NURS 6541 Midterm Exam (Exam solutions, with updated multiple versions resources for 2022 Exams)

NURS 6541 Midterm Exam (Exam solutions, with updated multiple versions resources for 2022 Exams) Question 1 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes Question 2 0 out of 1 points Which of the following would not suggest an eating disorder with a purging component? Selected Answer: d. Finger calluses Question 3 1 out of 1 points Which of the following screenings should adolescents have done annually? Selected Answer: d. Psychosocial screening, blood pressure, body mass index Question 4 0 out of 1 points A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none sense. Which of the following statements about him is correct? Selected Answer: b. His vaccinations at birth and 2 months are repeated because too much time has elapsed for them to be effective. Question 5 1 out of 1 points You see a young child who has tripled her birth weight and looks for hidden objects. When given blocks, she places one in each hand. She has a fine pincer grasp. On the floor, she walks around holding objects and is trying to take independent steps. This child is most likely how old? Selected Answer: d. 12 months Question 6 1 out of 1 points 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: Selected Answer: b. "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age." Question 7 0 out of 1 points A breastfed infant is expected to have a lower incidence of which of the following? Selected Answer: d. Asthma Question 8 1 out of 1 points An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis? Selected Answer: a. Viral pharyngitis Question 9 0 out of 1 points Acute otitis media can be diagnosed when there is Selected Answer: a. Fluid in the middle ear accompanied by fever and otalgia. Question 10 1 out of 1 points A 4-month-old presents with both eyes turning inward. What is this called? Selected Answer: b. Esotropia Question 11 1 out of 1 points Which of the following represents normal sequencing of development in a toddler? Selected Answer: Question 12 1 out of 1 points c. Feeds self, can undress self with help, washes hands, imitates housework. Which of the following foreign body in the nose requires immediate removal? Selected Answer: c. battery Question 13 0 out of 1 points During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of information. Which of the following bits of information is of most concern? Selected Answer: e. Consuming 32 ounces of infant formula per day. Question 14 0 out of 1 points Which of the following children should be referred for a comprehensive developmental evaluation? Selected Answer: c. A 3-year-old who consistently tracks at the 5th percentile for height and weight since birth. Question 15 1 out of 1 points Which of the following is a true contraindication of vaccinating a child? Selected Answer: Question 16 d. Previous vaccination reaction that consisted of wheezing and hypotension 1 out of 1 points A 2-year-old boy has been slightly less than the 50th percentile for weight, height and head circumference, but in the last 6 months he has fallen to slightly less than the 25th percentile for weight. The pregnancy was normal, his development is as expected, and the family reports no psychosocial problems. The mother says that he is now a finicky eater (wants only macaroni and cheese at all meals), but she insists that he eat a variety of foods. The meals are marked by much frustration for everyone. His examination is normal. Which of the following is the best next step in his care? Selected Answer: c. Reassurance and counseling for family about childhood normal developmental stage Question 17 1 out of 1 points Which is the correct order for introduction of solid foods to an infant? Selected Answer: c. Cereal, vegetables, fruits, and meats Question 18 0 out of 1 points At what age would a child be expected to remember a string of numbers and repeat them backwards? Selected Answer: b. 6 years Question 19 1 out of 1 points Epiglottitis has decreased due to which immunization? Selected Answer: b. Hib Question 20 1 out of 1 points Sarah, 7 years old, is in the office today. All of the following are acceptable management options for allergic rhinitis, except Selected Answer: d. Nasal neosynephrine Question 21 1 out of 1 points Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage Selected Answer: b. II Question 22 1 out of 1 points Which of the following issues or concepts is relevant to the school-age child? Selected Answer: d. Erikson's initiative versus guilt Question 23 1 out of 1 points Hannah, age 4, is brought into the office by her father. She complains of a sore throat, difficulty swallowing, copious oral secretions, stridor, and a temperature of 102F. She does not have pharyngeal erythema or cough. What do you suspect? Selected Answer: c. Epiglottitis Question 24 0 out of 1 points Sally, age 4, presents to the office with her mother for a well-child visit. To assess for age-appropriate fine motor skills, what activity would you ask her to perform? Selected Answer: d. String beads. Question 25 1 out of 1 points Which of the following eye findings would be considered an ophthalmic emergency? Selected Answer: Question 26 1 out of 1 points c. Unilateral vesicular lesions on the upper eyelid in a 3-week old. Which of the following signs may indicate a baby is not receiving sufficient breastmilk? Selected Answer: a. Sleepiness, jaundice, and vomiting Question 27 0 out of 1 points Which of the following statements is true regarding lying and stealing by the school-age child? Selected Answer: b. They are highly correlated with later criminal behavior. Question 28 1 out of 1 points Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots. What do you suspect?