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 the 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:
· Question 16
Which of the following complication of strep pharyngitis cannot be prevented with antibiotics?
· 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?
· 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
· Question 19
A breastfed infant is expected to have a lower incidence of which of the following?
· 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:
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
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?
Flushing the ear with water.
· Question 23
By what age should most children be able to sit well without support?
· Question 24
A typically developing 8-year-old girl will have which of the following genital development?
No pubic hair at all
· Question 25
John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon exam?
Serous and clear
· Question 26
Which of the following vaccines is routinely recommended at 4 months of age?
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?
· Question 28
Role-play with equipment during the course of the physical exam would be the most beneficial with which age group?
· Question 29
Conductive hearing loss can be caused by
· 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:
“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?
Sitting up and leaning forward