NR 602 WEEK 4 MIDTERM EXAM LATEST 2023(4
DIFFERENT VERSIONS)/ NR 602 MIDTERM EXAM 200+
MIDTERM EXAM QUESTIONS AND VERIFIED
ANSWERS (GUARANTEED PASS)
VERSION 1
• Role-play with equipment during the course of a physical examination would be most
beneficial with which of the following groups?
• Preschoolers/Toddlers
• What is the Ortolani Sign?
-Assess for congenital hip dysplasia
• When performing a physical examination of a toddler, which of the following body parts
would examine last?
• Ears and throat
• What are three findings using Jones criteria for Rheumatic Fever? -Streptococal infection,
carditis, and erythema marginatum
• While examining a 4-month-old boy, you are unable to palpate one of his testes. The next
most appropriate step is:
• Refer the child to a urologist
• Concurrent Otitis media and Conjunctivitis is likely due to which?
• Haemophilus influenza
• What is the appropriate management of a child with asthma who presents with acute
wheezing and/or coughing?
• Administer a short-acting beta agonist
• Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her face
above the right nares. She has a history of having a bad scratch in the same area several
days ago. What condition do you suspect? -Impetigo
• The most appropriate management of a 5-year old with a firm nontender nodule in the mid-
upper eyelid for 3 weeks would be: -Topical ophthalmic ointment
• A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care
facility. What is the most likely cause of illness? -Rotavirus
• If a child or any patient describes a “pop” in the knee. What is this indicative of?
• Anterior cruciate ligament tear
• A 7-year-old African American female presents with several hyperkeratotic raised,
periungual lesions on the two middle fingers of her left hand. She has a history of nail
biting. The most likely diagnosis is:
• Verruca vulgaris
• Management of scoliosis depends on the severity of curve as well as the age of the
,child. Which of the following would require surgical intervention? •
Thoracic curve
• Treatment of true central precocious puberty is best achieved with:
• Gonadotropin-releasing hormone agonist
• Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg.
Today she presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg.
What is her percentage of dehydration? -7%
• Which of the following would be the most appropriate initial management of a newborn
diagnosed with developmental dysplasia of the hip? -Pavlik harness
• When considering catch up vaccination in children for IPV vaccinations, it is important to
understand one of the following considerations is NOT a consideration when administering
the vaccine:
• IPV is can be given routinely beyond the age of 18 years of age in the U.S.
• An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
• An echocardiogram
• A 4-week-old presents to your office in mid=January with a 1-week history of nasal
congestion and occasional cough. On the evening prior to this visit, the infant developed a
temperature of 102, refused to breastfeed, and had proximal coughing and noisy, labored
breathing. On exam, you note an ill-appearing infant who is lethargic with tachypnea.
• RSV bronchiolitis
• What needs to be included when educating parents about a febrile seizure?
• Children may experience repeated seizures
• A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a
painful limp in his right leg 2 days ago? Today he has a low-grade fever. Which of the
following diagnoses is most likely?
• Transient synovitis of the hip
• In addition to penicillin, all of the following antibiotics can be used to treat strep
pharyngitis except:
• Bactrim
• Primary dysmenorrhea is due to:
• Elevated prostaglandin level
• Which behavior would NOT be expected in a two-year old?
• Draws a circle
• The most common congenital heart defect in children is:
• Ventricular septal defect
• Michael is a 15-year-old high school student who presents for a school sports physical. He
appears to be in good health but is concerned about a bad headache he had a few weeks
ago. He is concerned because his mother’s friend dried of a brain tumor. You tell Michael
that the most common type of headache with onset in adolescence is: -Tension headache
• Treatment for testicular torsion primarily?
• Immediate surgical referral
, • What is important to understand about encopresis?
• The DSM 5 describe the condition as a repeated passage of stool into inappropriate places
such as child’s underpants.
• Newborn W.R. has a vascular lesion that will not fade as she gets older. What is your
diagnosis?
• Port-wine stain (nevus flammeus)
• Vomiting in infancy has a long list of differential diagnosis. Which accompanying
symptom would most likely point to pyloric stenosis?
• Acts hungry after vomiting
• Which malignancy is associated with genitourinary anomalies?
• Wilm’s tumor
• A child has mild persistent asthma. Appropriate daily medication should include:
• An inhaled low-dose corticosteroid
• A 3-year-old has an edematous, mildly erythematous right upper eyelid for 1 day with a
fever of 103. An important eye assessment would be:
• Ocular mobility
• What diagnosis should be considered if the infant has not passed meconium in the first 24
hours of life?
• Congenital ganglionic megacolon
• A child with juvenile idiopathic arthritis (JIA) can present with which asymptomatic
condition that warrants close to follow up?
• Uveitus and needs to have routine ophthalmologic screening with slit-lamp every 3 months
if the ANA is positive.
• A 15-month-old failed treatment with amoxicillin for otitis media. At his 2-week recheck,
his TM remained red with distorted landmarks, and he persisted with nasal congestion and
poor nighttime sleeping, and he has had 101 fever for the past 2 days. The next best step
would be to treat with: • A 10-day course of Augmentin
• Which of the following is an absolute contraindication for use of combined hormonal
contraceptives in adolescent women?
• History of thromboembolism
• The most common trigger for an acute asthma episode in the very young child is:
• Viral respiratory infections
• Which of the following findings could be expected to occur in a baby with
intussusception?
• Inconsolable screening
• The appropriate management of Osgood-Schlatter disease includes:
• Decreasing activity, applying ice, and taking prescribing NSAIDS
• In a healthy, 8-month-old with diarrhea but no dehydration, what would be most
appropriate advice to give parents? • Give bananas and cereal as tolerated
DIFFERENT VERSIONS)/ NR 602 MIDTERM EXAM 200+
MIDTERM EXAM QUESTIONS AND VERIFIED
ANSWERS (GUARANTEED PASS)
VERSION 1
• Role-play with equipment during the course of a physical examination would be most
beneficial with which of the following groups?
• Preschoolers/Toddlers
• What is the Ortolani Sign?
-Assess for congenital hip dysplasia
• When performing a physical examination of a toddler, which of the following body parts
would examine last?
• Ears and throat
• What are three findings using Jones criteria for Rheumatic Fever? -Streptococal infection,
carditis, and erythema marginatum
• While examining a 4-month-old boy, you are unable to palpate one of his testes. The next
most appropriate step is:
• Refer the child to a urologist
• Concurrent Otitis media and Conjunctivitis is likely due to which?
• Haemophilus influenza
• What is the appropriate management of a child with asthma who presents with acute
wheezing and/or coughing?
• Administer a short-acting beta agonist
• Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her face
above the right nares. She has a history of having a bad scratch in the same area several
days ago. What condition do you suspect? -Impetigo
• The most appropriate management of a 5-year old with a firm nontender nodule in the mid-
upper eyelid for 3 weeks would be: -Topical ophthalmic ointment
• A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care
facility. What is the most likely cause of illness? -Rotavirus
• If a child or any patient describes a “pop” in the knee. What is this indicative of?
• Anterior cruciate ligament tear
• A 7-year-old African American female presents with several hyperkeratotic raised,
periungual lesions on the two middle fingers of her left hand. She has a history of nail
biting. The most likely diagnosis is:
• Verruca vulgaris
• Management of scoliosis depends on the severity of curve as well as the age of the
,child. Which of the following would require surgical intervention? •
Thoracic curve
• Treatment of true central precocious puberty is best achieved with:
• Gonadotropin-releasing hormone agonist
• Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg.
Today she presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg.
What is her percentage of dehydration? -7%
• Which of the following would be the most appropriate initial management of a newborn
diagnosed with developmental dysplasia of the hip? -Pavlik harness
• When considering catch up vaccination in children for IPV vaccinations, it is important to
understand one of the following considerations is NOT a consideration when administering
the vaccine:
• IPV is can be given routinely beyond the age of 18 years of age in the U.S.
• An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
• An echocardiogram
• A 4-week-old presents to your office in mid=January with a 1-week history of nasal
congestion and occasional cough. On the evening prior to this visit, the infant developed a
temperature of 102, refused to breastfeed, and had proximal coughing and noisy, labored
breathing. On exam, you note an ill-appearing infant who is lethargic with tachypnea.
• RSV bronchiolitis
• What needs to be included when educating parents about a febrile seizure?
• Children may experience repeated seizures
• A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a
painful limp in his right leg 2 days ago? Today he has a low-grade fever. Which of the
following diagnoses is most likely?
• Transient synovitis of the hip
• In addition to penicillin, all of the following antibiotics can be used to treat strep
pharyngitis except:
• Bactrim
• Primary dysmenorrhea is due to:
• Elevated prostaglandin level
• Which behavior would NOT be expected in a two-year old?
• Draws a circle
• The most common congenital heart defect in children is:
• Ventricular septal defect
• Michael is a 15-year-old high school student who presents for a school sports physical. He
appears to be in good health but is concerned about a bad headache he had a few weeks
ago. He is concerned because his mother’s friend dried of a brain tumor. You tell Michael
that the most common type of headache with onset in adolescence is: -Tension headache
• Treatment for testicular torsion primarily?
• Immediate surgical referral
, • What is important to understand about encopresis?
• The DSM 5 describe the condition as a repeated passage of stool into inappropriate places
such as child’s underpants.
• Newborn W.R. has a vascular lesion that will not fade as she gets older. What is your
diagnosis?
• Port-wine stain (nevus flammeus)
• Vomiting in infancy has a long list of differential diagnosis. Which accompanying
symptom would most likely point to pyloric stenosis?
• Acts hungry after vomiting
• Which malignancy is associated with genitourinary anomalies?
• Wilm’s tumor
• A child has mild persistent asthma. Appropriate daily medication should include:
• An inhaled low-dose corticosteroid
• A 3-year-old has an edematous, mildly erythematous right upper eyelid for 1 day with a
fever of 103. An important eye assessment would be:
• Ocular mobility
• What diagnosis should be considered if the infant has not passed meconium in the first 24
hours of life?
• Congenital ganglionic megacolon
• A child with juvenile idiopathic arthritis (JIA) can present with which asymptomatic
condition that warrants close to follow up?
• Uveitus and needs to have routine ophthalmologic screening with slit-lamp every 3 months
if the ANA is positive.
• A 15-month-old failed treatment with amoxicillin for otitis media. At his 2-week recheck,
his TM remained red with distorted landmarks, and he persisted with nasal congestion and
poor nighttime sleeping, and he has had 101 fever for the past 2 days. The next best step
would be to treat with: • A 10-day course of Augmentin
• Which of the following is an absolute contraindication for use of combined hormonal
contraceptives in adolescent women?
• History of thromboembolism
• The most common trigger for an acute asthma episode in the very young child is:
• Viral respiratory infections
• Which of the following findings could be expected to occur in a baby with
intussusception?
• Inconsolable screening
• The appropriate management of Osgood-Schlatter disease includes:
• Decreasing activity, applying ice, and taking prescribing NSAIDS
• In a healthy, 8-month-old with diarrhea but no dehydration, what would be most
appropriate advice to give parents? • Give bananas and cereal as tolerated
