NURS 612 FINAL EXAM MARYVILLE UNIVERSITY

NURS 612 FINAL EXAM MARYVILLE UNIVERSITY

ADVANCED HEALTH ASSESSMENT NEWEST ACTUAL

EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS) |ALREADY

GRADED A+

On your patient schedule see a diagnosis of plagiocephaly on your patient schedule. You vaguely recall learning something about this in Nurs 612 so you check UpToDate and are able to explain the etiology of

this head growth disturbance is to the parents of this 4-month-old :

• Your child's head appears small. His head size is 2 SD below the mean, this can result abnormal

brain development from a genetic or teratogenic exposure

• Your child's head appears flat. This form of craniostenosis can result from premature fusion of

lambdoidal or coronal skull sutures and often results in brain injury.

• Your child's head appears large. His head size is 2 SD above the mean, this can result from

hydrocephalus while skull sutures are open.

• Your child's head appears flat. This form of craniostenosis can result from premature fusion of

lambdoidal or coronal skull sutures and is often only cosmetic and can be treated with a s - answer-D.Your child's head appears flat. This form of craniostenosis can result from premature fusion of lambdoidal or coronal skull sutures and is often only cosmetic and can be treated with a special helmet.E.A 5-year-old T.C. presents with edema of the face and lower extremities, her tea-colored urine positive for casts, RBC and WBCs. Considering the most likely diagnosis the nurse practitioner explains to the

family:

• T.C. likely has nephrotic syndrome this is likely inflammatory problem is not likely to recur.

Treatment will include oral steroids and daily weights to track fluid retention

• T.C. likely has nephrotic syndrome this is likely a chronic problem. Treatment will include oral

steroids and daily weights to track fluid retention

• T.C. likely has nephritis this is likely an inflammatory problem is not likely to recur. Treatment will

include oral steroids and daily weights to track fluid retention

• T.C. likely has nephritis this is likely a chronic problem. Treatment will include oral steroids and

daily weights to track fluid retention - answer-C. T.C. likely has nephritis this is likely an inflammatory problem is not likely to recur. Treatment will include oral steroids and daily weights to track fluid retention

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11 year-old-female M.L. has urinary frequency and urgency, her urinalysis is nitrite positive. Her parents

ask what this means and the NP explains:

• M.N. likely has cystitis caused by E. coli which converts nitrates to nitrites, this is a rare UTI pathogen
• M.N. likely has cystitis caused by Staph aureus which converts nitrates to nitrites, this is the most

common UTI pathogen

• M.N. likely has cystitis nitrites may have fallen into the specimen from vaginal fallout, this is the most

common UTI pathogen

• M.N. likely has cystitis caused by E. coli which converts nitrates to nitrites, this is the most common

UTI pathogen - answer-D. M.N. likely has cystitis caused by E. coli which converts nitrates to nitrites, this is the most common UTI pathogen

An afebrile 15-month-old infant presents with a clearly demarcated warm erythematous area on the right thigh. There is no evidence of yellow or weepy drainage or an umbilicated lesion. Considering the likely diagnosis what is the most appropriate treatment for this condition? A. Outline the affected area, strep testing, topical antibiotic ointment

• Incise the affected area, strep testing, oral TMP-SMX (sulfa class drug)
• Outline the affected area, strep testing, topical steroid ointment
• Outline the affected area, strep testing, oral amoxicillin or cephalosporin - answer-D. Outline the

affected area, strep testing, oral amoxicillin or cephalosporin

Your patient's mother expresses concern her daughter may have ADHD. All of the following are symptoms of ADHD EXCEPT

• Trouble organizing school work
• Talking excessively
• Onset of symptoms after age 7 years
• Easily distracted from tasks - answer-C. Onset of symptoms after age 7 years

After ruling out sleep apnea, hypothyroidism and anemia, you diagnose 14-year-old S.H. with mild depression. Which of the following interventions is NOT a recommended treatment for depression: A.Regular exercise and sleep regimen

• SSRI and sunlight exposure 2 / 3

• Distraction with increased screen time
• Cognitive Behavioral Therapy - answer-C. Distraction with increased screen time

Which of the following tools would you choose to screen your patient for autism?

A. MCHAT

• Conners

C. PHQ-9

• HEADDSS - answer-A. MCHAT

A 4-month-old is consolable but is fussy with a history of intermittent low grade fever. An appropriate

antipyretic measures would be:

• ibuprofen 10mg/kg q6-8 PRN
• acetaminophen 15mg/kg q 6-8 PRN
• acetylsalicylic acid 20mg/kg
• cool sponge baths - answer-B. acetaminophen 15mg/kg q 6-8 PRN

As an NP running the student health clinic a 17-year-old J.T. has been referred to you after he "jokingly" made a statement to his teacher that he was going to kill himself. Your surveillance and his PHQ9 score

are consistent with depression. Your initial action would be to:

• Report your findings to the school administrator
• Ensure his safety and notify his parents
• Refer JT to a counselor and teen support group
• Contact 911 for immediate transport to the Emergency Department. - answer-B. Ensure his safety

and notify his parents

As the primary care NP you have concerns of autism for your 7-year-old patient. Which of the following are diagnostic criteria for autism spectrum disorder?

• Fascination with light or movement
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