LATEST DUNPHY THE BUSINESS OF ADVANCED
PRACTICE NURSING TEST 2024 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (CORRECT VERIFIED
ANSWERS) LATEST UPDATES |ALREADY GRADED A+
1. Sally Ann is concerned that she cannot afford special walking shoes for her baby,
who is beginning to pull himself up to his feet. What do you tell her?
A. "High-top shoes are necessary to prevent ankle injuries when your baby falls."
B. "Don't worry. Special shoes are not necessary. The more flexible the shoe, the
better."
C. "Try to keep him off uncarpeted floors until you can obtain shoes."
D. "The sock-type booties you have are fine." - ANSWER: B. "Don't worry. Special
shoes are not necessary. The more flexible the shoe, the better."
2. Shannon, age 4 months, is waiting in the exam room with her mother. When you
walk into the room, you expect Shannon to
A. begin crying
B. turn her head toward the sound of the door or your voice
C. not notice you
D. smile at you - ANSWER: B. turn her head toward the sound of the door or your
voice
3. Which of these language behaviors would be cause for concern at a primary care
visit?
A. 1 year old cannot say more than two words with meaning
B. an 18 month old uses unintelligible jargon and has only a few words that are
intelligible to family members
C. a 2 year old uses only two to three word sentences
D. a 3 year old does not use three to five word sentences - ANSWER: D. a 3 year old
does not use three to five word sentences
,4. A 14 year old girl's BMI is plotted between the 85th and 95th percentiles. Based on
developmental characteristics, which strategy is best to use when educating her
about self-care changes that are needed?
A. emphasize the benefits of diet and activity changes that she identifies as most
important
B. describe the relationship between current health choices and later health risks
C. encourage her parents to share their recent experiences with weight management
D. tell her frankly that her weight is too high, she she must make changes to
decrease risks for developing chronic illness like diabetes - ANSWER: A. emphasize
the benefits of diet and activity changes that she identifies as most important
5. Beginning at about age 55, most people can expect which of the following
changes?
A. a 1 to 2 inch decline in height
B. stable body weight
C. sharper vision and hearing
D. increased strength - ANSWER: A. a 1 to 2 inch decline in height
6. 9 year old Mark is a highly active child with limited self control. He is easily
distracted and has difficulty staying on task and working toward a goal. You
determine that he should have a neurodevelopmental evaluation because he is
showing signs of
A. ADHD
B. dyslexia
C. autism
D. impaired hearing - ANSWER: A. ADHD
7. Jon, age 13, has some enlargement of the scrotum and testes, a reddened scrotal
sac, and some hair texture alteration, but his penis is not enlarged. He is in Tanner
stage
A. I
B. II
,C. III
D. IV - ANSWER: B. II
8. The feature(s) of fragile X syndrome that should be evaluated during well child
examinations include
A. being easily overwhelmed by stimuli and having language delays
B. shorter linear growth
C. increased frequency of ear infections
D. difficulty swallowing - ANSWER: A. being easily overwhelmed by stimuli and
having language delays
9. Victoria's mother brings her daughter for her 1 year checkup. As you are weighing
her, you remember that at 1 year, her weight should be
A. twice her birth weight
B. triple her birth weight
C. four times her birth weight
D. at least 25 pounds - ANSWER: B. triple her birth weight
10. You are seeing Sarah, 24, who is 8 weeks pregnant with her first child. She is
concerned because of a family history of cystic fibrosis. You recommend that she
A. see a pulmonologist
B. undergo chorionic villus sampling
C. have a sweat chloride test done
D. seek out genetic counseling - ANSWER: D. seek out genetic counseling
11. Male reproductive system changes during middle and later adulthood result in
which manifestation?
A. slight decrease in sperm production
B. testicular enlargement
C. decrease in estrogen-like hormone production
, D. stable levels of testosterone - ANSWER: A. slight decrease in sperm production
12. The parent of Jorge, a 27 month old, is concerned because Jorge insists on going
through the same sequence of washing his hands and face, sitting at the table, and
using the same cup at every meal and snack, even at the mall's food court. He cries
or has a tantrum when it's not possible. Your response to his parent should be based
on which rationale?
A. these are normal and expected behaviors for the age
B. behavior modification techniques can help quickly extinguish these behaviors
C. a child should be able to be more adaptable at this developmental stage
D. these behaviors suggest the child is having difficulty coping with change -
ANSWER: A. these are normal and expected behaviors for the age
13. You are watching baby Jane play with a toy in the examining room. You move the
toy and cover it with a cloth. The baby removes the cloth and reclaims the toy. This is
an indication that the baby has achieved which of the following?
A. object permanence
B. conservation
C. basic trust
D. initiative - ANSWER: A. object permanence
14. Fragile X syndrome is usually diagnosed when a child
A. is a newborn
B. begins to walk
C. is past the toddler stage
D. begins puberty - ANSWER: C. is past the toddler stage
15. To determine your client's emotional and cognitive level of functioning when you
are performing a mental status exam, you assess several individual behaviors. What
is the term used when one ponders a deeper meaning beyond concrete and literal?
A. thought process
B. abstract reasoning
PRACTICE NURSING TEST 2024 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (CORRECT VERIFIED
ANSWERS) LATEST UPDATES |ALREADY GRADED A+
1. Sally Ann is concerned that she cannot afford special walking shoes for her baby,
who is beginning to pull himself up to his feet. What do you tell her?
A. "High-top shoes are necessary to prevent ankle injuries when your baby falls."
B. "Don't worry. Special shoes are not necessary. The more flexible the shoe, the
better."
C. "Try to keep him off uncarpeted floors until you can obtain shoes."
D. "The sock-type booties you have are fine." - ANSWER: B. "Don't worry. Special
shoes are not necessary. The more flexible the shoe, the better."
2. Shannon, age 4 months, is waiting in the exam room with her mother. When you
walk into the room, you expect Shannon to
A. begin crying
B. turn her head toward the sound of the door or your voice
C. not notice you
D. smile at you - ANSWER: B. turn her head toward the sound of the door or your
voice
3. Which of these language behaviors would be cause for concern at a primary care
visit?
A. 1 year old cannot say more than two words with meaning
B. an 18 month old uses unintelligible jargon and has only a few words that are
intelligible to family members
C. a 2 year old uses only two to three word sentences
D. a 3 year old does not use three to five word sentences - ANSWER: D. a 3 year old
does not use three to five word sentences
,4. A 14 year old girl's BMI is plotted between the 85th and 95th percentiles. Based on
developmental characteristics, which strategy is best to use when educating her
about self-care changes that are needed?
A. emphasize the benefits of diet and activity changes that she identifies as most
important
B. describe the relationship between current health choices and later health risks
C. encourage her parents to share their recent experiences with weight management
D. tell her frankly that her weight is too high, she she must make changes to
decrease risks for developing chronic illness like diabetes - ANSWER: A. emphasize
the benefits of diet and activity changes that she identifies as most important
5. Beginning at about age 55, most people can expect which of the following
changes?
A. a 1 to 2 inch decline in height
B. stable body weight
C. sharper vision and hearing
D. increased strength - ANSWER: A. a 1 to 2 inch decline in height
6. 9 year old Mark is a highly active child with limited self control. He is easily
distracted and has difficulty staying on task and working toward a goal. You
determine that he should have a neurodevelopmental evaluation because he is
showing signs of
A. ADHD
B. dyslexia
C. autism
D. impaired hearing - ANSWER: A. ADHD
7. Jon, age 13, has some enlargement of the scrotum and testes, a reddened scrotal
sac, and some hair texture alteration, but his penis is not enlarged. He is in Tanner
stage
A. I
B. II
,C. III
D. IV - ANSWER: B. II
8. The feature(s) of fragile X syndrome that should be evaluated during well child
examinations include
A. being easily overwhelmed by stimuli and having language delays
B. shorter linear growth
C. increased frequency of ear infections
D. difficulty swallowing - ANSWER: A. being easily overwhelmed by stimuli and
having language delays
9. Victoria's mother brings her daughter for her 1 year checkup. As you are weighing
her, you remember that at 1 year, her weight should be
A. twice her birth weight
B. triple her birth weight
C. four times her birth weight
D. at least 25 pounds - ANSWER: B. triple her birth weight
10. You are seeing Sarah, 24, who is 8 weeks pregnant with her first child. She is
concerned because of a family history of cystic fibrosis. You recommend that she
A. see a pulmonologist
B. undergo chorionic villus sampling
C. have a sweat chloride test done
D. seek out genetic counseling - ANSWER: D. seek out genetic counseling
11. Male reproductive system changes during middle and later adulthood result in
which manifestation?
A. slight decrease in sperm production
B. testicular enlargement
C. decrease in estrogen-like hormone production
, D. stable levels of testosterone - ANSWER: A. slight decrease in sperm production
12. The parent of Jorge, a 27 month old, is concerned because Jorge insists on going
through the same sequence of washing his hands and face, sitting at the table, and
using the same cup at every meal and snack, even at the mall's food court. He cries
or has a tantrum when it's not possible. Your response to his parent should be based
on which rationale?
A. these are normal and expected behaviors for the age
B. behavior modification techniques can help quickly extinguish these behaviors
C. a child should be able to be more adaptable at this developmental stage
D. these behaviors suggest the child is having difficulty coping with change -
ANSWER: A. these are normal and expected behaviors for the age
13. You are watching baby Jane play with a toy in the examining room. You move the
toy and cover it with a cloth. The baby removes the cloth and reclaims the toy. This is
an indication that the baby has achieved which of the following?
A. object permanence
B. conservation
C. basic trust
D. initiative - ANSWER: A. object permanence
14. Fragile X syndrome is usually diagnosed when a child
A. is a newborn
B. begins to walk
C. is past the toddler stage
D. begins puberty - ANSWER: C. is past the toddler stage
15. To determine your client's emotional and cognitive level of functioning when you
are performing a mental status exam, you assess several individual behaviors. What
is the term used when one ponders a deeper meaning beyond concrete and literal?
A. thought process
B. abstract reasoning
