NRNP 6541 Midterm Exam Walden University
NRNP 6541 Midterm Exam Walden University
Question 1
It has been found that children who participate in after-school activities have:
| A. | Decreased self esteem | |
| B. | Better school grades | |
| C. | Poorer emotional skills | |
| D. | Higher incidence of depression |
Question 2
The AAP recommends giving ________ to all breastfed infants through one year of age.
| A. | 200 mg of Vitamin C per day | |
| B. | Iron supplementation-dosage based on weight | |
| C. | 400 iu of Vitamin D per day | |
| D. | No vitamins or minerals |
NRNP 6541 Midterm Exam Walden University Question 3
Cultural competence:
| A. | Assumes an inclusive approach to health care practice | |
| B. | The ability to communicate and demonstrate cultural skills within one’s culture of origin | |
| C. | Preserves the rights and dignity of all | |
| D. | A and C |
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Question 4
A respiratory rate greater than _____ in a young child who is quiet, resting, and afebrile warrants further evaluation. NRNP 6541 Midterm Exam Walden University
| A. | 16 | |
| B. | 24 | |
| C. | 40 | |
| D. | 60 |
Question 5
A medication that can be used for children with monosymptomatic nocturnal enuresis is:
Trazodone
Ritalin
Benadryl
Desmopressin
Question 6
The most effective means of preventing the spread of infection is:
| A. | Using antibacterial wipes on every surface with which one comes into contact. | |
| B. | Using a tissue to cover the mouth and nose when sneezing and coughing. | |
| C. | Wearing gloves. | |
| D. | Thorough and frequent handwashing. |
NRNP 6541 Midterm Exam Walden University Question 9
The following are consistent with symptoms of the common cold:
| A. | Malaise, sneezing, watery nasal discharge, mild sore throat, may have fever-all within the past 0-10 days | |
| B. | Persistent nasal symptoms for more than 10 days with URI, purulent or colored nasal drainage, cough, fever | |
| C. | Malaise, nasal obstruction, unilateral or bilateral nasal discharge | |
| D. | Persistent nasal symptoms for more than 30 days with URI |
Question 10
The National Heart, Lung, and Blood Institute (NHLBI) recommends measuring blood pressures annually and at every health care episode at:
| A. | Birth | |
| B. | Age 1 year | |
| C. | Age 3 years | |
| D. | Age 5 years |
Question 11
The characteristic rash of Lyme disease is at least 5 cm in size and resembles a:
| A. | Golf ball | |
| B. | Kidney bean | |
| C. | Starfish | |
| D. | Bullseye |
Question 12
Peggy comes in to see you because her nipples are very sore. Her baby is four weeks old and she is exclusively breastfeeding. You examine her and they are cracked and peeling. You advise her to:
| A. | Immediately quit breastfeeding. This can be harmful to her breasts. | |
| B. | Rub some breastmilk onto the nipple and areola after every feeding and let it air-dry. | |
| C. | Nurse from the least sore side first. | |
| D. | B and C
NRNP 6541 Midterm Exam Walden University |
Question 27
Mastoiditis is most common in:
| A. | Children younger than 2 years | |
| B. | School-aged children | |
| C. | Teenagers | |
| D. | Elderly individuals |
Question 28
A herald patch is present in 70% of the presentation of:
| A. | Tinea corporis | |
| B. | Roseola | |
| C. | Pityriasis rosea | |
| D. | Psoriasis |
Question 29
The CDC recommends initial universal screening for congenital or birth-related hearing loss:
| A. | As a newborn | |
| B. | At the age of 6 months | |
| C. | At the one year well exam | |
| D. | Upon entering kindergarten |
Question 30
Of the following topical corticosteroids, which is the highest potency?
| A. | Clobetasol propionate 0.05% | |
| B. | Triamcinolone acetonide 0.1% | |
| C. | Hydrocortisone 1% | |
| D. | Betamethasone dipropionate 0.05% |
Question 31
Cora is a first-time mother. Her baby was born at 40 weeks and weighed 8 pounds, 1 oz. Cora is breastfeeding her baby. The baby is voiding 6-8 wet diapers every 24 hours and is stooling 3-5 times/day. She brings her baby in for a 1 week check up and her baby weighs 7 lbs., 15 oz. Cora is upset at the weight loss. You explain to her:
| A. | It is indeed concerning. Babies need to gain weight steadily. | |
| B. | This is not something to worry about. Babies typically lose 5-8% of birth weight but should regain it by 10-14 days. | |
| C. | Babies do lose weight initially, but she should at least be back to birth weight by now. I will need to do a weight check tomorrow. | |
| D. | This is extremely concerning. We need to admit your baby back into the hospital. |
Question 32
A developmental red flag for a six-year-old is:
| A. | Difficulty holding a pencil with penmanship | |
| B. | Problems throwing a ball | |
| C. | Unable to print name
NRNP 6541 Midterm Exam Walden University |
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| D. | Picture of self includes less than 8 parts |
Question 33
Adelaide comes in to see you because she is concerned about her breast. She is breastfeeding her 8-week-old and her left breast is very sore. She has also noticed a “lump” in the lower outer quadrant of the breast that is warm and slightly red. She also feels very tired and “flu-like”. You examine the area and note the lump and that there is some reddish streaking on the breast by the lump. It is very painful to her when you touch the area. You tell her it appears she has mastitis, which is an infection of the breast that can occur anytime during lactation. You advise her to:
| A. | Stop breastfeeding or the bacteria may pass to the baby and make her very ill. | |
| B. | Nurse or pump more frequently to “empty” the breast. | |
| C. | Use warm compresses on the area. | |
| D. | B and C |
NRNP 6541 Midterm Exam Walden University Question 34
In bacterial pneumonia, 90% of cases are caused by:
| A. | Chlamydia trachomatis | |
| B. | Staphylococcus aureus | |
| C. | Mycoplasma pneumoniae | |
| D. | Streptococcus pneumoniae |
Question 92
A child can typically pick up a small object using a pincer grasp by:
| A. | 3 months | |
| B. | 6 months | |
| C. | 12 months | |
| D. | 2 years |
Question 93
A useful point to remember about common imaging tests is:
| A. | Computed tomography (CT) scans do not involve radiation exposure | |
| B. | Ultrasonography provides 3D images | |
| C. | With Doppler ultrasound, blood flow direction and velocity can be measured | |
| D. | Conventional radiographs are one of the more expensive imaging tests |
Question 94
According to Freud’s theory, during the phallic stage of early childhood (5 to 7 years old), the child attaches to:
| A. | The parent of the same sex | |
| B. | The parent of the opposite sex | |
| C. | The oldest sibling
NRNP 6541 Midterm Exam Walden University |
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| D. | None of the family members; this is a time of isolation |
Question 95
Retinoblastsoma is:
Another term for congenital cataracts.
Common in premature infants.
An intraocular tumor.
An infection of the retina.c
Question 96
A persistent unilateral nasal discharge may be a sign of:
| A. | A URI | |
| B. | A nasal foreign body | |
| C. | A migraine headache | |
| D. | Allergies
NRNP 6541 Midterm Exam Walden University |
