NRNP 6541 MIDTERM EXAM QUESTIONS WITH ANSWERS LATEST 2023/2024 (Score 100%)

Whichofthefollowingstatementsregardingadolescentsubstanceuseistrue? SelectedAnswer:d. Mostteenalcoholabusersarenot"functional"alcoholics. Question3 1 outof1points Achild'sheadcircumferenceisroutinelymeasuredoneachwellvisituntilwhatage? SelectedAnswer:a. 2 years Question4 1outof1points Whatmethodcanbesafelyusedtoremovecerumenina15-month-oldchild'sear? SelectedAnswer:b. P a g e 3 | 51 Irrigationusingwarmwaterfromasoftbulbsyringe Question5 1outof1points Sandy, age 18 months, crosses her legs when lifted from behind rather than pulling them up. Herlegsarealsohardtoseparate,makingdiaperchangingdifficult.Shepersistentlyusesonlyonehand. Whatcondition doyou suspect? SelectedAnswer:a. Cerebralpalsy Question6 1outof1points Whichofthefollowingrepresentsnormalsequencingofdevelopmentinatoddler? SelectedAnswer:b. Feedsself,canundressselfwithhelp,washeshands,imitateshousework. Question7 1outof1points Epiglottitishasdecreasedduetowhichimmunization? SelectedAnswer:d. Hib Question8 1outof1points P a g e 4 | 51 A2-day-oldinfanthassignificantnasalandrectalbleeding.Hewasdeliveredbyamidwifeathome;the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5 minutes.Hehasbreastfedwellandhasnotrequiredahealthcareprofessionalvisitsincebirth.Whichoft hefollowingvitamindeficienciesmightexplainhiscondition? SelectedAnswer:b. VitaminK Question9 1outof1points Icanrollover,grasparattle,andreachforthingsandhavebegunfeedingmyselffingerfoods,butIcan’twave bye-bye yet.Howold amI? SelectedAnswer:a. 6months Question10 0 outof1points A14- yearoldhasataxia.Heisbroughttothelocalemergencydepartment,whereheappearseuphoric, emotionallylabile,anddisoriented.Manynoticehisabusivelanguage.Whichofthefollowingage ntsismostlikelyresponsibleforhiscondition? SelectedAnswer:b. Barbituates Question11 1 outof1points P a g e 5 | 51 An8-yearoldfemalehasanedematous,mildlyerythematousrightuppereyelidfor2dayswithafeverof102.9(F).W hichimportanteyeassessmentdoyouneedtoconsider? SelectedAnswer:c. Ocularmobility Question12 1outof1points Youseea5-montholdwhoisfussy,hasinterruptedsleep,andisdrooling.Younotelargelowerlateralincisorbulges.You recommend: SelectedAnswer:e. AandD Question13 1outof1points Youaredoingakindergartenphysicalona5-yearoldgirl.Whichofthefollowingscenarioswouldsuggestthechild isnotready tostartkindergarteninthefall? SelectedAnswer:d. Countsto4anddrawsapersonwiththreeparts. Question14 1outof1points Miguel,age14,washitintheeyewithabaseballanddevelopedeyepain,decreasedvisualacuity,and injection of the globe. Upon exam you note blood in the anterior chamber and confirmdiagnosis P a g e 6 | 51 of hyphema. What treatment do you recommend while Miguel is waiting to see theophthalmologist SelectedAnswer:b. Applybilateraleyepatches. Question15 1outof1points Theappropriatelabtestsinassessmentofcervicaladenitisincludeallofthefollowingexcept: SelectedAnswer:d. Bloodculture Question16 1outof1points Thefatherofa3-year-oldisconcernedbecausethechildstutters.Whatshouldyourapproachbe? SelectedAnswer:a. Explainthatthiscanbenormaluntil4yearsofage. Question17 1outof1points Whichofthefollowingwouldnotsuggestaneatingdisorderwithapurgingcomponent? SelectedAnswer:b. Diarrhea Question18 P a g e 7 | 51 1outof1points An 8-year-old female is brought into the office by her mother. She has complaints of fever and sorethroat for the past 2 days. She denies difficulty swallowing but has loss of appetite and milddiarrhea.Afewclassmateshavesimilarsymptoms.Areviewofsystemsrevealsclearnasaldrainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, andanteriorcervicallymphadenopathy.Whatisthelikelydiagnosis? SelectedAnswer:b. Viralpharyngitis Question19 1outof1points Whileassessingtheskinofaninfant,younotecafe-au-laitspots.Whichdiseaseshouldberuledout? SelectedAnswer:b. Neurofibromatosis Question20 1outof1points Max,a9-year-oldboy,isaveryactivechildwithlimitedself-control.Heiseasilydistractedandhasdifficulty staying on task. You determine that he should have a neurodevelopmental evaluationbecauseheisshowing signsof SelectedAnswer:a. ADHD Question21 1outof1points P a g e 8 | 51 Youassessa15-year-old'svisualacuityandnotehervisiontobe20/50intherighteye.Sheasksyouwhatthat meansand you respond P a g e 9 | 51 Selected Answer: Question22 1outof1points a. "Youcanseeat20feetwithyourrighteyewhatmostpeoplecanseeat50feet." Flouresceinstainingoftheeyeisusedtodetecta SelectedAnswer:d. Cornealabrasion Question23 0 outof1points A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets.Followingtheinitialemergentcareandstailization,themostimportantpartofthemanagement is: SelectedAnswer:a. Reviewingthehistoryforsignsofdepression. Question24 1 outof1points Whichofthefollowingchildrenhasabnormallanguagedevelopment? SelectedAnswer:c. Speechis50%understandableat36monthsofage P a g e 10 | 51 Question25 0 outof1points P a g e 11 | 51 Pleaseinterpretthefollowinglabsforanadolescent.Theadolescenthasahistoryofobesityandacanthosis nigricans. Test Results Fastingbloodglucose 112 mg/dL 2hourpostprandialglucose 138 mg/dL SelectedAnswer:d. Normalfastingglucose,postprandialglucosewithinnormallimits Question26 1 outof1points Duringadomestichealthassessment,theCDCrecommendsscreeningeveryrefugeechildforwhichofth efollowing diseases? SelectedAnswer:c. tuberculosis Question27 1outof1points Whichofthefollowingcomplicationofstreppharyngitiscannotbepreventedwithantibiotics? SelectedAnswer:c. Glomerulonephritis Question28 1outof1points P a g e 13 | 51 Question29 1outof1points Themotherofa5-year-oldinformsyouthatherdaughtercheatswhenplayingboardgames.Whatisthebest response? Selected Answer: Question30 1outof1points c. Explainthatthisisdevelopmentallynormaluntilthechildisoldenoughtounderstandco mplex gamerules. Whichofthefollowingeyefindingswouldbeconsideredanophthalmicemergency? SelectedAnswer:b. Unilateralvesicularlesionsontheuppereyelidina3-weekold. Question31 1outof1points Thediagnosticcriteriaforautismspectrumdisorderincludeallofthefollowingexcept SelectedAnswer:b. Toleranceofflexibilitywithroutines Question32 1outof1points P a g e 14 | 51 A15-montholdboysays“mama”and“dada,”pointsandgesturesifhewantsthings,andfollowssimpleonestepcommands.Yourbestresponseiswhichofthefollowing? SelectedAnswer:a. Tellparent,"Yourchild'slanguagedevelopmentisnormal."