NRNP-6541 Week 6: Knowledge Check Quiz Correct Answers

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NRNP-6541 Week 6: Knowledge Check Quiz Correct Answers

Question 1

1 
/ 1
 pts

You assess a 15-year-old’s visual acuity and note her vision to be 20/50 in the right eye. She asks you what that means and you respond

“You can see at 50 feet with your left eye what most people can see at 20 feet.”

“You can see at 20 feet with your left eye what most people can see at 50 feet.”

“You can see at 50 feet with your right eye what most people can see at 20 feet.”

Correct!

“You can see at 20 feet with your right eye what most people can see at 50 feet.”

Question 2

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. What is the proper management for his patient?

Oral Amoxicillin and topical steroids

 

Correct!

Topical Fluoroquiolone

 

Oral steroids and topical neomycin

 

Oral Amoxicillin and topical anesthetic

 

Question 3

1 
/ 1
 pts

A 16-year-old presents with pharyngitis, cough, and high fever for 3 days. Her chest x-ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal. The most likely diagnosis is

Correct!

Pneumonia

 

Strep pharyngitis

 

Pertussis

Legionella

 

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Question 4

1 
/ 1
 pts

All
 of the following may predispose a patient to thrush 
except
:

Age

 

Steroid therapy

 

Correct!

Poor oral hygiene

 

Antibiotics

 

NRNP-6541 Week 6: Knowledge Check Quiz Correct Answers  Question 5

1 
/ 1
 pts

An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider?

Optic disk papilledema

 

Pupillary reaction

 

Correct!

Ocular mobility

 

Conjunctival inflammation

 

Question 6

1 
/ 1
 pts

Ben has been diagnosed with folliculitis, an inflammatory condition involving the pilosebaceous follicle. What is the most common cause of this condition?

Microsporum canis tinea

 

Streptococcus group

 

Poxvirus

 

Correct!

Staphylococcus aureus

 

Question 7

1 
/ 1
 pts

A child’s head circumference is routinely measured on each well visit until what age?

5 years

 

Correct!

2 years

 

1 year

 

15 months

 

Question 8

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?

Correct!

Keep ear dry until symptoms improve.

 

Limit swimming for the remainder of the summer.

 

Use alcohol drops before swimming each day.

 

Wear earplugs at all times when swimming.

 

Question 9

1 
/ 1
 pts

Flourescein staining of the eye is used to detect a

Hyphema

 

Keratitis

 

Foreign body

 

Correct!

Corneal abrasion

 

Question 10

1 
/ 1
 pts

Conductive hearing loss can be caused by

Correct!

Serous otitis

 

Loud noises

 

Ototoxic drug exposure

 

Brain tumor

 

NRNP-6541 Week 6: Knowledge Check Quiz Correct Answers  Question 11

1 
/ 1
 pts

A 12-year-old girl was brought to the emergency department because of severe sore throat, muffled voice, drooling, and fatigue. She had been sick for the past 3 days and is unable to eat because of painful swallowing. The parents deny any history of recurrent pharyngitis. The patient still managed to open her mouth and you were able to see an abscess at the upper pole of the right tonsil with deviation of the uvula toward the midline. Examination of the neck reveals enlarged and tender lymph nodes. Which of the following is the most appropriate management?

Correct!

Incision and drainage of the abscess

 

Tonsillectomy and adenoidectomy

 

A prescription for oral antibiotics and follow up in 1 week

 

Nebulized racemic epinephrine

 

Analgesics for pain and follow up in 24 hours

 

Question 12

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?

Traction alopecia

 

Correct!

Tinea corporis

 

Trichotillomania

 

Alopecia areata

 

Question 13

1 
/ 1
 pts

You see a patient you believe has folliculitis. What medication would be the best to treat this patient? The patient has no allergies.

Zithromax

 

Oral Penicillin

 

Septra

 

Correct!

Dicloxacillin

 

Question 14

1 
/ 1
 pts

A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as:

Correct!

Bruxism

 

An oropharyngeal lesion

 

A psychosis

 

Temporal mandibular joint malocclusion

 

Question 15

1 
/ 1
 pts

Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a “Christmas tree” distribution. It is predominantly on her trunk. One lesion is on her buttock that is larger than the other, at about 4 cm in diameter. What is your diagnosis?

Pityriasis alba

 

Psoriasis

 

Correct!

Pityriasis rosea

 

Eczema

 

Question 16

1 
/ 1
 pts

You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose?

prednisone (Deltasone)

 

Correct!

amoxicillin and potassium clavulanate (Augmentin)

 

azithromycin (Zithromax)

 

amoxicillin (Amoxil)

 

NRNP-6541 Week 6: Knowledge Check Quiz Correct Answers  Question 17

1 
/ 1
 pts

The most common congenital heart defect in children as

Correct!

Ventricular septal defect

 

Pulmonary atresia

 

Aortic stenosis

 

Tricuspid atresia

 

Question 18

1 
/ 1
 pts

Epiglottitis has decreased due to which immunization?

Meningococcal

 

Varicella

 

Correct!

Hib

 

Prevnar

 

Question 19

1 
/ 1
 pts

Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis?

Correct!

Port-wine stain (nervus flammeus)

 

Salmon patch

 

Cafe au lait spot

 

Capillary hemangioma

 

Question 20

0 
/ 1
 pts

You are performing an examination of a 3-year-old who is new to your office. Which finding or findings requires a referral?

Heart rate increases during inspiration and decreases during expiration.

 

Speech is 50% understandable

and

An equal A-P and transverse chest diameter.

Can stand briefly on one foot but cannot skip and hop.

 

You Answered

An equal A-P and transverse chest diameter.

 

Correct Answer

Speech is 50% understandable.

NRNP-6541 Week 6: Knowledge Check Quiz Correct Answers

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