NRNP 6541 Exam

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1 NRNP 6541 Midterm Exam

Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for
academic integrity?


Selected Ye Answer: s
Question 2
1 out of 1 points
Which of the following statements regarding adolescent substance use is true?
M
Selected a.
Answer: Tobacco is the most commonly abused substance during adolescence.

Question 3
ED
1 out of 1 points
You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and
acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps,
and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What
do you order today?
ST
Selected d.
Answer: DTaP, IPV, MMR, and
Varivax

Question 4
1 out of 1 points
U
The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical
findings are not usually associated with the diagnosis of school phobia?
Selected c.
D
Answer: Chronic medical
illness
Y
Question 5
1 out of 1 points
Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated?


Selected b.
Answer: Flushing the ear with
water.

Question 6
1 out of 1 points
You see a 7-year-old with complaints of "having accidents at night." Physical exam and history are unremarkable.
Urinalysis, urine culture, and specific gravity are normal. His parents ask about the best treatment for this problem.
The best response is

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Selected c.
Answer: Fluid restriction and voiding prior to the night may be effective.

Question 7
1 out of 1 points
You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the
child is not ready to start kindergarten in the fall?


Selected d.
Answer: Counts to 4 and draws a person with
three parts.

Question 8
1 out of 1 points
Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots. What do you suspect?
M
Selected c.
Answer: Down
syndrome
ED
Question 9
1 out of 1 points
I like to use my pincer grasp that involves the ablitily 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?
Selected b.
ST
Answer: 9
months
Question 10
1 out of 1 points
Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear
U
canal is swollen and exudate is preswent. The TM is normal. What is the proper management for his patient?


Selected b.
D
Answer: Topical
Fluoroquiolone

Question 11
Y
1 out of 1 points
The diagnostic criteria for autism spectrum disorder include all of the following except
Selected d.
Answer: Tolerance of flexibility with routines

Question 12
1 out of 1 points
Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the twoweek
recheck, his TM was still erythematous and you cannot see the landmarks. He has persistent
nasal congestion, he is not sleeping at night, and he has a 101°F fever. What is the next best
step for Luke?
Selected d.
Answer: A 10 day course of

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1 NRNP 6541 Midterm Exam

Augmentin

Question 13
1 out of 1 points
Which of the following would not suggest an eating disorder with a purging component?
Selected d.
Answer: Diarrhe
a

Question 14
1 out of 1 points
Role-play with equipment during the course of the physical exam would be the most beneficial with which
age group?
M
Selected d.
Answer: Preschoole
rs
ED
Question 15
1 out of 1 points
While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out?
Selected d.
Answer: Neurofibromato
ST
sis

Question 16
1 out of 1 points
An expected milestone of a 4-year-old is the ability to
U
Selected c.
Answer: Copy a
D
cross

Question 17
1 out of 1 points
Y
You receive a phone call from the mother of a 2-year-old. She states her child has sleep refusal.
You suggest the child should be able to:
Selected a.
Answer: Set his own bedtime based on his
internal clock.

Question 18
0 out of 1 points
An eye that deviates in when covered but that returns to midline when uncovered is an


Selected a.
Answer: esotropi
a

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Question 19
1 out of 1 points
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?


Selected b.
Answer: Conservati
on

Question 20
1 out of 1 points
A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His
immunization card reveals that he received an immunization at birth and some when he was
2 months old, but none sense. Which of the following statements about him is correct?
Selected b.
M
Answer: He is too old to receive the Haemophilus influenzae Type B
vaccine.

Question 21
ED
1 out of 1 points
Which of the following issues or concepts is relevant to the school-age child?


Selected b.
Answer: Erikson's initiative versus
ST
guilt

Question 22
1 out of 1 points
You would be concerned about the language development of a child who:
U
Selected c.
Answer: Stutters when excited or tired at the age of 7
D
Question 23
1 out of 1 points
You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase
Y
coverage. What do you choose?


Selected b.
Answer: amoxicillin and potassium clavulanate ( Augmentin )

Question 24
1 out of 1 points
A 2-year-old boy has been slightly less than the 50th percentile for weight, height and head
circumference, but in the last 6 months he has fallen to slightly less than the 25th percentile
for weight. The pregnancy was normal, his development is as expected, and the family
reports no psychosocial problems. The mother says that he is now a finicky eater (wants only
macaroni and cheese at all meals), but she insists that he eat a variety of foods. The meals