UOP NRP543 Week 4 Quiz Latest 2022 July

NRP543 Management Of Pediatric And Adolescent Populations

Week 4 Quiz

Question 1A 4-year-old child comes into your office with complaints of cough and wheezing. In evaluating the child, the most appropriate first step would be:

Give an albuterol breathing treatment

Do a TB skin test

Order a chest x-ray and CBC

Obtain a brief history including allergies then examine the child’s respiratory system

Question 2On physical exam of this child with asthma, the most significant physical finding in a diagnosis of asthma would be:

Dark circles under the eyes

Bluish, boggy, nasal turbinates

Expiratory wheezing and rales

Decreased breath sounds in the LLL

Question 3After the diagnosis of asthma is established the appropriate management of this patient might include all of the following EXCEPT:

Pharmaceutical treatments

Referral to a Pediatric Allergist

Reassurance to the parents that he will outgrow it

Education involving the nature of the disease and identification and avoidance of triggers

Question 4Well controlled asthma is classified by all of the following EXCEPT:

Rescue medication is used 2x or less per week

Nighttime symptoms occur 1 or less times per month

Daytime symptoms occur2 time or less per week

Some limitations to activities

Question 5The differential diagnoses for this child with cough and wheezing would include all of the following EXCEPT:

Pneumonia

Bronchiolitis

Asthma

Foreign body

Question 6The following are true about bronchiolitis EXCEPT:

It is primarily a disease of infancy.

The most common cause is respiratory syncytial virus.

Blood and sputum cultures are positive for bacteria.

A chest x-ray will show characteristic hyperinflation.

Question 7The treatment for bronchiolitis may include all of the following EXCEPT:

Careful observation for increased respiratory distress

Antibiotic therapy

Increased liquid intake

Vaporize use

Question 8Headaches in children that wake them from sleep and are followed by vomiting are indicative of:

Migraine headaches

Sinusitis headaches

Cluster headaches

Tumors

Question 9A mother presents with her 4-year-old child with report that child feels like there is something in her right eye x 1-2 days. On exam, you note a small bump on her right eyelid that is red, tender, swollen and there is no discharge present. The child does not have a fever.

Corneal abrasion

Blepharitis

Hordeolum

Chalazion

Question 10A 13-year-old boy and his mother visit the clinic with complaints of headache for 1 day. The boy fell and hit his head while riding his skateboard without a helmet yesterday. Today he developed red eyes with a surrounding bruise. The nurse practitioner noted a small amount of clear fluid from the nose. The nurse practitioner should

Restrict physical activity for 2 weeks and notify the school nurse.

Suspect viral infection and recommend Tylenol, rest, and extra fluids.

Refer patient to the hospital.

Reassure the mother. Explain that boys of that age always have bruises. Educate on the importance of wearing a helmet while riding a skateboard.