NUR 634 APEA Pediatrics Qbank Questions And Answers /Completed Version (LATEST) - €14,18   In winkelwagen

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NUR 634 APEA Pediatrics Qbank Questions And Answers /Completed Version (LATEST)

NUR 634 APEA Pediatrics Qbank Questions NUR 634 APEA Pediatrics Qbank Questions 1. The NP should base a response to a parent’s question about the prognosis of ALL on which of the following statements? 2. The assessment finding that would necessitate a need for additional follow-up in a preschooler would be if the child: 3. Which one of the following is an appropriate type of play for a 6-month-old infant? 4. During the first six months of life, an infant will: 5. A 9-year-old girl has a history of tuberculosis when she was 6-years-old. She presents with recent weight loss and anorexia. Along with her presenting symptoms, which one of the following assessments findings would be most indicative of Addison’s disease? 6. A twelve-month-old was recently diagnosed with AIDS. The mother asks the NP: “How could my child have acquired AIDS?” The best response for the NP should be that: “Children under two years of age usually acquire AIDS: 7. If a newborn is suspected of having congenital hypothyroidism, which clinical manifestation would be evident? 8. At what age would a baby first be expected to locate an object hidden from view? 9. Which of the following would help a 9-year-old develop a sense of industry? 10. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: 11. The infant with the lowest risk of developing elevated levels of bilirubin is the one who: 12. When assessing a normal 5-year-old, the last site to assess would be the: 13. A six-year-old has a history of diabetes mellitus type 1 and is now experiencing cellulitis of the right lower leg. The child presents with deep, rapid, and unlabored respirations, fruity odor, and dry skin. There are symptoms of: 14. The parents of a child with sickle cell anemia are asking for information about future pregnancies. The NP should respond by telling them that with any future pregnancy they will have a: 15. When assessing a preschooler’s mouth, the number of deciduous teeth seen should be: 16. Which of the following milestones is developmentally appropriate for a 2-month-old infant when pulled to a sitting position? 17. If a newborn develops a cephalohematoma, the newborn is at an increased risk for: 18. The first sign of puberty in a male is: 19. An infant weighed 8 pounds at birth. According to the principles of normal growth and development, how much should he weigh at 12 months of age? 20. Which one of the following groups of symptoms would be more consistent in a child with type 2 diabetes mellitus? 21. Which one of the following would be an abnormal finding in a 6-month-old? 22. A five year old will engage in what type of play? 23. Which one of the following statements indicates a developmental delay? 24. In which of the following situations would a one-year-old child be at risk for lead poisoning? 25. A 13-year-old girl presents with complaints of insomnia and hyperactivity along with gradual weight loss despite a good appetite. She has warm, flushed moist skin, and unusually fine hair. These manifestations are indicative of which of the following conditions? 26. The NP differentiates physiologic jaundice from pathologic jaundice by assessment of the: a. Timing of the onset of the jaundice 27. At what age is it considered normal for a child to pick up objects using the palm of the hand only? 28. A six-month-old presents today for a well child visit. He is sitting in his mother’s lap. Assessment should begin with: 29. Breastfeeding is contraindicated for an infant diagnosed with which one of the following conditions? 30. Which activity would be most appropriate to promote the growth and development of a 3-year-old boy with hemophilia who is one week post hemarthrosis episode of his left knee? 31. Which one of the following positions is the most accurate regarding infant car seat placement? The car seat should: 32. A child with sickle cell anemia presents with a history of sudden onset of rapid breathing with left upper quadrant (LUQ) tenderness upon palpation. The child is most likely experiencing a (an): 33. Children with type 1 diabetes usually present with which one of the following symptoms? 34. To assess for strabismus in a child, use the: 35. Which one of the following statements made by the mother indicates that her 5-month-old infant is ready for solid foods? 36. What is the earliest recognizable clinical manifestation(s) of cystic fibrosis in a child? 37. An infant presents with an inappropriately increasing head circumference and hydrocephalus confirmed by CT scan. In addition to these findings, which one of the following would also be consistent with hydrocephalus? 38. Children who pick their noses are at higher risk for development of: 39. When assessing a 3-month-old for developmental dysplasia of the hips (DDH), which one of the following symptoms would be suspicious of dysplasia? 40. When assessing the heart rate of a healthy 13-month-old child, which one of the following sites is the most appropriate for this child? 41. Presence of a heart murmur on a child would be considered organic if the child: 42. An 43. The most common cause of bacterial pharyngeal infections in children is: 44. An ambulatory child with spastic cerebral palsy needs a diet: 45. Why would a newborn with patent ductus arteriosus receive a prostaglandin inhibitor (indomethacin)? 46. A six-year-old child presents with sore throat, difficulty swallowing, and a temperature of 102 f. Findings reveal lymphadenopathy and pharyngeal erythema. This is probably: 47. Assessment findings in a newborn at birth include: irregular respirations without crying, heart rate of 105 beats/minute, grimaces with reflex stimulation, kicking of both feet, and moving of both arms. The body and face are pink and hands and feet are cyanotic. What is the APGAR score? 48. Blue sclera, weak muscles, and increased joint flexibility during a newborn assessment may be suggestive of: 49. A child received a burn to the chest from a hot cup of coffee. On examination, the injured area appears moist and red to ivory white in color, blisters are noted, and painful to touch. This burn would be classified as a: 50. A teenager complains of itching and burning in his eye. Examination reveals an erythematous eyelid margin with crusting and clear mucus discharge. These findings are consistent with: 51. Current indications for tympanostomy tube placement include all of the following except which one? 52. Assessing the neurological status of a child with a ventriculoperitoneal shunt should include: 53. Undescended testicle(s) in a young make is termed: 54. A child presents with a fever of 102.5 F for the past five days. Kawasaki disease is suspected if which of the following groups of symptoms is present: 55. Children with Legg-Calve Perthes disease should: 56. Assessment findings in an infant with increased intracranial pressure would include: 57. When auscultating the apex of the heart in an 8-year-old, the bell of the stethoscope should be placed at the: 58. A child presents with erythematous papules and vesicles, that are weeping, oozing, nd crusty. These lesions are located over the forehead, wrists, elbows, and the backs of the knees. With which of the following conditions are these symptoms associated? 59. When a child presents with a history of a head injury sustained within the past four hours, a subdural hematoma should be expected because: 60. Symptoms of acrocyanosis in the newborn include: 61. All of the following symptoms in a 10-month-old would be indicative of acute otitis media (OM) except: 62. When suspecting pediculosis capitis, the chief complaint is: 63. After attempting to elicit the Moro reflex in a newborn, the NP identifies absence of movement of the left arm. The next assessment would be to: 64. An infant with fetal alcohol syndrome would: 65. Which of the following findings in a preschooler would indicate the need for further evaluation? 66. During the newborn’s physical assessment of the mouth, the soft and hard palates are palpated to detect: 67. The cranial 68. Which of the following group of symptoms would be suggestive of an infant experiencing a congenital heart defect associated with a decreased pulmonary blood flow pattern? 69. A child was involved in a vehicular accident and sustained burns on the lower extremities. Examination reveals a dry, waxy, whitish appearance of both lower legs and some visualization of the tibialis anterior. This type of burn would be classified as a: 70. A disparity between the brachial and femoral pulses in a 4-month-old could indicate: 71. Examination of a child who experienced a burn from a curling iron on the forearm appears red without blistering but is painful to touch. This type of burn would be classified as a: 72. A child has a maculopapular, blotchy rash and on examination of his mouth, red eruptions with white centers on the buccal mucosa are visualized. These eruptions are called: 73. An 8-month-old with significant head lag would suggest the need for: 74. An example of a cause of conductive hearing loss in children would be: 75. A child sustained a “full thickness” burn injury. This type of injury involves tissue destruction down to the: 76. Which developmental area is predominantly affected by lead poisoning? 77. A seven-year-old is suspected of having conduct disorder. Which of the following topics should the NP include in the assessment history? 78. Which of the following infants should be seen immediately by the NP? 79. A child presents with a complaint of a left earache that worsens with head movement. Findings on examination include temperature of 102F and cellulitis behind the left ear. These findings are consistent with: 80. A toddler with suspected hearing loss would: 81. A three-week-old infant presents with a generalized lacy, reticulated blue discoloration of the skin. This is suggestive of: 82. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristics of a: 83. An indication that there is a malfunction of a ventriculoperitoneal (VP) shunt in an older child 84. An infant presents with a rash in the diaper area. Which description likely indicates candida diaper rash? 85. With Duchenne muscular dystrophy: 86. An eight -year-old complains of itching in the right ear and an increase in pain when the pinna is pulled or the tragus is palpated. Examination reveals slight redness in the ear canal with a clear odorless fluid. This could be suggestive of: 87. A priority intervention in caring for a child diagnosed with atopic dermatitis should be to: 88. Which of the following symptoms is seen in infants with pyloric stenosis? 89. When administering eardrops to a 6-year-old, the pinna should be pulled: 90. A twelve-month-old has a history of heart failure related to his congenital heart defect. He is receiving Aldactone (Spironolactone), enalapril (Vasotec), furosemide (Lasix), and acetaminophen (Tylenol). The infant’s potassium level is 3.1 meq/l. Which medication is most likely decreasing his potassium level? 91. Respiratory effort in the neonate in initiated at birth as a result of: 92. Which of the following neurological assessment findings indicate the need for further evaluation? 93. When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of: 94. Symptoms of bacterial conjunctivitis in an infant include: 95. Physical exam of a well two-week-old infant reveals a little dimple with a small amount of hair just above the sacral area. This could be: 96. A six-year-old male complains of ankle pain and difficulty walking, but denies any recent injuries. Findings reveal ankle tenderness, decreased mobility and range of motion. The pts temp is 102 F. These findings are consistent with: 97. Which of the following substances is found in the urine of a child suspected of having post streptococcal glomerulonephritis? 98. A 9-month-old who has been a healthy, thriving infant presents with a poor appetite, two episodes of vomiting, three bloody stools with mucous and knees drawn to the abdomen with screaming. These are clinical manifestations of: 99. A six-year-old child presents with a few small vesicles that are honey-colored and weeping around the left nare. These are consistent with: 100. A 4-year-old child presents with bilateral watery discharge from the eyes. Examination reveals subconjunctival hemorrhage, and eyelid ecchymosis. These findings are consistent with: 101. Which one of the following procedures would confirm the definitive medical diagnosis of Hirschsprung’s disease? 102. Which of the following statements made by a parent would alert the NP to suspect autism spectrum disorder? 103. A pediatric patient presents with erythema marginatum, chorea, and a heart murmur. These symptoms are consistent with: 104. Symptoms of a child suspected of having a diagnosis of mixed failure to thrive (FTT) are usually seen in children: a. Who have cleft palates or lips and the caretaker in insecure in his/her feeding abilities 105. All of the following are examples of causes of sensorineural hearing loss in children except: a. The presence of cerumen impaction 106. A 3-year-old presents with a history of fever and cough over the past 24 hours. Findings on exam reveal: Temp 102F, apical heart rate of 157 BPM, and respiratory rate of 40 breaths/minute. Tachypnea in this child is most likely related to: 107. When performing a cardiovascular assessment on a healthy 2-year-old child: 108. A granulomatous eyelid cyst or nodule that is painless and erythematous is termed: 109. An otherwise healthy two-year-old presents with a heart rate that varies with inspiration and expiration. Which statement is true? 110. The mouth of a 10-month-old infant has white patches on the mucosa that cannot be removed. These patches are consistent with: 111. A small child sustained burns to the posterior trunk and posterior surface of both arms. According to the “rule of nines” for small children, what percentage of the total body surface area was involved? 112. Anticipatory guidance for the family of a pre-adolescent with a cognitive impairment should include information about: 113. Which one of the following symptoms is associated with biliary atresia in an infant? 114. A six-year-old complains that something is in her left eye. There is a red raised area of the left lid. There is redness and tenderness of the eye and tearing. These findings are consistent with: 115. When assessing a 3-year-old African American child, the most likely cause of black, dusky membranes is related to: 116. The hemodynamic changes resulting from structural defects in children can lead to heart failure. The most common reason for these changes is related to: 117. The four classic structural defects of Tetraolgy of Fallot include: 118. Symptoms indicative of shaken baby syndrome are related to: 119. On examination of a six-week-old infant, developmental hip dysplasia (DDH) is suspected. If DDH is present, it might be evidenced by: a. Limited abduction of the affected leg 120. When screening for scoliosis, assessment should include: a. Observing the back while the child is bending forward 121. When a two-week-old infant presents with irritability, poor appetite, and rapid head growth with distended scalp veins, one should consider: 122. Which one of the following patient positions would be least beneficial to examine the genitals of a young female child? 123. In renal adaptation of the newborn, which one of the following statements is correct? 124. When examining the scrotum in a young child, test the cremasteric reflex by: 125. Children presenting with congenital heart defects that result in right to left shunting would most likely exhibit which of the following symptoms? 126. A normal finding in the MSK assessment of a 3-year-old child would be the presence of: 127. A 5-year-old child presents with complaints of fever and headache. Examination reveals a heart rate of 157 BPM, respiratory rate of 40 breaths/minute, B/P 108/54, and a temp of 102.6F. the increased heart rate is most likely related to:

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