NSG6435: Week 4 Quiz

Question 1
A school-age client presents to the clinic to establish care. The child has autism, facial dysmorphia, and growth retardation. The provider suspects the child has what condition?
A. Down Syndrome
B. Fetal alcohol syndrome***
C. Prader- Willi syndrome
D. Turner syndrome

Question 2
A 8-year-old client was recently discharged from the hospital following an episode of meningitis. The client presented to the clinic for a follow-up appointment post discharge. The provider understands that the client’s is at increased risk for which complication(s)? (check all that apply)
A. Hearing Impairment* B. Paralysis*
C. Loss of Speech***
D. Infertility

Question 3
A client with history of bilateral tympanostomy tube insertion presents to the clinic c/o otorrhea. The provider confirms the complaint. What is the best treatment for this condition?
A. Combination antibiotic and corticosteroid otic drops***
B. Anaglesics and watchful waiting
C. Oral antibiotics and antifungal cream
D. Corticosteroid otic drops

Question 4
The gold standard in diagnosing acute otitis media is:
A. Immobile ™***
B. Pearly gray TM
C. Flat TM
D. Perforated TM

Question 5
A provider is caring for a new client whose had recurrent episodes of and failed treatment for acute otitis media. What is the next best intervention?
A. Refer to audiologist
B. Refer to an otolaryngology***
C. Prescribe a broad spectrum antibiotic for 30 days
D. Prescribe an anti- inflammatory

Question 6
A 16 year-old-client presents to your clinic c/o sore throat and 101°F temperature. The provider learns that the client had a sore throat approximately 1 week ago. On exam, client is positive for cervical lymphadenopathy, enlarged left tonsil, edematous pharynx and uvula displacement. What condition does this client most likely have?
A. Acute uvulitis
B. Infectious mononucleosis
C. Mumps
D. Peritonsillar abscess

Question 7
A 5-year-old client presents to the clinic for an annual physical. While performing the physical exam, the provider attempts to examine the client’s ears. What does the provider do?
A. Gently pull outer ear down and back **
B. Gently pull outer ear up and back
C. Gently pull outer ear down
D. Gently pull outer ear back

Question 8
What are the most common causes of bacterial pneumonia in neonates (select all that apply)?
A. Staphylococcus Aureus
B. Group B Streptococcus **
C. Listeria Monocytogenes
D. E. Coli **

Question 9
An ill appearing 3-month-old-infant is presented to your clinic. The parent reports that their child has a fever, persistent cough, rhinorrhea, wheezing, hypoxemia, and anorexia for 4 days. After the provider’s exam and work-up, the child is diagnosed with Bronchiolitis. What is the most likely treatment option for this infant?
A. Refer patient for hospitalization ***
B. Refer patient for Pulmonologist
C. Refer patient for Bronchoscopy
D. Refer patient for Chest X- ray

Question 10
An ill-appearing child is presented to your clinic with a fever, sore throat, restless behavior, dysphagia, drooling, and inspiratory distress without stridor. The child tests positive for Haemophilus influenzae type b (Hib). What is the most likely diagnosis?
A. Tonsillitis
B. Epiglottitis **
C. Laryngotracheobronchitis
D. Retropharyngeal abscess

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