NRNP 6552 MIDTERM EXAM LATEST 2024/2025 /NRNP6552 WEEK 6 MIDTERM 100 QUESTIONS AND ANSWERS, Exams of Nursing

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NRNP 6552 MIDTERM

EXAM LATEST

2024 /

/NRNP6552 WEEK 6

MIDTERM 100

QUESTIONS AND

ANSWERS| VERIFIED

ANSWERS

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 D. murmur is diastolic - ANSWER>>>D. murmur is diastolic
18. To obtain the daily calcium intake recommended during pregnancy, what should a woman consume per day? A. One quart of cow's milk B. Two cups of yogurt C. Four slices of cheese D. One cup of cottage cheese - ANSWER>>>A. One quart of cow's milk
19. Allie, who has asthma, just found out she is pregnant. She is wondering whether she should continue taking her medications. Which of the following is true regarding asthma and pregnancy? A. only inhaled (rather than oral) medications should be used B. in the event of an acute exacerbation, glucocorticoids should not be used C. management differs little from management in nonpregnant women

D. all medications may be used except for theophylline - ANSWER>>>C. management differs little from management in nonpregnant women

20. Mrs. Nelms shares with you that her husband is on active duty with the National Guard. She states, "I'm left alone to care for three children." You know that children of active duty service members face many stressors. These stressors can lead to A. increased academic performance in children B. decreased behavior problems in children C. child maltreatment D. decreased incidence of depression in children - ANSWER>>>C. child maltreatment
21. Sandra, who is 5 months pregnant and of average height and weight, asks you how many extra calories she should be adding to her diet per day. You tell her to add A. 200 calories B. 300 calories C. 500 calories D. 700 calories - ANSWER>>>B. 300 calories
22. At birth, the anterior fontanelle has what shape? A. triangle B. oval C. round D. diamond - ANSWER>>>D. diamond

23. You see a G5P4015 written on a client's history form. You surmise that: A. the woman has been pregnant five times and has five living children B. the woman has five living children, including a set of twins, and she has had one abortion C. the woman has four living children and had one abortion, for a total of five pregnancies D. the woman is pregnant now and has five living children, including a set of twins - ANSWER>>>B. the woman has five living children, including a set of twins, and she has had one abortion
24. Susie, who is 16 weeks pregnant, is having mild cramps with persistent and excessive bleeding. On exam, you find that some portion of the products of conception (placental) remains in the uterus, but the fetus has been expelled. What type of abortion is Susie having? A. incomplete B. threatened C. inevitable D. missed - ANSWER>>>A. incomplete
25. Mr. Davis states, "I've had high cholesterol most of my life. I'm concerned about my daughter having it as well." The clinician knows that according to the National Cholesterol Education Program (NCEP) guidelines for children and adolescents, the acceptable range of total cholesterol for children 2 to 19 years old is: A. less than 200 B. less than 190 C. less than 180 D. less than 170 - ANSWER>>>D. less than 170

26. Margie, who has been breastfeeding for 4 weeks, has mastitis in her right breast and is taking dicloxacillin. She asks you what she needs to do about feeding the baby. You respond: A. "You need to stop breastfeeding and start with a bottle." B. "You can still breastfeed on your left side and express the milk from your right side until the problem is resolved." C. "There is no need to stop breastfeeding, but start with your left side." D. "Stop breastfeeding for 2 weeks, then continue." - ANSWER>>>C. "There is no need to stop breastfeeding, but start with your left side."
27. Which of the following statements about lesbian relationships is true? A. Battering is a concern only in heterosexual relationships. In lesbian relationships, there may be emotional or financial abuse instead of physical abuse B. Support from family, friends, and coworkers may be lost C. HIV infection is not a concern with two women who are in a committed relationship D. Childbearing issues do not affect lesbian couples - ANSWER>>>B. Support from family, friends, and coworkers may be lost
28. Lynne comes to the clinic for her initial prenatal visit. Based on her menstrual history, the client is at 9 weeks' gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time? A. Biparietal diameter B. Femur length C. Abdominal circumference

D. Crown-rump measurement - ANSWER>>>D. Crown-rump measurement

29. Karen is taking oral contraceptive pills for fertility control. Karen calls the clinic and reports the presence of chest pain and shortness of breath. You instruct Karen to: A. eat smaller meals more frequently to prevent gastric distention B. stop taking the pills and use a nonhormonal contraceptive method C. wait for the physician to return a telephone call to the client D. go to the nearest emergency room immediately to be evaluated - ANSWER>>>D. go to the nearest emergency room immediately to be evaluated
30. What is the best description of Bishop's score? A. It is a series of four maneuvers to determine fetal position B. It is a multiparameter evaluation of fetal condition following a nonreactive nonstress test C. It is an assessment of the cervix's readiness for elective induction D. It is an evaluation of fetal lung maturity and readiness for birth - ANSWER>>>C. It is an assessment of the cervix's readiness for elective induction
31. When does the American Academy of Pediatrics recommend that children be screened for cholesterol? A. over 5 years old B. 9 to 11 years old C. over 8 years old D. 12 to 15 years old - ANSWER>>>B. 9 to 11 years old

32. Which screening test has the highest sensitivity and specificity for diagnosing iron deficiency in anemic clients? A. ferritin B. hemoglobin C. hematocrit D. reticulocyte count - ANSWER>>>A. ferritin
33. Risperidone (Risperdal) has been approved by the FDA for the treatment of the behaviors associated with autism in children over 5 years old. The clinician should be aware of the following common side effect A. weight loss B. diarrhea C. nausea D. fatigue - ANSWER>>>D. fatigue
34. When asking a family member if the family generally gets the things they want out of life, if there are any "rules" in the family that everyone believes are important, and what role religion plays in the family, you are trying to assess which functional health pattern? A. role-relationship pattern B. cognitive-perceptual pattern C. value-belief pattern D. health-perception/health-management pattern - ANSWER>>>C. value- belief pattern
35. During nursery rounds, you examine a 12 hour old newborn. The infant has a yellow tint to the skin and sclera. What lab test will you order to further evaluate this infant?

A. blood glucose B. Direct Coombs' test C. blood cultures D. arterial blood gas - ANSWER>>>B. Direct Coombs' test

36. Marta asks you how pregnancy will affect her RA. You respond A. "There is a one-third rule: One-third get better, one-third remain the same, and one-third get worse" B. "Pregnancy will have no effect on your RA." C. "75% of women experience remission of the disease during pregnancy." D. "It is advised that you don't get pregnant with this condition." - ANSWER>>>C. "75% of women experience remission of the disease during pregnancy."
37. Mr. Johnson calls your office from the soccer field. His 10 year old son, Joshua, was hit in the mouth during the game. One of Joshua's front teeth was knocked out. The clinician advises Mr. Johnson to A. rinse the tooth gently in cold milk, saline, or room temperature water and then replant it B. rinse the tooth gently in cold milk, saline, or room temperature water and put it in a clean cloth C. rub the root surface clean and rinse with saline or room temperature water D. rub the root surface clean and keep it as dry as possible - ANSWER>>>A. rinse the tooth gently in cold milk, saline, or room temperature water and then replant it
38. An example of an X-linked recessive condition or trait is

A. muscular dystrophy B. hemophilia C. sickle cell anemia D. cystic fibrosis - ANSWER>>>B. hemophilia

39. At what age should a child who is not at risk for high-dose lead exposure be screened with a blood lead test? A. 3 months B. 6 months C. 12 months D. 3 years - ANSWER>>>C. 12 months
40. Marissa is a long-distance runner with 9% body fat. Which of the following findings is consistent with this situation? A. regular menses and a basal body temperature that indicates ovulation B. irregular menses and a basal body temperature that indicates ovulation C. regular menses and a basal body temperature that indicates lack of ovulation D. irregular menses and a basal body temperature that indicates lack of ovulation - ANSWER>>>D. irregular menses and a basal body temperature that indicates lack of ovulation
41. The drug of choice for the pregnant woman with diabetes is A. insulin B. glyburide

C. glipizide D. metformin - ANSWER>>>A. insulin

42. According to Naegele's rule, if a woman's last normal menstrual period was September 23, what is her estimated date of delivery? A. June 30 B. June 16 C. June 1 D. May 30 - ANSWER>>>A. June 30
43. Children with Williams' syndrome typically have problems related to A. brittle bones B. CV disease C. fear of strangers D. cleft lip and palate - ANSWER>>>B. CV disease
44. Mrs. Sullivan shares concerns about her 5 year old son's frequent bedwetting. She asks you about medication she has read about on the Internet. The clinician knows that desmopressin acetate can be used for primary nocturnal enuresis in children older than A. 6 years B. 5 years C. 4 years D. 3 years - ANSWER>>>A. 6 years

45. Cydney, who is 30 weeks pregnant, is planning to travel outside of the U.S. She asks you which immunizations she should or should not have. Which immunization would be harmful for Cydney to receive? A. Pooled gamma globulin B. Chloroquine for malaria prophylaxis C. Yellow fever D. Inactivated polio virus - ANSWER>>>C. Yellow fever
46. A poorly defined, flat, blue-black macule present at birth and usually on the trunk and buttocks is A. blue nevus B. drug-induced blue macule C. Mongolian spot D. malignant melanoma - ANSWER>>>C. Mongolian spot
47. A low risk woman who is 16 weeks pregnant should be instructed to return to the prenatal clinic in A. 1 week B. 2 weeks C. 3 weeks D. 4 weeks - ANSWER>>>D. 4 weeks
48. Glenda gave birth to Jack 4 weeks ago. Her postpartum course was complicated by an intrauterine infection that was successfully treated with antibiotics. Today Glenda calls the office because Jack has white patches on his tongue and gums. She is concerned that her milk has become "sour" and is causing the white patches in Jack's mouth. Based on these data, what diagnosis do you suspect on Jack?

A. oral chlamydia infection B. oral candidiasis C. mastitis D. epstein's pearls - ANSWER>>>B. oral candidiasis

49. Typically, treatment of a 4 year old with nursemaid's elbow involves A. surgery B. casting C. splinting D. reduction - ANSWER>>>D. reduction
50. Heather, who is 5 weeks pregnant, is nauseated. She asks you how long this will last. You tell her the nausea usually disappears by the A. 12th week B. 16th week C. 20th week D. 24th week - ANSWER>>>C. 20th week
51. What is the recommended first-trimester weight gain for an underweight woman? A. 2 lb B. 3.5 lb C. 5 lb D. 7 lb - ANSWER>>>C. 5 lb

52. During the 6 - week-visit after a stillbirth, Mary states, "Sometimes I feel like I left my baby somewhere, and I can't remember where she is. Then I remember that she isn't alive." What is this an example of? A. anticipatory grieving B. disorientation C. reorganization D. searching and yearning - ANSWER>>>D. searching and yearning
53. Pregnancy following the rapid weight loss and weight stabilization phase of bariatric surgery appears to be safe. Which nutritional deficiency is the most common problem related to pregnancy following bariatric surgery? A. vitamin A B. iron C. vitamin K D. vitamin C - ANSWER>>>B. iron
54. Shana shares concerns about her unborn child. She states, "My sister's child was diagnosed with autism." The clinician knows the following to be true about autism spectrum disorder A. there is no genetic predisposition to ASD B. females are four times more likely to have an ASD than males C. 20 - 30% of children with an ASD develop epilepsy by the time they reach adulthood D. mental retardation occurs in all cases of ASD - ANSWER>>>C. 20-30% of children with an ASD develop epilepsy by the time they reach adulthood

55. A newborn delivered by a mother with no prenatal care exhibits dysmorphic facial features, including short palpebral fissures, a thin upper lip, an elongated and flattened philtrum, and a flattened midface region. You suspect that the mother engaged in what behavior during pregnancy? A. excessive alcohol intake B. cocaine abuse C. chain smoking D. methamphetamine exposure - ANSWER>>>A. excessive alcohol intake
56. When counseling a pregnant woman about the use of drugs, alcohol, and teratogenic agents, you share that the brain configuration of a fetus is roughly complete at A. 4 weeks gestation B. 12 weeks C. 20 weeks D. 24 weeks - ANSWER>>>B. 12 weeks
57. Talya is 2 years old and presents with signs and symptoms of acute otitis media. Mom reports that Talya experienced a rash after the administration of penicillin in the past. If a "wait and see" approach is not indicated, which of the following antibiotics should be prescribed? A. augmentin B. amoxicillin C. omnicef D. trimox - ANSWER>>>C. omnicef
58. Spontaneous abortion refers to the loss of a fetus less than

A. 12 weeks B. 18 weeks C. 22 weeks D. 26 weeks - ANSWER>>>C. 22 weeks

59. Heather is scheduled for a well-child visit. Her mother asks, "How much milk should she be drinking now?" The clinician states that the American Heart Association recommendation for milk intake after 12 months of age is A. 8 oz per day B. 12 oz per day C. 16 oz per day D. 24 oz per day - ANSWER>>>C. 16 oz per day
60. Mrs. Garcia calls regarding her 18 month old son's cough and cold. She asks the clinician, "Which medication should I give him?" Which of the following cough and cold products do you recommend? A. sudafed PE B. dextromethorphan C. guaifenesin D. none - ANSWER>>>D. none
61. What is the primary site of drowning for children younger than age 3? A. ocean B. backyard pool C. lake

D. bathtub - ANSWER>>>D. bathtub

62. Which one of the following behavior ratings is not included on the Denver Developmental Screening test? A. compliance with examiner's requests B. alertness C. fearlessness D. attention span - ANSWER>>>C. fearlessness
63. Jake is 8 years old. He is being seen for a routine physical. When reviewing his medications, you note that he is using the methyphenidate (Daytrana) transdermal patch for the attention deficit/hyperactivity disorder. What is the maximum length of time the Daytrana patch should be worn? A. 9 hours B. 6 hours C. 12 hours D. 16 hours - ANSWER>>>A. 9 hours
64. Minnie is experiencing Braxton Hicks contractions. What should she do? A. take a cold shower B. immediately call her healthcare provider C. go for a walk D. lie down with her feet elevated - ANSWER>>>C. go for a walk
65. In a "guidance to industry" document, the U.S. FDA endorsed the use of flow restrictors for OTC pediatric oral liquid products containing acetaminophen. This will result in

A. stiff fines to manufacturers who do not provide flow restrictors B. a strong signal being sent to manufacturers that flow restrictors are considered an important safety feature to help reduce accidental overdoses C. uniform standards for manufacturing of flow restrictors D. FDA supervision of development and production of flow restrictors - ANSWER>>>B. a strong signal being sent to manufacturers that flow restrictors are considered an important safety feature to help reduce accidental overdoses

66. Which of the following should be avoided by the pregnant woman who is constipated? A. bulk-forming laxatives B. mineral oil C. stool softeners such as docusate sodium (Colace) D. drinking warm fluids on arising - ANSWER>>>B. mineral oil
67. An asymmetric, softened enlargement of the uterine corner caused by placental development is a probable sign of pregnancy. What is it called? A. Hegar's sign B. Chadwick's sign C. Goodrich's sign D. Piskacek's sign - ANSWER>>>D. Piskacek's sign
68. A woman with hyperemesis gravidarum would most likely benefit from a plan of care designed to address which of the following nursing diagnoses? A. imbalanced nutrition, more than body requirements, related to pregnancy

B. anxiety, related to effects of hyperemesis on fetal well-being C. anticipatory grieving, related to inevitable pregnancy loss D. ineffective coping, related to unwanted pregnancy - ANSWER>>>B. anxiety, related to effects of hyperemesis on fetal well-being

69. Susan is keeping a basal body temperature graph as part of her fertility treatment. Today she shares the BBT graph with you. The BBT graph shows a nearly straight line. Which of the following is the best interpretation of her graph? A. she is not ovulating B. she is not having intercourse C. she is ovulating late in her menstrual cycle D. she is not taking her temperature correctly - ANSWER>>>A. she is not ovulating
70. Which of the following dietary changes would you recommend to Heather, who is experiencing nausea during her first trimester? A. bland diet taken frequently and in small amounts B. increase in fat intake C. decrease in carb intake D. restriction of fluid intake after 7 pm - ANSWER>>>A. bland diet taken frequently and in small amounts
71. According to the International Association of Diabetes and Pregnancy Study Group, screening for gestational diabetes should be done on which of the following women? A. all pregnant women at 24 to 28 weeks

B. women aged 40 or older C. all women with threatened miscarriage D. women who report hypoglycemic symptoms - ANSWER>>>A. all pregnant women at 24 to 28 weeks

72. Danger signs in the first trimester of pregnancy include A. vaginal bleeding and absence of fetal movement B. edema extending to the upper extremities and vomiting C. presence of proteinuria and elevated blood pressure D. vaginal bleeding and persistent vomiting - ANSWER>>>D. vaginal bleeding and persistent vomiting
73. Gabriella is being seen for a 12 month well child visit. She was born with a red to blue purple nodule on her thigh that blanches dramatically with pressure. Over the past few months, it has increased in size. Her mother asks you what you think it is. You respond A. "It might be a hemangioma" B. "It might be a melanoma" C. "It might be fibromatosis" D. "It might be dermatofibrosarcoma protuberans" - ANSWER>>>A. "It might be a hemangioma"
74. Patricia presents for her regularly scheduled prenatal visit at 34 weeks gestation. During the interview, you determine that Patricia has not felt fetal movement for the past week. On exam, you are unable to auscultate the fetal heart tones. Which of the following would be useful in the diagnosis of an intrauterine fetal death? A. Chadwick's sign