NSG6435 Week 5 Assignment 4 Midterm Exam / NSG 6435 Week 5 Midterm Exam -Family Health - Pediatrics- South University
NSG6435 Week 5 Assignment 4 Midterm Exam / NSG 6435 Week 5 Midterm Exam -Family Health - Pediatrics- South University
The incidence of congenital heart defects is estimated to be ________ of all live births.
Breastmilk can be safely stored in a freezer below 0 degrees Fahrenheit for how long?
Which foreign body needs immediate removal from a five-year-old boy’s nose?
The most useful diagnostic test in delayed puberty is _____________________.
complete thyroid panel
X-Ray of the left wrist and hand
X-Ray of the right wrist and hand
X-Ray of the spinal column
An average vision of a two-year-old child is approximately:
A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. You would expect which treatment to have been prescribed?
Increase rest and fluid
An adolescent with a chronic asthma cough notes that symptoms are usually worse _____________.
only with exertion
only during the daytime
only at night
at night and with exertion
An average adolescent female usually experiences her biggest growth spurt at approximately what age?
Ten and half years
Eleven and half years
Twelve and half years
Thirteen and half years
If an adolescent has a bone age of 10 but is actually 13 years of age, this patient has ______.
an increased risk of fracture in the next three years
an increased risk of osteoporosis as an adult
a higher potential for bone growth
a lower potential for bone growth
Gardasil results in greater antibody responses for females who are administered the three-dose series between what ages?
Six to twenty-six years of age
Prior to eleven years of age
Nine to fifteen years of age
Nine to twenty-six years of age
An eight-year old has chronic intermittent nasal congestion. All but which of the following would support allergic rhinitis?
Red swollen turbinates
Darkened areas below eyes
Increased basophils on complete blood count (CB
Itchy, watery eyes
A fifteen-month old failed treatment with amoxicillin for an otitis media. At his two-week recheck, his tympanic membrane remained red with distorted landmarks and he persisted with nasal discharge that is thick and yellowish. The best action for the nursing practitioner should be to prescribe:
A ten-day-course of augmentin
A three-week-course of a cephalexin
A higher dose amoxicillin
Ceftriaxone and an antihistamine
An infant should be able to say his or her first word by:
four to five months
eight to nine months
twelve to fifteen months
twenty four to twenty six months
The latter part of adolescence includes the ability to develop ________ and _______ means to be a part of society.
strong attachments; sexuality
critical thinking; basic life skills
moral; intellectual means
A fourteen-year-old adolescent presents with fatigue, endocarditis, pulmonary hypertension, arrhythmias, and congestive heart failure. You suspect he may have ____________.
pulmonary valve stenosis
aortic valve stenosis
a ventricular septal defect (VSD)
A four-year-old male patient presents with his mother with a school referral regarding red eyes. Which questions would not assist in establishing a list of differential diagnoses?
Unilateral vs. bilateral presentation
Type of drainage
History of a bacterial infection one month ago
______________ adolescents should be screened for sexually transmitted diseases.
An infant should no longer have a head lag when pulled from the supine to sitting position at what age?
____________ should be given as a supplement in the management of delayed puberty.
Vitamins B1 and B12
Vitamins D and E
Vitamin A and Calcium
Calcium and Vitamin D
Parents or guardians of adolescents should ___________________.
not be included in the adolescent's health care
receive health guidance information at least twice during adolescence
encourage reasonable use of alcohol and tobacco by the adolescent
encourage early sexual activity by providing condoms to the adolescent
How does cultural sensitivity impact the care of infants in the primary care setting?
Health-care providers may possess cultural biases that can impact care.
Cultural sensitivities do not exist in health care.
Cultural sensitivity only impacts the parents of infants.
Cultural sensitivity increases access to timely health-care services for infants.
The most typical chest radiographic finding consistent with the diagnosis of asthma is ______________.
normal chest film
diffuse airway edema
right upper-lobe infiltrate
A 10 yo has a single painful ulcerated lesion on an erythematous base on the inner buccal mucosa. The most likely diagnosis and treatment would be:
herpes simplex stomatitis--oral acyclovir
apthous ulcer--triamcinalone in orabase
Hand, foot, mouth syndrome--antibiotic mouthwash
A 9 month old is noted to have a bifid uvula. This would increase his risk of developing which disorder?
All of the following may predispose a patient to thrush except:
poor oral hygiene
Patients with sinusitis should be instructed not to participate in what activity?
cross country running
What complication of sinusitis are adolescent males more prone to?
potts puffy tumor
Acceptable management options for allergic rhinitis include all of the following except:
A 7 yo has experienced recurrent nose bleeds in the past 2 months. What finding on the physical exam would suggest an underlying medical cause for the epistaxis?
grade II murmur
A 2 yo male with a history of chronic serous OM is noted to have a pearly white opacity in the upper outer quadrant of his TM. He currently has no symptoms and appears to be ok. The most likely diagnosis and appropriate managment would be:
tympanosclerosis; no treatment is necessary
persistent perforation; prescribe topical antibiotic drops
foreign body; perform an ear wash for removal
cholesteatoma; refer to otolaryngology
A 15 mo failed treatment with amoxicillin for OM. At his 2 week re-check his TM remained red with distorted landmarks and he persisted with nasal congestion, poor sleep, and fever. The next best step would be to treat with:
a 10 day course of augmentin
a 3 week course of cephalosporin
a higher dose of amoxicillin and topical abx
ceftriaxone and an antihistamine
All but which one of the following patients are at an increased risk of developing otitis media?
2 yo with cleft palate repair at 1 year of age
15 mo with down syndrome
9 mo with lactose intolerance
3 yo with IgA immune deficiency
Patients with otitis externa should be instructed to do which one of the following:
keep ear dry until symptoms improve
limit swimming for the remainder of summer
wear ear plugs at all times with swimming
use alcohol drops before swimming each day
A 10 yo has marked ear pain, not wanting anyone to touch his ear. The canal is edematous and exudate is present. TM is normal. How should this be managed?
oral steroids and topical neomycin
oral amoxicillin and topical anesthetic
oral amoxicillin and topical steroid
A 16 yo was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids with 5/10 eye pain. All but which of the following would be appropriate to obtain at this time:
The greatest risk in a patient with a hyphema is which of the following?
Corneal abrasions can be managed with topical application of which of the following:
anesthetic for pain control
steroids to prevent adhesions
antibiotics to prevent infection
atropine to prevent ciliary spasm
Trauma to the eye increases the risk of developing all but which one of the following?
Fluorescein staining of the eye is used to detect a:
Prematurity increases the risk of developing which one of the following?
A 3 month old has a mild asymmetrical corneal light reflex on physical exam. What is the next appropriate step?
observe and reevaluate at the next well check
refer immediately to ophthalmology
begin atropine drops or eye patching
protect eyes from sunlight
Which of the following may cause microcephaly?
What finding may accompany macrocephaly?
Pulsating anterior fontanel
Premature closure of suture lines
Widened suture lines
Obtaining a CT of the head would be indicated in which of these conditions?
Which one of the following conditions increases the risk of developing hydrocephalus?
A conjunctivitis appearing in a 2 day old newborn is likely due to:
chemical irritation from eye drops
group B streptocuccus
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by obtaining which one of the following?
cervical swab of the mother
urine PCR from the mother
culture of the eye discharge
culture of the conjunctival scrapings
Which one of the following eye findings would be considered an ophthalmic emergency?
unilateral vesicular lesions on the upper eyelid of a 3 week old
presence of chemosis in a 5 yo with bilateral upper eyelid edema
cobblestone-like appearance along the inner aspect of the upper eyelid in a 15 yo
bilateral redness along the eyelid margins with tiny ulcerated areas in a 16 yo
The most appropriate management of a 5 yo with a firm, nontender nodule in the mid-upper eyelid for 3 weeks would be:
topical ophthalmic ointment
Daily eyelid cleansing with diluted baby shampoo and a cotton tipped applicator would be appropriate in the treatment of which one of the following conditions?
A 3 year old has an edematous, mildly erythematous right upper eyelid for one day with a fever of 103. An important eye assessment would be:
optic disk papilledema
Concurrent otitis media and conjunctivitis is likely due to which organism?
A 16 yo girl makes the following statements to you during her health visit. Which of the following pieces of information should not be kept confidential?
I have been sexually active with three of my boyfriends
I sometimes smoke marijuana
I want to get pregnant
Sometimes I feel like ending my life
In performing a physical examination on a nine month old infant, which of the following developmental fears would not be appropriate for you to consider?
Separation from parents
When performing a physical examination on a toddler, which of the following body parts would you examine last:
Heart and lungs
abdomen and genitals
Ears and throat
Hips and extremities
Role play with equipment during the course of a physical examination would be most beneficial with which of the following age groups:
Young school-age children
Older school-age children
Providing reassurance of "normalcy" during the course of an examination would be most important for:
Young school-age children
Older school-age children
Which of the following would not elevate the pulse of a child:
The PNP recognizes which of the following signs as indicators that baby is not receiving sufficient breastmilk?
Sleepiness, jaundice, decreased urine and stool
Diarrhea, nausea, and vomiting
Bulging fontanel and irritability
Sleeplessness and excitability
Blood pressure should be measured at WCC beginning at age:
A wide pulse pressure that results from a high systolic blood pressure is usually not due to which of the following:
A patent ductus arteriosus
Head and chest circumferences should be equal at:
The anterior fontanel usually closes by:
Diffuse edema of the soft tissue of the scalp which usually crosses suture lines in the newborn is:
An infant should no longer have head lag when pulled from the supine to sitting position at what age?
"Boggy" nasal mucous membranes with serous drainage upon examination usually suggests:
A white instead of red reflex upon eye examination of a 1 yo child would suggest:
An accommodative error
A cobblestone appearance of the palpebral conjunctiva usually indicates:
An eye that deviates in when covered but returns to midline when uncovered is an:
Pain produced by manipulation of the auricle or pressure on the tragus suggests:
Acute otitis media
Otitis media with effusion
A hypernasal voice and snoring in a child is suggestive of:
Polyps of the larynx
Physiological splitting of the second heart sound during inspiration in a child:
should be evaluated with an EKG
Should be referred to a cardiologist
Which of the following is not characteristic of innocent heart murmurs in children?
Systolic in timing
Varies in loudness with positioning
Usually transmitted to the neck
Usually loudest at lower left sternal border or at second or third intercostal space
A grade II musical or vibratory murmur heard best at the lower left sternal border that changes with positioning is suggestive of a:
Pulmonary ejection murmur
Ventricular septal defect
Vibratory or Still's murmur
Wheezing in a child may not be found in which of the following conditions:
Pleural friction rub
Gynecomastia in a male may not be a finding in which of the following:
Normal pubertal development
Which of the following would usually not be considered a sign of a pituitary tumor in an adolescent female?
Dysfunctional uterine bleeding
Loss of peripheral vision
Increase in headaches
Which of the following is not a specific examination test for a dislocated hip?
In addition to the knee, which of the following should be examined in a child complaining of knee pain?
Which of the following infant reflexes should not disappear by 6 months of age?
Spasticity in an infant may be an early sign of:
A shift to the left is present when which of the following are elevated?
Bands or stabs
Which of the following is usually elevated with viral infections?
Decreased platelets may not be found in which of the following:
Idiopathic thrombocytopenic purpura
Medication usage (e.g. ampicillin, cephalothin)
Which of the following does not suggest a urinary tract infection?
Samenvatting jaarverslaggeving/externe verslaggeving H1 t/m H13 Epe
Duidelijke en uitgebreide samenvatting van het boek: Jaarverslaggeving van Epe. Alle stof van H1 t/m H13 wordt behandeld. Incl. voorbeelden.
Inholland AC/BE jaar 2
Samenvatting jaarverslaggeving/externe verslaggeving H14 t/m H19 Epe
Duidelijke en uitgebreide samenvatting van het boek: Jaarverslaggeving van Epe. Alle stof van H14 t/m H19 wordt behandeld. Incl. voorbeelden. Inholland AC/BE jaar 2
Controleleer samenvatting H1 t/m H5
Uitgebreide samenvatting van controleleer met de belangrijkste informatie uit H1 t/m H5. Inholland, Finance & control / AC/BE, jaar 2, blok 7
MN568 Unit 10 Final Exam (100 Questions) Updated
Question 1 2 / 2 points
Which statement about confusion is true?
Question 2 0 / 2 points
Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear?
Question 3 2 / 2 points
The hallmark of an absence seizure is:
Question 4 2 / 2 points
How often should drug levels be monitored when a seizure medication has controlled the seizures, and the drug level is adequate?
Question 5 2 / 2 points
Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)?
Question 6 2 / 2 points
Which of the following is a specific test to MS?
MGG2601 Past papers with Memos
This document provides past papers from 2009, 2010,2011,2012, 2015 (2Papers) ,2016 (2 papers) ,2017 with memos provided for 2009,2010,2011 and 2012. These memos can be used as an extensive foundation for the rest of the examination papers.
BSBSUS401 Implement & monitor environmentally sustainable work practices
What is the purpose of National Greenhouse & Energy Reporting Legislation?
1. What is the purpose of Environment Protection & Biodiversity Conservation Legislation?
2. What is the Kyoto Protocol?
3. Who has the prime responsibility for environmental protection?
4. How do organisations know how to behave ethically in regards to sustainability?
What process might an assessor follow when analysing procedures to ensure compliance with
1. environmental regulations?
2. How might an assessor conduct an assessment?
1. What is resource efficiency?
2. What is an Environmental Management System?
3. How can a work group be engaged in disseminating environmental and resource efficiency information?
1. Explain the differences between qualitative and quantitative information.
2. What do you think are the advantages of presenting analysed data in graphical format, rather than a written report?
3. Your organisation is interested in analysing and organising information about the amount of paper it uses. Convert the data provided into a format that is easily used.
1. What are the goals of resource usage assessments? Give at least 6 examples.
2. List the steps (in order) that need to be taken when carrying out a resource usage assessment.
1. Identify 5 benefits of environmental purchasing.
1. How can organisations ensure that work processes meet environmental requirements and identify areas in which changes need to be made? Give at least 6 examples.
2. What is problem solving in the context of environmental work processes and what is its aim/s?
1. List at least 5 various ways that organisations can access stakeholder input.
1. What are the advantages of joining an industry association? List two examples.
2. What are the advantages of joining an environmental program? Give 2 examples.
1. What is the hierarchy of control?
2. Rearrange the controls in their correct order, as specified in the hierarchy of control:
Administration, Elimination, Engineering, Personal Protective Equipment (PPE), and Substitution.
1. What are Key Performance Indicators (KPIs)?
2. What five criteria should be met when creating targets?
3. Identify what is wrong with the following targets and rewrite them so they conform to SMART criteria.
a. The Absolute Advertising Agency will reduce its paper waste.
b. The Fish Factory will reduce its energy consumption to zero in the next month.
1. Identify five things a business could do to reduce its energy consumption.
2. Identify five things an organisation could do to reduce its waste.
1. Identify the four steps of the continuous improvement cycle.
2. Identify five things an organisation can do to improve the performance of its employees.
1. Explain why it is a good idea to integrate environmental procedures and practices with pre-existing organisation procedures and practices.
2. What needs to be done when existing procedures or work practices are changed or new procedures and work practices are introduced?
Define the term “Engagement”.
Engagement is the emotional commitment the employee has to the organization and its goals. It relates to a state of involvement and participation.
1. Why is it important to ensure that employees do not become disengaged?
2. What are the benefits of having a diverse team?
1. List at least six people/groups who might make up an organisations stakeholders.
2. Each stakeholder will have different areas of expertise. Complete the table by providing reasons that an organisation should seek suggestions & ideas about their environmental and resource efficiency management for each of the listed stakeholders.
1. A school is thinking about installing low-flush toilets in all of its bathrooms and air hand-driers to replace paper towel dispensers. Purchasing new toilets for the entire school will cost $22,000. It will need to employ plumbers to fit the toilets at a cost of $9,500. It is estimated that this will save the school $16,000 in water consumption fees. The hand driers will cost $13,500. The cost of employing electricians to install the hand driers will come to $4,400. As the school will no longer have to purchase paper towels, it will save $7,300 per year. It also estimates it will save $1,000 a year in cleaning costs, as the bathrooms will take less time to clean, and bins will need to be emptied less frequently. The school will incur additional electricity costs of $1,700 per year, however. Calculate the combined payback period for the installation of low flush toilets and air hand driers.
1. Determine whether the following statements are true or false.
1. Place the steps, which need to be observed when creating an environment report in their correct order.
• Communicate with the audience to understand their concerns, questions, expectations & interests.
• Create performance Indicators.
• Decide how you are going to publish report.
• Gather the data and evaluate it.
• Identify the data you will need to produce the report.
• Identify key environmental aspects that need to be covered by the report.
• Identify the target audience for your report.
• Make improvements to reporting procedures for future reports.
• Obtain Feedback.
• Produce, publish and distribute the report.
2. Identify 5 benefits of creating and distributing an environmental report.
1. Why is it important to carry out regular evaluations of environmental management systems/ strategies and improvement plans?
1. List 5 reasons that efficiency targets should be/ might need to be regularly reviewed.
1. Identify the characteristics of an effective reward system. Give 4 examples.
What methods can be used to convey information and identify sustainability improvements?
What are the essential features of a non-compliance form that could be used by employees to report any non-compliance issues?
What is the effect of environmental regulations and legislation on business?
What common environmental and energy efficiency issues can you think of?
What benchmarks might be used for environmental & resource sustainability?
List at least 8 examples of techniques or tools that can be used to achieve efficiency.
Define the term “Sustainability” and explain how it relates to resource usage.
What are the steps in creating an Environment Management System (EMS)?
How do sustainable businesses foster ethical behaviours in staff and management?
Summative Assessment 2
Essay Question –write a response to the following quote from Unlimited Sustainable Development Solutions.
Organisations today are being asked to address an increasingly complex set of environmental issues. As noted in the quote:
“Sustainability is achieved when we understand the economic, environmental, and social consequences of our actions and make deliberate choices that allow all people to lead healthy, productive and enjoyable lives”.
Your response should include a discussion of:
• Complex environmental issues.
• Methods of measuring an organisation’s environmental impact.
• Methods of managing an organisation’s environmental impact.
• Methods of reducing an organisation’s environmental impact.
Youare the supervisor of a group of 15 workers in a business involved in an industry of your choice. You have been asked to plan and organise a number of work group activities in relation to measuring current resource use and devising strategies to improve usage.
1. Identify a minimum of 3 appropriate work group activities and provide an overview of what is involved with each activity.
2. Develop a plan to monitor resource use and improvements for environmental performance as a result of the activities undertaken by your work group.
Samenvatting Algemene Economie: Geld & IEB: H17, H18, H19, H21, H22, H23, H24, H25.1 en H25.2
Samenvatting van het vak Algemene Economie: Geld & IEB.
Hogeschool Inholland AC/BE periode 2/blok 6 van jaar 2
De hoofdstukken die aan bod komen: H17, H18, H19, H21, H22, H23, H24, H25.1 en H25.2
Woorden professional english in use - finance, units 37 t/m 48, met engelse beschrijving en nederlandse vertaling
Woorden van het boek: professional english in use - finance, units 37 t/m 48, met de engelse beschrijving van het woord en de nederlandse vertaling van het woord. Inholland AC/BE (finance), periode 4/blok 8 van jaar 2 voor het vak Business Communicatie 2 EN
BTEC Business Level 3: Unit 1 - Exploring Businesses (Distinction*) - Assignment 2
BTEC Business Level 3: Assignment 2 - Unit 1: Exploring Business. Distinction standard work. Includes appropriate images, and is extremely well formatted and put together. Using the information from this assignment will ensure you get a great mark. This document includes P4, P5, P6, M3, M4, D2, D3.
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