Download Week 6 - Midterm Exam and more Exams Nursing in PDF only on Docsity!
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Test Week 6 - Midterm Exam
Started 7/12/25 6:
PM Submitted 7/12/25 7:
PM Due Date 7/13/25 1:
AM Status Completed
Attempt Score 96 out of 100 points
Time Elapsed 54 minutes out of 3 hours and 20
minutes
Results
Displaye
d
Submitted Answers
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Selected Ye
Answer: s
Which of the following statements regarding adolescent substance use is true?
Selecte
d
Answer
a.
Tobacco is the most commonly abused substance during adolescence.
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?
Selecte
d
Answer
d.
DTaP, IPV, MMR, and Varivax The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical findings are not usually associated with the diagnosis of school phobia?
Selected c.
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Answer: Chronic
medical illness Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated?
Selecte
d
Answer
b.
Flushing the ear with water. You see a 7-year-old with complaints of "having accidents at night." Physical exam and history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His parents ask about the best treatment for this problem. The best response is
Selecte
d
Answer
c.
Fluid restriction and voiding prior to the night may be effective. 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?
Selecte
d
Answer
d.
Counts to 4 and draws a person with three parts. Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots. What do you suspect?
Selecte
d
Answer
c.
Down syndrom e
I like to use my pincer grasp that involves the ablitily to pick up a small
object such as a raisin or piece of cereal with the thumb and forefinger,
and that is mastered around what age?
Selecte d Answer:
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Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is preswent. The TM is normal. What is the proper management for his patient?
Selecte
d
Answer
b.
Topical Fluoroquiolo ne The diagnostic criteria for autism spectrum disorder include all of the following except
Selecte
d
Answer
d.
Tolerance of flexibility with routines
Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At
the two- week recheck, his TM was still erythematous and you cannot see
the landmarks. He has persistent nasal congestion, he is not sleeping at
night, and he has a 101°F fever. What is the next best step for Luke?
Selecte
d
Answer
d.
A 10 day course of Augmentin
Which of the following would not suggest an eating disorder with a purging
component?
Selecte
d
Answer
d.
Diarrh e a
Role-play with equipment during the course of the physical exam would be
the most beneficial with which age group?
Selecte
d
Answer
d.
Preschool e rs
While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out?
b.
H
e is too old to receive the Haemophilus influenzae Type B vaccine.
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Which of the following issues or concepts is relevant to the school-age child?
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d
Answer
b.
Erikson's initiative versus guilt You would be concerned about the language development of a child who:
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d
Answer
c.
Stutters when excited or tired at the age of 7 You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose?
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d
Answer
b.
amoxicillin and potassium clavulanate (Augmentin)
A 2-year-old boy has been slightly less than the 50th percentile for weight,
height and head circumference, but in the last 6 months he has fallen to
slightly less than the 25th percentile for weight. The pregnancy was
normal, his development is as expected, and the family reports no
psychosocial problems. The mother says that he is now a finicky eater
(wants only macaroni and cheese at all meals), but she insists that he eat
a variety of foods. The meals are marked by much frustration for
everyone. His examination is normal. Which of the following is the best
next step in his care?
Selecte
d
Answer
b.
Reassurance and counseling for family about childhood normal developmental stage Which of the following characterizes middle adolescence (14 to 16 years old)?
Selecte
d
Answer
a.
Intense peer group involvement, feelings of immortality, sexual experimentation
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Which of the following foreign body in the nose requires immediate removal?
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d
Answer
c.
batte r y Which is the correct order for introduction of solid foods to an infant?
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d
Answer
d.
Cereal, vegetables, fruits, and meats FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is:
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d
Answer
d.
Behavior therapy
A 15-month-old boy says “mama” and “dada,” points and
gestures if he wants things, and follows simple one-step
commands. Your best response is which of the following?
Selecte
d
Answer
c.
Tell parent, "Your child's language development is normal."
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 planned pregnancy resulted in a normal, spontaneous, vaginal
delivery; mother and child were discharged 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?
Selecte d Answer : e. Oral supplementation with bicarbonate
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A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence of
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polycystic ovarian syndrome?
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d
Answer
b.
free testosterone Which of the following complication of strep pharyngitis cannot be prevented with antibiotics?
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d
Answer
c.
Glomerulonephri tis A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential?
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d
Answer
d.
"Sometimes I feel like ending my life." Which of the following screenings should adolescents have done annually?
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d
Answer
a.
Psychosocial screening, blood pressure, body mass index Which of the following substances is associated with pupillary constriction?
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d
Answer
b.
Hero i n The appropriate lab tests in assessment of cervical adenitis include all of the following except:
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d
Answer
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What method can be safely used to remove cerumen in a 15-month-old child's ear?
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b.
Irrigation using warm water from a soft bulb syringe 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
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d
Answer
b.
AD
H D
A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as:
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d
Answer
c.
Bruxi s m The father of a 3-year-old is concerned because the child stutters. What should your approach be?
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d
Answer
d.
Explain that this can be normal until 4 years of age. A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best response is:
Selecte
d
Answer
b.
10 hours at night and 3-4 hours during the day Josh, age 13, has some enlargement of the scrotum and testes, a reddened
scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage
You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent
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is worried the child’s development will not be normal because she mixes up the
two languages. You respond:
Selecte
d
Answer
b.
"Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age." A 4-month-old presents with both eyes turning inward. What is this called?
Selecte
d
Answer
b.
Esotro pi a 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?
Selecte
d
Answer
d.
Ocular mobilit y Which of the following strategies would not be appropriate to include as part of your treatment plan of an 8-year-old boy who is obese?
Selecte
d
Answer
a.
Referral to nutritionist for weight reduction plan.
A 13-month-old child is noted to be at the 25th percentile for weight, the
10th percentile for height, and less than the 5 th^ percentile for head
circumference. She was born at term. She was noted to have a small
head at birth, to be developmentally delayed 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?
Selecte
d
Answer
c.
Congenital cytomegalovirus infection
