Midterm Exam - NR 602 Chamberlain

Midterm Exam - NR 602 Chamberlain College of Nursing

Latest 2023 / 2024

• Role-play with equipment during the course of a physical examination would be most

beneficial with which of the following groups?

• Preschoolers/Toddlers

• What is the Ortolani Sign?

-Assess for congenital hip dysplasia

• When performing a physical examination of a toddler, which of the following body parts

would examine last?

• Ears and throat

• What are three findings using Jones criteria for Rheumatic Fever?

-Streptococal infection, carditis, and erythema marginatum

• While examining a 4-month-old boy, you are unable to palpate one of his testes. The next

most appropriate step is:

• Refer the child to a urologist

• Concurrent Otitis media and Conjunctivitis is likely due to which?
• Haemophilus influenza

• What is the appropriate management of a child with asthma who presents with acute wheezing

and/or coughing?

• Administer a short-acting beta agonist

• Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her face above

the right nares. She has a history of having a bad scratch in the same area several days ago. What condition do you suspect?-Impetigo

• The most appropriate management of a 5-year old with a firm nontender nodule in the mid-

upper eyelid for 3 weeks would be:

-Topical ophthalmic ointment

• A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care

facility. What is the most likely cause of illness?-Rotavirus

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• If a child or any patient describes a “pop” in the knee. What is this indicative of?
• Anterior cruciate ligament tear

• A 7-year-old African American female presents with several hyperkeratotic raised,

periungual lesions on the two middle fingers of her left hand. She has a history of nail biting. The

most likely diagnosis is:

• Verruca vulgaris

• Management of scoliosis depends on the severity of curve as well as the age of the child.

Which of the following would require surgical intervention?

• Thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees.

14. Treatment of true central precocious puberty is best achieved with:

• Gonadotropin-releasing hormone agonist

• Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg.

Today she presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg. What is her percentage of dehydration?-7%

• Which of the following would be the most appropriate initial management of a newborn

diagnosed with developmental dysplasia of the hip?-Pavlik harness

• When considering catch up vaccination in children for IPV vaccinations, it is important to

understand one of the following considerations is NOT a consideration when administering the

vaccine:

• IPV is can be given routinely beyond the age of 18 years of age in the U.S.

• An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
• An echocardiogram

• A 4-week-old presents to your office in mid=January with a 1-week history of nasal

congestion and occasional cough. On the evening prior to this visit, the infant developed a temperature of 102, refused to breastfeed, and had proximal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethargic with tachypnea.

• RSV bronchiolitis

• What needs to be included when educating parents about a febrile seizure?
• Children may experience repeated seizures

• A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a

painful limp in his right leg 2 days ago? Today he has a low-grade fever. Which of the following diagnoses is most likely?

• Transient synovitis of the hip

• In addition to penicillin, all of the following antibiotics can be used to treat strep pharyngitis

except:

• Bactrim
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