NURS 5220 ACTUAL FINAL EXAM

NURS 5220 ACTUAL FINAL EXAM

WITH 340 REAL QUESTIONS AND VERIFIED

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LATEST EXAM 2 [BRAND NEW]

Mr. Simmons brings in his 17-year-old son for a preparticipation examination for wrestling. What is the importance of looking for asymmetries in range of motion, strength, and muscle bulk as part of the orthopedic component of the examination?

• Degree of physical development can be assessed.
• Acute or old poorly rehabilitated injuries are identified.
• Need for safety or supportive equipment can be determined.

D. Appropriate training exercises can be prescribed. - ANSWER- B: The

examination consists of observing the athlete in a variety of positions and postures that highlight asymmetries in range of motion, strength, and muscle bulk. These asymmetries serve to identify acute or old, poorly rehabilitated injuries.

The American Academy of Pediatrics recommends limiting participation in which sport until the adolescent achieves sexual rating 5?

• Wrestling
• Tackle football
• Bodybuilding 1 / 4

D. Curling - ANSWER- C: The American Academy of Pediatrics recommends

limiting bodybuilding and power lifting until the adolescent achieves sexual rating

• (Tanner stage V).

The American Academy of Pediatrics opposes the participation of children, adolescents, and young adults in which sport?

• Rugby
• Boxing
• Rodeo

D. Wrestling - ANSWER- B: The American Academy of Pediatrics opposes

participation in boxing for children, adolescents, and young adults (AAP, 1997).

Secondary amenorrhea occurs in as many as ______% of female athletes.

• 10
• 33
• 48

D. 69 - ANSWER- D: Among athletes, depending on the sport, secondary

amenorrhea occurs in as many as 69% (Nazem and Ackerman, 2012).

When performing a preparticipation examination on a child with Down syndrome, you assess for signs of atlantoaxial instability. Which findings would indicate this problem?

• Radicular pain and change in bowel function
• Slowed deep tendon reflexes (DTRs) and change in gait
• Torticollis and change in bladder function 2 / 4

D. Weakness and loss of superficial reflexes - ANSWER- A: Discuss spinal cord

injury risk with parents of children with Down syndrome who will be participating in sports (especially football, soccer, and gymnastics). Inquire about neck or radicular pain, weakness, change in gait, and bowel or bladder function, and perform a careful neurologic examination. These examination findings require immediate referral to a neurosurgeon with expertise in atlantoaxial instability.

Which problem is suggested by assessment findings of irritability, jitteriness, and poor sucking in a newborn?

• Placental insufficiency before birth
• maternal use of sedatives or opioids
• Exposure to herpesvirus during birth

D. hypothermia - ANSWER- B: The mother's frequent use of sedatives or opioids

may cause irritability, jitteriness, poor sucking, and other problems as the newborn goes through withdrawal (neonatal withdrawal syndrome).

Mrs. Casey brings her 14-month-old baby in for a checkup. Which examination approach is suggested for this patient?The baby should be completely undressed and lying down on an examination table.

• The fully clothed baby should be placed on the floor with toys
• the examiner should conduct the examination while the child plays.
• The baby should be completely undressed and held by the examiner.
• The baby should be wearing only a diaper and be sitting on his or her parent's

lap. - ANSWER- D: The parent's lap is a fine and helpful examining table. Begin

with the child sitting and undressed except for the diaper or underpants.

• / 4

Which of the following assists the examiner in determining the gestational age of a newborn?

• Measurement of the head circumference
• Percussion to determine liver size
• Inspection of hair distribution of the scalp

D. Inspection of the sole of the foot - ANSWER- D: The full-term newborn (40

weeks' gestation) commonly has the following physical characteristics: many

creases on the sole of the foot; the breast nodule of 4 mm diameter; cartilage present in the helix of the ear; and testes descended into the scrotum covered with rugae.

Ms. Mills is a 27-year-old patient who presents to your office. She complains of a cough and a sore throat. Which aspect of the examination may be eliminated?

• Vital signs
• Palpation of lymph nodes
• Deep tendon reflexes
• Auscultation of the heart and lungs - ANSWER- C: Deep tendon reflexes reflect

neurologic function. Complaints of a cough and sore throat are not in themselves suggestive of a neurologic problem and so testing deep tendon reflexes in the patient situation as described is unnecessary.

What is the best method of verifying anal patency in a newborn?

• Inserting a lubricated thermometer through the anus and into the rectum

• Inserting the fifth digit through the anus and into the rectum
• / 4