NR 602 Midterm Exam Question Answers

NR 602 Midterm Exam Question & Answers

• 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 midupper 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 1 / 2

• 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-

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