NURS 629 EXAM 3 Latest Update 2023-2024 Questions and Answers A central rash that spreads peripherally and seen in all stages (starting, to crusted lesions) at the same time, intense itching and fever - Correct Answer:Varicella (chicken pox)
A microcytic hypochromic anemia in child would indicate what? - Correct Answer:Iron deficiency anemia; treat with diet and OTC iron supplement
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a week, what's the next step? - Correct Answer:Moderate persistant; prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis - Correct Answer:(RSV) Respiratory syncytial virus most likely cause
characteristics of Bullous impetigo - Correct Answer:lesions that have ruptured with yellow serous fluid that crusts easily
Clinical findings of Kawasaki disease (requires 4/5 to diagnose) - Correct
Answer:*Change in extremities (edema, erythema, PEELING HANDS)
*Polymorphous exanthem (truncal) *Conjunctival injection *Erythema or fissuring of lips and oral cavity *Cervical lymphadenopathy
Clinical findings of of viral conjunctivitis - Correct Answer:*Normal visual acuity *injected conjunctiva *Preauricular lymphadenopathy
common contagious bacterial infection; 2 forms non-bullous with honey-colored crusts
on lesions and bullous - Correct Answer:Impetigo
common reason for tonsillectomy? - Correct Answer:sleep apnea
commonly called ringworm, is a superficial fungal skin infection found on the non-hairy skin of the body; · annular lesions with a scaly border and central clearing - Correct
Answer:Tinea Corporis
Commonly called swimmer's ear; Hallmark sign - Traction of pinna elicits pain - Correct
Answer:Otitis Externa
Condition caused by a defect or hole in the atrial septum - Correct Answer:Atrial Septum Defect (ASD)
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diagnosis for Fluid accumulation in middle ear without evidence of infection - Correct
Answer:Otitis media with effusion
diagnosis for middle ear inflammation that causes bulging or full tympanic membrane -
Correct Answer:acute otitis media
Earliest age that visual acuity screening in primary care practice should be included in
the overall well-child assessment - Correct Answer:4 yrs
fiery red, maculopapular facial rash concentrated on the cheeks; Slapped cheek
appearance - Correct Answer:Fifth's disease
How does Bacterial (strep throat) usually present? - Correct Answer:quick onset severe sore throat, may not have any other symtoms
How does viral pharyngitis usually present - Correct Answer:slow onset after symptoms of URI, post nasal drainage with runny nose
How to treat AOM - Correct Answer:Amoxicillin 80-90 mg/kg/day divided in 2 doses if allergic to PCN use Cefdinir 14 mg/kg PO daily
how to treat viral pharyngitis? - Correct Answer:Supportive care;
- Gargle with warm salt-water
- Increase fluid intake
- Tylenol or ibuprofen for fever/throat pain
Idiopathic multisystem disease characterized by vasculitis of small and medium blood
vessels including coronary arteries - Correct Answer:Kawasaki
Most common bacterial etiologic agents that cause OM - Correct Answer:streptococcus pneumoniae 49%, H. influenzae 29%, Moraxella catarrhalis 28%
Most common cause of sore throat; what is the causes - Correct Answer:viral
pharyngitis; rhinovirus, adenovirus, EBV, RSV
Most common cyanotic cardiac lesion (disorder) - Correct Answer:Tetralogy of Fallot
predisposing factors of OE - Correct Answer:*exposure to moisture
*aggressive ear canal cleaning *trauma *allergies & skin conditions
pustular, ulcerating lesions; on the hands and feet; oral ulcers - Correct Answer:Hand- foot-mouth disease
Risk factors related to elevated cholesterol? - Correct Answer:· Obesity
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