WALDEN UNIVERSITY NRNP 6541 FINAL
EXAM LATEST 2026 SUMMER (NEW
CURRICULUM EXAM) GRADED A+
Which of the following vaccines provides protection against a common type of sepsis/meningitis?
Selected Answer: b.
Haemophius influenzae vaccine
You are seeing a patient you think may have IBD. Which of the following tests would not be helpful?
Selected Answer: b.
Amylase and lipase
Sarah, age 13, is markedly obese and has a poor self-image. How do you differentiate
between compulsive eating and bulemia?
Selected Answer: a.
A compulsive eater does not induce vomiting.
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of
wheezing?
Selected Answer: c.
Epiglottitis
• Dave, age 17, has gynecomastia. You should also assess him for
,Selected Answer: c.
Testicular cancer
A small-for-gestational-age infant is born to a 35-year-old woman. He has low-set and
malformed ears, microcephaly, rocker-bottom feet, inguinal hernias, cleft lip/palate, and
micrognathia. Chromosomal analysis is likely to reveal which of the following?
Selected Answer: e.
Edwards syndrome (trisomy 18)
Primary dysmenorrhea is due to
Selected Answer: a.
Elevated prostaglandin level
A 3-week-old male infant with 2 days of projectile, nonbilious vomiting and constant feeding. Which
of the following is the most likely etiology?
Selected Answer: f.
Pyloric stenosis
Which fo the following foods would be most appropriate for a child with celiac disease?
Selected Answer: a.
Rice with butter
, Which of the following is a measure of childhood intelligence?
Selected Answer: a.
Bayley scales
An 8-month-old baby arrives to the office with his mother with a complaint of decreased left arm
movement. He is a product of a normal term pregnancy, has had no medical problems, and was in
good health when his mother dropped him off at the daycare center. Upper arm radiographs show a
left humerus spiral fracture.
Which of the following is the most appropriate next step in management?
Selected b.
Answer:
Send the child to the hospital for admission and call child protective services.
A 4-year-old female with profuse vomiting, sweating, lacrimation, and diarrhea, who seizes in the
emergency room. Which of the following is the most likely etiology?
Selected Answer: f.
Insecticide ingestion
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most
appropriate next step is
Selected Answer: d.
Trial of ranitidine (Zantac)
EXAM LATEST 2026 SUMMER (NEW
CURRICULUM EXAM) GRADED A+
Which of the following vaccines provides protection against a common type of sepsis/meningitis?
Selected Answer: b.
Haemophius influenzae vaccine
You are seeing a patient you think may have IBD. Which of the following tests would not be helpful?
Selected Answer: b.
Amylase and lipase
Sarah, age 13, is markedly obese and has a poor self-image. How do you differentiate
between compulsive eating and bulemia?
Selected Answer: a.
A compulsive eater does not induce vomiting.
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of
wheezing?
Selected Answer: c.
Epiglottitis
• Dave, age 17, has gynecomastia. You should also assess him for
,Selected Answer: c.
Testicular cancer
A small-for-gestational-age infant is born to a 35-year-old woman. He has low-set and
malformed ears, microcephaly, rocker-bottom feet, inguinal hernias, cleft lip/palate, and
micrognathia. Chromosomal analysis is likely to reveal which of the following?
Selected Answer: e.
Edwards syndrome (trisomy 18)
Primary dysmenorrhea is due to
Selected Answer: a.
Elevated prostaglandin level
A 3-week-old male infant with 2 days of projectile, nonbilious vomiting and constant feeding. Which
of the following is the most likely etiology?
Selected Answer: f.
Pyloric stenosis
Which fo the following foods would be most appropriate for a child with celiac disease?
Selected Answer: a.
Rice with butter
, Which of the following is a measure of childhood intelligence?
Selected Answer: a.
Bayley scales
An 8-month-old baby arrives to the office with his mother with a complaint of decreased left arm
movement. He is a product of a normal term pregnancy, has had no medical problems, and was in
good health when his mother dropped him off at the daycare center. Upper arm radiographs show a
left humerus spiral fracture.
Which of the following is the most appropriate next step in management?
Selected b.
Answer:
Send the child to the hospital for admission and call child protective services.
A 4-year-old female with profuse vomiting, sweating, lacrimation, and diarrhea, who seizes in the
emergency room. Which of the following is the most likely etiology?
Selected Answer: f.
Insecticide ingestion
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most
appropriate next step is
Selected Answer: d.
Trial of ranitidine (Zantac)
