WALDEN UNIVERSITY NR6541
MIDTERM EXAM 2024-2025 (4
VERSIONS WITH 100%
VERIFIED ANSWERS |RATED A+
When completing this quiz, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?
midterm EXAM 2024-2025 (4 latest versions with 100% verified
solutions)rated a+
Selected Ye
Answer: s
Which of the following statements regarding adolescent substance use is true?
Selected a.
Answer: Tobacco is the most commonly abused substance during
adolescence.
You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus,
and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one
measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two
hepatitis B (Hep B) vaccines. What do you order today?
Selected d.
Answer: DTaP, IPV, MMR, and
Varivax
The parents of a 7-year-old are concerned their son does not want to attend school.
Which of the historical findings are not usually associated with the diagnosis of school
phobia?
Selected c.
,Answer: Chronic medical
illness
Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action
is contraindicated?
Selected b.
Answer: Flushing the ear with
water.
You see a 7-year-old with complaints of "having accidents at night." Physical exam and
history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His
parents ask about the best treatment for this problem. The best response is
Selected c.
Answer: Fluid restriction and voiding prior to the night may be
effective.
You are doing a kindergarten physical on a 5-year-old girl. Which of the following
scenarios would suggest the child is not ready to start kindergarten in the fall?
Selected d.
Answer: Counts to 4 and draws a person with
three parts.
Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots.
What do you suspect?
Selected c.
Answer: Down
syndrome
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?
Selected b.
Answer: 9
months
,Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is
crying in pain. The ear canal is swollen and exudate is preswent. The TM is normal. What
is the proper management for his patient?
Selected b.
Answer: Topical
Fluoroquiolone
The diagnostic criteria for autism spectrum disorder include all of the following except
Selected d.
Answer: Tolerance of flexibility with
routines
Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the two-
week recheck, his TM was still erythematous and you cannot see the landmarks. He
has persistent nasal congestion, he is not sleeping at night, and he has a 101°F
fever. What is the next best step for Luke?
Selected d.
Answer: A 10 day course of
Augmentin
Which of the following would not suggest an eating disorder with a purging component?
Selected d.
Answer: Diarrhe
a
Role-play with equipment during the course of the physical exam would be the
most beneficial with which age group?
Selected d.
Answer: Preschoole
rs
While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should
be ruled out?
, Selected d.
Answer: Neurofibromato
sis
An expected milestone of a 4-year-old is the ability to
Selected c.
Answer: Copy a
cross
You receive a phone call from the mother of a 2-year-old. She states her child has
sleep refusal. You suggest the child should be able to:
Selected a.
Answer: Set his own bedtime based on his
internal clock.
An eye that deviates in when covered but that returns to midline when uncovered is an
Selected a.
Answer: esotropi
a
A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The
child has not yet achieved which of the principles of Piaget?
Selected b.
Answer: Conservati
on
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 b.
Answer: He is too old to receive the Haemophilus
influenzae Type B vaccine.
• Question 21
MIDTERM EXAM 2024-2025 (4
VERSIONS WITH 100%
VERIFIED ANSWERS |RATED A+
When completing this quiz, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?
midterm EXAM 2024-2025 (4 latest versions with 100% verified
solutions)rated a+
Selected Ye
Answer: s
Which of the following statements regarding adolescent substance use is true?
Selected a.
Answer: Tobacco is the most commonly abused substance during
adolescence.
You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus,
and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one
measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two
hepatitis B (Hep B) vaccines. What do you order today?
Selected d.
Answer: DTaP, IPV, MMR, and
Varivax
The parents of a 7-year-old are concerned their son does not want to attend school.
Which of the historical findings are not usually associated with the diagnosis of school
phobia?
Selected c.
,Answer: Chronic medical
illness
Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action
is contraindicated?
Selected b.
Answer: Flushing the ear with
water.
You see a 7-year-old with complaints of "having accidents at night." Physical exam and
history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His
parents ask about the best treatment for this problem. The best response is
Selected c.
Answer: Fluid restriction and voiding prior to the night may be
effective.
You are doing a kindergarten physical on a 5-year-old girl. Which of the following
scenarios would suggest the child is not ready to start kindergarten in the fall?
Selected d.
Answer: Counts to 4 and draws a person with
three parts.
Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots.
What do you suspect?
Selected c.
Answer: Down
syndrome
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?
Selected b.
Answer: 9
months
,Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is
crying in pain. The ear canal is swollen and exudate is preswent. The TM is normal. What
is the proper management for his patient?
Selected b.
Answer: Topical
Fluoroquiolone
The diagnostic criteria for autism spectrum disorder include all of the following except
Selected d.
Answer: Tolerance of flexibility with
routines
Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the two-
week recheck, his TM was still erythematous and you cannot see the landmarks. He
has persistent nasal congestion, he is not sleeping at night, and he has a 101°F
fever. What is the next best step for Luke?
Selected d.
Answer: A 10 day course of
Augmentin
Which of the following would not suggest an eating disorder with a purging component?
Selected d.
Answer: Diarrhe
a
Role-play with equipment during the course of the physical exam would be the
most beneficial with which age group?
Selected d.
Answer: Preschoole
rs
While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should
be ruled out?
, Selected d.
Answer: Neurofibromato
sis
An expected milestone of a 4-year-old is the ability to
Selected c.
Answer: Copy a
cross
You receive a phone call from the mother of a 2-year-old. She states her child has
sleep refusal. You suggest the child should be able to:
Selected a.
Answer: Set his own bedtime based on his
internal clock.
An eye that deviates in when covered but that returns to midline when uncovered is an
Selected a.
Answer: esotropi
a
A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The
child has not yet achieved which of the principles of Piaget?
Selected b.
Answer: Conservati
on
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 b.
Answer: He is too old to receive the Haemophilus
influenzae Type B vaccine.
• Question 21
