NRNP 6552 FINAL EXAM 2025-
2026|120Qs&As|GRADED A+|WALDEN UNIVERSITY
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."
D. "You should not receive the vaccination when you are pregnant."
2. Jack and Jill present for a preconception health counseling session. Jack is
34, Jill is 33, and they have a 5 year old son, Jake. Jake is the product of an
uncomplicated pregnancy and labor. At birth, Jake had an open neural tube
defect and now has spina bifida with a loss of function of his lower
extremities. Jack and Jill want another child and ask if there is anything they
can do to prevent the recurrence of a neural tube defect in future pregnancies.
What is your best response to this couple?
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."
D. "Jill should take 4 mg/day of folic acid, beginning before conception."
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
B. the American Academy of Pediatrics and the National Association of School
Nurses discourage "no nit" policies that exclude children from school
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"
C. gradually weaning the baby to a bottle or cup over a 3-week period
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
C. 18 to 20 weeks
6. The reaspn 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
B. the perception that the infant is not receiving enough milk
7. Pediatric patients may now be prescribed OxyContin for pain. Patients must
be already responding to and tolerating a minimum opioid dose equal to at
, least 20 mg of oxycodone per day before they can be prescribed an equivalent
dose of OxyContin. In order to be prescribed OxyContin, pediatric patient must
be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years
B. 11 to 16 years
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
B. softness of the uterus and ballottement at the isthmus
9. Carrie, of Irish descent, is due to deliver her second baby. During your work-
up, you note that she hemorrhaged after delivering her first baby 2 years ago,
has always had menorrhagia, and bruises easily. Her lab work reveals a normal
blood workup, including a normal prothrombin time and activated partial
thromboplastin time. What do you suspect?
A. Von Willebrand's disease
2026|120Qs&As|GRADED A+|WALDEN UNIVERSITY
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."
D. "You should not receive the vaccination when you are pregnant."
2. Jack and Jill present for a preconception health counseling session. Jack is
34, Jill is 33, and they have a 5 year old son, Jake. Jake is the product of an
uncomplicated pregnancy and labor. At birth, Jake had an open neural tube
defect and now has spina bifida with a loss of function of his lower
extremities. Jack and Jill want another child and ask if there is anything they
can do to prevent the recurrence of a neural tube defect in future pregnancies.
What is your best response to this couple?
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."
D. "Jill should take 4 mg/day of folic acid, beginning before conception."
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
B. the American Academy of Pediatrics and the National Association of School
Nurses discourage "no nit" policies that exclude children from school
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"
C. gradually weaning the baby to a bottle or cup over a 3-week period
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
C. 18 to 20 weeks
6. The reaspn 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
B. the perception that the infant is not receiving enough milk
7. Pediatric patients may now be prescribed OxyContin for pain. Patients must
be already responding to and tolerating a minimum opioid dose equal to at
, least 20 mg of oxycodone per day before they can be prescribed an equivalent
dose of OxyContin. In order to be prescribed OxyContin, pediatric patient must
be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years
B. 11 to 16 years
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
B. softness of the uterus and ballottement at the isthmus
9. Carrie, of Irish descent, is due to deliver her second baby. During your work-
up, you note that she hemorrhaged after delivering her first baby 2 years ago,
has always had menorrhagia, and bruises easily. Her lab work reveals a normal
blood workup, including a normal prothrombin time and activated partial
thromboplastin time. What do you suspect?
A. Von Willebrand's disease
