NRNP 6635 WEEK 6 MIDTERM EXAMINATION
TEST 2026 FULL SOLVED QUESTIONS AND
SOLUTIONS
◉ 2. Jack and Jill present for a preconception health counseling
session. Jack is 34, Jill is 33, and they have a 5 year old son, Jake. Jake
is the product of an uncomplicated pregnancy and labor. At birth,
Jake had an open neural tube defect and now has spina bifida with a
loss of function of his lower extremities. Jack and Jill want another
child and ask if there is anything they can do to prevent the
recurrence of a neural tube defect in future pregnancies. What is
your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance
stores to support fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine
the health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception." Answer: D. "Jill should take 4 mg/day of folic acid,
beginning before conception."
,◉ 3. You are invited to speak to a group of public school
administrators about recent outbreaks of head lice. As an advocate
for children and families you share
A. "no nit" policies that exclude children until all nits are removed
are essential to eradicate this problem
B. the American Academy of Pediatrics and the National Association
of School Nurses discourage "no nit" policies that exclude children
from school
C. occlusive agents, such as petroleum shampoo and herbal oils,
applied to suffocate the lice are showing promising results in
randomized controlled trials
D. lindane is recommended by the American Academy of Pediatrics
as a treatment choice Answer: B. the American Academy of
Pediatrics and the National Association of School Nurses discourage
"no nit" policies that exclude children from school
◉ 4. What is the simplest and safest method of suppressing lactation
after it has started?
,A. administering oral and long-acting injections of hormonal
preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week
period
D. stopping "cold-turkey" Answer: C. gradually weaning the baby to a
bottle or cup over a 3-week period
◉ 5. When can you hear fetal heart tones with a conventional
fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks Answer: C. 18 to 20 weeks
, ◉ 6. The reaspn most often cited to explain why women who have
had a usual length of stay and normal delivery discontinue
breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness Answer: B. the perception that the
infant is not receiving enough milk
◉ 7. Pediatric patients may now be prescribed OxyContin for pain.
Patients must be already responding to and tolerating a minimum
opioid dose equal to at least 20 mg of oxycodone per day before they
can be prescribed an equivalent dose of OxyContin. In order to be
prescribed OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
TEST 2026 FULL SOLVED QUESTIONS AND
SOLUTIONS
◉ 2. Jack and Jill present for a preconception health counseling
session. Jack is 34, Jill is 33, and they have a 5 year old son, Jake. Jake
is the product of an uncomplicated pregnancy and labor. At birth,
Jake had an open neural tube defect and now has spina bifida with a
loss of function of his lower extremities. Jack and Jill want another
child and ask if there is anything they can do to prevent the
recurrence of a neural tube defect in future pregnancies. What is
your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance
stores to support fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine
the health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception." Answer: D. "Jill should take 4 mg/day of folic acid,
beginning before conception."
,◉ 3. You are invited to speak to a group of public school
administrators about recent outbreaks of head lice. As an advocate
for children and families you share
A. "no nit" policies that exclude children until all nits are removed
are essential to eradicate this problem
B. the American Academy of Pediatrics and the National Association
of School Nurses discourage "no nit" policies that exclude children
from school
C. occlusive agents, such as petroleum shampoo and herbal oils,
applied to suffocate the lice are showing promising results in
randomized controlled trials
D. lindane is recommended by the American Academy of Pediatrics
as a treatment choice Answer: B. the American Academy of
Pediatrics and the National Association of School Nurses discourage
"no nit" policies that exclude children from school
◉ 4. What is the simplest and safest method of suppressing lactation
after it has started?
,A. administering oral and long-acting injections of hormonal
preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week
period
D. stopping "cold-turkey" Answer: C. gradually weaning the baby to a
bottle or cup over a 3-week period
◉ 5. When can you hear fetal heart tones with a conventional
fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks Answer: C. 18 to 20 weeks
, ◉ 6. The reaspn most often cited to explain why women who have
had a usual length of stay and normal delivery discontinue
breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness Answer: B. the perception that the
infant is not receiving enough milk
◉ 7. Pediatric patients may now be prescribed OxyContin for pain.
Patients must be already responding to and tolerating a minimum
opioid dose equal to at least 20 mg of oxycodone per day before they
can be prescribed an equivalent dose of OxyContin. In order to be
prescribed OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
