital hypothyroidism? Question 29 options: a) Hoarse cry c) Coarse features d) Lethargy d) foreign body aspiration b) Frequent stooling NSG 6435 NEWEST 2023-24 Question 33 options: a) HPV2 (Cervarix) c) Meningococcal vaccine (MPSV) 4 (Menomune) d) Pneumococcal polysaccharide vaccine (PPSV) 23 (Pneumovax) Save Question 34 (2 points) The nurse practitioner sees a three-week-old infant in the clinic. Initial assessment findings show an infant with a 100.5 degree Fahrenheit rectal temperature, heart rate 120, respiratory rate 50. Upon physical exam no noted abnormalities are found. What would be the appropriate response of the primary care, clinic nurse practitioner? Question 34 options: b) Obtain CBC with diff, urinalysis, urine culture, blood culture c) Obtain CBC, urinalysis, urine culture and stool culture d) Observe since this is not considered a b) Tdap (Adacel) a) Transport immediately to the ER NSG 6435 NEWEST 2023-24 Save Question 35 (2 points) Genu Varum is considered an abnormal condition when extreme knock knees continues Question 35 options: a) after seven years of age c) parents are concerned about their child's appearance d) evident before two years of age Save Question 36 (2 points) The reliving of a very personal, negative, or traumatic event, over and over again is known as __________________ _. Question 36 options: a) anxiety disorders b) extreme bowing continues after two years of age NSG 6435 NEWEST 2023-24 b) flashbacks c) story telling Save Question 37 (2 points) The parents of a twelve-year old are concerned about their daughter’s fear of school. She is reluctant to go and will “come home early because she is sick.” You suspect the patient suffers from _____________ _. Question 37 options: a) attention deficit hyperactivity disorder b) truancy c) learning disabilities Save Question 38 (2 points) d) post-traumatic stress disorder d) school phobia NSG 6435 NEWEST 2023-24 d) Dopamine agonist inhibitors Save Question 42 (2 points) Type 1 diabetes begins when ______________________ _. Question 42 options: a) the adolescent is overweight c) insulin resistance is present d) poor nutrition is present Save Question 43 (2 points) Which of the following results would you most likely see in a child with a viral infection? Question 43 options: a) Leukocytosis b) beta cell production fails b) Leukopenia NSG 6435 NEWEST 2023-24 c) Elevated band count d) Increased neutrophils Save Question 44 (2 points) A fifteen-year-old male patient with cerebral palsy has been experiencing alteration in mood for the past two days, complains of an unusual odor, and then begins to have forceful muscle contractions followed by flaccidity then lethargy. You would describe this as a _________________ _. Question 44 options: a) prodrome b) postictal state d) petit mal seizure Save Question 45 (2 points) The feeling of loss of control over eating is known as ____________ _. Question 45 options: c) tonic-clonic seizure NSG 6435 NEWEST 2023-24 a) bulimia c) fad diets d) anorexia Save Question 46 (2 points) A sixteen-year-old male presents to your office accompanied by his parents. They are concerned about his absenteeism from school. You suspect the patient has ________. Question 46 options: b) suffers from attention deficit disorder c) social anxiety disorder d) panic attacks Save Question 47 (2 points) b) binge eating disorder a) made a conscious decision to miss school (truancy) NSG 6435 NEWEST 2023-24 Pauciarticular arthritis is identified by pain in ______________ joints. Question 51 options: a) multiple b) single c) zero Save Question 52 (2 points) Type 2 diabetes is found Question 52 options: a) in overweight adolescents b) when insulin resistance is present c) adequate endogenous insulin is present Save Question 53 (2 points) d) few d) All of the above NSG 6435 NEWEST 2023-24 Which group of adolescents is more likely to develop Type 1 diabetes? Question 53 options: b) American-Indian adolescents c) African-American adolescents d) Pacific Islander adolescents Save Question 54 (2 points) Which of the following is most accurate regarding pain assessment in the pediatric patient? Question 54 options: b) Most pediatric patients can use self-report pain scales (e.g., Faces scale, 0–10 scales) by two years of age c) Premature neonates are neurologically less capable of feeling pain d) Parents are an unreliable source of pain assessment in the cognitively impaired pediatric patient a) Non-Hispanic white adolescents a) Behavioral pain assessment measures are useful for measuring pain in infants or children with impaired communication skills NSG 6435 NEWEST 2023-24 Save Question 55 (2 points) Question 55 options: The best way to screen for gonorrhea in an adolescent female is Save Question 56 (2 points) The primary age of onset for inflammatory bowel disease is between ages of __________ and _______ _. Question 56 options: a) ten; fifteen years b) fifteen; eighteen years c) twenty; twenty-five years Save Question 57 (2 points) _______ creates higher costs than all other medical problems. d) fifteen; twenty-five years NSG 6435 NEWEST 2023-24 Symptoms of attention deficit hyperactivity disorder are present prior to ________ years of age. Question 61 options: a) ten c) nine d) six Save Question 62 (2 points) Secondary hypothyroidism results from Question 62 options: a) excessive release of thyroid hormone beyond the newborn period b) intrauterine exposure to thyrotoxic drugs c) disease or disorder of the thyroid gland itself b) seven d) disease or disorder of the hypothalamus or pituitary gland compromising thyroid function NSG 6435 NEWEST 2023-24 Save Question 63 (2 points) During a well-child visit, a mother expresses concern that her three-year-old child has recently started to stutter when excited. The pediatric primary care nurse practitioner informs the mother that stuttering in a preschool-aged child Question 63 options: b) is a sign of abnormal speech pattern development. c) occurs because the child does not know what to say. d) signals the presence of stress in the child's environment Save Question 64 (2 points) Symptoms of the attention deficit hyperactivity disorder must have been present at least ______ before a diagnosis can be made. Question 64 options: a) is a normal characteristic of language development. NSG 6435 NEWEST 2023-24 a) six weeks b) two weeks c) two months Save Question 65 (2 points) ADHDs are likely to affect ______________________ _. . Question 65 options: b) females more than males c) adults more than adolescents d) both males and females the same Save Question 66 (2 points) d) six months a) males more than females NSG 6435 NEWEST 2023-24 Save Question 70 (2 points) Maturity onset diabetes of youth (MODY) is usually found before the age of _____________. Question 70 options: b) twenty years c) fifteen years d) twelve years Save Question 71 (2 points) The Board of Nursing for each state ____________ _. Question 71 options: a) is responsible for its own rules and regulations b) may differ from other states c) is one of the agencies that assist in ensuring the health and welfare of the public a) twenty-five years d) all of the above NSG 6435 NEWEST 2023-24 Save Question 72 (2 points) The insulin requirement for a Type 1 diabetic is determined by: Question 72 options: a) The HgbA1C c) The quantity of glucose in the urine d) The fasting blood sugar average0 Save Question 73 (2 points) In a newborn, a diagnosis of hip dislocation is suspected when Question 73 options: b) wide hip abduction that is symmetric c) flaccidity of the left leg following extension of both legs with return to flexion b) The quantity of ketones in the urine a) positive Galeazzi, Barlow and Ortolani NSG 6435 NEWEST 2023-24 d) tonic neck reflex in which the left leg is flexed Save Question 74 (2 points) Thoughts that are false but persistent are known as ___________ ideations. Question 74 options: a) anxiety b) obsessive c) schizophrenic Save Question 75 (2 points) Age related or primary epilepsy usually presents __________________ _. Question 75 options: a) middle adolescence to high school years d) compulsive b) early school years to adolescence