NURS 6541 MIDTERM EXAM
Question 1
1 out of 1 points
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
Answer:
b.
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
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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
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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
sis
Question 41
1 out of 1 points
A differential diagnosis for child abuse would include all of the following except.
Selected
Answer:
c.
Prader-Wlli
syndrome
Question 42
1 out of 1 points
Which of the following screenings should adolescents have done annually?
Selected
Answer:
d.
Psychosocial screening, blood pressure, body
mass index
Question 43
1 out of 1 points
The nurse practitioner role was initially established to
Selected
Answer:
c.
Improve access to care and partially solve physician
shortage.
Question 44
0 out of 1 points
An 8-year-old female is brought into the office by her mother. She has complaints of
fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss
of appetite and mild diarrhea. A few classmates have similar symptoms. A review of
systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has
a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical
lymphadenopathy. What is the likely diagnosis?
Selected
Answer:
b.
Strep
pharyngitis
Question 45
1 out of 1 points
Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac,
and some hair texture alteration. His penis is not enlarged. He is in Tanner stage
Selected
Answer:
d.
II
Question 46
1 out of 1 points
Mark is in the exam room. You are concerned he may have epiglottitis. In what position do
these patients prefer to sit?
Selected
Answer:
c.
Sitting up and leaning
forward
Question 47
1 out of 1 points
Hannah, age 4, is brought into the office by her father. She complains of a sore
throat, difficulty swallowing, copious oral secretions, stridor, and a temperature of
102F. She does not have pharyngeal erythema or cough. What do you suspect?
Selected
Answer:
c.
Epiglottit
is
Question 48
1 out of 1 points
John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see
upon exam?
Selected
Answer:
a.
Stringy and
white
Question 49
1 out of 1 points
The first sign of the onset of female puberty is usually:
Selected
Answer:
c.
Breast
buds
Question 50
1 out of 1 points
A 6-month-old infant has been growing poorly. His parents have changed his formula three times
without success. His examination is remarkable for a pale, emaciated child with little subcutaneous fat
and anterior fontanelle fullness. His laboratory test results are notable for a hemolytic anemia and
prolonged bleeding times. Which of the following is the most appropriate next step?
Selected
Answer:
d.
Obtain a sweat chloride
concentration
Question 51
0 out of 1 points
Which of the following statements about “routine” screening tests is true?
Selected
Answer:
d.
Lead testing is obtained on all 12- and 14-monthold children.
Question 52
1 out of 1 points
A mother of a 6-month-old asks you about normal sleep patterns for an infant this age.
The best response is:
Selected
Answer:
a.
10 hours at night and 3-4 hours during
the day
Question 53
1 out of 1 points
A Mantoux test in a child with no risk factors is considered positive with a reaction of:
Selected
Answer:
a.
at least 15 mm
induration
Question 54
1 out of 1 points
Which is the correct order for introduction of solid foods to an infant?
Selected
Answer:
c.
Cereal, vegetables, fruits, and
meats
Question 55
0 out of 1 points
Initial screening tests for an 11-year-old with a family history of hyperlipidemia and weight
at the 97th percentile include:
Selected
Answer:
a.
fasting glucose, postprandial glucose, fasting
lipid profile
Question 56
0 out of 1 points
Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the twoweek recheck, his TM was still erythematous and you cannot see the landmarks. He
has persistent nasal congestion, he is not sleeping at night, and he has a 101°F
fever. What is the next best step for Luke?
Selected
Answer:
c.
Ceftriaxone and an
antihistamine
Question 57
0 out of 1 points
A 2-year-old boy has been slightly less than the 50th percentile for weight, height and
head circumference, but in the last 6 months he has fallen to slightly less than the
25th percentile for weight. The pregnancy was normal, his development is as
expected, and the family reports no psychosocial problems. The mother says that he
is now a finicky eater (wants only macaroni and cheese at all meals), but she insists
that he eat a variety of foods. The meals are marked by much frustration for
everyone. His examination is normal. Which of the following is the best next step in
his care?
Selected
Answer:
a.
Sweat chloride
testing
Question 58
1 out of 1 points
The parent of a 2-year-old tells you her daughter recently started having breathholding spells. She tells you the older sibling “did the same thing” and asks you for
help. You advise her that after a breath-holding event:
Selected
Answer:
c.
Act as if nothing abnormal
happened.
Question 59
1 out of 1 points
Which of the following represents normal sequencing of development in a toddler?
Selected
Answer:
d.
Feeds self, can undress self with help, washes hands, imitates
housework.
Question 60
1 out of 1 points
You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic
with beta-lactamase coverage. What do you choose?
Selected
Answer:
d.
amoxicillin and potassium clavulanate
(Augmentin)
Question 61
0 out of 1 points
A 14-year old has ataxia. He is brought to the local emergency department, where he
appears euphoric, emotionally labile, and a bit disoriented. He has nystagmus and
hypersalivation. Many notice his abusive language. Which of the following agents is
most likely responsible for his condition?
Selected
Answer:
d.
Phencyclidine
(PCP)
Question 62
0 out of 1 points
Medicaid provides health insurance coverage to
Selected d.
Answer: Anyone whose personal income falls below federal
poverty level.
Question 63
1 out of 1 points
Which of the following vaccines is routinely recommended at 4 months of age?
Selected
Answer:
b.
Diphtheria, tetanus, acellular pertussis (DTaP)
Question 64
1 out of 1 points
A 13-month-old child is noted to be at the 25th percentile for weight, the 10th
percentile for height, and less than the 5th percentile for head circumference. She was
born at term. She was noted to have a small head at birth, to be developmentally
delayed throughout her life, and to have required cataract surgery shortly after birth.
She currently takes phenobarbital for seizures. Which of the following would most
likely explain this child’s small size?
Selected
Answer:
a.
Congenital cytomegalovirus
infection
Question 65
1 out of 1 points
A 3-year-old (37 months) refuses to have bowel movements on the toilet. He is
bladder trained. He goes and hides and squats when having bowel movements.
Positive encouragement and praise is not working. You advise:
Selected
Answer:
a.
Toilet refusal in 3-year-olds is largely due to caregivers
overemphasizing toilet training.
Question 66
0 out of 1 points
Which of the following children should be referred for a comprehensive developmental
evaluation?
Selected
Answer:
d.
A 3-year-old who consistently tracks at the 5th percentile for height
and weight since birth.
Question 67
0 out of 1 points
Which of the following injuries is most likely to be caused by abuse of a toddler?
Selected
Answer:
b.
Spiral fracture of the
tibia.
Question 68
0 out of 1 points
You would be concerned about the language development of a child who:
Selected
Answer:
b.
Pronounces words that are not understandable at 2
years of age
Question 69
1 out of 1 points
A 7-month-old male is found to have a spiral fracture of the femur that his father says he got
by climbing onto a chair and then jumping off. Which of the following statements is true
regarding this situation?
Selected
Answer:
c.
You can be held legally liable for failing to report
child abuse.
Question 70
1 out of 1 points
A new mom calls the NP on postpartum day 5. She reports her newborn wants to nurse for
30 minutes every 1-1/2 to 2 hours. Which of these is the best response?
Selected
Answer:
c.
“This is a very healthy breastfeeding pattern. Be sure to rest when you
can. You are doing a great job.”
Question 71
1 out of 1 points
Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots.
What do you suspect?
Selected
Answer:
d.
Down
syndrome
Question 72
0 out of 1 points
Acute otitis media can be diagnosed when there is
Selected
Answer:
c.
Fluid in the middle ear without signs or symptoms of an
ear infection.
Question 73
0 out of 1 points
Which of the following are important considerations when screening child refugees for
tuberculosis? SELECT TWO (2)
Selected
Answers:
b.
Mantoux TST should not be used in a child who has received a Bacille
Calmette-Guerin vaccination.
c.
IGRA may be falsely positive in children who have autoimmune
disorders.
Question 74
1 out of 1 points
Which of the following statements is true regarding lying and stealing by the school-age
child?
Selected
Answer:
c.
They represent a common, transient
problem.
Question 75
1 out of 1 points
Which of the following foreign body in the nose requires immediate removal?
Selected
Answer:
c.
batter
y
Question 76
1 out of 1 points
During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of
information. Which of the following bits of information is of most concern?
Selected
Answer:
d.
Limited eye contact with
parents.
Question 77
1 out of 1 points
You assess a 15-year-old’s visual acuity and note her vision to be 20/50 in the right eye.
She asks you what that means and you respond
Selected
Answer:
b.
“You can see at 20 feet with your right eye what most people can
see at 50 feet.”
Question 78
1 out of 1 points
An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, tachycardia, and facial
flushing. She says she can “see” sound and “hear” colors. The agent likely to be
responsible is which of the following?
Selected
Answer:
e.
Lysergic acid diethylamide
(LSD)
Question 79
0 out of 1 points
Which of the following signs may indicate a baby is not receiving sufficient breastmilk?
Selected
Answer:
b.
Sleepiness and
excitability
Question 80
1 out of 1 points
Which of the following strategies would not be appropriate to include as part of your
treatment plan of an 8-year-old boy who is obese?
Selected
Answer:
b.
Referral to nutritionist for weight
reduction plan.
Question 81
1 out of 1 points
Which of the following complication of strep pharyngitis cannot be prevented with
antibiotics?
Selected
Answer:
d.
Glomerulonephri
tis
Question 82
0 out of 1 points
You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus,
and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one
measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two
hepatitis B (Hep B) vaccines. What do you order today?
Selected
Answer:
b.
PVC 13, DTaP, IPV, MMR, and
Varivax
Question 83
1 out of 1 points
You see a 6-month-old for a well-child visit and the mother tells you the child’s
grandmother recommends that she give the infant whole milk and eggs when he
starts solids. What should you tell the mother?
Selected
Answer:
b.
The baby should remain on infant formula and stage 2 and 3 baby
foods for now.
Question 84
1 out of 1 points
Which of the following substances is associated with pupillary constriction?
Selected
Answer:
c.
Heroi
n
Question 85
0 out of 1 points
A breastfed infant is expected to have a lower incidence of which of the following?
Selected
Answer:
b.
Asthm
a
Question 86
1 out of 1 points
The results of the hemoglobin A1c test are LESS reliable in children with which of the
following conditions? (Hint: select two)
Selected
Answers:
d.
Sickle Cell
Disease
e.
Cystic Fibrosis
Question 87
1 out of 1 points
Which of the following statements about bullying is true?
Selected
Answer:
b.
It occurs most commonly during unstructured times (lunch,
recess, etc.).
Question 88
1 out of 1 points
An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2
days with a fever of 102.9 (F). Which important eye assessment do you need to consider?
Selected
Answer:
a.
Ocular
mobility
Question 89
1 out of 1 points
What method can be safely used to remove cerumen in a 15-month-old child’s ear?
Selected
Answer:
d.
Irrigation using warm water from a soft bulb
syringe
Question 90
1 out of 1 points
You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note
large lower lateral incisor bulges. You recommend:
Selected e.
Answer: A and
D
Question 91
1 out of 1 points
Sandy, age 18 months, crosses her legs when lifted from behind rather than pulling them
up. Her legs are also hard to separate, making diaper changing difficult. She persistently
uses only one hand. What condition do you suspect?
Selected
Answer:
a.
Cerebral
palsy
Question 92
1 out of 1 points
By what age should most children be able to sit well without support?
Selected
Answer:
c.
9
months
Question 93
0 out of 1 points
Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is
contraindicated?
Selected
Answer:
a.
Using a small suction device to try and remove
the object.
Question 94
1 out of 1 points
A teenage female who is overweight has moderate acne on the face and chest, and
irregular menses. Elevation of which laboratory test provides the test evidence of
polycystic ovarian syndrome?
Selected
Answer:
b.
free
testosterone
Question 95
0 out of 1 points
Please interpret the following labs for an adolescent. The adolescent has a history of
obesity and acanthosis nigricans.
Test Results
Fasting blood glucose 112 mg/dL
2 hour postprandial glucose 138 mg/dL
Selected b.
Impaired fasting glucose, impaired glucose
Answer: tolerance
Question 96
1 out of 1 points
You see a 3-year-old for a well-child visit. His mother informs you that potty training
has been very easy because he “has an amazing internal clock. He falls asleep, gets
hungry, and has bowel movements at the same time every day.” This describes which
aspect of temperament?
Selected
Answer:
d.
Rhythmici
ty
Question 97
0 out of 1 points
A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile,
height about the 10th percentile, and head circumference at the 50th percentile. The planned
pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were
discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity
seems sufficient. The child has had no illness. The examination is unremarkable except for
the child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11
mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels
are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and
creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional
epithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances.
Which of the following is the most appropriate therapy for this child?
Selected
Answer:
a.
Sweat chloride
analysis
Question 98
0 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. What is
the proper management for his patient?
Selected
Answer:
a.
Oral Amoxicillin and topical
anesthetic
Question 99
1 out of 1 points
A mother brings her 4-week-old infant into the office because she noticed small yellowwhite glistening bumps on her infant’s gums. She says they look like teeth but is
concerned that they may be cancer. You diagnose these bumps as
Selected
Answer:
a.
Epstein’s
pearls
Question 100
0 out of 1 points
A 2-day-old newbornwith conjunctivitis is likely due to
Selected
Answer:
c.
Gonorrh
ea
NURS 6541 Midterm Exam (Latest): Walden University
(FOR 100% CORRECT ANSWER CHECK THE LAST PAGE)
· Question 1
1 out of 1 points
Medicaid provides health insurance coverage to
Selected
Answer:
b.
Certain categories of people whose personal income falls below a certain
percentage of the federal poverty level.
· Question 2
1 out of 1 points
A differential diagnosis for child abuse would include all of the following except.
Selected Answer: c.
Prader-Wlli syndrome
· Question 3
1 out of 1 points
Which of the following injuries is most likely to be caused by abuse of a toddler?
Selected Answer: d.
A displaced posterior rib fracture.
· Question 4
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: a.
Counts to 4 and draws a person with three parts.
· Question 5
1 out of 1 points
The first sign of the onset of female puberty is usually:
Selected Answer: b.
Breast buds
NURS 6541N Midterm Exam (Latest): Walden University
· Question 1
1 out of 1 points
Medicaid provides health insurance coverage to
Selected
Answer:
b.
Certain categories of people whose personal income falls below a certain
percentage of the federal poverty level.
· Question 2
1 out of 1 points
A differential diagnosis for child abuse would include all of the following except.
Selected Answer: c.
Prader-Wlli syndrome
· Question 3
1 out of 1 points
Which of the following injuries is most likely to be caused by abuse of a toddler?
Selected Answer: d.
A displaced posterior rib fracture.
· Question 4
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: a.
Counts to 4 and draws a person with three parts.
· Question 5
1 out of 1 points
The first sign of the onset of female puberty is usually:
Selected Answer: b.
Breast buds
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· Question 1
1 out of 1 points
Medicaid provides health insurance coverage to
Selected
Answer:
b.
Certain categories of people whose personal income falls below a certain
percentage of the federal poverty level.
· Question 2
1 out of 1 points
A differential diagnosis for child abuse would include all of the following except.
Selected Answer: c.
Prader-Wlli syndrome
· Question 3
1 out of 1 points
Which of the following injuries is most likely to be caused by abuse of a toddler?
Selected Answer: d.
A displaced posterior rib fracture.
· Question 4
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: a.
Counts to 4 and draws a person with three parts.
· Question 5
1 out of 1 points
The first sign of the onset of female puberty is usually:
Selected Answer: b.
Breast buds
· Question 1
1 out of 1 points
Medicaid provides health insurance coverage to
Selected
Answer:
b.
Certain categories of people whose personal income falls below a certain
percentage of the federal poverty level.
· Question 2
1 out of 1 points
A differential diagnosis for child abuse would include all of the following except.
Selected Answer: c.
Prader-Wlli syndrome
· Question 3
1 out of 1 points
Which of the following injuries is most likely to be caused by abuse of a toddler?
Selected Answer: d.
A displaced posterior rib fracture.
· Question 4
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: a.
Counts to 4 and draws a person with three parts.
· Question 5
1 out of 1 points
The first sign of the onset of female puberty is usually:
Selected Answer: b.
Breast buds
NURS 6541N Midterm Exam (Latest): Walden University
· Question 1
1 out of 1 points
Medicaid provides health insurance coverage to
Selected
Answer:
b.
Certain categories of people whose personal income falls below a certain
percentage of the federal poverty level.
· Question 2
1 out of 1 points
A differential diagnosis for child abuse would include all of the following except.
Selected Answer: c.
Prader-Wlli syndrome
· Question 3
1 out of 1 points
Which of the following injuries is most likely to be caused by abuse of a toddler?
Selected Answer: d.
A displaced posterior rib fracture.
· Question 4
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: a.
Counts to 4 and draws a person with three parts.
· Question 5
1 out of 1 points
The first sign of the onset of female puberty is usually:
Selected Answer: b.
Breast buds
· Question 1
1 out of 1 points
Medicaid provides health insurance coverage to
Selected
Answer:
b.
Certain categories of people whose personal income falls below a certain
percentage of the federal poverty level.
· Question 2
1 out of 1 points
A differential diagnosis for child abuse would include all of the following except.
Selected Answer: c.
Prader-Wlli syndrome
· Question 3
1 out of 1 points
Which of the following injuries is most likely to be caused by abuse of a toddler?
Selected Answer: d.
A displaced posterior rib fracture.
· Question 4
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: a.
Counts to 4 and draws a person with three parts.
· Question 5
1 out of 1 points
The first sign of the onset of female puberty is usually:
Selected Answer: b.
Breast buds
Course NUNP-6541N-10,Primary Care Adolescnt & Child.2020 Spring Qtr 02/24-
05/17-PT27
Test Week 6 – Midterm Exam
Started 3/31/20 2:52 AM
Submitted 3/31/20 5:11 AM
Due Date 4/6/20 1:59 AM
Status Completed
Attempt Score 84 out of 100 points
Time Elapsed 2 hours, 18 minutes out of 3 hours and 20 minutes
Results
Displayed
Submitted Answers
Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations
for academic integrity?
Selected
Answer:
Ye
s
Question 2
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 a.
Answer: Apply bilateral eye
patches.
Question 3
1 out of 1 points
The father of a 3-year-old is concerned because the child stutters. What should your approach be?
Selected
Answer:
a.
Explain that this can be normal until 4
years of age.
Question 4
0 out of 1 points
A 2-day-old newbornwith conjunctivitis is likely due to
Selected
Answer:
b.
Gonorrh
ea
Question 5
0 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:
b.
Sensorimot
or
Question 6
1 out of 1 points
For adolescent girls, peak height velocity should occur by Tanner Stage (SMR):
Selected
Answer:
a.
3
Question 7
0 out of 1 points
Which is the correct order for introduction of solid foods to an infant?
Selected
Answer:
a.
Fruits, cereal, vegetables, and
meats
Question 8
1 out of 1 points
I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I
cannot balance on one foot for 1 second. I am:
Selected
Answer:
b.
2-1/2 years old (30
months)
Question 9
1 out of 1 points
You receive a phone call from the mother of a 2-year-old. She states her child has sleep
refusal. You suggest the child should be able to:
Selected
Answer:
c.
Set his own bedtime based on his
internal clock.
Question 10
0 out of 1 points
A 15-month-old boy 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.
Reevaluate the child at the 24
-month visit.
Question 11
1 out of 1 points
At what age would a child be expected to remember a string of numbers and repeat them backwards?
Selected
Answer:
b.
12
years
Question 12
1 out of 1 points
A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for
height, and less than the 5th percentile for head circumference. She was born at term. She
was noted to have a small head at birth, to be developmentally delayed throughout her life,
and to have required cataract surgery shortly after birth. She currently takes phenobarbital for
seizures. Which of the following would most likely explain this child’s small size?
Selected
Answer:
e.
Congenital cytomegalovirus
infection
Question 13
1 out of 1 points
A child’s head circumference is routinely measured on each well visit until what age?
Selected
Answer:
a.
2
years
Question 14
1 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:
a.
Assessing the family supports available to
the child.
Question 15
0 out of 1 points
All of the following are consistent with peritonsillar abscess except:
Selected
Answer:
b.
Exudate on
tonsils
Question 16
1 out of 1 points
Which of the following complication of strep pharyngitis cannot be prevented with antibiotics?
Selected
Answer:
b.
Glomerulonephri
tis
Question 17
1 out of 1 points
A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet
achieved which of the principles of Piaget?
Selected
Answer:
b.
Conservati
on
Question 18
1 out of 1 points
Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture
alteration. His penis is not enlarged. He is in Tanner stage
Selected
Answer:
d.
II
Question 19
1 out of 1 points
A breastfed infant is expected to have a lower incidence of which of the following?
Selected
Answer:
e.
Diarrhe
a
Question 20
1 out of 1 points
A 12-year-old male states he noticed an enlargement of his testes and scrotum. When counseling him about the
next step in pubertal development, you state:
Selected
Answer:
d.
The penis will grow in length and
width.
Question 21
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:
a.
Fluid restriction and voiding prior to the night may be
effective.
Question 22
1 out of 1 points
Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated?
Selected
Answer:
c.
Flushing the ear with
water.
Question 23
1 out of 1 points
By what age should most children be able to sit well without support?
Selected
Answer:
a.
9
months
Question 24
1 out of 1 points
A typically developing 8-year-old girl will have which of the following genital development?
Selected
Answer:
a.
No pubic hair at
all
Question 25
0 out of 1 points
John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon exam?
Selected
Answer:
c.
Serous and
clear
Question 26
1 out of 1 points
Which of the following vaccines is routinely recommended at 4 months of age?
Selected
Answer:
a.
Diphtheria, tetanus, acellular pertussis (DTaP)
Question 27
1 out of 1 points
An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9
(F). Which important eye assessment do you need to consider?
Selected
Answer:
d.
Ocular
mobility
Question 28
1 out of 1 points
Role-play with equipment during the course of the physical exam would be the
most beneficial with which age group?
Selected
Answer:
b.
Preschoole
rs
Question 29
1 out of 1 points
Conductive hearing loss can be caused by
Selected
Answer:
c.
Serous
otitis
Question 30
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:
d.
“Your child’s speech is normal and bilingual children commonly intermix the words from both
languages until about 3 years of age.”
Question 31
1 out of 1 points
Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer
to sit?
Selected
Answer:
d.
Sitting up and leaning
forward
Question 32
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:
a.
Explain to the child that masturbation is something that should be
done in private.
Question 33
1 out of 1 points
Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th percentile for height, weight and head
circumference. He was born at 30 weeks’ gestation and weighed 1000g. He was a planned pregnancy, and his mother’s prenatal
course was uneventful until an automobile accident initiated the labor. He was ventilated for 3 days in the intensive care unit but
otherwise did well without ongoing problems. He was discharged at 8 weeks of life. Which of the following is the most likely
explanation for his small size?
Selected
Answer:
e.
Normal ex-preemie infant
growth
Question 34
1 out of 1 points
You assess a 15-year-old’s visual acuity and note her vision to be 20/50 in the right eye. She asks you what that
means and you respond
Selected
Answer:
d.
“You can see at 20 feet with your right eye what most people can
see at 50 feet.”
Question 35
1 out of 1 points
During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of
information. Which of the following bits of information is of most concern?
Selected
Answer:
a.
Limited eye contact with
parents.
Question 36
0 out of 1 points
You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate
further evaluation?
Selected
Answer:
d.
Weight plots in the 50th percentile, while height plots at the
75th percentile.
Question 37
1 out of 1 points
A 9-year-old who weighs 70 pounds asks why she can’t sit in the front passenger seat of the family car. Your best
response is
Selected
Answer:
c.
The safest place for children under 12 years old and 100 pounds is in the
backseat of the car.
Question 38
0 out of 1 points
Which of the following would not suggest an eating disorder with a purging component?
Selected
Answer:
d.
Sore
throat
Question 39
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:
b.
“Sometimes I feel like ending
my life.”
Question 40
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 41
1 out of 1 points
A 6-month-old infant has been growing poorly. His parents have changed his formula three times without success. His
examination is remarkable for a pale, emaciated child with little subcutaneous fat and anterior fontanelle fullness. His laboratory
test results are notable for a hemolytic anemia and prolonged bleeding times. Which of the following is the most appropriate next
step?
Selected
Answer:
d.
Obtain a sweat chloride
concentration
Question 42
1 out of 1 points
Medicaid provides health insurance coverage to
Selected
Answer:
a.
Certain categories of people whose personal income falls below a certain percentage of the
federal poverty level.
Question 43
0 out of 1 points
The mother of a 5-year-old informs you that her daughter cheats when playing board games. What is the best
response?
Selected
Answer:
b.
Tell the mother to spend time clarifying board game rules before
starting games.
Question 44
1 out of 1 points
Which of the following substances is associated with pupillary constriction?
Selected
Answer:
b.
Heroi
n
Question 45
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:
a.
“Use a consistent approach with behavioral cues both at home
and at school.”
Question 46
0 out of 1 points
Flourescein staining of the eye is used to detect a
Selected
Answer:
c.
Foreign
body
Question 47
0 out of 1 points
Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the two-week
recheck, his TM was still erythematous and you cannot see the landmarks. He has persistent
nasal congestion, he is not sleeping at night, and he has a 101°F fever. What is the next best
step for Luke?
Selected
Answer:
a.
Ceftriaxone and an
antihistamine
Question 48
1 out of 1 points
All of the following may predispose a patient to thrush except:
Selected
Answer:
c.
Poor oral
hygiene
Question 49
1 out of 1 points
Head and chest circumferences should be equal at:
Selected
Answer:
c.
1 year of
age
Question 50
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 51
1 out of 1 points
Which of the following statements about bullying is true?
Selected
Answer:
b.
It occurs most commonly during unstructured times (lunch,
recess, etc.).
Question 52
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:
a.
19 to 20
pounds
Question 53
1 out of 1 points
An eye that deviates in when covered but that returns to midline when uncovered is an
Selected
Answer:
c.
esophor
ia
Question 54
1 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:
e.
Complications of
prematurity
Question 55
1 out of 1 points
The most common substance used in middle school is
Selected
Answer:
a.
Alcoh
ol
Question 56
1 out of 1 points
A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at home; the pregnancy was without
complications. His Apgar scores were 9 at 1 minute and 9 at 5 minutes. He has breastfed well and has not required a health
care professional visit since birth. Which of the following vitamin deficiencies might explain his condition?
Selected
Answer:
a.
Vitamin
K
Question 57
1 out of 1 points
Tammy, age 3, is at the office for her well-child visit. She has trouble removing her own shirt as requested. Her
mother yanks off her shirt after smacking her wrist and saying, “you must do as you’re told quickly.” Which
action is indicated?
Selected
Answer:
d.
Observe Tammy for signs of child
abuse.
Question 58
1 out of 1 points
A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile,
height about the 10th percentile, and head circumference at the 50th percentile. The planned
pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were
discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity
seems sufficient. The child has had no illness. The examination is unremarkable except for
the child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11
mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels
are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and
creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional
epithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances.
Which of the following is the most appropriate therapy for this child?
Selected
Answer:
d.
Oral supplementation with
bicarbonate
Question 59
1 out of 1 points
A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation
of which laboratory test provides the test evidence of polycystic ovarian syndrome?
Selected
Answer:
a.
free
testosterone
Question 60
1 out of 1 points
A 2-year-old boy has been slightly less than the 50th percentile for weight, height and head
circumference, but in the last 6 months he has fallen to slightly less than the 25th percentile
for weight. The pregnancy was normal, his development is as expected, and the family
reports no psychosocial problems. The mother says that he is now a finicky eater (wants only
macaroni and cheese at all meals), but she insists that he eat a variety of foods. The meals
are marked by much frustration for everyone. His examination is normal. Which of the
following is the best next step in his care?
Selected
Answer:
c.
Reassurance and counseling for family about childhood normal
developmental stage
Question 61
1 out of 1 points
I like to use my pincer grasp that involves the ablitily to pick up a small object
such as a raisin or piece of cereal with the thumb and forefinger, and that is
mastered around what age?
Selected
Answer:
b.
9
months
Question 62
1 out of 1 points
An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, techycardia, and facial flushing. She says she
can “see” sound and “hear” colors. The agent likely to be responsible is which of the following?
Selected
Answer:
d.
Lysergic acid diethylamide
(LSD)
Question 63
1 out of 1 points
An 8-year-old female is brought into the office by her mother. She has complaints of fever
and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite
and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals
clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+
erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis?
Selected
Answer:
c.
Viral
pharyngitis
Question 64
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:
c.
Sleep in the supine position is
recommended
Question 65
0 out of 1 points
What is the most traumatic, yet common form and of child abuse seen in pediatric primary care?
Selected
Answer:
d.
Soft tissue
injuries
Question 66
1 out of 1 points
Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy
sexual development?
Selected
Answer:
a.
Begin anticipatory guidance related to sexuality and normal pubertal development in the
early school-age visits.
Question 67
1 out of 1 points
Appropriate anticipatory guidance for the parents of an 8-year-old girl includes
Selected
Answer:
c.
Information that the child will start to value personal idols and
role models.
Question 68
1 out of 1 points
Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty
staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing
signs of
Selected
Answer:
d.
ADH
D
Question 69
1 out of 1 points
Which of the following injuries is most likely to be caused by abuse of a toddler?
Selected c.
Answer: A displaced posterior rib
fracture.
Question 70
1 out of 1 points
Which of the following issues or concepts is relevant to the school-age child?
Selected
Answer:
a.
Erikson’s initiative versus
guilt
Question 71
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:
c.
Neurofibromato
sis
Question 72
1 out of 1 points
The first sign of the onset of female puberty is usually:
Selected
Answer:
d.
Breast
buds
Question 73
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
Answer:
d.
Bruxis
m
Question 74
0 out of 1 points
Which of the following characterizes middle adolescence (14 to 16 years old)?
Selected
Answer:
c.
Need for privacy, increased conflicts with parents, financial
independence
Question 75
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:
a.
6
months
Question 76
1 out of 1 points
You would be concerned about the language development of a child who:
Selected
Answer:
b.
Stutters when excited or tired at the
age of 7
Question 77
1 out of 1 points
Most children can independently get dressed by themselves by age:
Selected
Answer:
d.
5
years
Question 78
1 out of 1 points
A differential diagnosis for child abuse would include all of the following except.
Selected
Answer:
b.
Prader-Wlli
syndrome
Question 79
1 out of 1 points
Which of the following eye findings would be considered an ophthalmic emergency?
Selected
Answer:
b.
Unilateral vesicular lesions on the upper eyelid in a
3-week old.
Question 80
1 out of 1 points
A 2-year-old child weighs 34 lb. What type of car seat should the child use?
Selected
Answer:
b.
A forward-facing car seat in the back of the vehicle.
Question 81
1 out of 1 points
An expected milestone of a 4-year-old is the ability to
Selected
Answer:
c.
Copy a
cross
Question 82
1 out of 1 points
Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism?
Selected
Answer:
a.
Haemophilus
influenza
Question 83
0 out of 1 points
A 14-year old has ataxia. He is brought to the local emergency department,
where he appears euphoric, emotionally labile, and disoriented. Many notice his
abusive language. Which of the following agents is most likely responsible for his
condition?
Selected
Answer:
a.
Phencyclidine
(PCP)
Question 84
1 out of 1 points
What method can be safely used to remove cerumen in a 15-month-old child’s ear?
Selected
Answer:
d.
Irrigation using warm water from a soft bulb
syringe
Question 85
1 out of 1 points
The appropriate lab tests in assessment of cervical adenitis include all of the following except:
Selected
Answer:
a.
Blood
culture
Question 86
1 out of 1 points
Which of the following represents normal sequencing of development in a toddler?
Selected
Answer:
b.
Feeds self, can undress self with help, washes hands, imitates
housework.
Question 87
1 out of 1 points
You see a young child who has tripled her birth weight and looks for hidden objects. When given blocks, she places one in each
hand. She has a fine pincer grasp. On the floor, she walks around holding objects and is trying to take independent steps. This
child is most likely how old?
Selected
Answer:
c.
12
months
Question 88
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:
d.
tuberculos
is
Question 89
1 out of 1 points
A 4-month-old presents with both eyes turning inward. What is this called?
Selected
Answer:
b.
Esotropi
a
Question 90
1 out of 1 points
A mother brings her 4-week-old infant into the office because she noticed small yellow-white glistening bumps
on her infant’s gums. She says they look like teeth but is concerned that they may be cancer. You diagnose
these bumps as
Selected
Answer:
d.
Epstein’s
pearls
Question 91
1 out of 1 points
The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical
findings are not usually associated with the diagnosis of school phobia?
Selected
Answer:
d.
Chronic medical
illness
Question 92
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:
d.
Counts to 4 and draws a person with
three parts.
Question 93
0 out of 1 points
Which of the following children should be referred for a comprehensive developmental evaluation?
Selected
Answer:
a.
A 3-year-old who consistently tracks at the 5th percentile for height and
weight since birth.
Question 94
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:
b.
Nasal
neosynephrine
Question 95
1 out of 1 points
You see a 3-year-old for a well-child visit. His mother informs you that potty training has been
very easy because he “has an amazing internal clock. He falls asleep, gets hungry, and has
bowel movements at the same time every day.” This describes which aspect of
temperament?
Selected
Answer:
a.
Rhythmici
ty
Question 96
1 out of 1 points
You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received the
diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second dose;
measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second dose;
pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type B (Hib)
fourth dose. Which of the following do you order today?
Selected
Answer:
c.
DTaP, varicella, hepatitis A, and
hepatitis B
Question 97
1 out of 1 points
The results of the hemoglobin A1c test are LESS reliable in children with which of the following conditions? (Hint:
select two)
Selected
Answers:
a.
Cystic Fibrosis
b.
Sickle Cell
Disease
Question 98
1 out of 1 points
You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large
lower lateral incisor bulges. You recommend:
Selected
Answer:
e.
A and
D
Question 99
0 out of 1 points
A 7-month-old male is found to have a spiral fracture of the femur that his father says he got by
climbing onto a chair and then jumping off. Which of the following statements is true regarding this
situation?
Selected
Answer:
d.
You should anonymously report the abuse to the
authorities.
Question 100
1 out of 1 points
The nurse practitioner role was initially established to
Selected
Answer:
b.
Improve access to care and partially solve physician
shortage.
Question 101
1 out of 1 points
Which of the following is a true contraindication of vaccinating a child?
Selected
Answer:
d.
Previous vaccination reaction that consisted of wheezing and
hypotension
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