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NRNP 6541 MIDTERM EXAM WITH ALL CORRECT ANSWERS LATEST GUIDE 2026

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NRNP 6541 MIDTERM EXAM WITH ALL CORRECT ANSWERS LATEST GUIDE 2026

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Voorbeeld van de inhoud

1. What is the most common form of child abuse seen in pediatric primary care shaken baby
syndrome
2. which of the following condition requires urgent inpatient admission cervical adenitis
3. An eye that deviates in when covered that returns to midline when uncovered is an
Esophoria
4. all of the following are consistent with peritonsillar Abscess except trismus
5. Which adolescent would be at greatest risk for developing anorexia nervosa 14 year old
female gymnast
6. a mother states that her four-year-old son consistently grinds his teeth at night. You
document this as bruxism
7. First-line therapy for preschoolers (4-5 years of age) diagnosed with attention deficit
hyperactivity disorder is behavioral therapy
8. A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD).
Her parents report that she is doing poorly in school and is disruptive in the classroom. They
ask you what they can do your best response is: use a consistent approach with behavioral
cues both at home and at school
9. the most common substance used in middle school is alcohol
10. Most likely weight of a one-year-old whose birth weight was 6 1/2 lbs would be 19 to 20 lbs
11. which of the following characterizes middle adolescence (14 to 16 years old)?
Intense peer group involvement, feeling of immortality, sexual experimentation
12. 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 canal is swollen and exudate is present. the tympanic membrane is normal. mark
should be instructed to do which of the following? Keep ear dry until symptoms improve
13. A 2-year-old child weighs 34 lbs. What type of car seat should this child use? A forward-
facing car seat in the back of the vehicle
14. an expected milestone of a four-year-old is the ability to copy a cross
15. a child's central visual acuity is 20/30 by age
5 years old
16. Early reflective responses that are not related to survival include all but: Rooting
17. Sam has otitis media. He also presents with conjunctivitis. This is due to which Organism
Hemophilus influenza
18. which of the following children has abnormal language development? Speech is 50%
understandable at 36 months of age
19. Appropriate advice for a mother of a two-week-old child here for a well-child visit includes
which of the following?
Sleep in a spine position is recommended
20. a 14-year-old female comes into the office for an urgent visit after taking 10 Valium tablets.
Following the initial emergent care and stabilization, the most important part of the
management is
-Assessing the family support available to the child
21. Miguel age 14 was hit in the eye with a baseball and developed eye pain decreased visual
acuity and injection of the globe. Upon exam, you note blood in the anterior chamber and

, confirm a diagnosis of hyphema. What treatment do you recommend while Miguel is waiting
to see the ophthalmologist
-apply bilateral eye patches
22. a four-month-old presents with both eyes turning inward. What is this called? Esotropia
23. 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? -Maxillary sinus
24. 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: -your child's speech is normal and bilingual children commonly intermix words
from both languages until about 3 years of age.
25. Sarah, 7 year old is in the office today. All of the following are acceptable management
options for allergic rhinitis except
-nasal neosynephrine
26. The mother of a four-year-old tells you he likes to “play with himself” while playing and
watching television. You advise the mother to
-explain to the child that masturbation is something that should be done in private 27.
Which of the following would not suggest an eating disorder with a purging component? -
Diarrhea
28. I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods,
but I cannot wave bye-bye yet. How old am I?
-Six months
29. You see a 13-year-old who reports she is learning some basic geometry (areas, volume ECT.)
The ability to successfully master these concepts occurs during which Piaget developmental
stage? -Formal operational
30. A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28-
yearold mother who had received no prenatal care period in evaluation is likely to suggest his
MR is related to which of the following?
-congenital infection with cytomegalovirus
31. You're doing a kindergarten physical on a 5 year old. which of the following scenarios would
suggest the child is not ready to start kindergarten in the fall?
-counts to four and draws a person with three parts
32. a healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His
immunization card reveals that he received an immunization at birth and some when he was
two months old but none sense. Which of the following statements about him is correct?
-he is too old to receive the Hemophilus influenza type B vaccine
33. Conductive hearing loss can be caused by
-serious otitis
34. a 15-year-old female makes a statement to you during a well visit. Which of the following
statements should not be kept confidential?
-sometimes I feel like ending my life
35. Which of the following eye findings would be considered an ophthalmic emergency?

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