Download NSG500 Exam 1: Advanced Health Assessment (2024/2025) and more Quizzes Health sciences in PDF only on Docsity!
NSG500 / NSG 500 EXAM 1 (LATEST 2024 /
2025): ADVANCED HEALTH ASSESSMENT |
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
"what is tortocollis (Wryneck) - CORRECT ANSWER=> contraction of sternocleidomastoid muscle
causing head to tilt to involved side (week 1 ppt)"
"what can be done about tortocollis neck - CORRECT ANSWER=> stretching exercises; may order PT
and reassess in 2-4weeks; infant may have hip dysplasia as well so assess for that via ultrasound (kidshealth.org)"
"what is the red light reflex exam assessing - CORRECT ANSWER=> determines clarity of posterior
chamber of eye/receptivity to light/and sensitivity of retina to visual stimulus(week 1 ppt)"
"what are abnormalities of the red light reflex exam - CORRECT ANSWER=> dark spots in the red reflex,
blunted reflex on one side, lack of red reflex, or the presence of white reflex all indicate referral to ophthalmology (week 1 ppt)"
"what do the abnormalities mean - CORRECT ANSWER=> possible early detection of cataracts,
glaucoma, retinoblastoma, systemic diseases with ocular manifestations (week 1 ppt)"
"how to test relight reflex - CORRECT ANSWER=> use ophthalmascope set to 0, place at 15-25 degree
angle lateral to eye and back 12inchs; look for symmetry and brightness (week 1 ppt)"
"what is strabismus - CORRECT ANSWER=> when the eyes do not line up in the same direction
(medlineplus)"
"what is the hirschberg test - CORRECT ANSWER=> the corneal light reflex (week 1 ppt)"
"how to test corneal light reflex - CORRECT ANSWER=> have child look at an object, position a penlight
resting on the object at eye level with the child and the examiner at eye level with the child, the light from penlight should be symmetrical in each child's pupil (week 1 ppt)"
"what are the signs that if positive may indicate hip dysplasia - CORRECT ANSWER=> ortolani's &
barlows; galeazzi's, gluteal folds (week 1 ppt)"
"how to test for hip dysplasia - CORRECT ANSWER=> with child supine & knees flexed bilaterally, grasp
thigh and adduct while applying downward pressure; if you feel a clunk its positive for dysplasia (week 1 ppt)"
"what is galeazzi's sign - CORRECT ANSWER=> while supine, with feet flat on table and knees flexed, if
knees are unequals it's positive sign for dysplasia (week 1 ppt)"
"how to test for scoliosis - CORRECT ANSWER=> use Adam's forward bend test; greater than 5 degrees
curve needs further eval (week 1 ppt)"
"when are primitive/infant reflexes abnormal - CORRECT ANSWER=> asymmetrical, absent, or present
after 6months (week 1 ppt)"
"what is the moro/startle reflex - CORRECT ANSWER=> pull infant up by hands then gently drop;
response should be arms extend & abduct, hands open, fingers fan out, then arms flex & adduct (week 1 ppt)"
"what is the asymmetrical tonic neck (fencing pose) - CORRECT ANSWER=> head on flat surface and
turn head 90degrees; response is arm and leg extend on same side infant is turned towards and opposite side flex (week 1 ppt)"
"what is stepping reflex - CORRECT ANSWER=> hold infant upright under arms above the table with
palmar surface of feet just touching the surface; response should be stepping motion (week 1 ppt)"
"what is placing reflex - CORRECT ANSWER=> hold infant upright under arms close to a table and let
the dorsal top of foot touch the underside of the table; response should be flexion of the hip and knee followed by extension to try and place foot on table (week 1 ppt)"
"what is rooting reflex - CORRECT ANSWER=> touch/stroke cheek; response baby turns toward
stimulus (week 1 ppt)"
"what is sucking reflex - CORRECT ANSWER=> gently stroke lips; response baby opens mouth and
starts sucking (week 1 ppt)"
"what is palmar/plantar grasp reflex - CORRECT ANSWER=> touch middle of hand/foot and the
hand/foot closes around stimulus (week 1 ppt)"
"what is parachute reflex - CORRECT ANSWER=> hold prone and firmly supported then slowly lower
toward flat surface; response should be extend arms and legs; this appears at 8-9months (week 1 ppt)"
"what is truncal incurvation/galant reflex - CORRECT ANSWER=> hold infant suspended in prone and
stroke along spine lightly with fingernail; response is hips and buttocks curve/turn toward stimulus side (week 1 ppt)"
"What is normal growth chart for first 12months - CORRECT ANSWER=> 5-7oz gain per week for 1st 5-
6 months; double birthweight by 6months, triple birth weight by 12 months (week 3 ppt)"
"Health screening for 1month - CORRECT ANSWER=> Length, weight, HC, vision, hearing, metabolic"
"Health screening for 2, 4, 6 months - CORRECT ANSWER=> Length, weight, HC, vision, hearing,
developmental"
"Health screening for 9 months - CORRECT ANSWER=> Length, weight, HC, vision, hearing,
development, H&h, lead level if at risk"
"Health screening for 12 months - CORRECT ANSWER=> Same as 9 months may as TB if at risk"
"health screening for 15/18 months - CORRECT ANSWER=> length, weight, vision, and developmental
(week 3 ppt)"
"health screening for 2yrs - CORRECT ANSWER=> height, weight, BMI, vision, hearing, H&H, lead level,
UA if indicated (week 3 ppt)"
"health screening for 3yrs - CORRECT ANSWER=> height, weight, BMI, vision, hearing, language,
dental, H&H, lead level, &UA if indicated (week 3 ppt)"
"motor behavior at 3yrs - CORRECT ANSWER=> walking, running, jumping, ride a tricycle, walks on
tiptoe, balances on one foot, builds tower on 9-10 cubes, copies circle (week 3 ppt)"
"motor behavior at 4yrs - CORRECT ANSWER=> skips and hops on one foot, catches ball, uses scissors,
lace shoes, copies square, 3-part stick figure (week 3 ppt)"
"motor behavior at 5yrs - CORRECT ANSWER=> skips on alternate feet, jumps rope, learns to
skate/swim, ties shoelaces, uses pencils well, prints a few letters, 9-part stick figure (week 3 ppt)"
"health screening 6-10yrs - CORRECT ANSWER=> height, weight, BMI, vision, hearing, dental (week 3
ppt)"
"health screening 11-12yrs - CORRECT ANSWER=> height, weight, BMI, vision, hearing, dental,
cholesterol screening, annual H&H for menstruating females, UA & STD screening for sexually active males and females, injury prevention (week 3 ppt)"
"what is diphtheria - CORRECT ANSWER=> incubation is usually 2-5 days, contagious about 2-4 weeks
or after 3 negative cultures; manifest as cold, frank epistaxis (week 4 ppt)"
"treatment for diphtheria - CORRECT ANSWER=> iv diphtheria antitoxin & antibiotics (week 4 ppt)"
"incubation and contagiousness of pertussis/whooping cough - CORRECT ANSWER=> incubation for 6-
21 days but usually 7-10; most contagious during catarrhal stage/inflammation membranes before onset of sypmptoms (week 4 ppt)"
"treatment of pertussis/whooping cough - CORRECT ANSWER=> tx with erythromycin (week 4 ppt)"
"manifestations of measles/rubeola - CORRECT ANSWER=> usually begins around ears & hairline,
concentrated mostly on face & trunk-koplik spots; treat symptoms, its a virus (week 4 ppt)"
"manifesting of mumps - CORRECT ANSWER=> incubation period in 14-21 days; most contagious right
before and after swelling begins; tx symptoms-its a virus (week 4 ppt)"
"what is rubella - CORRECT ANSWER=> german measles; virus usually lasts about 3 days; rash and
body covered in maculopapular exanthema; tx symptoms (week 4 ppt)"
"how do you tx chicken pox - CORRECT ANSWER=> antiviral acyclovir (week 4 ppt)"
"what is roseola infantum - CORRECT ANSWER=> hallmarks sign is rash appearance after fever spikes
declines; not usually around any sick persons; usually affects 6months-3yrs old (week 4 ppt)"
"what are pediculous bugs - CORRECT ANSWER=> lice; don't jump like fleas; tx with pyrethrins or
premthrin; non-chemical repeated combing or olive oil under shower cap, boil combs & brushes; place non-washable items in ziplock bag for 2 weeks (week 4 ppt)"
"how to treat tinea capitis - CORRECT ANSWER=> griseofulvin; selenium shampoo (week 4 ppt)"
"what is an antibody - CORRECT ANSWER=> protein found in the blood that is produced as a response
to bacteria/virus (week 4 ppt)"
"what is an antigen - CORRECT ANSWER=> foreign substance in the body that is capable of causing a
disease (week 4 ppt)"
"nursing care for immunizations - CORRECT ANSWER=> mild illness and low grade fever not
contraindication; longer needle=fewer local reactions (week 4 ppt)"
"what does Hib vaccine protect against - CORRECT ANSWER=> nothing to do with flu; protects against
bacterial meningitis, epliglottitis, bacterial pneumonia, & sepsis (week 4 ppt)"
"what to watch for with polio vaccine - CORRECT ANSWER=> must be clear, can be SC or IM (week 4
ppt)"
"Characteristics of erythema toxicum neonatoram - CORRECT ANSWER=> Erythematous macules and
pustules that may be present at birth or occur in 24-48hrs, palms & soles usually spared; self limiting and resolve without intervention (emreports)"
"What is seborrhea dermatitis - CORRECT ANSWER=> Cradle cap"
“where do you check pulse for children >2 - CORRECT ANSWER=> radial (week 1 ppt)"
"where do you check pulse for children <2 - CORRECT ANSWER=> apical (week 1 ppt)"
"what is normal HR for 1-2yrs - CORRECT ANSWER=> 70-150bpm(week 1 ppt)"
"what is normal HR for 2-6yrs - CORRECT ANSWER=> 68-138bpm(week 1 ppt)"
"what is normal HR for 6-10yrs - CORRECT ANSWER=> 65-125bpm(week 1 ppt)"
"what is normal resp for early childhood - CORRECT ANSWER=> 20-40resp/min(week 1 ppt)"
"what is normal resp for late childhood - CORRECT ANSWER=> 15-25resp/min(week 1 ppt)"
"what muscle do children less than 7 use to breath - CORRECT ANSWER=> ABD/diaphragmatic
breathers(week 1 ppt)"
"where to take temp for younger than 3months - CORRECT ANSWER=> rectal; norm is 37.5 (98.6-99.5)
(week 1 ppt)"
"what does FLACC stand for - CORRECT ANSWER=> Faces, Legs, Activity, Crying, Consolability (week 1
ppt)"
"what ages is FLACC used for - CORRECT ANSWER=> 2months - 7yrs/non-verbal (week 1 ppt)"
"what is considered outside growth parameters - CORRECT ANSWER=> less than 5% or greater than
95% (week 1 ppt)"
"to what age do we measure head circumference - CORRECT ANSWER=> up to 24-36months old or if
head size is questionnable like shunts or premature births (week 1 ppt)"
"normal head circumference - CORRECT ANSWER=> should be equal to chest circumference up to 1-
2yrs; chest >head if >2yrs (week 1 ppt)"
"what is common schedule of tooth eruption - CORRECT ANSWER=> generally begins by 6months;
begins with lower & upper incisors; majority of toddlers have full 20teeth by age 2yrs (week 1 ppt)"
"what is the denver development scale - CORRECT ANSWER=> assessments developmental stages for
ages 0-6; has 125 items divided into 4 parts-social, language, fine motor, & gross motor (medicine.net)"
"how to assess head/skull - CORRECT ANSWER=> palpate sutures/fontanels/fractures/swelling; assess
head control (week 1 ppt)"
"how old when posterior fontanel closes - CORRECT ANSWER=> 2 months (week 1 ppt)"
"how old when anterior fontanel closes - CORRECT ANSWER=> 12-18months (week 1 ppt)"
"when is it a red flag for infant unable to hold head erect - CORRECT ANSWER=> 6months- may
indicate cerebral injury, requires further developmental/neurological eval (week 1 ppt)"
