NRNP 6552 2024 FINAL EXAM 150 QUESTIONS AND CORRECT (VERIFIED ANSWERS) ALREADY GRADED A+

1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She asks about receiving the HPV vaccine. How do you respond?

A. "As long as you're in your first trimester, the HPV vaccine is safe and effective."

B. "Research has not shown this vaccine to be effective against preventing cervical cancer."

C. "After the age of 20, the HPV vaccine is not recommended."

D. "You should not receive the vaccination when you are pregnant." - Answer; D. "You should not receive the vaccination when you are pregnant."

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

D. over 10 years - Answer; B. 11 to 16 years

8. Hegar's sign, a physiological sign of pregnancy is

A. cervical blueness

B. softness of the uterus and ballottement at the isthmus

C. cervical softness

D. quickening - Answer; B. softness of the uterus and ballottement at the isthmus

9. Carrie, of Irish descent, is due to deliver her second baby. During your work-up, you note that she hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia, and bruises easily. Her lab work reveals a normal blood workup, including a normal prothrombin time and activated partial thromboplastin time. What do you suspect?

A. Von Willebrand's disease

B. Hemophilia

C. Sickle cell anemia

D. Beta thalassemia - Answer; A. Von Willebrand's disease

10. Koplik spots are small, white spots that occur on the inside of the cheeks early in the course of

A. measles

B. varicella

C. fifth disease

D. rheumatic fever - Answer; A. measles

11. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an argument with her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored for the occurrence of

A. abruptio placentae

B. liver hemorrhage

C. ruptured spleen

D. placenta previa - Answer; A. abruptio placentae

12. Growth hormone treatment for short stature in children remains controversial. The clinician should be aware of the following regarding the assessment of growth problems and idiopathic short stature

A. identification of a growth problem can be made based on one measurement

B. dysmorphic facial features will be present

C. identification of growth problems is usually made by an auxological evaluation, which compares the child's growth to standardized norms

D. measurements of children lying on the exam table paper are most accurate - Answer; C. identification of growth problems is usually made by an auxological evaluation, which compares the child's growth to standardized norms

13. Nancy is concerned that her new breastfed baby is not getting enough fluid. What do you tell her so that she can assess for an adequate intake?

A. weigh the infant every other day to see the weight gain in ounces

B. if the infant is drinking and sleeping normally, an adequate intake is assumed

C. if there are 6 to 10 wet diapers a day, intake is adequate

D. if the infant is not irritable, an intake problem does not exist - Answer; C. if there are 6 to 10 wet diapers a day, intake is adequate

14. Marci has had several abortions in the past and has been unable to carry a pregnancy to full term because of an incompetent cervix. She states that the physician mentioned cerclage to her and asks you what that means. You tell her that cerclage is

A. a treatment of bedrest with frequent pelvic exams to make sure the cervix is not dilated

B. a method in which an apparatus resembling a diaphragm is placed over the cervix to help it stay "tight"

C. a purse-string type of stitch placed around the cervix

D. a treatment using intravaginal medicated sponges - Answer; C. a purse-string type of stitch placed around the cervix

15. Mrs. Peterson found pinworms on 8 year old Randy. The clinician knows that treatment for pinworms with pyrantel pamoate includes treating

A. Randy and all his siblings

B. Randy and the siblings who share the same bathroom

C. Randy and the siblings who share the same bedroom

D. the entire household - Answer; D. the entire household

16. Gloria just delivered her baby and wants to start a vigorous exercise program to get back in shape. You advise her that she can start strenuous exercises

A. in 1 week

B. in 3 weeks

C. in 6 weeks

D. in 8 weeks - Answer; B. in 3 weeks

17. The clinician is seeing a toddler for a follow-up visit. The chart indicates that the previous examiner noted an innocent murmur. You should suspect a possible pathological murmur if the examination reveals the following

A. murmur is grade I-II/VI

B. murmur changes with toddler's position

C. murmur is musical in quality