NRNP 6541 Final
Question 1
1 out of 1 points
A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping
forehead, cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly,
microphthalmia, and omphalocele. Which of these is the most likely diagnosis?
Selected Answer: a.
Patau syndrome (trisomy
13)
• Question 2
• 1 out of 1 points
A 16-year-old girl has enuresis, frequent urination, a white vaginal discharge, and a
dark rash around her neck. Her serum glucose level is 250 mg/dL, and her urinalysis is
positive for 2+ glucose but is otherwise negative. Which of the following is the most
likely diagnosis?
Selected Answer: c.
Type II
diabetes
• Question 3
• 1 out of 1 points
Mark, age 15, is 5 feet tall andn weighs 85 pounds. You suspect anorexia and know
that the best initial approach is to
Selected Answer: d.
Confront Mark with the fact that you suspect an eating
disorder.
• Question 4
• 1 out of 1 points
, Which of the following is not a sign or symptom of congenital hypothyroidism?
Selected Answer: d.
Frequent
stooling
• Question 5
• 0 out of 1 points
While doing a 5-year-old well child exam, you notice two small patches of hair loss.
Broken hair is present, as is erythema and scaling. On the basis of this information,
which of these is the likely diagnosis?
Selected Answer: c.
Alopecia
areata
• Question 6
• 1 out of 1 points
Hope is a 7-month-old who presents in January with a 1-day history of cough, yellow
nasal discharge, and low-grade temp (T max 100°F). She was previously healthy. She
does have 2+ edema of the nasal turbinates and cloudy rhinorrhea. She is afebrile in
the office. Her chest, mouth, and ears are clear. You prescribe:
Selected Answer: d.
Saline drops, bulb suction, humidified air, and increased
PO fluids
• Question 7
• 1 out of 1 points
The parents of an 8-year-old Down Syndrome boy arrive for his annual well-child
visit. He wants to participate in sports, including the Special Olympics. Until further
examination can be completed, which of the following sports would you suggest as
being safe?
, Selected Answer: a.
Tenni
s
• Question 8
• 1 out of 1 points
Jason, age 14, appears with tender discoid breast tissue enlargement (2-3 cm in
diameter) beneath the areola. Your next action would be to
Selected Answer: a.
Perform watchful waiting for 1
year.
• Question 9
• 1 out of 1 points
You see a 7-year-old boy a day after he was bitten by his pet dog. According to the
mother, the dog bit the child after he snuck up on the dog and grabbed his tail. The dog
has had all its vaccinations, including rabies. The child has had no fever, has full
movement of the injured limb, and has no sign of neurologic or vascular injury. The
wound is on the child’s forearm, is not deep, and is not bleeding, but has developed
about 2 cm of erythema surrounding the site. Which of the following is the most
appropriate treatment?
Selected Answer: c.
Oral amoxicillin-clavulanate for 7-
14 days
• Question 10
• 1 out of 1 points
A head injury in which bruising or tearing of the cerebral structures occurs is a
Selected Answer: d.
Contusi
on
Question 1
1 out of 1 points
A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping
forehead, cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly,
microphthalmia, and omphalocele. Which of these is the most likely diagnosis?
Selected Answer: a.
Patau syndrome (trisomy
13)
• Question 2
• 1 out of 1 points
A 16-year-old girl has enuresis, frequent urination, a white vaginal discharge, and a
dark rash around her neck. Her serum glucose level is 250 mg/dL, and her urinalysis is
positive for 2+ glucose but is otherwise negative. Which of the following is the most
likely diagnosis?
Selected Answer: c.
Type II
diabetes
• Question 3
• 1 out of 1 points
Mark, age 15, is 5 feet tall andn weighs 85 pounds. You suspect anorexia and know
that the best initial approach is to
Selected Answer: d.
Confront Mark with the fact that you suspect an eating
disorder.
• Question 4
• 1 out of 1 points
, Which of the following is not a sign or symptom of congenital hypothyroidism?
Selected Answer: d.
Frequent
stooling
• Question 5
• 0 out of 1 points
While doing a 5-year-old well child exam, you notice two small patches of hair loss.
Broken hair is present, as is erythema and scaling. On the basis of this information,
which of these is the likely diagnosis?
Selected Answer: c.
Alopecia
areata
• Question 6
• 1 out of 1 points
Hope is a 7-month-old who presents in January with a 1-day history of cough, yellow
nasal discharge, and low-grade temp (T max 100°F). She was previously healthy. She
does have 2+ edema of the nasal turbinates and cloudy rhinorrhea. She is afebrile in
the office. Her chest, mouth, and ears are clear. You prescribe:
Selected Answer: d.
Saline drops, bulb suction, humidified air, and increased
PO fluids
• Question 7
• 1 out of 1 points
The parents of an 8-year-old Down Syndrome boy arrive for his annual well-child
visit. He wants to participate in sports, including the Special Olympics. Until further
examination can be completed, which of the following sports would you suggest as
being safe?
, Selected Answer: a.
Tenni
s
• Question 8
• 1 out of 1 points
Jason, age 14, appears with tender discoid breast tissue enlargement (2-3 cm in
diameter) beneath the areola. Your next action would be to
Selected Answer: a.
Perform watchful waiting for 1
year.
• Question 9
• 1 out of 1 points
You see a 7-year-old boy a day after he was bitten by his pet dog. According to the
mother, the dog bit the child after he snuck up on the dog and grabbed his tail. The dog
has had all its vaccinations, including rabies. The child has had no fever, has full
movement of the injured limb, and has no sign of neurologic or vascular injury. The
wound is on the child’s forearm, is not deep, and is not bleeding, but has developed
about 2 cm of erythema surrounding the site. Which of the following is the most
appropriate treatment?
Selected Answer: c.
Oral amoxicillin-clavulanate for 7-
14 days
• Question 10
• 1 out of 1 points
A head injury in which bruising or tearing of the cerebral structures occurs is a
Selected Answer: d.
Contusi
on
