NRNP 6541 WALDEN UNIVERSITY WEEK 11
FINAL EXAM 2026 SPRING COMPLETE
QUESTION AND ANSWER
Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a "Christmas tree"
distribution. It is predominantly on her trunk. One lesion is on her buttock that is larger
than the other, at about 4 cm in diameter. What is your diagnosis?
Selected Answer: b.
Pityriasis rosea
A healthy, thriving 4-year-old male has had sudden episodes of drawing his knees to
his chest and crying like he is in acute pain for the last 5 hours. These episodes are
separated by quiet times when he appears normal and comfortable. He is not vomiting
and has not had a bowel movement today. What is the most likely diagnosis.
Selected Answer: d.
Intussusception
In children who have not received antibiotics in the past month, which antibiotic is
recommended by the Centers for Disease Control and Prevention for the management of acute
bacterial respiratory infection?
Selected Answer: c.
Amoxicillin plus clavulanic acid (Augmentin)
Which of the following is not a feature of DiGeorge syndrome? Selected Answer: b.
,Frontal bossing
What is the appropriate management of a child with asthma who presents with acute wheezing
and/or coughing?
Selected Answer: b.
Administer a short-acting beta agonist
Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes. She is worried
that she will not fit in with her friends anymore because she does not think she can have all
the same snacks they have. How do you respond?
Selected Answer:
d.
Any snacks that are sufficient in calories to maintain your normal weight are okay.
Shelby is a healthy 4-week-old who presents to your office in mid-January with a 3-
day history of nasal congestion with occasional cough. She started running a low-
grade fever last night (T max 101.5°F). Now she is refusing to nurse and has
paroxysmal coughing and noisy/labored breathing. Physical exam reveals an ill-
appearing infant with lethargy and tachypnea, intercostal retractions, expiratory
wheezes, and occasional rales. She does not attend day care but has a 3-year-old
sibling who does and who recently had a “cold.” What is the MOST LIKELY cause of
Shelby’s illness?
Selected Answer: b.
RSV bronchiolitis
, The diet of a 3-year-old with cystic fibrosis should be supplemented with which of the
following?
Selected Answer: d.
Vitamin D
Which of the following vaccines provides protection against a common type of
sepsis/meningitis?
Selected Answer: b.
Haemophius influenzae vaccine
You are seeing a patient you think may have IBD. Which of the following tests would not be
helpful?
Selected Answer: b.
Amylase and lipase
Sarah, age 13, is markedly obese and has a poor self-image. How do you differentiate
between compulsive eating and bulemia?
Selected Answer: a.
A compulsive eater does not induce vomiting.
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of
wheezing?
Selected Answer: c.
Epiglottitis
FINAL EXAM 2026 SPRING COMPLETE
QUESTION AND ANSWER
Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a "Christmas tree"
distribution. It is predominantly on her trunk. One lesion is on her buttock that is larger
than the other, at about 4 cm in diameter. What is your diagnosis?
Selected Answer: b.
Pityriasis rosea
A healthy, thriving 4-year-old male has had sudden episodes of drawing his knees to
his chest and crying like he is in acute pain for the last 5 hours. These episodes are
separated by quiet times when he appears normal and comfortable. He is not vomiting
and has not had a bowel movement today. What is the most likely diagnosis.
Selected Answer: d.
Intussusception
In children who have not received antibiotics in the past month, which antibiotic is
recommended by the Centers for Disease Control and Prevention for the management of acute
bacterial respiratory infection?
Selected Answer: c.
Amoxicillin plus clavulanic acid (Augmentin)
Which of the following is not a feature of DiGeorge syndrome? Selected Answer: b.
,Frontal bossing
What is the appropriate management of a child with asthma who presents with acute wheezing
and/or coughing?
Selected Answer: b.
Administer a short-acting beta agonist
Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes. She is worried
that she will not fit in with her friends anymore because she does not think she can have all
the same snacks they have. How do you respond?
Selected Answer:
d.
Any snacks that are sufficient in calories to maintain your normal weight are okay.
Shelby is a healthy 4-week-old who presents to your office in mid-January with a 3-
day history of nasal congestion with occasional cough. She started running a low-
grade fever last night (T max 101.5°F). Now she is refusing to nurse and has
paroxysmal coughing and noisy/labored breathing. Physical exam reveals an ill-
appearing infant with lethargy and tachypnea, intercostal retractions, expiratory
wheezes, and occasional rales. She does not attend day care but has a 3-year-old
sibling who does and who recently had a “cold.” What is the MOST LIKELY cause of
Shelby’s illness?
Selected Answer: b.
RSV bronchiolitis
, The diet of a 3-year-old with cystic fibrosis should be supplemented with which of the
following?
Selected Answer: d.
Vitamin D
Which of the following vaccines provides protection against a common type of
sepsis/meningitis?
Selected Answer: b.
Haemophius influenzae vaccine
You are seeing a patient you think may have IBD. Which of the following tests would not be
helpful?
Selected Answer: b.
Amylase and lipase
Sarah, age 13, is markedly obese and has a poor self-image. How do you differentiate
between compulsive eating and bulemia?
Selected Answer: a.
A compulsive eater does not induce vomiting.
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of
wheezing?
Selected Answer: c.
Epiglottitis
