NRNP 6541 MIDTERM EXAM 2026-2027 SPRING
QUESTION AND CORRECT ANSWERS GRADED
A+ WALDEN UNIVERSITY
A Mantoux test in a child with no risk factors is considered positive with a reaction
of
at least 15 mm induration
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?
Conservation
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?
6 months
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 follow
Oral supplementation with bicarbonate
Which of the following vaccines is routinely recommended at 4 months of age?
Diphtheria, tetanus, acellular pertussis (DTaP)
I can walk well on tiptoes, my speech is 50% understandable, I know six body
parts, but I cannot balance on one foot for 1 second. I am
2-1/2 years old (30 months)
You see a healthy 18-month-old for a well-child visit. At the 12-month visit he
received the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis
B second dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus
(IPV) second dose; pneumococcal conjugate (PCV13) fourth dose; and
Haemophilus influenzae type B (Hib) fourth dose. Which of the following do you
order today?
DTaP, varicella, hepatitis A, and hepatitis B
Which is the correct order for introduction of solid foods to an infant?
Cereal, vegetables, fruits, and meats
, Appropriate advice for a mother of a 2-week-old child here for a "well child" visit
includes which of the following?
Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is symmetrically less than the
5th percentile for height, weight and head circumference. He was born at 30 weeks'
gestation and weighed 1000g. He was a planned pregnancy, and his mother's
prenatal course was uneventful until an automobile accident initiated the labor. He
was ventilated for 3 days in the intensive care unit but otherwise did well without
ongoing problems. He was discharged at 8 weeks of life. Which of the following is
the most likely explanation for his small size?
Normal ex-preemie infant growth
I like to use my pincer grasp that involves the ability 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?
9 months
The first sign of the onset of female puberty is usually
Breast buds
QUESTION AND CORRECT ANSWERS GRADED
A+ WALDEN UNIVERSITY
A Mantoux test in a child with no risk factors is considered positive with a reaction
of
at least 15 mm induration
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?
Conservation
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?
6 months
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 follow
Oral supplementation with bicarbonate
Which of the following vaccines is routinely recommended at 4 months of age?
Diphtheria, tetanus, acellular pertussis (DTaP)
I can walk well on tiptoes, my speech is 50% understandable, I know six body
parts, but I cannot balance on one foot for 1 second. I am
2-1/2 years old (30 months)
You see a healthy 18-month-old for a well-child visit. At the 12-month visit he
received the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis
B second dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus
(IPV) second dose; pneumococcal conjugate (PCV13) fourth dose; and
Haemophilus influenzae type B (Hib) fourth dose. Which of the following do you
order today?
DTaP, varicella, hepatitis A, and hepatitis B
Which is the correct order for introduction of solid foods to an infant?
Cereal, vegetables, fruits, and meats
, Appropriate advice for a mother of a 2-week-old child here for a "well child" visit
includes which of the following?
Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is symmetrically less than the
5th percentile for height, weight and head circumference. He was born at 30 weeks'
gestation and weighed 1000g. He was a planned pregnancy, and his mother's
prenatal course was uneventful until an automobile accident initiated the labor. He
was ventilated for 3 days in the intensive care unit but otherwise did well without
ongoing problems. He was discharged at 8 weeks of life. Which of the following is
the most likely explanation for his small size?
Normal ex-preemie infant growth
I like to use my pincer grasp that involves the ability 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?
9 months
The first sign of the onset of female puberty is usually
Breast buds
