NRNP 6541 MIDTERM EXAM WITH VERIFIED QUESTIONS AND ANSWERS

NRNP 6541 MIDTERM EXAM WITH VERIFIED QUESTIONS AND ANSWERS

Question 2

1 out of 1 points











Sandy, age 18 months, crosses her legs when lifted from behind rather than pulling them up. Her legs are also hard to separate, making diaper changing difficult. She persistently uses only one hand. What condition do you suspect?



Selected Answer: a.

Cerebral palsy



Question 3

1 out of 1 points



Which of the following represents normal sequencing of development in a toddler? Selected  Answer: b.

Feeds self, can undress self with help, washes hands, imitates housework.



Question 4

1 out of 1 points



Epiglottitis has decreased due to which immunization? Selected Answer:  d.

Hib



Question 5

1 out of 1 points









A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at home; the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5 minutes. He has breastfed well and has not required a health care professional visit since birth. Which of the following vitamin deficiencies might explain his condition?



Selected Answer: b.





Vitamin K



Question 6

0 out of 1  points



Which of the following statements regarding adolescent substance use is true? Selected  Answer:  d.

Most teen alcohol abusers are not "functional" alcoholics.



Question 7

1       out of 1 points



A child's head circumference is routinely measured on each well visit until what age? Selected Answer:  a.

2 years



Question 8

1 out of 1  points



What method can be safely used to remove cerumen in a 15-month-old child's ear? Selected Answer: b.

Irrigation using warm water from a soft bulb syringe







Question 9

1 out of 1 points









I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I?



Selected Answer: a.

6 months



Question 10

1 out of 1 points









A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and disoriented. Many notice his abusive language. Which of the following agents is most likely responsible for his condition?



Selected Answer: b.

Barbituates



Question 11

2       out of 1 points









An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider?



Selected Answer: c.

Ocular mobility



Question 12





1 out of 1 points









You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower lateral incisor bulges. You recommend:



Selected Answer: e.

A and D



Question 13

1 out of 1 points









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 Answer: d.



Counts to 4 and draws a person with three parts.

Question 14



1 out of 1 points









Miguel, age 14, was hit in the eye with a baseball and developed 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



Selected Answer: b.

Apply bilateral eye patches.



Question 15

1 out of 1 points











The appropriate lab tests in assessment of cervical adenitis include all of the following except:



Selected Answer: d.

Blood culture



Question 16

1 out of 1 points



The father of a 3-year-old is concerned because the child stutters. What should your approach be? Selected Answer: a.

Explain that this can be normal until 4 years of age.



Question 17

1 out of 1 points



Which of the following would not suggest an eating disorder with a purging component? Selected Answer: b.



Diarrhea

Question 18



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: b.

Viral pharyngitis









Question 19



1 out of 1 points









While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out?



Selected Answer: b.

Neurofibromatosis



Question 20

1 out of 1 points









Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing signs of



Selected Answer: a.

ADHD



Question 21

1 out of 1 points









You assess a 15-year-old's visual acuity and note her vision to be 20/50 in the right eye. She asks you what that means and you respond



Selected Answer:





Question 22

1 out of 1 points



a.

"You can see at 20 feet with your right eye what most people can see at 50 feet."













Flourescein staining of the eye is used to detect a



Selected Answer: d.

Corneal abrasion



Question 23

1       out of 1 points









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:



Selected Answer: a.

Reviewing the history for signs of depression.



Question 24

2       out of 1 points






Which of the following children has abnormal language development?







Selected Answer: c.

Speech is 50% understandable at 36 months of age



Question 25

1       out of 1 points



Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans.