WALDEN UNIVERSITY NRNP 6541
MIDTERM EXAM 2026/2027 NEW
CURRICULUM EXAM GRADED A
1.Which of the following represents normal sequencing of development in a toddler?
d.
Uses spoon without difficulty, uses parallel play, dresses and undresses self independently, washes
hands.
2.An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2
days with a fever of 102.9 (F). Which important eye assessment do you need to consider?
Ocular mobility
3.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?
6 months
4.You are performing an examination of a 3-year-old who is new to your office. Which finding
requires immediate further evaluation?
Heart rate increases during inspiration and decreases during expiration.
,5.Which of the following statements about "routine" screening tests is true? ANSWER: a.
Pelvic examinations are part of the examination of a sexually active adolescent.
6.You see a 6-month-old for a well-child visit and the mother tells you the child’s grandmother
recommends that she give the infant whole milk and eggs when he starts solids. What should you
tell the mother?
The baby should remain on infant formula and stage 2 and 3 baby foods for now.
7.Which is the correct order for introduction of solid foods to an infant?
Cereal, vegetables, fruits, and meats
8.For adolescent girls, peak height velocity should occur by Tanner Stage (SMR):
3
9..Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge.
You cannot transilluminate the sinuses. You suspect which common sinus to be affected?
ANSWER: d.
Maxillary sinus
10.Which of the following substances is associated with pupillary constriction?
ANSWER: b.
Amphetamines
12.A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at
home; the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5
, minutes. He has breastfed well and has not required a health care professional visit since birth.
Which of the following vitamin deficiencies might explain his condition?
ANSWER: d.
Vitamin K
13.Please interpret the following labs for an adolescent. The adolescent has a history of obesity and
acanthosis nigricans.
Test Results
Fasting blood glucose 112 mg/dL
2 hour postprandial glucose 138 mg/dL
ANSWER: a.
Impaired fasting glucose, impaired glucose tolerance
14.Which of the following statements is true regarding lying and stealing by the school-age child?
ANSWER:
b.
They are more likely to happen with parents use consistent and firm behavior modeling.
15.Which of the following would not suggest an eating disorder with a purging component?
ANSWER: b.
Finger calluses
16.You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is
normal but at the low end of the normal language spectrum. The parent is worried the child’s
development will not be normal because she mixes up the two languages. You respond:
ANSWER: c.
"The child may confuse the words now, but that will change by second grade."
MIDTERM EXAM 2026/2027 NEW
CURRICULUM EXAM GRADED A
1.Which of the following represents normal sequencing of development in a toddler?
d.
Uses spoon without difficulty, uses parallel play, dresses and undresses self independently, washes
hands.
2.An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2
days with a fever of 102.9 (F). Which important eye assessment do you need to consider?
Ocular mobility
3.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?
6 months
4.You are performing an examination of a 3-year-old who is new to your office. Which finding
requires immediate further evaluation?
Heart rate increases during inspiration and decreases during expiration.
,5.Which of the following statements about "routine" screening tests is true? ANSWER: a.
Pelvic examinations are part of the examination of a sexually active adolescent.
6.You see a 6-month-old for a well-child visit and the mother tells you the child’s grandmother
recommends that she give the infant whole milk and eggs when he starts solids. What should you
tell the mother?
The baby should remain on infant formula and stage 2 and 3 baby foods for now.
7.Which is the correct order for introduction of solid foods to an infant?
Cereal, vegetables, fruits, and meats
8.For adolescent girls, peak height velocity should occur by Tanner Stage (SMR):
3
9..Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge.
You cannot transilluminate the sinuses. You suspect which common sinus to be affected?
ANSWER: d.
Maxillary sinus
10.Which of the following substances is associated with pupillary constriction?
ANSWER: b.
Amphetamines
12.A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at
home; the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5
, minutes. He has breastfed well and has not required a health care professional visit since birth.
Which of the following vitamin deficiencies might explain his condition?
ANSWER: d.
Vitamin K
13.Please interpret the following labs for an adolescent. The adolescent has a history of obesity and
acanthosis nigricans.
Test Results
Fasting blood glucose 112 mg/dL
2 hour postprandial glucose 138 mg/dL
ANSWER: a.
Impaired fasting glucose, impaired glucose tolerance
14.Which of the following statements is true regarding lying and stealing by the school-age child?
ANSWER:
b.
They are more likely to happen with parents use consistent and firm behavior modeling.
15.Which of the following would not suggest an eating disorder with a purging component?
ANSWER: b.
Finger calluses
16.You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is
normal but at the low end of the normal language spectrum. The parent is worried the child’s
development will not be normal because she mixes up the two languages. You respond:
ANSWER: c.
"The child may confuse the words now, but that will change by second grade."
