SU NSG6435 Week 8 QUIZ Latest 2019

NSG 6435: Week 8 Quiz

Question 1

The physical exam of an established 7-month-old client - diagnosed with spastic cerebral palsy – will mostly likely be positive for which signs?

Increased deep tendon reflexes and sustained clonus

Dystonic posturing and sustained clonus

Abnormal involuntary movements and increased deep tendon reflexes

Nystagmus and absent reflexes

Question 2

A 4-year-old client, who is new to the clinic, presents for a sick visit. However, upon exam the provider discovers that the client has flaccid paralysis over the lower extremities, absent deep tendon reflexes, lack of response to touch and pain, and has a saclike cyst on the lower back. What is the most probable diagnosis?

Viral gastroenteritis

Myelomeningocele

Meningitis

Shunt infection

Question 3

A 7-month old female client presents to the clinic to establish care. During the visit, the parents report that their daughter was developing as expected during the first 5 months of life but they fear that her development has plateaued. Over the last two months she has become withdrawn and has lost skills previously performed like partial hand skills and acquired spoken language. The provider notes on exam excessive bruxism, periods of apnea followed by hyperpnea, hand wringing, and spastic para¬paresis. What is the most likely diagnosis?

Rett Syndrome

Autism Spectrum Disorder

Cerebral Palsy

Brain Damage

Question 4

An apparently healthy 7-year-old client, presents to the clinic complaining of left-sided facial paralysis that occurred suddenly. The client denies any sensory loss but reports difficulty closing the left eyelid. The provider suspects the client has Bell’s Palsy. Which cranial nerve is most likely affected in this condition?

IV

V

VI

VII

Question 5

A 2-year-old client, who is unknown to the clinic, is presented as a walk-in after experiencing two seizures last night when the temperature spiked to 102°F. During the visit, the provider learns that the client is currently being treated for a viral illness. In the clinic, the client’s temperature is 100°F. The provider informs the parent that febrile seizures may reoccur. Although rarely required, what prophylactic medication can the provider prescribe? (select all that apply)

Diazepam 0.33?mg/kg by mouth every 8 hours for 2 to 3 days

Diazepam 0.5mg/kg by suppositories once per day

Phenytoin 0.33mg/kg by mouth every 8 hours for 2 to 3 days

Phenytoin 0.5mg/kg by suppositories once per day

Question 6

A 16-year-old client presents to the clinic complaining of frequent headaches with bouts of nausea, vomiting, abdominal pain, photophobia and throbbing unilateral pain that is only relieved with sleep. What is the most likely diagnosis?

Cluster headache

Vascular headache

Tension headache

Migraine headache

Question 7

A 15-year-old client presents to the clinic complaining of tension headaches. The provider understands that the client will experience pain to what region of the head?

At the back of the head

On both sides of the head

At the top of the head

On one side of the head

Question 8

The parents of a 4-year-old client hysterically calls the office to seek assistance after their child hit his head on the brick walkway and lost consciousness for 10 minutes. What possible complications/conditions is the client at risk for? (select all that apply)

Concussions

Intracranial lesions

Cerebral contusions

Febrile seizures

Question 9

Seventy-two hours after an emergency delivery, a newborn develops respiratory insufficiency, dysphagia, hypotonia, ptosis, weakness, weak cry, poor sucking, choking, expressionless face, and absent Moro reflex. Based on the symptomology the provider suspects that the newborn may be showing signs of Myasthenia Gravis. Which clinical test, when performed, may confirm this diagnosis?

Administering the short-acting cholinesterase inhibitor, edrophonium.

Administering the long-acting cholinesterase inhibitor, neostigmine.

Administering the short-acting cholinesterase inhibitor, pyridostigmine.

Administering the long-acting cholinesterase inhibitor, Rivastigmate.

Question 10

A 16-year-old client, new to the clinic, presents with complaints of weakness and Landry ascending paralysis progressing over the last few weeks. The provider suspects Guillain-Barré syndrome based on the reported symptoms. However, as the collection of the client’s health history continues, a past infection with which virus supports the providers suspicions?

Enterovirus

Epstein-Barr virus

Haemophilus influenzae

Hantavirus