NURS 6521N FINAL EXAM WEEK 13 2026 FINAL
PAPER SOLVED QUESTIONS FULL SOLUTION
◉ (9) Which of the following statements about "routine" screening
tests is accurate?
A. All children undergo tuberculosis skin testing at age 12 months
B. Lead testing is obtained on all 12- and 14-month-old infants
C. Pelvic examinations are part of the examination of a sexually
active adolescent
D. Screening hematocrit levels are obtained on all infants at age 2
months.
E. Universal cholesterol screening begins at age 11 months. Answer:
C. TB and lead testing are performed on at-risk children. Pelvic
examinations are performed when girls become sexually active or by
age 18 to 21 years. Screening hematocrits are done at age 9 to 12
months, and cholesterol tests are done for children with familial risk
factors.
◉ (17) A mother brings her 3-year-old son with Down syndrome to
the clinic because his gums have been bleeding for 1 week. She
reports he has been less energetic than usual. Examination reveals
that the child has a temperature of 100F orally, pallor, splenomegaly,
gingival bleeding, and bruises on the lower extremities. Which of the
following is most likely?
A. Aplastic anemia
, B. Idiopathic thrombocytopenic purpura
C. Leukemia
D. Leukemoid reaction
E. Megaloblastic anemia. Answer: C. A high susceptibility to
leukemia is associated with certain heritable diseases (Klinefelter
syndrome, Bloom syndrome, Fanconi syndrome, ataxia
telangiectasia, neurofibromatosis) and chromosomal disorders such
as Down syndrome. Children with Down syndrome have a 10-to 15-
fold increased risk for developing leukemia. Siblings of an ALL
patient have a two- to fourfold increased risk for ALL. A few cases of
ALL are associated with p53 gene aberrations. Overall, these genetic
links account for a small number of total ALL cases. (ALL=acute
lymphoblastic leukemia)
◉ (17) A father brings to the clinic his 6-year-old son who currently
is undergoing induction chemotherapy for ALL. The school will not
allow the child to register until his immunizations are up-to-date.
Which of the following is the best course of action?
A. Call the school nurse or principal to inform him or her that this
child should not receive immunizations while he is taking
chemotherapy
B. Update all immunizations except for MMR and varicella
C. Update all immunizations except for oral polio vaccine
D. Update all immunizations
E. Call the school nurse or principal to inform him or her that this
child will never receive immunizations because of the alteration in
PAPER SOLVED QUESTIONS FULL SOLUTION
◉ (9) Which of the following statements about "routine" screening
tests is accurate?
A. All children undergo tuberculosis skin testing at age 12 months
B. Lead testing is obtained on all 12- and 14-month-old infants
C. Pelvic examinations are part of the examination of a sexually
active adolescent
D. Screening hematocrit levels are obtained on all infants at age 2
months.
E. Universal cholesterol screening begins at age 11 months. Answer:
C. TB and lead testing are performed on at-risk children. Pelvic
examinations are performed when girls become sexually active or by
age 18 to 21 years. Screening hematocrits are done at age 9 to 12
months, and cholesterol tests are done for children with familial risk
factors.
◉ (17) A mother brings her 3-year-old son with Down syndrome to
the clinic because his gums have been bleeding for 1 week. She
reports he has been less energetic than usual. Examination reveals
that the child has a temperature of 100F orally, pallor, splenomegaly,
gingival bleeding, and bruises on the lower extremities. Which of the
following is most likely?
A. Aplastic anemia
, B. Idiopathic thrombocytopenic purpura
C. Leukemia
D. Leukemoid reaction
E. Megaloblastic anemia. Answer: C. A high susceptibility to
leukemia is associated with certain heritable diseases (Klinefelter
syndrome, Bloom syndrome, Fanconi syndrome, ataxia
telangiectasia, neurofibromatosis) and chromosomal disorders such
as Down syndrome. Children with Down syndrome have a 10-to 15-
fold increased risk for developing leukemia. Siblings of an ALL
patient have a two- to fourfold increased risk for ALL. A few cases of
ALL are associated with p53 gene aberrations. Overall, these genetic
links account for a small number of total ALL cases. (ALL=acute
lymphoblastic leukemia)
◉ (17) A father brings to the clinic his 6-year-old son who currently
is undergoing induction chemotherapy for ALL. The school will not
allow the child to register until his immunizations are up-to-date.
Which of the following is the best course of action?
A. Call the school nurse or principal to inform him or her that this
child should not receive immunizations while he is taking
chemotherapy
B. Update all immunizations except for MMR and varicella
C. Update all immunizations except for oral polio vaccine
D. Update all immunizations
E. Call the school nurse or principal to inform him or her that this
child will never receive immunizations because of the alteration in
