NURS 6541 (Pediatric Nurse Practitioner)
PRACTICE MULTIPLE EXAMBANK WITH
VERIFIED SOLUTIONS WALDEN UNIVERSITY.
1. which of the following is a characteristic physical sign of fragile X
syndrome in adolescent males?
a. Small posteriorly rotated ears
b. Matriarchisms
c. Hypertonia
d. Double hair whirl
Verified Answer -b
2. Which of the following physical stigmata are common in newborns
with Down syndrome?
a. Microcephaly, large ears & mouth, flattened philtrum
b. Hypotonia, large appearing tongue & small mouth, upward slant to
eyes
c. Fair mottled skin, large hands & feet, broad stocky neck
d. Funnel or pigeon-breasted chest, Brushfield spots, extra digits
Verified Answer -b
3. a 2mo infant, with hx of sacral myelomeningocele repair, has an
increase in head circumference from the 75th to the 95th percentile. What
is the most appropriate first action?
a. Order a stat head CT scan
b. Refer to neurosurgery for management
,c. Recheck it at the next well-child visit
d. Recheck & replot the child's head circumference
Verified Answer -d
4. a 2 week old presents with mucopurulent eye discharge with injection
and edema of the conjunctiva. The 15yr old mother had no prenatal care.
What is the most likely organism?
a. Staphylococcus aureus
b. Gonococcus
c. C. pneumoniae
d. C. trachomatis
Verified Answer -d
5. a newborn presents with a large VSD, rocker bottom feet, overlapping
second & third fingers, & fourth & fifth fingers with hypotonia. What is
the most likely diagnosis?
a. Fragile X syndrome
b. Down syndrome
c. Edwards Syndrome
d. Klinefelter's syndrome
Verified Answer -c
6. Which of the following problems is common in a child with Hurler's
syndrome?
a. Developmental delay from birth
b. Sleep obstructive apnea
c. Ectopic lentis
,d. Congenital heart disease
Verified Answer -b
7. Young infants with cerebral palsy often show:
a. Voracious appetite & weight gain
b. Increased muscle tone in the first weeks of life
c. Hypotonia in the first weeks of life
d. Unusually severe reactions to their first immunizations
Verified Answer -c
8. A 5yo child is born at 28 weeks gestation has mild spastic diplegia.
Which evaluation is important before the child is placed in regular
kindergarten?
a. Stanford-binet IQ test
b. Carey scale of temperament
c. CBC with diff
d. Chromosome studies
Verified Answer -a
9. A mother with Marfan syndrome comes with her 5yo for a checkup.
The child has myopia & a + wrist & thumb sign. She reports that she was
told by her last health care provider not to worry about this child. What is
the next best step?
a. Raise the issue of a genetic referral
b. Reassure her
c. Follow the child for further signs of Marfan syndrome
, d. Refer to ophthalmology
Verified Answer -a
10. Which of the following is appropriate advice for the mother of a
newborn?
a. The child should sleep on her back
b. The child should sleep on her back or side
c. The child should be allowed to sleep in a carseat at night
d. The child can sleep on her comforter
Verified Answer -a
11. A 5yo female presents for a school physical with a complaint of
hyperactivity, a mild developmental delay, aversion of gaze, hand
mannerism, long thing face with slightly dysmorphic ear. What is the
likely diagnosis?
a. Fragile X
b. Turner's Syndrome
c. Fetal alcohol syndrome
d. Williams syndrome
Verified Answer -a
12. Congenital HIV infection:
a. Is diagnosed through finding maternal antibodies in infant serum
b. Does not respond to antiretroviral therapy
c. May be latent for years before clinical signs develop
d. Does not include lymphadenopathy as a physical finding
Verified Answer -c
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