NSG 6435 Full Course Work Latest

Week 1 Discussion: Pediatric Health-Care Services

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by Saturday, July 29, 2017.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, August 2, 2017.

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Using your course textbook readings and the South University Online Library, perform research on the following:

Sources of pediatric primary care in the United States

Current status of pediatric health-care services in the United States

Barriers to health care for children in the United States

After completing your research, answer the following questions:

What are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not?

Are there certain pediatric populations that lack access to health-care services? Why?

What are the barriers to children in accessing health-care services in the United States? Why do these barriers exist?

Week 2 Discussion: Case Study – Developmental Assessment and Biological Functioning

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, August 5, 2017.

For this assignment, you will complete an case study based on the course objectives and weekly content. cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The assignments are highly interactive and a dynamic way to enhance your learning. Material from the cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate .

This week, complete the case titled “Buddy (Theodore, Jr.) VE.”

Apply information from the Case Study to answer the following questions:

Why is developmental assessment essential in the provision of primary care for infants, children, and adolescents, and what are the essential components of this assessment on the basis of a child’s age?

Which tools will you use to assess specific components of development (such as speech, motor skills, social skills, etc.)? Which tools do you think are the most accurate in assessing the developmental components and why?

Which components would you consider in assessing the basic biological functioning and well-being of your pediatric patients? Why are these components important in providing primary health-care services to children?

NSG 6435 Full Course Work Latest

Week 3 Discussion: MedU Case Study – Developmental Evaluation and Screening

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate MedU.

This week, complete the MedU case titled “FmCase 2: Infant well-child (2, 6, and 9 months) – Asia.”

Apply information from the MedU Case Study to answer the following questions:

Discuss the history that you would take on this child in preparation for the well-child visit. Include questions regarding her growth and development that are appropriate for her age.

Describe the developmental tool to be used for Asia, its reliability and validity and how Asia scored developmentally on this tool. Is she developmentally appropriate for her age?

What immunizations will Asia be given at this visit; what is the patient education and follow-up?

Week 4 Discussion: Case Study – HEENT and Respiratory Infections

The assignments are highly interactive and a dynamic way to enhance your learning. Material from the cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate .

This week, complete the case titled “Katherine Harris.”

Apply information from the Case Study to answer the following questions:

Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?

Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.

Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case? NSG 6435 Full Course Work Latest

Week 5 Discussion: Case Study – Cardiovascular and Hematologic Disorders in Children

The assignments are highly interactive and a dynamic way to enhance your learning. Material from the cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate .

This week, complete the case titled “Robert Ross.”

Apply information from the Case Study to answer the following questions:

Robert Ross is a 17 year-old male who presents with acute chest pain, palpitations, fever and malaise. He has had symptoms suggestive of a viral syndrome for the past week, but otherwise has no significant past medical history.

What questions would you ask to gather important diagnostic information?

How would you diagnose and manage this 17 year old male whose symptoms include palpitations, fever and malaise?

Which diagnostic studies would you recommend for this patient. Include the rationale for ALL diagnostics and Labs?

What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case? Identify additional life threatening diagnoses that must be considered when a patient presents with acute chest pain.

What is the treatment (including rationale) for Robert and education for the family? NSG 6435 Full Course Work Latest

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Week 6 Discussion: Case Study – Common Pediatric Illnesses

The assignments are highly interactive and a dynamic way to enhance your learning. Material from the cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate .

This week, complete the case titled “Samantha Graves, Gastroenteritis”.

Apply information from the Case Study to answer the following questions:

Which essential questions will you ask a pediatric patient or his or her caregiver when the presenting complaint is bloody diarrhea? Will these questions vary depending upon the child’s age? Why or why not? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?

What would be three differential diagnoses in this case?

How do the common causes of vomiting differ in infants, children, and adolescents? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?

NSG 6435 Full Course Work Latest

Week 8 Discussion: Case Study – Neurological Disorders and Cognitive Perceptual Problems in Children

The assignments are highly interactive and a dynamic way to enhance your learning. Material from the cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate .

This week, complete the case titled “Timoth Adams, VE”.

Apply information from the Case Study to answer the following questions:

What do you believe is your best course of action for this appointment?

What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?What would be three differentials in this case?

Week 9 Discussion: Infectious Diseases in Children

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 23, 2017.

To support your work, use your course and textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to your classmates. Complete your participation for this assignment by Wednesday, September 27, 2017.

Using your course and textbook readings and the South University Online Library, perform research on the following:

Assessment, diagnostic testing, and management of infectious conditions in a pediatric patient

Differential diagnoses for presentation of symptoms involving infectious diseases in pediatric patients

After completing your research, consider this scenario:

An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:

A blood and urine culture

A complete blood count

A comprehensive metabolic panel

The culture reports were found to be negative.

Today, the vitals of the child are the following:

Temperature: 101.5 degrees Fahrenheit

Heart rate: 120 beats/minute

Respiratory rate: 20 breaths/minute

Blood pressure: 90/40

Physical examination of the child indicates the following positive findings:

Injected conjunctiva

Palmar redness

Magenta-colored lips

Red macula

Excoriating rashes in the diaper area

On the basis of the above information, respond to the following:

What will be your differential diagnoses for this patient?

What specific physical exam findings support these differential diagnoses?

Of the differential diagnoses you listed, which would be the most concerning?

What additional diagnostic tests will you recommend? Why?

What would be your focus for caregiver education?

NSG 6435 Full Course Work Latest

Week 10 Discussion: Case Study – Adolescent Risk Behaviors

The assignments are highly interactive and a dynamic way to enhance your learning. Material from the cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate .

This week, complete the case titled “Angela Cotez VE”.

Apply information from the Case Study to answer the following questions:

Describe the evaluation tool and explain why this tool is essential in the care of the adolescent patient population.

Apply the findings of the scholarly research articles to the use of this evaluation tool and describe its validity and reliability.

Apply this evaluation tool to a patient situation and summarize your opinion of the results.

Describe a plan of care for the patient, depending upon the results. NSG 6435 Full Course Work Latest

Week 1 – Assignment 3

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Saturday, July 29, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W1_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W1 Assignment 3 Dropbox by Wednesday, August 2, 2017.

Week 2 – Assignment 2: SOAP Note

Submission Details:

By Saturday, August 5, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W2_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W2 Assignment 2 Dropbox by Wednesday, August 9, 2017. NSG 6435 Full Course Work Latest

Week 3 -Assignment 3: SOAP Note

Submission Details:

By Wednesday, August 16, 2017 enter your patient encounters into eMedley and submit your Pediatric SOAP note document to the W3 Assignment 3 Dropbox.

Name your SOAP note document SU_NSG6435_W3_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Week 4 – Assignment 4: SOAP Note

Submission Details:

By Saturday, August 19, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W4 Assignment 4 Dropbox by Wednesday, August 23, 2017. NSG 6435 Full Course Work Latest

Week 5 – Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Saturday, August 26, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W5_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W5 Assignment 3 Dropbox by Wednesday, August 30, 2017.

Week 6 – Assignment 3: SOAP Note

Submission Details:

By Saturday, September 2, 2017 enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W6_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W6 Assignment 3 Dropbox by Wednesday, September 6, 2017.

Week 7 – W7 Assignment 1: Comprehensive Case Study

General Guidelines for Comprehensive Case Study – Week 7 Assignment 1

Your case study should not be just a SOAP note of a patient encounter—it should be a comprehensive evaluation of an patient case.

You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template based on the findings of the case – then major research and discussion of the disease process are presented.

This case study should be a summative evaluation supported by a minimum of 5 evidence-based articles.

Evaluation of the case study should be no more than 3-4 substantive paragraphs. A minimum of five evidence-based sources (in addition to your text) should be used for your case study.

Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, ie, Medscape, UptoDate, etc.

This week, complete the case titled “Tommy Acker, Child Abuse”. Click here for information on how to access and navigate .

Please submit your Comprehensive SOAP Note and Growth Chart in the W7 Assignment 1 Dropbox by Wednesday, September 13, 2017. NSG 6435 Full Course Work Latest

Name your SOAP note document SU_NSG6435_W7_A1_lastname_firstinitial.doc

i-Human

i-Human is an interactive cloud based system that provides comprehensive learning that

integrates clinical experience. The i-Human system helps students develop patient assessment

and diagnostic reasoning skills at various levels of education. Students will receive online

guidance, feedback, and coaching during the learning process.

Student Login Instructions for i-Human

Logging in to i-Human:

Log on at:

http://toolmanagement.next.ecollege.com/tools/thirdparty/blti.ed?launch=LS::Patients

Next Steps:

1) If you were unable to attend a Student Orientation Webinar, please watch this introduction

video: https://vimeo.com/185046053/228aea3fc9

2) Additional tutorial videos can be found on the i-Human home screen under the title “Player

Screencast Tutorials”

3) After attending the webinar or viewing the tutorial you are ready for your first practice case.

4) The i-Human Student Support Center (link on the home screen under the videos) is a

resource for our most frequently asked questions. The Student Manual is also located here.

5) If you are having any issues that are not answered through the webinars, videos or support

center, you can email: [email protected]

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Week 7 – Assignment 2: SOAP Note

Submission Details:

By Saturday, September 9, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W7_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W7 Assignment 2 Dropbox by Wednesday, September 13, 2017. NSG 6435 Full Course Work Latest

Week 8 – Assignment 3: SOAP Note

Submission Details:

By Saturday, September 16, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W8_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W8 Assignment 3 Dropbox by Wednesday, September 20, 2017.

Week 9 – Assignment 4: SOAP Note

Submission Details:

By Saturday, September 23, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W9_A4_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W9 Assignment 4 Dropbox by Wednesday, September 27, 2017.

Week 10 – Assignment 2: SOAP Note

Submission Details:

By Saturday, September 30, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W10_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W10 Assignment 2 Dropbox by Wednesday, October 4, 2017. NSG 6435 Full Course Work Latest

Week 4 Assignment 3 Quiz

1. Question :

Which theory focuses on the relationships among individuals as they develop and change in the environment?

Ecological theory

Cognitive theory

Humanistic theory

Sociocultural theory

Question 2. Question :

The Board of Nursing in each state is responsible for _____________.

certified medical assistants

pharmacy technicians

anesthesiologists

advanced practice nurses

Question 3. Question :

Stool of a breastfed infant is:

hard and dark brown

soft, yellow, and seedy

florescent green

white in color

Question 4. Question :

An essential tool in the evaluation of precocious puberty in girls is:

Menarche

Growth spurt

Thelarche

Pubarche

Question 5. Question :

The incidence of epiglottis has decreased because of which vaccine?

Hib

Prevnar

Varicella

Meningococcal

Question 6. Question :

What factors contribute to the inability among children to access health-care services?

Inability to obtain health insurance

Language and cultural barriers

Lack of financial resources

All of the above

Question 7. Question :

An eight-year-old has chronic intermittent nasal congestion. All but which one of the following would support allergic rhinitis?

Red swollen turbinates

Darkened areas below eyes

Increased basophils on complete blood count (CBC)

Itchy, watery eyes

Question 8. Question :

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

Question 9. Question :

A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. Which treatment you would expect to have been prescribed?

Oral steroids

Azithromycin

Increase rest and fluid intake

Albuterol

NSG 6435 Full Course Work Latest

Question 10. Question :

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.

Question 11. Question :

The most typical chest radiographic finding consistent with the diagnosis of asthma is ______________.

normal chest film

diffuse airway edema

right upper-lobe infiltrate

hyperinflation

Question 12. :

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

Vision status

History of a bacterial infection one month ago

Question 13. Question :

The average adolescent male usually experiences his biggest growth spurt at approximately __________ of age.

10.5 years

11.5 years

12.5 years

13.5 years

Question 14. Question :

___________ adolescents should be screened for hypertension.

All

Obese

High risk

NSG 6435 Full Course Work Latest

Question 15. Question :

___________ is a natural part of our cultural and ethnic background.

Food

Race

Language

Religion

Question 16. Question :

Physical health is not the only important consideration in providing health care to children. As a nurse practitioner, you will also need to take into account the following:

The presence of psychosocial issues

A child’s social development

A child’s neurodevelopment

All of the above

Question 17. Question :

Allergic symptoms may cause increased nasal congestion, sneezing, watery eyes, and difficulty in sleeping. What are some of the potential problems that may be present in addition to these symptoms?

Gastrointestinal disturbances

Difficulty in concentrating

Auditory and visual disturbances

Decrease in asthma exacerbations

Question 18. Question :

The most common clinical presentations of pneumonia include _____________.

cough, fever, and tachypnea

hemoptysis and putrid breath

sudden chest pain and cyanosis

retractions and stridor

Question 19. Question :

The average adolescent female usually experiences her biggest growth spurt at approximately ____________ of age:

10.5 years

11.5 years

12.5 years

13.5 years

Question 20. Question :

An infant should no longer have a head lag when pulled from the supine to sitting position at what age?

Two months

Three months

Six months

Nine months

Week 5 Assignment 4 Midterm Exam (limited questions)

5. Question :

The incidence of congenital heart defects is estimated to be ________ of all live births.

20%

10%

Question 9. Question :

Breastmilk can be safely stored in a freezer below 0 degrees Fahrenheit for how long?

Three months

Six months

One year

Two years

Question 10. Question :

Which foreign body needs immediate removal from a five-year-old boy’s nose?

Bean

Bead

Stone

Battery

Question 11. Question :

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

Question 16. Question :

An average vision of a two-year-old child is approximately:

20/150

20/400

20/70

20/30

Question 17. Question :

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?

Oral steroids

Azithromycin

Increase rest and fluid

Albuterol

NSG 6435 Full Course Work Latest

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Question 18. Question :

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

Question 20. Question :

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

Question 21. Question :

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

Question 24. Question :

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

Question 30. Question :

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 (CBC)

Itchy, watery eyes

Question 33. Question :

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

Question 36. Question :

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

Question 40. Question :

The latter part of adolescence includes the ability to develop ________ and _______ means to be a part of society.

strong attachments; sexuality

career; marriage

critical thinking; basic life skills

moral; intellectual means

Question 43. Question :

A fourteen-year-old adolescent presents with fatigue, endocarditis, pulmonary hypertension, arrhythmias, and congestive heart failure. You suspect he may have ____________.

ASD

pulmonary valve stenosis

aortic valve stenosis

a ventricular septal defect (VSD)

Question 45. Question :

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

Vision status

History of a bacterial infection one month ago

NSG 6435 Full Course Work Latest

Question 46. Question :

______________ adolescents should be screened for sexually transmitted diseases.

Males

Females

All

Sexually active

Question 47. Question :

An infant should no longer have a head lag when pulled from the supine to sitting position at what age?

Two months

Four months

Six months

Nine months

Question 50. Question :

____________ 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

Week 9 Assignment 3 Quiz (limited questions)

1. Question :

Secondary causes of headaches in children include head trauma. Which of the following symptoms is not associated with headaches following head trauma?

neck pain

has starting within 2 weeks of head injury

has that worsen with activity

vomiting without nausea

Instructor Explanation: See Current Diagnosis and Treatment, p 802

Question 8. Question :

A three-month-old male presents with a cath urine culture result greater than 50,000 E. coli, collected from the ER three days ago. The culture was collected due to an acute febrile presentation in the ER. The child was started on augmentin pending the results of the culture. Your next recommendation would be

to repeat the culture

order a renal ultrasound

no alteration to the current plan, follow up after completion of treatment

renal ultrasound to be done immediately and a voiding cystourethrogram(VCUG)

Question 14. Question :

Which of the following results would you most likely see in a child with a viral infection?

Leukocytosis

Leukopenia

Elevated band count

Increased neutrophil count

Question 17. Question :

The best way to screen for human papilloma virus in an adolescent female is _________.

IN cervical culture and Pap smear

visual inspection and Pap smear

visual inspection only

pap smear only

Question 18. Question :

Your fifteen-year-old male patient with cerebral palsy has been experiencing an alteration in mood for the past two days and complains of an unusual odor and then begins to have forceful muscle contractions followed by flaccidity and then lethargy. You would describe this as a _______________.

prodrome

postictal state

tonic-clonic seizure

petit mal seizure

Question 19. Question :

Which statement regarding Duchenne muscular dystrophy is true?

Females are not affected

Because Duchenne muscular dystrophy is X-linked recessive, females are affected and males are carriers

Because Duchenne muscular dystrophy is X-linked recessive, males are affected and females are carriers

The sons of women who are older than forty years of age when pregnant are affected

Question 20. Question :

Which malignancy is associated with genitourinary anomalies?

Acute lymphocytic leukemia

Chronic myelogenous leukemia

Osteosarcoma

Wilms’ tumor

Week 10 final exam (limited questions)

NSG 6435 Full Course Work Latest

8. Question :

The number one psychological disorder in the United States has been identified as _________.

depression

anxiety

schizophrenia

bipolar disorder

Question 10. Question :

The most common form of juvenile rheumatoid arthritis is ____________.

systemic

pauciarticular

osteoarticular

polyarticular

Question 13. Question :

An immunocompromised four-year-old patient presents for his vaccinations. Which vaccination would you hold on this patient?

MMR

Hib

Pneumococcal conjugate vaccine (PCV) 13

DtaP

Question 15. Question :

Attention deficit hyperactivity disorder may be ___________.

familial

learned

acquired

triggered by a virus

Question 21. Question :

Bipolar disease requires _____________ for successful treatment.

no medication only cognitive therapy

a limited amount of medication for a short period of time

no intervention

lifetime medication

Question 34. Question :

The National Youth Risk Behavior Survey (NYRBS) evaluates risk factors that contribute to violence or injuries. Which of the following has the highest percentage of noncompliance for safety?

Riding with someone who has been having alcohol

Driving while or after using alcohol

Not wearing a seatbelt

Not wearing a bicycle helmet

Question 35. Question :

A sixteen-year-old male presents to your office accompanied by his parents. They are concerned about his absenteeism from school. You suspect the patient has ________.

made a conscious decision to miss school (truancy)

suffers from attention deficit disorder

social anxiety disorder

panic attacks

Question 39. Question :

Which group of adolescents is more likely to develop Type 2 diabetes?

Non-Hispanic white adolescents

American-Indian adolescents

African-American adolescents

Pacific Islander adolescents

Question 42. Question :

The nurse practitioner sees a three-week-old infant in the clinic. Initial assessment findings show an infant with a 100.5 degree Fahrenheit rectal temperature, heart rate 120, respiratory rate 50. Upon physical exam no noted abnormalities are found. What would be the appropriate response of the primary care, clinic nurse practitioner?

Transport immediately to the ER

Obtain CBC with diff, urinalysis, urine culture, blood culture

Obtain CBC, urinalysis, urine culture and stool culture

Observe since this is not considered a

Question 47. Question :

Genu Varum is considered an abnormal condition when extreme knock knees continues

after seven years of age

extreme bowing continues after two years of age

parents are concerned about their child’s appearance

evident before two years of age

Question 67. Question :

Bipolar disease is often diagnosed in ____________________.

childhood years

the fifth or sixth decade

mid puberty

post puberty to early adulthood

Question 68. Question :

Of the following advice, which would be most helpful for the parents of a baby with GERD?

Most babies continue to vomit until they are walking.

Laying prone after eating will decrease the amount of vomiting.

Increase the intervals between feedings to minimum of four hours.

Medications are generally necessary to prevent further problems.

Question 69. Question :

A healthy eleven-year-old male had a Td booster two-year ago after stepping on a nail, but otherwise has had no immunizations since age six when his vaccinations were up to date. Which of the following vaccines would be indicated as a part of his well-child visit?

HPV2 (Cervarix)

Tdap (Adacel)

Meningococcal vaccine (MPSV) 4 (Menomune)

Pneumococcal polysaccharide vaccine (PPSV) 23 (Pneumovax)

Question 70. Question :

The adolescent should be screened for Type 1 diabetes _______________.

every year

every two years

once every five years

never

Question 74. Question :

Eating disorders are diagnosed during _________________.

fifth and six decades

childhood

adolescent period

any age frame

Question 77. Question :

Which of the following is a very important question to ask during the history taking for a sports evaluation?

Has the child ever had a head injury?

Has the child ever fainted or lost consciousness during exercise?

Does the child ever get short of breath with exercise?

Has the child ever had prior surgery

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Question 79. Question :

An adolescent with which of the following would not be considered at an increased risk for dental erosion?

Gastroesophageal reflux disease (GERD)

Asthma

Anorexia Nervosa

Bulimia Nervosa

Question 82. Question :

Secondary hypothyroidism results from

excessive release of thyroid hormone beyond the newborn period

intrauterine exposure to thyrotoxic drugs

disease or disorder of the thyroid gland itself

disease or disorder of the hypothalamus or pituitary gland compromising thyroid function

Question 84. Question :

A nurse practitioner is conducting a four-year old’s well-child exam. Which recommendations would be made for this child?

Hgb, UA, hearing, vision, Dtap, MMR, Varivax, Hib

Hgb, UA, hearing, vision, MMR, Varivax, PCV, TdaP

Hgb, UA, hearing, vision, DtaP, IPV, MMR, Varivax

Hgb, UA, Dtap, IPV, MMR, Varivax

Question 88. Question :

_____________children are less likely to be diagnosed with attention deficit disorder than others.

African American

Non-Hispanic White

Asian

Hispanic

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Question 89. Question :

___________ are the first line choice for treatment of attention deficit hyperactivity disorders.

Selective serotonin reuptake inhibitors

Long-acting stimulants

Tricyclics

Dopamine agonist inhibitors

Question 91. Question :

An example of rapid-acting insulin is ______________________.

glargine

detemir

neutral protamine hagedorn

lispro

Question 92. Question :

The best tools for treating adolescents are ______ and ______.

your time; money

patient education; time

their trust; your time

mutual trust; patient education

Question 94. Question :

Antidepressant medication use in the adolescent age group should be monitored due to __________.

risk of pregnancy

weight gain

noncompliance

risk of suicidal ideations

Question 95. Question :

Symptoms of attention deficit hyperactivity disorder are present prior to ________ years of age.

ten

seven

nine

six

Question 98. Question :

Type 1 diabetes begins when ____________________.

the adolescent is overweight

beta cell production fails

insulin resistance is present

poor nutrition is present

Question 99. Question :

Adolescents prefer to be

treated like a child

treated like an adult

treated like a teen ager

taken seriously

Question 100. Question :

Which group of adolescents is more likely to develop Type 1 diabetes?

Non-Hispanic white adolescents

American-Indian adolescents

African-American adolescents

Pacific Islander adolescents

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