NRNP 6552 MIDTERM REAL EXAM
QUESTIONS WITH DETAILED SOLUTIONS
FREQUENTLY TESTING GRADED A+ AND
APPROVED!!!
The reaspn most often cited to explain why women who have had a usual length of stay and
normal delivery discontinue breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness -- ANSWER--B. the perception that the infant is not receiving
enough milk
Pediatric patients may now be prescribed OxyContin for pain. Patients must be already
responding to and tolerating a minimum opioid dose equal to at least 20 mg of oxycodone per
day before they can be prescribed an equivalent dose of OxyContin. In order to be prescribed
OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
Page | 1
,C. 8 to 16 years
D. over 10 years -- ANSWER--B. 11 to 16 years
Hegar's sign, a physiological sign of pregnancy is
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening -- ANSWER--B. softness of the uterus and ballottement at the isthmus
Carrie, of Irish descent, is due to deliver her second baby. During your work-up, you note
that she hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia,
and bruises easily. Her lab work reveals a normal blood workup, including a normal
prothrombin time and activated partial thromboplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia -- ANSWER--A. Von Willebrand's disease
Page | 2
,Koplik spots are small, white spots that occur on the inside of the cheeks early in the course
of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever -- ANSWER--A. measles
Gloria just delivered her baby and wants to start a vigorous exercise program to get back in
shape. You advise her that she can start strenuous exercises
A. in 1 week
B. in 3 weeks
C. in 6 weeks
D. in 8 weeks -- ANSWER--B. in 3 weeks
Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an argument
with her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored
for the occurrence of
Page | 3
, A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa -- ANSWER--A. abruptio placentae
Growth hormone treatment for short stature in children remains controversial. The clinician
should be aware of the following regarding the assessment of growth problems and idiopathic
short stature
A. identification of a growth problem can be made based on one measurement
B. dysmorphic facial features will be present
C. identification of growth problems is usually made by an auxological evaluation, which
compares the child's growth to standardized norms
D. measurements of children lying on the exam table paper are most accurate -- ANSWER-C.
identification of growth problems is usually made by an auxological evaluation, which
compares the child's growth to standardized norms
A new mother asks, "Is it true that breast milk will prevent my baby from catching colds and
other infections?" You should give which of the following replies based on current research
findings?
Page | 4
QUESTIONS WITH DETAILED SOLUTIONS
FREQUENTLY TESTING GRADED A+ AND
APPROVED!!!
The reaspn most often cited to explain why women who have had a usual length of stay and
normal delivery discontinue breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness -- ANSWER--B. the perception that the infant is not receiving
enough milk
Pediatric patients may now be prescribed OxyContin for pain. Patients must be already
responding to and tolerating a minimum opioid dose equal to at least 20 mg of oxycodone per
day before they can be prescribed an equivalent dose of OxyContin. In order to be prescribed
OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
Page | 1
,C. 8 to 16 years
D. over 10 years -- ANSWER--B. 11 to 16 years
Hegar's sign, a physiological sign of pregnancy is
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening -- ANSWER--B. softness of the uterus and ballottement at the isthmus
Carrie, of Irish descent, is due to deliver her second baby. During your work-up, you note
that she hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia,
and bruises easily. Her lab work reveals a normal blood workup, including a normal
prothrombin time and activated partial thromboplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia -- ANSWER--A. Von Willebrand's disease
Page | 2
,Koplik spots are small, white spots that occur on the inside of the cheeks early in the course
of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever -- ANSWER--A. measles
Gloria just delivered her baby and wants to start a vigorous exercise program to get back in
shape. You advise her that she can start strenuous exercises
A. in 1 week
B. in 3 weeks
C. in 6 weeks
D. in 8 weeks -- ANSWER--B. in 3 weeks
Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an argument
with her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored
for the occurrence of
Page | 3
, A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa -- ANSWER--A. abruptio placentae
Growth hormone treatment for short stature in children remains controversial. The clinician
should be aware of the following regarding the assessment of growth problems and idiopathic
short stature
A. identification of a growth problem can be made based on one measurement
B. dysmorphic facial features will be present
C. identification of growth problems is usually made by an auxological evaluation, which
compares the child's growth to standardized norms
D. measurements of children lying on the exam table paper are most accurate -- ANSWER-C.
identification of growth problems is usually made by an auxological evaluation, which
compares the child's growth to standardized norms
A new mother asks, "Is it true that breast milk will prevent my baby from catching colds and
other infections?" You should give which of the following replies based on current research
findings?
Page | 4
