NSG6435 Weekly Knowledge Checks

Week 1 Knowledge Check

1.      What should a cultural assessment of the family and child include? o An assessment of a patient’s dominant culture including the accompanying health beliefs, and beliefs about birth, illness, and deaths.

2.      What question should the provider ask to elicit information about the internal structure of the family?o Has any family member recently moved in or out of the home? If so, how has this move affected the family?

3.      “Culture is a social construction of the relationships within and among groups of human beings…..” Which of the following is not a part of the products of culture?

4.      The provider understands that children who show signs of aggressive behavior, depression, anxiety, and poorschool performance may have been exposed to which of the following during childhood?

5.      Which of the following best defines the role of the APN in Health Care

Week 2 Knowledge Check

1.       Which of the following is considered a developmental red flag? Loss of milestones

2.       What would be the most likely weight of a 1-year-old child whose weight at birth was 7 pounds?

20-23pounds

3.       The pincer grasp is a fine motor skill that involves the ability to pick up a small object such as cold cereal, with the thumb and forefinger. When is this usually mastered? 9 months

4.       The nurse practitioner is completing an examination of an 11-year-old female. It is noted during inspection that there is an appearance of breast buds. Which of the following would most likely occur in approximately 2 years? Onset of menses

5.       When reviewing immunization protocols at your clinic, the nurse practitioner should be aware that the varicella vaccine can be administered at what age? 12 months

Week 3 Knowledge Check

1.       Which of the following is the correct order for introduction of solid foods to an infant? Cereal, vegetables, fruits, and meats.

2.       Which of the following information is most important to ask about while performing a sports physical? Has the child fainted during exercise.

3.       The mother of a 16 month old child informs you that she feeds the baby skim milk. What is the best rationale for not using skim milk? Provides an inadequate amount of fatty acids.

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4.       Which adolescent would be at greater risk for developing anorexia nervosa? 14 year old competitive gymnast.   

5.       The NP is reviewing strategies to increase physical activity. The patient should also be educated that which of the following are commonly associated with sports injuries?  Improper training.

Week 4 Knowledge Check

1.       A pediatric patient has just been diagnosed with otitis externa. Which of the following should the patient be instructed to do? Keep ear dry until symptoms improve.

2.       The NP is performing a Fluorescein staining of the eye. Which of the following is this intervention used to detect? Corneal abrasion

3.       The incidence of epiglottitis has decreased due to which of the following immunizations? Hib

4.       You are examining a patient who you suspect has 5th disease. Which of the following is true regarding this disease? Seen in children 5 to 14 years of age.

5.       Which specific viral organism causes hand, foot, and mouth syndrome? Coxsackie Week 5 Knowledge Check (missed one)

1.       A NP is completing a cardiac assessment on a child and detects a murmur. Which of the following is true regarding innocent murmur? The murmur is of low intensity.

2.       A child presents to the primary care clinic with chest pain. The provider is aware that chest pain in children is usually a symptom of? Noncardiac condition

3.       Which of the following is a common cause of acquired coronary artery disease during childhood? Kawasaki disease

4.       What type of hemorrhage would be expected with severe factor VIII deficiency? Gross bleeding from mild trauma

5.       The NP suspects that a pediatric patient is exhibiting the signs and symptoms consistent with Leukemia. To confirm this diagnosis, which test/procedure should be ordered? Bone marrow aspiration

Week 6 Knowledge Check

1.       Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would most likely indicate pyloric stenosis? Acts hungry after vomiting.

2.       Which of the following findings could be expected to occur in a baby with intussusception? Inconsolable crying

3.       A pediatric patient presents with symptoms consistent with the early phase of appendicitis. Which of the following would be the most likely presentation? Anorexia and diffuse pain.

4.       The NP is completing education with parents of a child with celiac disease. Which of the following foods would be most appropriate? Boiled rice and butter.

5.       A male patient presents with symptoms consistent for testicular torsion. What would be the first priority for this patient? A surgical referral.

Week 7 knowledge Check

1.      A 5 year old boy presents to the clinic with his mother who states the chief complaint of “painful limping on the right leg for 2 days.” Today he has a low grade fever. Which of the following would be the most likely diagnosis? Transient synovitis of the hip

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2.      Which of the following is a typical presentation of a dislocated hip of a child 6 months or older? Galeazzi sign

3.      During the examination of a 3-week old, it is noted that the infant is irritable when lifted, has asymmetrical moro reflex, and spasms along the right sternocleidomastoid. What does this suggest? Fractured clavicle

4.      A newborn has a vascular lesion that will not fade as the child gets older. What is your diagnosis? Port wine stain

5.      A 13 year old presents with several vesicles and honey colored crusted lesions on the face.

The initial injury was a scratch. What would be the most likely diagnosis? Impetigo