NURS 6541N Primary Care Adolescent & Child - Exam Week 6 Midterm (Fall
Quarter)
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1. Question: When completing this quiz, did you comply with Walden University’s Code
of Conduct including the expectations for academic integrity?
2. Question: By what age should most children be able to sit well without support?
3. Question: All of the following are consistent with peritonsillar abscess except:
4. Question: You would be concerned about the language development of a child who:
5. Question: Which of the following is a true contraindication of vaccinating a child?
6. Question: Which of the following statements about "routine" screening tests is true?
7. Question: You are performing an examination of a 3-year-old who is new to your
office. Which finding requires immediate further evaluation?
8. Question: A mother of a 6-month-old asks you about normal sleep patterns for an
infant this age. The best response is:
9. Question: You see a healthy 18-month-old for a well-child visit. At the 12-month visit
he received the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B
second dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV)
second dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus
influenzae type B (Hib) fourth dose. Which of the following do you order today?
10. Question: Which of the following signs may indicate a baby is not receiving
sufficient breastmilk?
11. Question: Sarah, age 15, presents with pain and pressure over her cheeks and discolored
nasal discharge. You cannot transilluminate the sinuses. You suspect which common
sinus to be affected?
12. Question: An expected milestone of a 4-year-old is the ability to
13. Question: A child's head circumference is routinely ... on each well visit until what age?
14. Question: 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?
15. Question: 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?
16. Question: Conductive hearing loss can be caused by
17. 17.Question: Miguel, age 14, was hit in the eye with a baseball and ... eye pain,
decreased visual acuity, and injection of the globe. Upon exam you note blood in the
anterior chamber and confirm diagnosis of hyphema. What treatment do you
recommend while Miguel is waiting to see the ophthalmologist
18. Question: A child's central visual acuity is 20/30 by age
19. Question: A 9-year-old who weighs 70 pounds asks why she can't sit in the
front passenger seat of the family car. Your best response is
20. Question: 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:
21. Question: 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?
22. Question: 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?
23. Question: A 13-month-old child is noted to be at the 25th percentile for weight, the 10th
percentile for height, and less than the 5th percentile for head circumference. She was
born at term. She was noted to have a small head at birth, to be developmentally ...
throughout her life, and to have required cataract surgery shortly after birth. She
currently takes phenobarbital for seizures. Which of the following would most likely
explain this child’s small size?
24. Question: At what age would a child be expected to remember a string of numbers
and repeat them backwards?
25. Question: A 4-month-old child has poor weight gain. Her current weight is less than the
5th percentile, height about the 10th percentile, and head circumference at the 50th
percentile. The ... pregnancy resulted in a normal, spontaneous, vaginal delivery; mother
and child were ... after a 48-hour hospitalization. Feeding is via breast and bottle; the
quantity seems sufficient. The child has had no illness. The examination is
unremarkable except for the child’s small size. Screening laboratory shows the
hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of
198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5,
bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are
normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood
cells, bacteria, protein, ketones, or reducing substances. Which of the following is the
most appropriate therapy for this child?
26. Question: A 14-year-old female comes into the office for an urgent visit after taking 10
valium tablets. Following the initial emergent care and stailization, the most important
part of the management is:
27. Question: A mother brings her 4-week-old infant into the office because she noticed
small yellow-white glistening bumps on her infant's gums. She says they look like teeth
but is ... that they may be cancer. You diagnose these bumps as
28. Question: Appropriate anticipatory guidance for the parents of an 8-year-old girl includes
29. Question: A differential diagnosis for child abuse would include all of the following
except.
30. Question: An eye that deviates in when ... but that returns to midline when uncovered
is an
31. Question: Sarah, 7 years old, is in the office today. All of the following are
acceptable management options for allergic rhinitis, except
32. Question: Which of the following eye findings would be considered an
ophthalmic emergency?
33. Question: Mark is in the exam room. You are ... he may have epiglottitis. In
what position do these patients prefer to sit?
34. Question: Which is the correct order for introduction of solid foods to an infant?
Quarter)
Download 100% Correct Answer Here
1. Question: When completing this quiz, did you comply with Walden University’s Code
of Conduct including the expectations for academic integrity?
2. Question: By what age should most children be able to sit well without support?
3. Question: All of the following are consistent with peritonsillar abscess except:
4. Question: You would be concerned about the language development of a child who:
5. Question: Which of the following is a true contraindication of vaccinating a child?
6. Question: Which of the following statements about "routine" screening tests is true?
7. Question: You are performing an examination of a 3-year-old who is new to your
office. Which finding requires immediate further evaluation?
8. Question: A mother of a 6-month-old asks you about normal sleep patterns for an
infant this age. The best response is:
9. Question: You see a healthy 18-month-old for a well-child visit. At the 12-month visit
he received the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B
second dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV)
second dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus
influenzae type B (Hib) fourth dose. Which of the following do you order today?
10. Question: Which of the following signs may indicate a baby is not receiving
sufficient breastmilk?
11. Question: Sarah, age 15, presents with pain and pressure over her cheeks and discolored
nasal discharge. You cannot transilluminate the sinuses. You suspect which common
sinus to be affected?
12. Question: An expected milestone of a 4-year-old is the ability to
13. Question: A child's head circumference is routinely ... on each well visit until what age?
14. Question: 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?
15. Question: 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?
16. Question: Conductive hearing loss can be caused by
17. 17.Question: Miguel, age 14, was hit in the eye with a baseball and ... eye pain,
decreased visual acuity, and injection of the globe. Upon exam you note blood in the
anterior chamber and confirm diagnosis of hyphema. What treatment do you
recommend while Miguel is waiting to see the ophthalmologist
18. Question: A child's central visual acuity is 20/30 by age
19. Question: A 9-year-old who weighs 70 pounds asks why she can't sit in the
front passenger seat of the family car. Your best response is
20. Question: 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:
21. Question: 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?
22. Question: 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?
23. Question: A 13-month-old child is noted to be at the 25th percentile for weight, the 10th
percentile for height, and less than the 5th percentile for head circumference. She was
born at term. She was noted to have a small head at birth, to be developmentally ...
throughout her life, and to have required cataract surgery shortly after birth. She
currently takes phenobarbital for seizures. Which of the following would most likely
explain this child’s small size?
24. Question: At what age would a child be expected to remember a string of numbers
and repeat them backwards?
25. Question: A 4-month-old child has poor weight gain. Her current weight is less than the
5th percentile, height about the 10th percentile, and head circumference at the 50th
percentile. The ... pregnancy resulted in a normal, spontaneous, vaginal delivery; mother
and child were ... after a 48-hour hospitalization. Feeding is via breast and bottle; the
quantity seems sufficient. The child has had no illness. The examination is
unremarkable except for the child’s small size. Screening laboratory shows the
hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of
198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5,
bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are
normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood
cells, bacteria, protein, ketones, or reducing substances. Which of the following is the
most appropriate therapy for this child?
26. Question: A 14-year-old female comes into the office for an urgent visit after taking 10
valium tablets. Following the initial emergent care and stailization, the most important
part of the management is:
27. Question: A mother brings her 4-week-old infant into the office because she noticed
small yellow-white glistening bumps on her infant's gums. She says they look like teeth
but is ... that they may be cancer. You diagnose these bumps as
28. Question: Appropriate anticipatory guidance for the parents of an 8-year-old girl includes
29. Question: A differential diagnosis for child abuse would include all of the following
except.
30. Question: An eye that deviates in when ... but that returns to midline when uncovered
is an
31. Question: Sarah, 7 years old, is in the office today. All of the following are
acceptable management options for allergic rhinitis, except
32. Question: Which of the following eye findings would be considered an
ophthalmic emergency?
33. Question: Mark is in the exam room. You are ... he may have epiglottitis. In
what position do these patients prefer to sit?
34. Question: Which is the correct order for introduction of solid foods to an infant?
