NRNP 6541 WEEK 11 FINAL EXAM 2026-2027
SPRING QUESTION AND CORRECT ANSWERS
GRADED A+ WALDEN UNIVERSITY
Robert, your 15-year-old male patient, is here today for a well visit. He is tall in
stature and has increased arm span, laxity of joints, pectus excavatum, and an
abnormal echocardiogram. Which of the following diagnosis would you suspect
Robert as having?
Marfan syndrome
Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a "Christmas tree"
distribution. It is predominantly on her trunk. One lesion is on her buttock that is
larger than the other, at about 4 cm in diameter. What is your diagnosis?
Pityriasis rosea
The most common central nervous system side effect of mumps in children is
Ataxia
John is 4 years old and in today for a well child visit. He is due for his 4-year-old
immunizations. He was recently diagnosed with ALL and is being treated with
chemotherapy and radiation. Which statement is true about immunizations during
treatments during childhood cancer?
Immunizations are not given during active chemotherapy
,What is the appropriate management of a child with asthma who presents with
acute wheezing and/or coughing?
Administer a short-acting beta agonist
A 6-year-old male is brought in for evaluation of a painful hip. He has been
limping and not wanting to walk for the past 2 days. He has no obvious injury. He
feels a little better if he is given ibuprofen. He has not had a fever and does not
have any other current symptoms, although he had "the flu" last week. On
examination, his vital signs are normal. His right hip has some pain with internal
rotation. He walks with a pronounced limp. Which of the following statements is
most accurate?
He should have a complete blood count (CBC) and ESR.
Drew is a 6-month-old with newly diagnosed sickle cell disease. His mother brings
him to the office for a well-baby visit. Which of the following should you do on
this visit?
Immunize Drew with diphtheria, tetanus, and pertussis: Haemophilus influenzae
type B (HIB), hepatitis B (HBV), and polio vaccines.
A 5-year-old girl is somewhat short and has mild leg bowing. Her medical history
is significant only for well-controlled seizure disorder. Serum calcium,
phosphorus, and alkaline phosphatase levels and urinary amino acid concentration
are normal. A bone age is notable for abnormal distal radius and ulna
mineralization. Which of the following is the most likely diagnosis?
Vitamin D deficiency
,Kawasaki disease is most common in
Children younger than 5 years of age
The most common congenital heart defect in children as
Ventricular septal defect
Which of the following is a characteristic physical sign of fragile X syndrome in
adolescent males?
Macro-orchidism
While doing a 5-year-old well child exam, you notice two small patches of hair
loss. Broken hair is present, as is erythema and scaling. On the basis of this
information, which of these is the likely diagnosis?
Tinea corporis
Which of the following is not a feature of DiGeorge syndrome?
Frontal bossing
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is
your diagnosis?
, Port-wine stain (nervus flammeus)
A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare
facility. What is the likely cause of the illness?
Rotavirus
During the 2-year-old well-child visit, the child's mother shows you a picture from
the birthday party. You notice only one eye has a red reflex on the picture. When
you do the exam, in the right eye, you notice leukocoria. What is your diagnosis?
Retinoblastoma
Prophylactic penicillin should be started in children with sickle cell anemia by
2 to 3 months of age
A 7-month-old female was brought by her mother to an outpatient clinical because
of a 2-day history of fever, copious nasal secretions, and wheezing. The mother
volunteered that the baby has been healthy and has not had these symptoms in the
past. The infant's temperature is noted to be 100.7°F, her respiratory rate is 50
breaths/min, and her pulse oximetry is 95% on room air. Physical examination
reveals no signs of dehydration, but wheezing is hear on lung auscultation. The
infant shows no improvement after three treatments with nebulized albuterol.
Which of the following is recommended treatment?
Supportive care with hydration and humidified oxygen
SPRING QUESTION AND CORRECT ANSWERS
GRADED A+ WALDEN UNIVERSITY
Robert, your 15-year-old male patient, is here today for a well visit. He is tall in
stature and has increased arm span, laxity of joints, pectus excavatum, and an
abnormal echocardiogram. Which of the following diagnosis would you suspect
Robert as having?
Marfan syndrome
Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a "Christmas tree"
distribution. It is predominantly on her trunk. One lesion is on her buttock that is
larger than the other, at about 4 cm in diameter. What is your diagnosis?
Pityriasis rosea
The most common central nervous system side effect of mumps in children is
Ataxia
John is 4 years old and in today for a well child visit. He is due for his 4-year-old
immunizations. He was recently diagnosed with ALL and is being treated with
chemotherapy and radiation. Which statement is true about immunizations during
treatments during childhood cancer?
Immunizations are not given during active chemotherapy
,What is the appropriate management of a child with asthma who presents with
acute wheezing and/or coughing?
Administer a short-acting beta agonist
A 6-year-old male is brought in for evaluation of a painful hip. He has been
limping and not wanting to walk for the past 2 days. He has no obvious injury. He
feels a little better if he is given ibuprofen. He has not had a fever and does not
have any other current symptoms, although he had "the flu" last week. On
examination, his vital signs are normal. His right hip has some pain with internal
rotation. He walks with a pronounced limp. Which of the following statements is
most accurate?
He should have a complete blood count (CBC) and ESR.
Drew is a 6-month-old with newly diagnosed sickle cell disease. His mother brings
him to the office for a well-baby visit. Which of the following should you do on
this visit?
Immunize Drew with diphtheria, tetanus, and pertussis: Haemophilus influenzae
type B (HIB), hepatitis B (HBV), and polio vaccines.
A 5-year-old girl is somewhat short and has mild leg bowing. Her medical history
is significant only for well-controlled seizure disorder. Serum calcium,
phosphorus, and alkaline phosphatase levels and urinary amino acid concentration
are normal. A bone age is notable for abnormal distal radius and ulna
mineralization. Which of the following is the most likely diagnosis?
Vitamin D deficiency
,Kawasaki disease is most common in
Children younger than 5 years of age
The most common congenital heart defect in children as
Ventricular septal defect
Which of the following is a characteristic physical sign of fragile X syndrome in
adolescent males?
Macro-orchidism
While doing a 5-year-old well child exam, you notice two small patches of hair
loss. Broken hair is present, as is erythema and scaling. On the basis of this
information, which of these is the likely diagnosis?
Tinea corporis
Which of the following is not a feature of DiGeorge syndrome?
Frontal bossing
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is
your diagnosis?
, Port-wine stain (nervus flammeus)
A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare
facility. What is the likely cause of the illness?
Rotavirus
During the 2-year-old well-child visit, the child's mother shows you a picture from
the birthday party. You notice only one eye has a red reflex on the picture. When
you do the exam, in the right eye, you notice leukocoria. What is your diagnosis?
Retinoblastoma
Prophylactic penicillin should be started in children with sickle cell anemia by
2 to 3 months of age
A 7-month-old female was brought by her mother to an outpatient clinical because
of a 2-day history of fever, copious nasal secretions, and wheezing. The mother
volunteered that the baby has been healthy and has not had these symptoms in the
past. The infant's temperature is noted to be 100.7°F, her respiratory rate is 50
breaths/min, and her pulse oximetry is 95% on room air. Physical examination
reveals no signs of dehydration, but wheezing is hear on lung auscultation. The
infant shows no improvement after three treatments with nebulized albuterol.
Which of the following is recommended treatment?
Supportive care with hydration and humidified oxygen
