NUR 6435 SB STUDY GUIDE

1.

A congenital heart abnormality often discovered during the newborn period is coarctation of the aorta. How is this assessed?

By comparing right and left femoral pulses

By comparing right and left pedal pulses

By comparing upper and lower extremity blood pressures By auscultating an audible bruit in the carotid arteries 2.

A child who can stack a maximum of 5 blocks is probably:

1 yr of age

15 months of age

2 years of age 3 years of age 3.

A 6 yr old child who has moderate persistent asthma is diagnosed with pneumonia after chest x-ray and lab studies. He developed a sudden onset of fever with chills. He is in no distress. What is the preferred treatment for him?

Supportive measures, it is probably viral

Amoxicillin

Azithromycin Doxycycline 4.

A healthy appearing 3-yr old female presents with non-blanchable redness over both knees and elbows. During the exam, she is found to have normal growth and development, and she interacts appropriately with the NP. She had an upper respiratory infection about 4 wks ago that cleared without incident. A CBC and UA were obtained. The most likely diagnosis is:

Septic arthritis

Acute lymphocytic leukemia (ALL) von Willebrands disease idiopathic thrombocytopenia purpura (ITP) 5.

An adolescent has acne. The NP prescribed a benzoyl peroxide product for him. What important teaching point should be given to this adolescent regarding the benzoyl peroxide?

Don't apply this product more than once a day

This often causes peeling of the skin

Photosensitivity of the skin can occur Hypersensitivity can occur with repeat use 6.

a 6-wk old male infant is brought to the NP because of vomiting. The mother describes vomiting after feeding and feeling a knot in his abdomen especially after he vomits. The child appears adequately nourished. What is the likely etiology?

GERD

Pyloric stenosis

Constipation

Munchausen syndrome by proxy 7.

Which suggestion below is the standard for treating iron deficiency anemia in infants and children?

Iron supplements in divided doses between meals with orange juice

Iron supplements once daily with the largest meal

Meat >5 servings per week with citrus juice Iron supplement with orange juice 5 times per week 8.

A young child has developed a circumferential lesion on her inner forearm. It is slightly raised, red and is puritic. It is about 2.5 cm in diameter. This is probably related to:

Impetigo the child's new cat juvenile rheumatoid arthritis A psoriatic lesion 9.

A 7-yr old entered clinic 1 month ago. There was no evidence that he had any immunizations. He was given the vaccinations listed on his vaccination record at the time of his visit. if he returns today, which immunizations can he receive?

Hep B, Td, Hib, polio, MMR

Hep B, Td, IPV, MMR, varicella

IPV only

Hep B, DTaP, IPV, MMR 10.

What would be appropriate anticipatory guidance for the parent of a 9-month old infant?

Discuss weaning from bottle

Keep syrup of ipecac in case of accidental poisoning Your baby should be able to say 10 words before age 1 year Stranger anxiety will develop by 1 year of age.

11.

An infant is diagnosed with diaper dermatitis. Satelite lesions are visible. This should be treated with a:

Moisture barrier like zinc oxide.

Topical anti-fungal agent.

Topical anti-bacterial agent. Low potency steroid cream 12.

The NP sees a child who reports fatigue and presents with purpura on his lower extremities. His temperature is normal. The differential includes:

Anemia

Abuse

Acute Leukemia Kawasaki syndrome 13.

Genetics

Nutrition