Question 1
1 out of 1 points
An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a
routine part of the clinical management?
Selected Answer: c.
School excuse to not participate in recess and/or physical education activities
Question 2
1 out of 1 points
A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additionalsymptom
would cause the NP to suspect Crohn's disease?
Selected Answer: b.
Blood, mucous diarrhea
Question 3
1 out of 1 points
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most
appropriate next step is
Selected Answer: a.
Trial of ranitidine (Zantac)
Question 4
1 out of 1 points
Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action?
Selected Answer: a.
Rule out a neurologic disorder.
Question 5
0 out of 1 points
A 15-year-old girl has experienced abdominal pain, vomiting, and lethargy for 3 days. Her chest and
throat examinations are clear, but her abdominal examination issignificant for right lower quadrant
pain. Rectal examination is equivocal for pain, and her pelvic examination is remarkable for pain
upon movement of her cervix. Laboratory data include elevated white blood cell count, serum
glucose level of 145 mg/dL, and serum bicarbonate level of 21mEq/dL. Her urinalysis is remarkable
for 1+ white blood cells, 1+ glucose, and 1+ ketones. Which of the following is the most likely
diagnosis?
Selected Answer: a.
Appendicitis
Question 6
0 out of 1 points
A previously healthy male has a 3-month history of increasing headaches, blurred vision, and
personality changes. Previously he admitted to marijuana experimentation more than 1 year ago. On
examination he is a healthy, athletic-appearing 17-year-old with decreased extraocular range of
motion and left eye visual acuity. Which of the following is the best next step in his management?
Selected Answer: e.
Urine drug screen
Question 7
1 out of 1 points
Kelly, your 11-year-old well visit patient, presentsto the office with weight loss, polyuria, and
polydipsia. Which of the following do you need to rule out?
Selected Answer: c.
Diabetes mellitus
Question 8
0 out of 1 points
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