NURS 6541 MIDTERM EXAM / NURS6541 MIDTERM EXAM / NURS 6541N MIDTERM EXAM (2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A)
NURS 6541 Midterm Exam / NURS6541 Midterm Exam (Latest): Primary Care of Adolescents and Children: Walden University
· Question 1
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
· Question 2
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
· Question 3
The father of a 3-year-old is concerned because the child stutters. What should your approach be?
· Question 4
A 2-day-old newbornwith conjunctivitis is likely due to
· Question 5
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?
· Question 6
For adolescent girls, peak height velocity should occur by Tanner Stage (SMR):
· Question 7
Which is the correct order for introduction of solid foods to an infant?
· Question 8
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:
· Question 9
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:
· Question 10
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?
· Question 11
At what age would a child be expected to remember a string of numbers and repeat them backwards?
· Question 12
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?
· Question 13
A child’s head circumference is routinely measured on each well visit until what age?
· Question 14
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:
· Question 15
All of the following are consistent with peritonsillar abscess except:
b.
Trismus
· Question 16
Which of the following complication of strep pharyngitis cannot be prevented with antibiotics?
b.
Glomerulonephritis
· Question 17
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?
b.
Conservation
· Question 18
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
d.
II
· Question 19
A breastfed infant is expected to have a lower incidence of which of the following?
e.
Diarrhea
· Question 20
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:
d.
The penis will grow in length and width.
· Question 21
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
a.
Fluid restriction and voiding prior to the night may be effective.
· Question 22
Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated?
c.
Flushing the ear with water.
· Question 23
By what age should most children be able to sit well without support?
a.
9 months
· Question 24
A typically developing 8-year-old girl will have which of the following genital development?
a.
No pubic hair at all
· Question 25
John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon exam?
c.
Serous and clear
· Question 26
Which of the following vaccines is routinely recommended at 4 months of age?
a.
Diphtheria, tetanus, acellular pertussis (DTaP)
· Question 27
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?
d.
Ocular mobility
· Question 28
Role-play with equipment during the course of the physical exam would be the most beneficial with which age group?
b.
Preschoolers
· Question 29
Conductive hearing loss can be caused by
c.
Serous otitis
· Question 30
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:
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
Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit?
d.
Sitting up and leaning forward
· Question 32
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
a.
Explain to the child that masturbation is something that should be done in private.
· Question 33
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?
e.
Normal ex-preemie infant growth
· Question 34
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
d.
“You can see at 20 feet with your right eye what most people can see at 50 feet.”
· Question 35
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?
a.
Limited eye contact with parents.
· Question 36
You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate further evaluation?
d.
Heart rate increases during inspiration and decreases during expiration
· Question 37
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
c.
The safest place for children under 12 years old and 100 pounds is in the backseat of the car.
· Question 38
Which of the following would not suggest an eating disorder with a purging component?
d.
Finger calluses
· Question 39
A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential?
b.
“Sometimes I feel like ending my life.”
· Question 40
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?
d.
Maxillary sinus
· Question 41
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?
