NRNP 6665 Week 11 Final
Exam – Walden University –
2026/2027 – Revised
Questions and Verified
Answers
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." - answer-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." - answer-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 - answer-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" - answer-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 - answer-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 - answer-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 - answer-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 - answer-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
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia - answer-A. Von Willebrand's disease
10. Koplik spots are small, white spots that occur on the inside of the cheeks early in the
course of
A. measles
B. varicella
, C. fifth disease
D. rheumatic fever - answer-A. measles
11. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an
argument with her boyfriend. She has no obvious injuries and denies pain. Aida needs
to be monitored for the occurrence of
A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa - answer-A. abruptio placentae
12. Growth hormone treatment for short stature in children remains controversial. The
clinician should be aware of the following regarding the assessment of growth problems
and idiopathic short stature
A. identification of a growth problem can be made based on one measurement
B. dysmorphic facial features will be present
C. identification of growth problems is usually made by an auxological evaluation, which
compares the child's growth to standardized norms
D. measurements of children lying on the exam table paper are most accurate - answer-
C. identification of growth problems is usually made by an auxological evaluation, which
compares the child's growth to standardized norms
13. Nancy is concerned that her new breastfed baby is not getting enough fluid. What
do you tell her so that she can assess for an adequate intake?
A. weigh the infant every other day to see the weight gain in ounces
B. if the infant is drinking and sleeping normally, an adequate intake is assumed
C. if there are 6 to 10 wet diapers a day, intake is adequate
D. if the infant is not irritable, an intake problem does not exist - answer-C. if there are 6
to 10 wet diapers a day, intake is adequate
Exam – Walden University –
2026/2027 – Revised
Questions and Verified
Answers
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." - answer-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." - answer-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 - answer-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" - answer-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 - answer-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 - answer-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 - answer-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 - answer-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
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia - answer-A. Von Willebrand's disease
10. Koplik spots are small, white spots that occur on the inside of the cheeks early in the
course of
A. measles
B. varicella
, C. fifth disease
D. rheumatic fever - answer-A. measles
11. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an
argument with her boyfriend. She has no obvious injuries and denies pain. Aida needs
to be monitored for the occurrence of
A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa - answer-A. abruptio placentae
12. Growth hormone treatment for short stature in children remains controversial. The
clinician should be aware of the following regarding the assessment of growth problems
and idiopathic short stature
A. identification of a growth problem can be made based on one measurement
B. dysmorphic facial features will be present
C. identification of growth problems is usually made by an auxological evaluation, which
compares the child's growth to standardized norms
D. measurements of children lying on the exam table paper are most accurate - answer-
C. identification of growth problems is usually made by an auxological evaluation, which
compares the child's growth to standardized norms
13. Nancy is concerned that her new breastfed baby is not getting enough fluid. What
do you tell her so that she can assess for an adequate intake?
A. weigh the infant every other day to see the weight gain in ounces
B. if the infant is drinking and sleeping normally, an adequate intake is assumed
C. if there are 6 to 10 wet diapers a day, intake is adequate
D. if the infant is not irritable, an intake problem does not exist - answer-C. if there are 6
to 10 wet diapers a day, intake is adequate
