1
. NRNP
6541 MIDTERM 3 LATEST VERSIONS
/NRNP 6541 WEEK 6 MIDTERM
PREPARATION/NRNP 6541 MIDTERM 3 LATEST
VERSIONS PRACTICE EXAM REAL EXAM 300
QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+ (WALDEN
UNIVERSITY)
1. A 2-year-old child is brought to the primary care clinic for a
routine health-supervision visit. The parents report that the child
has recently become increasingly independent, frequently says
“no,” can climb stairs with assistance, uses several two-word
phrases, and enjoys parallel play alongside other children. The
parents are concerned because the child does not consistently share
toys with peers. Which developmental finding should the nurse
practitioner recognize as most appropriate for this age?
A. Engaging primarily in cooperative group play
B. Using two-word phrases and participating in parallel play
C. Reading simple sentences independently
D. Drawing a recognizable person with several body parts
Correct answer: B
2. A 4-year-old child presents for a preventive health examination. The
parents state that the child can dress with minimal assistance, uses four-
to five-word sentences, asks numerous questions, and enjoys
imaginative games. During the visit, the child is able to hop on one foot
and draw a person with several recognizable features. Which
developmental domain is being demonstrated most clearly by the ability
to hop on one foot?
A. Fine motor development
,2
B. Language development
C. Gross motor development
D. Social-emotional development
Correct answer: C
3. A 15-month-old toddler is evaluated during a well-child visit. The
parents report that the child walks independently, points to desired
objects, follows simple commands, uses several words besides “mama”
and “dada,” and attempts to feed independently with a spoon. Which
additional finding would most strongly suggest a developmental concern
requiring further evaluation?
A. Difficulty sharing toys with another toddler
B. Occasional temper tantrums
C. Inability to walk independently
D. Preference for parallel play
Correct answer: C
4. A 6-month-old infant is brought to the clinic for a routine
examination. The infant rolls from abdomen to back and back to
abdomen, reaches for objects, transfers objects from one hand to
another, laughs aloud, and responds to familiar voices. Which finding
would be most concerning at this age?
A. Stranger anxiety
B. Lack of independent sitting without support
C. Absence of a social smile
D. Reaching for objects
Correct answer: C
5. During a 9-month well-child examination, the nurse practitioner
evaluates developmental milestones. The infant sits without support,
crawls, transfers objects between hands, responds to his or her name,
and uses repetitive consonant sounds. Which additional behavior would
be expected?
,3
A. Using three-word sentences
B. Pulling to stand
C. Hopping on one foot
D. Copying a square
Correct answer: B
6. A 12-year-old adolescent presents for a preventive visit. The
adolescent reports increased concern about body image, spends more
time with friends than family, and is beginning to develop stronger
personal opinions about school, clothing, and social activities. Which
developmental characteristic is most consistent with normal early
adolescence?
A. Complete emotional independence from parents
B. Increased importance of peer relationships
C. Stable abstract reasoning equivalent to adulthood
D. Absence of concern regarding physical appearance
Correct answer: B
7. A 16-year-old adolescent presents for an annual examination. During
the psychosocial assessment, the adolescent discusses school,
relationships, alcohol exposure, sexual activity, and future career goals.
Which approach is most appropriate when obtaining sensitive
information?
A. Conduct the entire interview with the parent present
B. Ask only questions specifically volunteered by the adolescent
C. Provide private time with the adolescent as part of routine care
D. Obtain permission from the parent before asking about sexuality
Correct answer: C
8. A 13-year-old adolescent reports that puberty began approximately
one year ago and that breast development and pubic hair have
progressed. The parent asks the nurse practitioner whether the timing of
puberty is normal. Which statement best describes normal puberty?
, 4
A. Puberty always begins at exactly 12 years of age
B. Pubertal development occurs within a broad normal range
C. Puberty beginning before age 15 is always abnormal
D. Pubertal development should be identical among siblings
Correct answer: B
9. A 7-year-old child presents for a routine examination. The child has
demonstrated appropriate school performance, participates in organized
sports, and has several close friends. The parent asks what psychosocial
developmental task is characteristic of this age period. Which response
is most appropriate?
A. Developing a sense of industry through achievement
B. Developing basic trust through consistent caregiving
C. Developing autonomy through toilet training
D. Developing intimacy through adult partnerships
Correct answer: A
10. A 10-year-old child is evaluated during a preventive visit. The child
has begun comparing academic performance and athletic abilities with
classmates and expresses pride when successfully completing difficult
tasks. Which psychosocial stage best corresponds to these behaviors?
A. Trust versus mistrust
B. Autonomy versus shame and doubt
C. Industry versus inferiority
D. Identity versus role confusion
Correct answer: C
11. A 17-year-old adolescent presents for an annual health examination.
The clinician wants to assess for depression using an age-appropriate
screening approach. Which screening practice is most appropriate?
A. Screen only if the adolescent reports feeling depressed
B. Routinely screen adolescents for depression according to
recommended preventive-care guidance
. NRNP
6541 MIDTERM 3 LATEST VERSIONS
/NRNP 6541 WEEK 6 MIDTERM
PREPARATION/NRNP 6541 MIDTERM 3 LATEST
VERSIONS PRACTICE EXAM REAL EXAM 300
QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+ (WALDEN
UNIVERSITY)
1. A 2-year-old child is brought to the primary care clinic for a
routine health-supervision visit. The parents report that the child
has recently become increasingly independent, frequently says
“no,” can climb stairs with assistance, uses several two-word
phrases, and enjoys parallel play alongside other children. The
parents are concerned because the child does not consistently share
toys with peers. Which developmental finding should the nurse
practitioner recognize as most appropriate for this age?
A. Engaging primarily in cooperative group play
B. Using two-word phrases and participating in parallel play
C. Reading simple sentences independently
D. Drawing a recognizable person with several body parts
Correct answer: B
2. A 4-year-old child presents for a preventive health examination. The
parents state that the child can dress with minimal assistance, uses four-
to five-word sentences, asks numerous questions, and enjoys
imaginative games. During the visit, the child is able to hop on one foot
and draw a person with several recognizable features. Which
developmental domain is being demonstrated most clearly by the ability
to hop on one foot?
A. Fine motor development
,2
B. Language development
C. Gross motor development
D. Social-emotional development
Correct answer: C
3. A 15-month-old toddler is evaluated during a well-child visit. The
parents report that the child walks independently, points to desired
objects, follows simple commands, uses several words besides “mama”
and “dada,” and attempts to feed independently with a spoon. Which
additional finding would most strongly suggest a developmental concern
requiring further evaluation?
A. Difficulty sharing toys with another toddler
B. Occasional temper tantrums
C. Inability to walk independently
D. Preference for parallel play
Correct answer: C
4. A 6-month-old infant is brought to the clinic for a routine
examination. The infant rolls from abdomen to back and back to
abdomen, reaches for objects, transfers objects from one hand to
another, laughs aloud, and responds to familiar voices. Which finding
would be most concerning at this age?
A. Stranger anxiety
B. Lack of independent sitting without support
C. Absence of a social smile
D. Reaching for objects
Correct answer: C
5. During a 9-month well-child examination, the nurse practitioner
evaluates developmental milestones. The infant sits without support,
crawls, transfers objects between hands, responds to his or her name,
and uses repetitive consonant sounds. Which additional behavior would
be expected?
,3
A. Using three-word sentences
B. Pulling to stand
C. Hopping on one foot
D. Copying a square
Correct answer: B
6. A 12-year-old adolescent presents for a preventive visit. The
adolescent reports increased concern about body image, spends more
time with friends than family, and is beginning to develop stronger
personal opinions about school, clothing, and social activities. Which
developmental characteristic is most consistent with normal early
adolescence?
A. Complete emotional independence from parents
B. Increased importance of peer relationships
C. Stable abstract reasoning equivalent to adulthood
D. Absence of concern regarding physical appearance
Correct answer: B
7. A 16-year-old adolescent presents for an annual examination. During
the psychosocial assessment, the adolescent discusses school,
relationships, alcohol exposure, sexual activity, and future career goals.
Which approach is most appropriate when obtaining sensitive
information?
A. Conduct the entire interview with the parent present
B. Ask only questions specifically volunteered by the adolescent
C. Provide private time with the adolescent as part of routine care
D. Obtain permission from the parent before asking about sexuality
Correct answer: C
8. A 13-year-old adolescent reports that puberty began approximately
one year ago and that breast development and pubic hair have
progressed. The parent asks the nurse practitioner whether the timing of
puberty is normal. Which statement best describes normal puberty?
, 4
A. Puberty always begins at exactly 12 years of age
B. Pubertal development occurs within a broad normal range
C. Puberty beginning before age 15 is always abnormal
D. Pubertal development should be identical among siblings
Correct answer: B
9. A 7-year-old child presents for a routine examination. The child has
demonstrated appropriate school performance, participates in organized
sports, and has several close friends. The parent asks what psychosocial
developmental task is characteristic of this age period. Which response
is most appropriate?
A. Developing a sense of industry through achievement
B. Developing basic trust through consistent caregiving
C. Developing autonomy through toilet training
D. Developing intimacy through adult partnerships
Correct answer: A
10. A 10-year-old child is evaluated during a preventive visit. The child
has begun comparing academic performance and athletic abilities with
classmates and expresses pride when successfully completing difficult
tasks. Which psychosocial stage best corresponds to these behaviors?
A. Trust versus mistrust
B. Autonomy versus shame and doubt
C. Industry versus inferiority
D. Identity versus role confusion
Correct answer: C
11. A 17-year-old adolescent presents for an annual health examination.
The clinician wants to assess for depression using an age-appropriate
screening approach. Which screening practice is most appropriate?
A. Screen only if the adolescent reports feeling depressed
B. Routinely screen adolescents for depression according to
recommended preventive-care guidance
