NRNP 6552 Midterm & Final Exam Prep |
Complete Practice Exam Questions with
100% Verified Correct Answers and Detailed
Rationales |Walden University | Latest
Update - 2026/2027 | Already Graded A+
Question 1
Sheila is pregnant and fearful of getting cervical cancer as her sister recently did.
She asks about receiving the HPV vaccine. How do you respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe and effective."
B. "Research has not shown this vaccine to be effective against preventing cervical
cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are pregnant."
Answer: D
Rationale: HPV vaccine is not recommended during pregnancy due to lack of
safety data; it should be deferred until after delivery.
Question 2
Jack and Jill have a 5-year-old son with spina bifida. They want another child and
ask if there is anything they can do to prevent recurrence of a neural tube defect.
A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support
fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of
the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before conception."
Answer: D
Rationale: High-dose folic acid (4 mg/day) is recommended for women with a
previous NTD-affected pregnancy, starting at least 1 month before conception.
pg. 1
,Question 3
You are invited to speak to a group of public school administrators about recent
outbreaks of head lice. As an advocate for children and families you share:
A. "no nit" policies that exclude children until all nits are removed are essential to
eradicate this problem.
B. the American Academy of Pediatrics and the National Association of School
Nurses discourage "no nit" policies that exclude children from school.
C. occlusive agents, such as petroleum shampoo and herbal oils, applied to
suffocate the lice are showing promising results in randomized controlled trials.
D. lindane is recommended by the American Academy of Pediatrics as a treatment
choice.
Answer: B
Rationale: "No nit" policies are not evidence-based, cause unnecessary
absenteeism, and are discouraged by AAP and NASN.
Question 4
What is the simplest and safest method of suppressing lactation after it has started?
A. administering oral and long-acting injections of hormonal preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week period
D. stopping "cold-turkey"
Answer: C
Rationale: Gradual weaning is safest and most comfortable; sudden cessation or
binders can lead to engorgement and mastitis.
Question 5
When can you hear fetal heart tones with a conventional fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks
pg. 2
,Answer: C
Rationale: A standard fetoscope cannot reliably detect FHT before 18–20 weeks
due to fetal size and position.
Question 6
The reason most often cited to explain why women who have had a usual length of
stay and normal delivery discontinue breastfeeding before 8 weeks postpartum is:
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness
Answer: B
Rationale: Perceived insufficient milk supply is the most common reason for early
breastfeeding cessation.
Question 7
Pediatric patients may now be prescribed OxyContin for pain. In order to be
prescribed OxyContin, pediatric patients must be:
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years
Answer: B
Rationale: FDA approval for OxyContin in pediatrics is for ages 11–16 years.
Question 8
Hegar's sign, a physiological sign of pregnancy, is:
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening
Answer: B
pg. 3
, Rationale: Hegar's sign is the compressibility and softening of the uterine isthmus,
palpable at 6–8 weeks.
Question 9
Carrie, of Irish descent, hemorrhaged after her first delivery, has menorrhagia, and
bruises easily. Her PT and PTT are normal. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia
Answer: A
Rationale: vWD is the most common inherited bleeding disorder; normal PT/PTT
with bleeding symptoms is classic.
Question 10
Koplik spots are small, white spots that occur on the inside of the cheeks early in
the course of:
A. measles
B. varicella
C. fifth disease
D. rheumatic fever
Answer: A
Rationale: Koplik spots are pathognomonic for measles (rubeola) and appear 1–2
days before the rash.
Question 11
Aida (29 weeks pregnant) received blunt trauma to the abdomen. She has no
obvious injuries and denies pain. Aida needs to be monitored for:
A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa
pg. 4
Complete Practice Exam Questions with
100% Verified Correct Answers and Detailed
Rationales |Walden University | Latest
Update - 2026/2027 | Already Graded A+
Question 1
Sheila is pregnant and fearful of getting cervical cancer as her sister recently did.
She asks about receiving the HPV vaccine. How do you respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe and effective."
B. "Research has not shown this vaccine to be effective against preventing cervical
cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are pregnant."
Answer: D
Rationale: HPV vaccine is not recommended during pregnancy due to lack of
safety data; it should be deferred until after delivery.
Question 2
Jack and Jill have a 5-year-old son with spina bifida. They want another child and
ask if there is anything they can do to prevent recurrence of a neural tube defect.
A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support
fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of
the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before conception."
Answer: D
Rationale: High-dose folic acid (4 mg/day) is recommended for women with a
previous NTD-affected pregnancy, starting at least 1 month before conception.
pg. 1
,Question 3
You are invited to speak to a group of public school administrators about recent
outbreaks of head lice. As an advocate for children and families you share:
A. "no nit" policies that exclude children until all nits are removed are essential to
eradicate this problem.
B. the American Academy of Pediatrics and the National Association of School
Nurses discourage "no nit" policies that exclude children from school.
C. occlusive agents, such as petroleum shampoo and herbal oils, applied to
suffocate the lice are showing promising results in randomized controlled trials.
D. lindane is recommended by the American Academy of Pediatrics as a treatment
choice.
Answer: B
Rationale: "No nit" policies are not evidence-based, cause unnecessary
absenteeism, and are discouraged by AAP and NASN.
Question 4
What is the simplest and safest method of suppressing lactation after it has started?
A. administering oral and long-acting injections of hormonal preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week period
D. stopping "cold-turkey"
Answer: C
Rationale: Gradual weaning is safest and most comfortable; sudden cessation or
binders can lead to engorgement and mastitis.
Question 5
When can you hear fetal heart tones with a conventional fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks
pg. 2
,Answer: C
Rationale: A standard fetoscope cannot reliably detect FHT before 18–20 weeks
due to fetal size and position.
Question 6
The reason most often cited to explain why women who have had a usual length of
stay and normal delivery discontinue breastfeeding before 8 weeks postpartum is:
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness
Answer: B
Rationale: Perceived insufficient milk supply is the most common reason for early
breastfeeding cessation.
Question 7
Pediatric patients may now be prescribed OxyContin for pain. In order to be
prescribed OxyContin, pediatric patients must be:
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years
Answer: B
Rationale: FDA approval for OxyContin in pediatrics is for ages 11–16 years.
Question 8
Hegar's sign, a physiological sign of pregnancy, is:
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening
Answer: B
pg. 3
, Rationale: Hegar's sign is the compressibility and softening of the uterine isthmus,
palpable at 6–8 weeks.
Question 9
Carrie, of Irish descent, hemorrhaged after her first delivery, has menorrhagia, and
bruises easily. Her PT and PTT are normal. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia
Answer: A
Rationale: vWD is the most common inherited bleeding disorder; normal PT/PTT
with bleeding symptoms is classic.
Question 10
Koplik spots are small, white spots that occur on the inside of the cheeks early in
the course of:
A. measles
B. varicella
C. fifth disease
D. rheumatic fever
Answer: A
Rationale: Koplik spots are pathognomonic for measles (rubeola) and appear 1–2
days before the rash.
Question 11
Aida (29 weeks pregnant) received blunt trauma to the abdomen. She has no
obvious injuries and denies pain. Aida needs to be monitored for:
A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa
pg. 4
