NRNP 6541 Week 6 Midterm Exam (100%Correct Summer latest) verified answers for guaranteed, Exams of Nursing

Download NRNP 6541 Week 6 Midterm Exam (100%Correct Summer latest) verified answers for guaranteed and more Exams Nursing in PDF only on Docsity!  Question I2 1 Iout Iof I1 Ipoints  Question I3 1 Iout Iof I1 Ipoints  Question I4 1 Iout Iof I1 Ipoints  Question I5 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam Test Week 6 - Midterm Exam Status Completed Attempt Score 96 out of 100 points Time Elapsed 54 minutes out of 3 hours and 20 minutes Results Displayed  Question I1 Submitted Answers 0 Iout Iof I0 Ipoints When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes Which of the following statements regarding adolescent substance use is true? Selected 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? Selected 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 Answer: c. Chronic medical illness Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? Selected Answer: b. Flushing the ear with water.  Question I7 1 Iout Iof I1 Ipoints  Question I8 1 Iout Iof I1 Ipoints  Question I9 1 Iout Iof I1 Ipoints  Question I10 1 Iout Iof I1 Ipoints  Question I11 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam  Question I6 1 Iout Iof I1 Ipoints 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 Selected 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? Selected 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? Selected Answer: c. Down syndrome 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? Selected Answer: b. 9 months 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? Selected Answer: b. Topical Fluoroquiolone The diagnostic criteria for autism spectrum disorder include all of the following except Selected Answer: d. Tolerance of flexibility with routines  Question I25 1 Iout Iof I1 Ipoints  Question I26 1 Iout Iof I1 Ipoints  Question I27 1 Iout Iof I1 Ipoints  Question I28 1 Iout Iof I1 Ipoints 1 Iout Iof I1 Ipoints Question I29 Iand Ifollows Isimple Ione-step Icommands. IYour Ibest Iresponse Iis Iwhich Iof Ithe Ifollowing? A I15-month-old I Iboy Isays I“mama” Iand I“dada,” Ipoints Iand Igestures Iif Ihe Iwants Ithings, NRNP 6541 Week 6 Midterm Exam 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? Selected Answer: b. Reassurance and counseling for family about childhood normal developmental stage Which of the following characterizes middle adolescence (14 to 16 years old)? Selected Answer: a. Intense peer group involvement, feelings of immortality, sexual experimentation Which of the following foreign body in the nose requires immediate removal? Selected Answer: c. battery Which is the correct order for introduction of solid foods to an infant? Selected Answer: d. Cereal, vegetables, fruits, and meats FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is: Selected Answer: d. Behavior therapy Selected Answer: c.  Question I30 1 Iout Iof I1 Ipoints  Question I31 1 Iout Iof I1 Ipoints  Question I32 0 Iout Iof I1 Ipoints  Question I33 1 Iout Iof I1 Ipoints  Question I34 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam 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? Selected Answer: e. Oral supplementation with bicarbonate Which of the following signs may indicate a baby is not receiving sufficient breastmilk? Selected Answer: c. Sleepiness, jaundice, and vomiting Which of the following children should be referred for a comprehensive developmental evaluation? Selected Answer: b. A 19-month-old with explosive temper tantrums. By what age should most children be able to sit well without support? Selected Answer: c. 9 months 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: d. 6 months  Question I35  Question I36 1 Iout Iof I1 Ipoints  Question I37 1 Iout Iof I1 Ipoints  Question I38 1 Iout Iof I1 Ipoints  Question I39 1 Iout Iof I1 Ipoints  Question I40 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam 1 Iout Iof I1 Ipoints Parents bring their 16-year-old daughter for a “well-child” checkup. She looks normal on examination. As part of your routine care you plan a urinalysis. The father pulls you aside and asks you to secretly run a UDS on his daughter. Which of the following is the most appropriate course of action? Selected Answer: d. Explore the reasons for the request with the parents and the adolescent and perform a UDS with the adolescent's permission if the history warrants. 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 polycystic ovarian syndrome? Selected Answer: b. free testosterone Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? Selected Answer: c. Glomerulonephritis A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential? Selected Answer: d. "Sometimes I feel like ending my life." Which of the following screenings should adolescents have done annually? Selected Answer: a. Psychosocial screening, blood pressure, body mass index Which of the following substances is associated with pupillary constriction? Selected Answer: b. Heroin  Question I41  Question I54 1 Iout Iof I1 Ipoints  Question I55 1 Iout Iof I1 Ipoints  Question I56 1 Iout Iof I1 Ipoints  Question I57 1 Iout Iof I1 Ipoints  Question I58 0 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam 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 is worried the child’s development will not be normal because she mixes up the two languages. You respond: Selected 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? Selected Answer: b. Esotropia 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: d. Ocular mobility 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? Selected 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 5th 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? Selected Answer: c. Congenital cytomegalovirus infection Head and chest circumferences should be equal at:  Question I60 1 Iout Iof I1 Ipoints  Question I61 1 Iout Iof I1 Ipoints  Question I62 1 Iout Iof I1 Ipoints  Question I63 1 Iout Iof I1 Ipoints  Question I64 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam Selected Answer: b. 3 years of age  Question I59 1 Iout Iof I1 Ipoints Which of the following represents normal sequencing of development in a toddler? Selected Answer: a. Feeds self, can undress self with help, washes hands, imitates housework. A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28- year-old mother who had received no prenatal care. An evaluation is likely to suggest his MR is related to which of the following? Selected Answer: e. Complications of prematurity A child's head circumference is routinely measured on each well visit until what age? Selected Answer: b. 2 years I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot balance on one foot for 1 second. I am: Selected Answer: b. 2-1/2 years old (30 months) 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: a. Viral pharyngitis  Question I65 1 Iout Iof I1 Ipoints  Question I66 1 Iout Iof I1 Ipoints  Question I67 0 Iout Iof I1 Ipoints  Question I68 1 Iout Iof I1 Ipoints  Question I69 1 Iout Iof I1 Ipoints  Question I70 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? Selected Answer: c. Haemophilus influenza Blood pressure should be measured at well-child visits starting at age: Selected Answer: c. 3 years 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 A common feature of 2-year-old behavior is: Selected Answer: b. Stranger anxiety Appropriate anticipatory guidance for the parents of an 8-year-old girl includes Selected Answer: d. Information that the child will start to value personal idols and role models. Which of the following statements is true regarding lying and stealing by the school-age child? Selected Answer: d. They represent a common, transient problem. Epiglottitis has decreased due to which immunization?  Question I77 1 Iout Iof I1 Ipoints  Question I78 1 Iout Iof I1 Ipoints  Question I79 1 Iout Iof I1 Ipoints  Question I80 1 Iout Iof I1 Ipoints  Question I81 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam 1 Iout Iof I1 Ipoints You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate further evaluation? Selected Answer: d. An equal A-P and transverse chest diameter. Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. Results glucose 112 mg/dL randial glucose 138 mg/dL Selected Answer: d. Impaired fasting glucose, postprandial glucose within normal limits A 2-year-old child weighs 34 lb. What type of car seat should the child use? Selected Answer: a. A forward-facing car seat in the back of the vehicle. Most children can independently get dressed by themselves by age: Selected Answer: d. 5 years Which adolescent would be at greatest risk for developing anorexia nervosa? Selected Answer: c. 14-year-old female gymnast The most common substance used in middle school is Selected Answer: d. Alcohol  Question I83 1 Iout Iof I1 Ipoints  Question I84 1 Iout Iof I1 Ipoints  Question I85 1 Iout Iof I1 Ipoints  Question I86 1 Iout Iof I1 Ipoints  Question I87 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam  Question I82 1 Iout Iof I1 Ipoints 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? Selected Answer: b. Maxillary sinus What is the most traumatic, yet common form and of child abuse seen in pediatric primary care? Selected Answer: c. Shaken baby syndrome 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 Selected Answer: c. The safest place for children under 12 years old and 100 pounds is in the backseat of the car. During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of information. Which of the following bits of information is of most concern? Selected Answer: b. Limited eye contact with parents. All of the following are consistent with peritonsillar abscess except: Selected Answer: a. Trismus During a domestic health assessment, the CDC recommends screening every refugee child for which of the following diseases? Selected Answer: b. tuberculosis  Question I88  Question I89 1 Iout Iof I1 Ipoints  Question I90 1 Iout Iof I1 Ipoints  Question I91 1 Iout Iof I1 Ipoints  Question I92 1 Iout Iof I1 Ipoints  Question I93 1 Iout Iof I1 Ipoints NRNP 6541 Week 6 Midterm Exam 1 Iout Iof I1 Ipoints A Mantoux test in a child with no risk factors is considered positive with a reaction of: Selected Answer: c. at least 15 mm induration A 2-day-old newbornwith conjunctivitis is likely due to Selected Answer: d. Chemical irritation from eye drops You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? Selected Answer: b. Formal operational 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 concerned that they may be cancer. You diagnose these bumps as Selected Answer: b. Epstein's pearls Flourescein staining of the eye is used to detect a Selected Answer: a. Corneal abrasion A new mom calls the NP on postpartum day 5. She reports her newborn wants to nurse for 30 minutes every 1-1/2 to 2 hours. Which of these is the best response? Selected Answer: b. "This is a very healthy breastfeeding pattern. Be sure to rest when you can. You are doing a great job."  Question I94