Download NSG 6435 Final Review Exam: Pediatrics Assessment Questions and Answers and more Exams Nursing in PDF only on Docsity!
NSG 6435 Final Review Exam Pediatrics Assessment Questions and
Answers 2025
1. What medical term is used to identify inflammation disorder of the skin that is often considered synonymous with dermatitis and characterized by pruritus’ with lesion that have indistinct border: Eczema. - Pityriasis versicolor - Pityriasis rosea - psoriasis 2. DERMATOPHYTE skin infection can be diagnosed from skin scraping and prepared with which solution for microscopic exam: 10% or 20% potassium hydroxide KOH solution. - Hydrochloric acid - Distilled water - Gram stain 3. ACIRCUMSCRIBED elevated lesion more than 1 cm in diameter in containing clear serous fluid is best described as: Bullae - Pustule - Vesicle - papule 4. When assessing in children’s hydration status the best place to evaluate skin turgor on an adult is: on the back of the hand
- on the inside of the forearm
- just below the clavicle
- the fleshy part of the arms and legs
- what is the treatment for strawberry hemangioma? Support involution.
- Cosmetic medical removal
- Oral antibiotics
- Topical steroids 6- Which Of The Following causes condylomas acuminata or genital wart: human papilloma virus (HPV).
- Herpes simplex virus (HSV1)
- Adenovirus
11-Skin lesions that ruptured creating a thin flat honey colored crust are the hallmark clinical manifestation of which skin disorder? Bullous Impetigo.
- Tinea capitis
- Rubella (German measles)
- Atopic dermatitis 12-A patient complaining of hyper Hyperhidrosis should be counseled that A history and physical need to be completed to rule out any medical etiologies.
- There are no therapies for this patient
- This is normal occurrences
- Bathing in 20% alcohol solution of aluminum chloride hexahydrate(drysol) 13- Which acne lesions are classified as inflammatory? Please select all that apply: Pustules Nodules Papules
- Opened comedones (acne primary sign) 14-The Family Nurse practitioner inspecting a dark-skinned individual for signs of jaundice, the best place to observe skin color in dark skin individual is: Sclera of the open Eye.
- Nail beds
- Palm & soles of the hand and feet
- Oral mucosa 15-During an assessment, the family nurse notes the client’s nails to look at the picture
- what would be a probable diagnosis? Koilonychia, also known as spoon nails Koilonychia
- Nail pitting
- Beau’s lines
- Finger clubbing
16- Which clinical manifestation is considered the hallmark of atopic dermatitis: Itching
- Vesicle that burst from crust
- Popular rash
- High fever 17-What term is used to identify an inflamed hair root: Furuncle.
- Tinea
- Verruca
- erysipelas 18-The family nurse practitioner has made a diagnosis of ONCHOMICOSIS. Which picture would the family nurse practitioner notes while performing physical exam of the patient:
- A B
- C
- D 19-Folliculitis is most commonly due to: Staphylococcal infection.
- Contact dermatitis
- Dermatophytes ( fungus)
- Varicella zoster ( chicken pox) 20-What is the recommended treatment for rosacea:
c. lichen planus d. PITYRIASIS rosea 25-What term is used to identify skin lesions that are elevated round and firm with irregular clawlike margin that extend beyond the original site of injury : a. keloid b. dermatitis c. Psoriasis d. acne 26A young male patient present to the family nurse practitioner office complaining of flulike symptoms a large red spot in the right groin headed in generalized muscle pain these symptoms have persisted for about four to five weeks in taking the history he will be most important to determine whether the patient : a. has a recent insect bite or was potentially exposed to insects such as tick b. has been exposed to a person with tuberculosis c. was using new skin care products d. was taking new medication such as vitamins and herbal therapies 27-What is the cause of molluscum contagiosum a. virus b. bacteria c. rickettsia d. fungi 28.Which of the following would you treat with topical antibiotic No answer except for this pic 29- missing 30 missing
31-missing 32-missing 33-Clubbing of the nails commonly occurs in patients with chronic respiratory condition the family nurse practitioner access is for this condition by : placing nailbed of each index finger together to determine angle of nail plate
- evaluating the nail for transverse depression in ridges
- determining if there's a diffuse discoloration of the nail bed from decrease oxygenation
- placing the patient hands together with palm towards the index finger aligned 34-Which contagious diseases caused by the each mite scabies
- pediculosis
- Miliaria
- tinea corporis 35 -the treatment choice for Rocky Mountain spotted fever for six year old patient with NKA is the following doxycycline
- amoxicillin
- Azithromycin
- Chloramphenicol 36 -in latex allergies which immunoglobulin IG is associated with an immediate reaction IgG
- IgA
- IgE
- IGb 37- Frequently diaper dermatitis is secondarily infected with which Organism candida albicans
- E coli
A)
B)
C)
D)
- Which skin disorder is characterized by a vesicular eruption after prolonged exposure to perspiration, with subsequent obstruction of the eccrine ducts? (major sweat glands of the human body) A) pediculosis B) Tinea corporis C) Miliaria D) Scabies
- On exam of a patient’s skin, the family nurse practitioner finds a lesion that is about 0.75 cm in diameter, brown, circumscribed, flat, and nonpalpable. What is the correct term for this lesion? A) Macule B) Papule
C) Nodule D) Wheal
- Lesions on the elbows and knees that are well demarcated, thick, silvery, scaly, and erythematous characterized which type of psoriasis? A) Plaque B) Bullae C) Vesicle D) Lichen
- The family nurse practitioner has made a diagnosis of psoria Vulgaris after noticing tiny bleeding points when one of the lesion is scrapped (Auspitz’s sign). Which image is consistent with the clinical presentation of psoriasis? A) C B) A C) B D) D
- What is true about Human Papilloma Virus (HPV). Please select all that apply: A) Viruses that cause warts. B) Wart viruses are contagious C) People with a weakened immune system (the body’s defense system) are prone to get
- Please select all that apply regarding the following lesion describe as follows “ A pink or flesh-colored bumps on the skin. These bumps can appear anywhere on the skin”. A) People who have a weakened immune system are more prone to have it. B) it is highly contagious C) Wrestlers and gymnasts may get it from touching infected mats. D) Children have a high risk to contact this lesion.
- What type of skin infection is tinea corporis ( ringworm)? A) Viral B) Bacterial C) Nematode D) Fungal
- Optimal medical therapy for young infants with vomiting or regugitation of gastroesophageal reflux disease (GERD) consists of: A) Frequent small feedings and burping after each feeding. B) Placing the infant prone after frequent feedings. C) Placing the infant supine after feedings. D) Thickening the feedings and using proton pump inhibitors.
- A 6-year-old patient with a history of asthma presents to the office for evaluation by the family nurse pratitioner. The child has never used a peak flowmeter. What quick tool can the family nurse practitioner use to assess the severity of the child’s distress? A) ABG’s B) Chest X-ray C) Presence of runny nose D) Child’s inability to complete a sentence
- Indications for antibiotic use in a child with bronchiolitis would include: A) History of two episodes in 4 months B) Rhinitis and a productive cough C) Low-grade fever and sibilant wheezes D) High fever and rales
- A new born has a vascular lesion that will not fade as the child gets older. What is your diagnosis? A) Port-wine stain B) Salmon patch C) Capillary hemangioma D) Café au lait spot
- A 5 year-old presents to the clinic with diffuse abdominal pain, irritability, and a lowgrade fever. The mother states the child has not had a bowel movement since the previous morning. Physical examination reveals umbilical tenderness, guarding, and hypoactive bowel sounds. The family nurse practitioner’s next step is to: A) Refer to physician/ surgeon for further evaluation B) Prescribe pediatric Fleet enemas C) Assess for rebound tenderness and do a rectal exam D) Assess dietary intake for the past 24 hours
- Antibiotic administration has been demonstrated to be of little benefit in the treatment of which of the following disease processes? A) Bacterial sinusitis more 14 days B) Chronic bronchitis C) Acute bronchitis D) Aged-school child with pneumonia
- A 3 year old child who is enrolled in Head Start is suspected of having developmental delays based on Denver Development II results at two separate clinic visits. What would be the next step in the plan of care? A) Request Head Start complete an independent evaluation B) Discuss interventions to foster development with the parents C) Repeat testing in one year D) Refer the child for a more definitive evaluation
- A 10-year-old boy is experiencing problems with wheezing, coughing, and shortness of breath about 4 hours after basketball practice. He has normal respirations and only experiences the problems after exercise. He is experiencing no other respiratory problems, and the physical findings are within normal limits. What is the treatment of choice for this child?
B. Vineland scale C. Bayley scale6 D. Denver II
66. Cystic Fibrosis (CF) is the preliminary diagnosis For a young girl who was brought to the clinic for evaluation. The test that will be used to rule out CF is Glucose tolerance test Hemocult test Sweat chloride test Sputum culture and sensitivity 67. In a 17 year old man which of the following likely responsible for epididymitis? A. Chlamydia Trachomatis B. Candida Albicans C. Escherichia coli D. Treponema palladium
- A patient from 12 to 60 years old who has a (FEV) Forced expiratory volume greater than 80%, has been experiencing night time awakenings (4-5 X/month) and using a short acting B agonists 3-4X/Week and report minimal limitation to normal activity would be classified as: A. Severe persistent. B. Mild persistent C. Intermittent D. Severe persistent
- An exam of the male genitalia that consist of inserting a finger into the Louis cordam and into the inguinal canal, and asking the patient to cough causes the nurse practitioner to feel a sudden presence of a viscus that lies within the inguinal canal and comes through the external canal passing into the scrotum is most likely called: A. A direct inguinal hernia B. An indirect inguinal hernia C. A strangulated inguinal hernia D. A femoral hernia 70. An illed pediatric patient with respiratory symptoms has the following CXR based onthis imagery what is the most likely microorganism?
a. Haemophilus influenza b. streptococcus pneumonia c. rotavirus d. mycoplasma pneumonia
71. An 18-month-old child is brought to the clinic by her mother and is complaining ofabrupt onset of vomiting. Followed by more than 10 liquid stools with mucus for the past 48 hours. The temperature is 100 degrees F (37.8) orally. The stool smear by the family nurse practitioner is negative for WBC’s. What is the most likely etiologic pathogen for this young child’s gastroenteritis? a. Shigella dysenteriae b. Salmonella c. Campylobacter jejuni d. Rotavirus 72. Missing?????? 73. A 3-year-old child with up to date immunizations is brought to the office by his motherwith a fairly rapid onset stridor and high-pitched wheeze. In view of this information, what would be the least important condition to consider for the differential diagnosis? a. Croup b. Bacterial tracheitis c. Foreign body aspiration d. Epiglottitis 74. When determining the classification of asthma control in a patient from 12 to 60 yearsold, who has symptoms less than 2 days per week, no interference with normal activity, reports nighttime awakening 1 time or less per month and using a short acting B agonist 3-4 times per week, the family nurse practitioner would classify the patient as: a. Well-controlled b. Very poorly controlled c. Not well-controlled d. Out of control
b. Negative Trendelensburg sign c. Positive Barlow & Ortolani sign d. Atrophied hip muscles
- Lesions on the elbows and knees that are well demarcated, thick, silvery, scaly, and erythematous characterize which type of Psoriasis? c. Guttate d. Plaque
- On a routine physical exam, a patient expresses concern over the observation that one side of his scrotum is larger than the other side. He states it has been getting larger for the past few months and and that the scrotum is smaller in the morning and enlarges through the day. He has felt a heaviness in the scrotum, denies any acute pain. He reports no history of trauma to the scrotal area. On exam, the family nurse practitioner confirms the enlargement and further exam reveals that the scrotum transilluminate and that manual manipulation of the scrotum does not cause pain. What is the initial diagnosis for the patient? a. Traumatic injury b. Orchitis c. Hydrocele d. Epididymitis
- Which medication inhibits bronchoconstriction and is used as an adjunct to bronchodilators and corticosteroids and is effective in promoting a decrease airway inflammation as well as providing long-term medication coverage in a patient with asthma? a. Albuterol (Proventil; Ventolin) b. Montelukast (Singulair) c. Salmeterol (Serevent) d. Beclomethasone (Vanceril; Beclovent)
- Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would most likely indicate pyloric stenosis? a. Appropriate growth b. Diarrhea c. Acts hungry after vomiting d. Sausage-shaped mass in abdomen
- Which of the following findings could be expected to occur in a baby with intussusception? a. Inconsolable screaming and bringing knees to chest
b. weight loss c. left to right peristaltic waves d. Olive shaped mass
- A pediatric patient presents with symptoms consistent with the early phase of appendicitis. Which of the following would NOT be a likely presentation? a. Severe localized right lower quadrant pain b. Fever and Diarrhea c. Abdominal pain after eating d. Anorexia and diffuse pain
- The nurse Practitioner is completing education with parents of a child with Celiac disease. Which of the following foods would be most appropriate? a. Oatmeal or whole grain cereal for breakfast b. Cream of baked bread c. Commercial backed bread d. Boiled rice with Vegetable and butter
- A male patient presents with symptoms consistent for a torsion. What would be the first priority for this patient? a. Bedrest b. Surgical referral c. Ice d. Scrotal elevation
- The nurse practitioner has a differential diagnosis of Lyme Disease. Which of the following skin lesion would confirm the diagnosis? a. Erythema migrans b. Koplik spots c. Pustules d. Scales
- Which of the following would best reflect the physical presentation in a newborn with Down Syndrome? a. Pigeon-breasted chest, Brushfield spots, arachnodactyly b. Hypotonia, large-appearing tongue, small mouth, upward eye slant
