NRNP 6541 WALDEN UNIVERSITY WEEK 6
MIDTERM EXAM 2025/2026 TAKEN FALL
SEMESTER (CORRECTLY SOLVED)
1.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 present. The TM is normal. Mark should be
instructed to do which of the following?
ANSWER: c.
Keep ear dry until symptoms improve.
2.The nurse practitioner role was initially established to
ANSWER: a.
Improve access to care and partially solve physician shortage
3.A 7-month-old male is found to have a spiral fracture of the femur that his father says he got
by climbing onto a chair and then jumping off. Which of the following statements is true
regarding this situation?
ANSWER: d.
You can be held legally liable for failing to report child abuse.
4.A 14-year old has ataxia. He is brought to the local emergency department, where he
appears euphoric, emotionally labile, and a bit disoriented. He has nystagmus and
hypersalivation. Many notice his abusive language. Which of the following agents is most likely
responsible for his condition?
ANSWER: d.
Phencyclidine (PCP)
,•
5.The father of a 3-year-old is concerned because the child stutters. What should your
approach be?
ANSWER: d.
Refer to a speech clinic for further evaluation.
6.While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be
ruled out?
ANSWER: a.
Neurofibromatosis
7.What is the most common form of child abuse seen in pediatric primary care?
ANSWER: d.
Soft tissue injuries
8.Flourescein staining of the eye is used to detect a
ANSWER: b.
Foreign body
9.Role-play with equipment during the course of the physical exam would be the most
beneficial with which age group?
, ANSWER: b.
Toddlers
10.Which of the following substances is associated with pupillary constriction?
ANSWER: b.
Amphetamines
12.A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife
at home; the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9
at 5 minutes. He has breastfed well and has not required a health care professional visit since
birth. Which of the following vitamin deficiencies might explain his condition?
ANSWER: d.
Vitamin K
13.Please interpret the following labs for an adolescent. The adolescent has a history of obesity
and acanthosis nigricans.
Test Results
Fasting blood glucose 112 mg/dL
2 hour postprandial glucose 138 mg/dL
ANSWER: a.
Impaired fasting glucose, impaired glucose tolerance
14.Which of the following statements is true regarding lying and stealing by the school-age
child?
ANSWER:
b.
They are more likely to happen with parents use consistent and firm behavior modeling.
MIDTERM EXAM 2025/2026 TAKEN FALL
SEMESTER (CORRECTLY SOLVED)
1.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 present. The TM is normal. Mark should be
instructed to do which of the following?
ANSWER: c.
Keep ear dry until symptoms improve.
2.The nurse practitioner role was initially established to
ANSWER: a.
Improve access to care and partially solve physician shortage
3.A 7-month-old male is found to have a spiral fracture of the femur that his father says he got
by climbing onto a chair and then jumping off. Which of the following statements is true
regarding this situation?
ANSWER: d.
You can be held legally liable for failing to report child abuse.
4.A 14-year old has ataxia. He is brought to the local emergency department, where he
appears euphoric, emotionally labile, and a bit disoriented. He has nystagmus and
hypersalivation. Many notice his abusive language. Which of the following agents is most likely
responsible for his condition?
ANSWER: d.
Phencyclidine (PCP)
,•
5.The father of a 3-year-old is concerned because the child stutters. What should your
approach be?
ANSWER: d.
Refer to a speech clinic for further evaluation.
6.While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be
ruled out?
ANSWER: a.
Neurofibromatosis
7.What is the most common form of child abuse seen in pediatric primary care?
ANSWER: d.
Soft tissue injuries
8.Flourescein staining of the eye is used to detect a
ANSWER: b.
Foreign body
9.Role-play with equipment during the course of the physical exam would be the most
beneficial with which age group?
, ANSWER: b.
Toddlers
10.Which of the following substances is associated with pupillary constriction?
ANSWER: b.
Amphetamines
12.A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife
at home; the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9
at 5 minutes. He has breastfed well and has not required a health care professional visit since
birth. Which of the following vitamin deficiencies might explain his condition?
ANSWER: d.
Vitamin K
13.Please interpret the following labs for an adolescent. The adolescent has a history of obesity
and acanthosis nigricans.
Test Results
Fasting blood glucose 112 mg/dL
2 hour postprandial glucose 138 mg/dL
ANSWER: a.
Impaired fasting glucose, impaired glucose tolerance
14.Which of the following statements is true regarding lying and stealing by the school-age
child?
ANSWER:
b.
They are more likely to happen with parents use consistent and firm behavior modeling.
