NRNP 6541/NURS 6541 Midterm Exam Questions With 100% Correct Answers | Latest Update 2023/2024 (GRADED A+)

What is the most common form of child abuse seen in pediatric primary care? Selected Answer: c. Shaken baby syndrome  Question 2 1 out of 1 points Which of the following conditions requires urgent inpatient admission? Selected Answer: b. Cervical adenitis  Question 3 1 out of 1 points An eye that deviates in when covered but that returns to midline when uncovered is an Selected Answer: b. esophor ia  Question 4 1 out of 1 points All of the following are consistent with peritonsillar abscess except: Selected Answer: c. Trismu s  Question 5 1 out of 1 points Which adolescent would be at greatest risk for developing anorexia nervosa? Selected Answer: d. 14-year-old female gymnast  Question 6 1 out of 1 points A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as: Selected b. Answer: Bruxis m  Question 7 1 out of 1 points FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is: Selected Answer: c. Behavior therapy  Question 8 1 out of 1 points 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: Selected Answer: c. "Use a consistent approach with behavioral cues both at home and at school."  Question 9 1 out of 1 points The most common substance used in middle school is Selected Answer: b. Alcoh ol  Question 10 1 out of 1 points The most likely weight of a 1-year-old whose birth weight was 6-1/2 pounds would be: Selected Answer: b. 19 to 20 pounds  Question 11 0 out of 1 points Which of the following characterizes middle adolescence (14 to 16 years old)? Selected Answer: c. Concrete thinking, present orientation, intense preoccupation with body image  Question 12 1 out of 1 points 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 present. The TM is normal. Mark should be instructed to do which of the following? Selected Answer: a. Keep ear dry until symptoms improve.  Question 13 1 out of 1 points A 2-year-old child weighs 34 lb. What type of car seat should the child use? Selected Answer: d. A forward-facing car seat in the back of the vehicle.  Question 14 1 out of 1 points An expected milestone of a 4-year-old is the ability to Selected Answer: b. Copy a cross  Question 15 0 out of 1 points A child's central visual acuity is 20/30 by age Selected Answer: b. 4 years  Question 16 0 out of 1 points Early reflexive responses that are not related to survival include all but: Selected Answer: c. Swimmi ng  Question 17 1 out of 1 points Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? Selected Answer: d. Haemophilus influenza  Question 18 1 out of 1 points Which of the following children has abnormal language development? Selected Answer: b. Speech is 50% understandable at 36 months of age  Question 19 1 out of 1 points Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following? Selected Answer: b. Sleep in the supine position is recommended  Question 20 0 out of 1 points A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: Selected Answer: d. Obtaining a psychiatric consultation.  Question 21 1 out of 1 points 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 diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist Selected Answer: b. Apply bilateral eye patches.  Question 22 1 out of 1 points A 4-month-old presents with both eyes turning inward. What is this called? Selected Answer: c. Esotropi a  Question 23 1 out of 1 points 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: d. Maxillary sinus  Question 24 1 out of 1 points 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: a. "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age."  Question 25 1 out of 1 points Sarah, 7 years old, is in the office today. All of the following are acceptable management options for allergic rhinitis, except Selected Answer: d. Nasal neosynephrine  Question 26 1 out of 1 points The mother of a 4-year-old tells you he likes to "play with himself" while playing and watching television. You advise the mother to Selected Answer: d. Explain to the child that masturbation is something that should be done in private.  Question 27 1 out of 1 points Which of the following would not suggest an eating disorder with a purging component? Selected Answer: d. Diarrhe a  Question 28 1 out of 1 points 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: b. 6 months  Question 29 1 out of 1 points 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: d. Formal operational  Question 30 0 out of 1 points 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: b. Congenital infection with cytomegalovirus  Question 31 1 out of 1 points 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: c. Counts to 4 and draws a person with three parts.  Question 32 1 out of 1 points 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 2 months old, but none sense. Which of the following statements about him is correct? Selected Answer: a. He is too old to receive the Haemophilus influenzae Type B vaccine.  Question 33 1 out of 1 points Conductive hearing loss can be caused by Selected Answer: a. Serous otitis  Question 34 1 out of 1 points 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."  Question 35 1 out of 1 points Which of the following eye findings would be considered an ophthalmic emergency? Selected Answer: a. Unilateral vesicular lesions on the upper eyelid in a 3-week old.  Question 36 1 out of 1 points 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.  Question 37 1 out of 1 points During a domestic health assessment, the CDC recommends screening every refugee child for which of the following diseases? Selected Answer: b. tuberculos is  Question 38 1 out of 1 points The diagnostic criteria for autism spectrum disorder include all of the following except Selected Answer: c. Tolerance of flexibility with routines  Question 39 0 out of 1 points A 19-month-old 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? Selected Answer: c. Encourage early intervention services for speech.  Question 40 1 out of 1 points While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out? Selected Answer: a. Neurofibromato