NRNP 6541 Midterm Exam Review Questions With Correct Answers Updated 2023/2024 (Graded A+)

NRNP 6541 Midterm Exam Review Questions With Correct Answers Updated 2023/2024 (Graded A+). You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today? Selected Answer: d. DTaP, IPV, MMR, and Varivax The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical findings are not usually associated with the diagnosis of school phobia? Selected c. • Question 4 1 out of 1 points • Question 3 1 out of 1 points • Question 1 0 out of 0 points • Question 5 1 out of 1 points Answer: Chronic medical illness Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? Selected Answer: b. Flushing the ear with water. You see a 7-year-old with complaints of "having accidents at night." Physical exam and history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His parents ask about the best treatment for this problem. The best response is Selected Answer: c. Fluid restriction and voiding prior to the night may be effective. You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected Answer: d. Counts to 4 and draws a person with three parts. Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots. What do you suspect? Selected Answer: c. Down syndrome I like to use my pincer grasp that involves the ablitily to pick up a small object such as a raisin or piece of cereal with the thumb and forefinger, and that is mastered around what age? Selected Answer: b. 9 months • Question 9 1 out of 1 points • Question 8 1 out of 1 points • Question 7 1 out of 1 points • Question 6 1 out of 1 points 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 preswent. The TM is normal. What is the proper management for his patient? Selected Answer: b. Topical Fluoroquiolone The diagnostic criteria for autism spectrum disorder include all of the following except Selected Answer: d. Tolerance of flexibility with routines Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the twoweek recheck, his TM was still erythematous and you cannot see the landmarks. He has persistent nasal congestion, he is not sleeping at night, and he has a 101°F fever. What is the next best step for Luke? Selected Answer: d. A 10 day course of Augmentin Which of the following would not suggest an eating disorder with a purging component? Selected Answer: d. Diarrhe a Role-play with equipment during the course of the physical exam would be the most beneficial with which age group? Selected Answer: d. Preschoole rs While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out? • Question 15 1 out of 1 points • Question 14 1 out of 1 points • Question 13 1 out of 1 points • Question 12 1 out of 1 points • Question 11 1 out of 1 points • Question 10 1 out of 1 points Selected Answer: d. Neurofibromato sis An expected milestone of a 4-year-old is the ability to Selected Answer: c. Copy a cross You receive a phone call from the mother of a 2-year-old. She states her child has sleep refusal. You suggest the child should be able to: Selected Answer: a. Set his own bedtime based on his internal clock. An eye that deviates in when covered but that returns to midline when uncovered is an Selected Answer: a. esotropi a A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget? Selected Answer: b. Conservati on A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none sense. Which of the following statements about him is correct? Selected Answer: b. He is too old to receive the Haemophilus influenzae Type B vaccine. • Question 21 • Question 20 1 out of 1 points • Question 19 1 out of 1 points • Question 18 0 out of 1 points • Question 17 1 out of 1 points • Question 16 1 out of 1 points Which of the following issues or concepts is relevant to the school-age child? Selected Answer: b. Erikson's initiative versus guilt You would be concerned about the language development of a child who: Selected Answer: c. Stutters when excited or tired at the age of 7 You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose? Selected Answer: b. amoxicillin and potassium clavulanate (Augmentin) A 2-year-old boy has been slightly less than the 50th percentile for weight, height and head circumference, but in the last 6 months he has fallen to slightly less than the 25th percentile for weight. The pregnancy was normal, his development is as expected, and the family reports no psychosocial problems. The mother says that he is now a finicky eater (wants only macaroni and cheese at all meals), but she insists that he eat a variety of foods. The meals are marked by much frustration for everyone. His examination is normal. Which of the following is the best next step in his care? Selected Answer: b. Reassurance and counseling for family about childhood normal developmental stage Which of the following characterizes middle adolescence (14 to 16 years old)? Selected Answer: a. Intense peer group involvement, feelings of immortality, sexual experimentation • Question 26 1 out of 1 points • Question 25 1 out of 1 points • Question 24 1 out of 1 points • Question 23 1 out of 1 points • Question 22 1 out of 1 points 1 out of 1 points Which of the following foreign body in the nose requires immediate removal? Selected Answer: c. batter y Which is the correct order for introduction of solid foods to an infant? Selected Answer: d. Cereal, vegetables, fruits, and meats FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is: Selected Answer: d. Behavior therapy A 15-month-old boy says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? Selected Answer: c. Tell parent, "Your child's language development is normal." A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile, height about the 10th percentile, and head circumference at the 50th percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity seems sufficient. The child has had no illness. The examination is unremarkable except for the child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances. Which of the following is the most appropriate therapy for this child? Selected Answer: e. Oral supplementation with bicarbonate • Question 30 1 out of 1 points 1 out of 1 points • Question 29 • Question 28 1 out of 1 points • Question 27 1 out of 1 points Which of the following signs may indicate a baby is not receiving sufficient breastmilk? Selected Answer: c. Sleepiness, jaundice, and vomiting Which of the following children should be referred for a comprehensive developmental evaluation? Selected Answer: b. A 19-month-old with explosive temper tantrums. By what age should most children be able to sit well without support? Selected Answer: c. 9 months I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I? Selected Answer: d. 6 months Parents bring their 16-year-old daughter for a “well-child” checkup. She looks normal on examination. As part of your routine care you plan a urinalysis. The father pulls you aside and asks you to secretly run a UDS on his daughter. Which of the following is the most appropriate course of action? Selected Answer: d. Explore the reasons for the request with the parents and the adolescent and perform a UDS with the adolescent's permission if the history warrants. A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence of • Question 36 1 out of 1 points • Question 35 1 out of 1 points • Question 34 1 out of 1 points • Question 33 1 out of 1 points • Question 32 0 out of 1 points • Question 31 1 out of 1 points polycystic ovarian syndrome? Selected Answer: b. free testosterone Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? Selected Answer: c. Glomerulonephri tis A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential? Selected Answer: d. "Sometimes I feel like ending my life." Which of the following screenings should adolescents have done annually? Selected Answer: a. Psychosocial screening, blood pressure, body mass index Which of the following substances is associated with pupillary constriction? Selected Answer: b. Heroi n The appropriate lab tests in assessment of cervical adenitis include all of the following except: Selected Answer: d. Blood culture