NRNP-6541 week 6 knowledge check

NRNP-6541 week 6 knowledge check

NRNP-6541 week 6 knowledge check

Question 1
1 / 1 pts

Which of the following foreign body in the nose requires immediate removal?

stone
 

battery
 

bead
 

crayon
 

Question 2
1 / 1 pts

While doing a 5-year-old well child exam, you notice two small patches of hair loss. Broken hair is present, as is erythema and scaling. On the basis of this information, which of these is the likely diagnosis?

Tinea corporis
 

Trichotillomania
 

Traction alopecia
 

Alopecia areata
 

Question 3
1 / 1 pts

A 7-year-old presents with abrupt fever, stridor, drooling, and hyperextension of the neck. You examine the nose and throat and notice one tonsil is enlarged and there is marked erythema of the pharynx with uvular deviation. Which is most appropriate?

Refer to otolaryngology for management of a peritonsillar abscess and possible hospital admission
 

Start cephalexin (Keflex) at the appropriate dose for weight after obtaining a throat culture
 

Start amoxicillin at the appropriate dose for weight after obtaining a throat culture.
 

Place on a 5-day course of oral steroids after obtaining a monospot, EBV titers, and a CBC
 

Question 4
1 / 1 pts

Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is present. The TM is normal. Mark should be instructed to do which of the following?

Use alcohol drops before swimming each day.
 

Limit swimming for the remainder of the summer.
 

Keep ear dry until symptoms improve.
 

Wear earplugs at all times when swimming.
 

NRNP-6541 week 6 knowledge check Question 5
1 / 1 pts

An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis?

Strep pharyngitis
 

Mononucleosis
 

Viral pharyngitis
 

Sinusitis
 

Question 6
1 / 1 pts

A 16-year-old is brought in as a walk-in by his parents. His parents state that he acutely developed a fever, chills and rash. He has been confused and not answering their questions. On examination he is toxically ill appearing, and is febrile, tachycardic and hypotensive. He is noted to have a diffuse petechial rash. What is the most likely diagnosis?

Rocky Mountain spotted feve
 

Scarlet Fever
 

Lyme disease
 

Meningococcemia
 

Question 7
1 / 1 pts

While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out?

Sturge-Weber syndrome
 

Fetal alcohol syndrome
 

Tuberous sclerosis
 

Neurofibromatosis
 

Question 8
1 / 1 pts

A 7-month-old female was brought by her mother to an outpatient clinical because of a 2-day history of fever, copious nasal secretions, and wheezing. The mother volunteered that the baby has been healthy and has not had these symptoms in the past. The infant’s temperature is noted to be 100.7°F, her respiratory rate is 50 breaths/min, and her pulse oximetry is 95% on room air. Physical examination reveals no signs of dehydration, but wheezing is hear on lung auscultation. The infant shows no improvement after three treatments with nebulized albuterol. Which of the following is recommended treatment?

Continued nebulized albuterol every 4 hours
 

Antihistamines and decongestants
 

Initiate synagis
 

Antibiotics for 7 days
 

Supportive care with hydration and humidified oxygen
 

NRNP-6541 week 6 knowledge check Question 9
1 / 1 pts

The most common congenital heart defect in children as

Tricuspid atresia
 

Pulmonary atresia
 

Ventricular septal defect
 

Aortic stenosis
 

Question 10
1 / 1 pts

Seborrhea dermatitis is common for both infants and adolescents. Which is not correct for this condition?

Is associated with an overproduction of sebum in area abundant with sebaceous glands.
 

The condition in infants is known as “cradle cap” in which lesions have erythematous base with crusted areas and greasy scales.

Can cause irritating pigment changes to include hyperpigmentation and hypopigmentation
 

The condition in adolescents is known as acne with comedones and popular and pustular lesions.
 

Question 11
1 / 1 pts

Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated?

Using a small suction device to try and remove the object.
 

Flushing the ear with water.
 

I