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NRNP 6541 MIDTERM 3 LATEST VERSIONS /NRNP 6541 MIDTERM
PREPARATION/ LATEST VERSIONS PRACTICE EXAM REAL EXAM
2025/2026 200 QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
Best treatment for testicular torsion - Correct Answers - Immediate referral for surgery
Emergently performed within the first 6 hours. Preservation of fertility great concern;
prevention of atrophy and abscess. If untreated can lead to testicular loss
Bronchiolitis symptoms - Correct Answers - Bronchiolitis may at first be mistaken for a
common cold. It starts out with many of the same symptoms. But your child may have a
cough and other breathing problems that get worse over time. Below are the most
common symptoms of bronchiolitis:
Runny nose Congestion Fever Cough Fast or hard breathing Wheezing Loss of appetite
Irritability Vomiting These symptoms often last about a week.
Bronchitis symptoms - Correct Answers - Symptoms may include Runny nose, usually
before a cough starts Malaise Chills Slight Fever Back and muscle pain Wheezing Sore
throat
In the earlier stages of the condition, children may experience a dry, nonproductive cough
which progresses later to an abundant mucus-filled cough. Younger children may have
some vomiting or gagging with their cough. The symptoms of bronchitis usually last seven
to 14 days, but may also persist for three to four weeks
Cause of food poisoning with a family that eats out 4-5 times a week? - Correct Answers -
E. coli
Cause of seborrheic dermatitis - Correct Answers - Increase in excessive oil production of
the scalp is contributed to hormonal stimulation at times when hormonal influence is
highest. Occurs most often in spring and summer months.
,2 of 33
Chest pain in children - Correct Answers - anxiety is the most frequent cause of chest pain
in children; costochondritis
Child in daycare are more likely to be exposed to what infections? - Correct Answers -
respiratory infections, ear infections, and diarrheal disease
Child presents with bloody diarrhea what would not be the appropriate 1st action? -
Correct Answers - Imodium or Pepto-Bismol
Chlamydia trichomonas in 6 wk. old infant - Correct Answers - 5 to 30% of infected
neonates will develop pneumonia. Approximately half of these infants will have a history of
C. Trachomatis conjunctivitis. The condition is generally recognized between 4 and 12
weeks of age, although most infants are symptomatic as early as 8 weeks of age. Cough
and nasal congestion without discharge are common, although discharge can be thick.
Onset is insidious and characteristic features include a staccato cough, tachypnea. Rales
is common upon auscultation, but wheezing is not. The liver and spleen may be palpable
secondary to hyperinflated lungs. The patient is usually afebrile and does not appear
particularly ill. WBC is normal, but eosinophils can be elevated. Arterial blood gas shows
moderate hypoxemia. Chest X-ray shows hyperinflation with bilateral, symmetrical
interstitial infiltrates
Chronic adrenal insufficiency - Correct Answers - Crisis (Acute): Moribund, fever followed
by hypothermia, cachexia, acutely dehydrated, vomiting, hypotension, confusion, coma,
weakness, abdominal pain, nausea, increased skin pigmentation
Addison's: lethargy, dehydration, poor weight gain, weight loss, vomiting, hypotension,
small heart size on radiograph; bronze skin pigmentation, especially of areola, mucous
membranes, hand creases, axilla and groin, extensor surfaces of joints, and along surgical
scars
Common cause of in toeing in children - Correct Answers - Equinovirus Metatarsal adduct
us Abducted great toe Medial tibial torsion Internal femoral torsion
,3 of 33
Common causes of UTI in children - Correct Answers - Bathroom hygiene (wiping back to
front), holding urine because they are too busy or can't get to a bathroom, bubble baths
Common etiology for esophageal foreign body - Correct Answers - Most foreign body
ingestions occur in children between 6 months and 6 years of age, often when a child who
has something in his or her mouth gets a bump to the head, falls, or is startled, leading to a
reflexive deep inspiration or swallow. Developmentally delayed children are at high risk, as
are children who have undergone esophageal surgery or have a damaged esophagus from
a prior caustic ingestion. Coins, food, toys, marbles, buttons, and batteries are among the
more common foreign bodies that children have ingested.
Common etiology for intussusception - Correct Answers - Intussusception is the most
common cause of intestinal obstruction in children between ages 3 months and 3 years
old. Intussusception occurs when a portion of the intestine folds like a telescope, with one
segment slipping inside another segment. It can occur in the colon, the small bowel, or
between the small bowel and the colon. The result can be a blocked small bowel or colon.
This causes obstruction, preventing the passage of food that is being digested through the
intestine.
The walls of the 2 "telescoped" sections of intestine press on each other, causing irritation
and swelling. Eventually, the blood supply to that area is cut off, which can cause damage
to the intestine
Common etiology for malrotation with intermittent volvulus - Correct Answers -
Malrotation occurs when the intestine does not make the turns as it should.
A volvulus is a problem that can occur after birth because of intestinal malrotation. The
intestine becomes twisted, causing an intestinal blockage. This twisting can also cut off
the blood flow to the intestine, and the intestine can be damaged
Common etiology for pyloric stenosis - Correct Answers - Pyloric stenosis is an abnormal
thickening and/or narrowing of the pylorus muscle. Normally, food and other stomach
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contents pass into the small intestine through the pylorus, which is the exit of the
stomach. The thickened pyloric muscle causes a narrowing of the pyloric channel. As a
result, liquid and/or food cannot pass out of the stomach into the small intestine.
The symptoms of pyloric stenosis usually occur starting around the third week of life, but it
could be up to age 5 months
Common s/s of fifths disease - Correct Answers - Slapped cheek appearance followed by
flu-like symptoms
Common treatment for dog and cat bites - Correct Answers - Administer a tetanus booster
and rabies prophylaxis if indicated. 3–5-day course of prophylactic antibiotics (Broad
spectrum first (Amoxicillin Clavulanate) if penicillin allergy (Cephalosporin or
trimethoprim-sulfamethoxazole plus clindamycin)
Common trigger for acute asthma - Correct Answers - Allergen
Compulsive eating vs bulimia - Correct Answers - Binge eating disorder, the most common
eating disorder in the United States, is characterized by recurrent episodes of eating large
quantities of food; a feeling of a loss of control during the binge; experiencing shame,
distress or guilt afterwards; and not regularly using unhealthy compensatory measures to
counter the binge eating
Bulimia nervosa is characterized by a cycle of binge eating and compensatory behaviors
such as self-induced vomiting designed to undo or compensate for the effects of binge
eating
Congenital adrenal hyperplasia - Correct Answers - Genetic disease in which the adrenal
glands don't work properly, resulting in a deficiency of cortisol and aldosterone.
Individuals affected by classic CAH caused by 21-hydroxylase deficiency produce excess
adrenal steroids that lead to the production of testosterone and related male-like
hormones.
NRNP 6541 MIDTERM 3 LATEST VERSIONS /NRNP 6541 MIDTERM
PREPARATION/ LATEST VERSIONS PRACTICE EXAM REAL EXAM
2025/2026 200 QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
Best treatment for testicular torsion - Correct Answers - Immediate referral for surgery
Emergently performed within the first 6 hours. Preservation of fertility great concern;
prevention of atrophy and abscess. If untreated can lead to testicular loss
Bronchiolitis symptoms - Correct Answers - Bronchiolitis may at first be mistaken for a
common cold. It starts out with many of the same symptoms. But your child may have a
cough and other breathing problems that get worse over time. Below are the most
common symptoms of bronchiolitis:
Runny nose Congestion Fever Cough Fast or hard breathing Wheezing Loss of appetite
Irritability Vomiting These symptoms often last about a week.
Bronchitis symptoms - Correct Answers - Symptoms may include Runny nose, usually
before a cough starts Malaise Chills Slight Fever Back and muscle pain Wheezing Sore
throat
In the earlier stages of the condition, children may experience a dry, nonproductive cough
which progresses later to an abundant mucus-filled cough. Younger children may have
some vomiting or gagging with their cough. The symptoms of bronchitis usually last seven
to 14 days, but may also persist for three to four weeks
Cause of food poisoning with a family that eats out 4-5 times a week? - Correct Answers -
E. coli
Cause of seborrheic dermatitis - Correct Answers - Increase in excessive oil production of
the scalp is contributed to hormonal stimulation at times when hormonal influence is
highest. Occurs most often in spring and summer months.
,2 of 33
Chest pain in children - Correct Answers - anxiety is the most frequent cause of chest pain
in children; costochondritis
Child in daycare are more likely to be exposed to what infections? - Correct Answers -
respiratory infections, ear infections, and diarrheal disease
Child presents with bloody diarrhea what would not be the appropriate 1st action? -
Correct Answers - Imodium or Pepto-Bismol
Chlamydia trichomonas in 6 wk. old infant - Correct Answers - 5 to 30% of infected
neonates will develop pneumonia. Approximately half of these infants will have a history of
C. Trachomatis conjunctivitis. The condition is generally recognized between 4 and 12
weeks of age, although most infants are symptomatic as early as 8 weeks of age. Cough
and nasal congestion without discharge are common, although discharge can be thick.
Onset is insidious and characteristic features include a staccato cough, tachypnea. Rales
is common upon auscultation, but wheezing is not. The liver and spleen may be palpable
secondary to hyperinflated lungs. The patient is usually afebrile and does not appear
particularly ill. WBC is normal, but eosinophils can be elevated. Arterial blood gas shows
moderate hypoxemia. Chest X-ray shows hyperinflation with bilateral, symmetrical
interstitial infiltrates
Chronic adrenal insufficiency - Correct Answers - Crisis (Acute): Moribund, fever followed
by hypothermia, cachexia, acutely dehydrated, vomiting, hypotension, confusion, coma,
weakness, abdominal pain, nausea, increased skin pigmentation
Addison's: lethargy, dehydration, poor weight gain, weight loss, vomiting, hypotension,
small heart size on radiograph; bronze skin pigmentation, especially of areola, mucous
membranes, hand creases, axilla and groin, extensor surfaces of joints, and along surgical
scars
Common cause of in toeing in children - Correct Answers - Equinovirus Metatarsal adduct
us Abducted great toe Medial tibial torsion Internal femoral torsion
,3 of 33
Common causes of UTI in children - Correct Answers - Bathroom hygiene (wiping back to
front), holding urine because they are too busy or can't get to a bathroom, bubble baths
Common etiology for esophageal foreign body - Correct Answers - Most foreign body
ingestions occur in children between 6 months and 6 years of age, often when a child who
has something in his or her mouth gets a bump to the head, falls, or is startled, leading to a
reflexive deep inspiration or swallow. Developmentally delayed children are at high risk, as
are children who have undergone esophageal surgery or have a damaged esophagus from
a prior caustic ingestion. Coins, food, toys, marbles, buttons, and batteries are among the
more common foreign bodies that children have ingested.
Common etiology for intussusception - Correct Answers - Intussusception is the most
common cause of intestinal obstruction in children between ages 3 months and 3 years
old. Intussusception occurs when a portion of the intestine folds like a telescope, with one
segment slipping inside another segment. It can occur in the colon, the small bowel, or
between the small bowel and the colon. The result can be a blocked small bowel or colon.
This causes obstruction, preventing the passage of food that is being digested through the
intestine.
The walls of the 2 "telescoped" sections of intestine press on each other, causing irritation
and swelling. Eventually, the blood supply to that area is cut off, which can cause damage
to the intestine
Common etiology for malrotation with intermittent volvulus - Correct Answers -
Malrotation occurs when the intestine does not make the turns as it should.
A volvulus is a problem that can occur after birth because of intestinal malrotation. The
intestine becomes twisted, causing an intestinal blockage. This twisting can also cut off
the blood flow to the intestine, and the intestine can be damaged
Common etiology for pyloric stenosis - Correct Answers - Pyloric stenosis is an abnormal
thickening and/or narrowing of the pylorus muscle. Normally, food and other stomach
, 4 of 33
contents pass into the small intestine through the pylorus, which is the exit of the
stomach. The thickened pyloric muscle causes a narrowing of the pyloric channel. As a
result, liquid and/or food cannot pass out of the stomach into the small intestine.
The symptoms of pyloric stenosis usually occur starting around the third week of life, but it
could be up to age 5 months
Common s/s of fifths disease - Correct Answers - Slapped cheek appearance followed by
flu-like symptoms
Common treatment for dog and cat bites - Correct Answers - Administer a tetanus booster
and rabies prophylaxis if indicated. 3–5-day course of prophylactic antibiotics (Broad
spectrum first (Amoxicillin Clavulanate) if penicillin allergy (Cephalosporin or
trimethoprim-sulfamethoxazole plus clindamycin)
Common trigger for acute asthma - Correct Answers - Allergen
Compulsive eating vs bulimia - Correct Answers - Binge eating disorder, the most common
eating disorder in the United States, is characterized by recurrent episodes of eating large
quantities of food; a feeling of a loss of control during the binge; experiencing shame,
distress or guilt afterwards; and not regularly using unhealthy compensatory measures to
counter the binge eating
Bulimia nervosa is characterized by a cycle of binge eating and compensatory behaviors
such as self-induced vomiting designed to undo or compensate for the effects of binge
eating
Congenital adrenal hyperplasia - Correct Answers - Genetic disease in which the adrenal
glands don't work properly, resulting in a deficiency of cortisol and aldosterone.
Individuals affected by classic CAH caused by 21-hydroxylase deficiency produce excess
adrenal steroids that lead to the production of testosterone and related male-like
hormones.
