Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children

Question 1

What is the common tool used to check for hyperactivity?

A. The PHQ-9

B. The Columbia Impairment Scale

C. The Vanderbilt Assessment Scale

D. The Eyberg Child Inventory

Question 2

How many times should a newborn urinate in the first 3-4 days of life?

A. 1-2

B. 3-4

C. 6-8

D. 12-15

Question 3

What should be monitored in a child with Marfan syndrome?

A. Growth using a specialized growth chart

B. Orthopedic problems

C. Blood pressure

D. All of the above

Question 4

How many hours does a typical newborn sleep in a 24-hour period?

A. 20-22 hours

B. 18-20 hours

C. 10.5-18 hours

D. 6-15 hours

Question 5

Did you follow Walden University’s rules and act honestly while taking this exam?

A. Yes

B. No

Question 6

What happens when a perforation of the eardrum occurs?

A. The patient will have intense pain until intervention occurs

B. The patient may have bleeding from the ear

C. The pain may improve

D. A and C

E. B and C

Question 7

What is the most common cause of conjunctivitis in newborns?

A. Staphylococcus aureus.

B. Pseudomonas

C. Escherichia coli

D. Chlamydia trachomatis

Question 8

What does an echocardiogram do?

A. Monitors the electrical activity of the heart from different locations and different planes of the body

B. Uses reflected sound waves to identify intracardiac structures and their motion

C. Rules out anemia or polycythemia as a cause of a murmur

D. Provides information about cardiac output

Question 9

What are 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

When should blood pressures be measured according to the National Heart, Lung, and Blood Institute (NHLBI)?

A. Birth

B. Age 1 year

C. Age 3 years

D. Age 5 years

Question 11

What does the characteristic rash of Lyme disease look like?

A. Golf ball

B. Kidney bean

C. Starfish

D. Bullseye

Question 12

Peggy’s nipples are sore while breastfeeding her four-week-old baby. What should she do?

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

Question 13

What glands are affected by mumps?

A. Parotid glands

B. Parathyroid glands

C. Tonsils

D. Adenoids

Question 14

What is fecal incontinence after the age when the child should control bowel movements called?

A. Enuresis

B. Encopresis

C. Stool retention

D. Diarrhea

Question 15

What are clinical findings of retinal detachment?

A. Blurry vision that becomes progressively worse

B. Pallor to the retinal vessels on fundoscopic examination

C. A perception of flashing lights by the patient in the affected eye

D. A and C

E. A, B, and C

Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children

Question 16

What is candidiasis?

A. Fungal infection

B. Bacterial infection

C. Viral infection

D. A combination of A, B, and C

Question 17

What is the gold standard for diagnosing cystic fibrosis?

A. The pilocarpine iontophoresis sweat test

B. A sputum culture

C. The CF blood panel

D. A CF urine regimate test

Question 76

What should be done when feeding pumped breast milk?

A. Warm it up in the microwave prior to feeding.

B. Warm it in warm water prior to feeding.

C. Never warm it up, as that causes bacterial overgrowth.

D. Ensure that the milk has been in the refrigerator less than 72 hours.

Question 77

What is erythema infectiosum also known as?

A. Third disease

B. Roseola

C. Fifth disease

D. Strep throat

Question 78

What is a common term for strabismus?

A. Lazy eye

B. Monovision

C. Nystagmus

D. Astigmatism

Question 79

What can cause viral conjunctivitis?

A. An adenovirus

B. Herpes simplex

C. Enterovirus

D. All of the above

Question 80

What is the first stage in Erikson’s Developmental theory (0-12 months)?

A. Trust vs. mistrust

B. Autonomy vs shame

C. Intimacy vs isolation

D. Initiative vs guilt

Question 81

What are barriers to care?

A. Financial issues

B. Insurance issues

C. Clinic services that are available outside working hours

D. A and B

E. A, B, and C

Question 82

What is ectropion?

A. The eyelid margins evert

B. There is a wide palpebral fissure

C. The eyelids invert

D. There is a contusion to the eye, resulting in a “black eye”

Question 83

What does the Denver Developmental Screening Test II divide content into?

A. Gross motor, language, fine motor, personal and social

B. Visual motor integration, Auditory integration, Olfactory integration, Touch integration

C. Neurodevelopmental, behavioral, emotional, physical

D. Knowledge, self-awareness, basic skills, strategies

Question 84

What is a basic first-grade readiness skill?

A. Balance on each foot for 12 seconds

B. Copy geometric shapes (circle, square, triangle)

C. Recognize four colors

D. B and C

E. A, B, and C

Question 85

How often should a newborn breastfeed during the day?

A. Every hour

B. Every 2-3 hours

C

. Every 4-6 hours

D. Three times a day

Question 96

Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

What does hepatitis B cause?

A. Blindness

B. Severe renal disease

C. Severe liver disease

D. Thyroid cancer

Question 97

What anti-pyretics can be used for children ages 6 months to 12 years?

A. Acetaminophen

B. Ibuprofen

C. Naproxen

D. A and B

E. A, B, and C

Question 98

What is the sense of right or wrong like in school-age children?

A. Flexible

B. Rigid

C. Fluid

D. Relaxed

Question 99

What recommendation from the AAP has helped decrease deaths from SIDS?

A. That all babies sleep on their backs

B. That all babies be awakened every two hours during the night

C. That all babies sleep with a pacifier

D. That babies who have asthma sleep on their sides

Question 100

What characterizes night terrors?

A. A sudden arousal from sleep to a fully awake state

B. Occur during sleep and the child does not remember them the following day

C. Are recalled in detail the following day

D. Occur during REM sleep

E. B and D

Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children

Question 1

The assessment tool often used to assess for hyperactivity is:

	A.	The PHQ-9
	B.	The Columbia Impairment Scale
	C.	The Vanderbilt Assessment Scale
	D.	The Eyberg Child Inventory

Question 2

In the first 3-4 days of life, the baby should urinate approximately _____ times in 24 hours.

	A.	1-2
	B.	3-4
	C.	6-8
	D.	12-15

Question 3

Things to monitor in a child with Marfan syndrome include:

	A.	Growth using a specialized growth chart
	B.	Orthopedic problems
	C.	Blood pressure
	D.	All of the above

Question 4

In a 24-hour period, the typical neonate sleeps

	A.	20-22 hours
	B.	18-20 hours
	C.	10.5-18 hours
	D.	6-15 hours

Question 5

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

	A.	Yes
	B.	No

 

Question 6

When a perforation of the tympanic membrane occurs,

	A.	The patient will have intense pain until intervention occurs
	B.	The patient may have bleeding from the ear
	C.	The pain may improve
	D.	A and C
	E.	B and C

 

Question 7

Ophthalmia neonatorum, or conjunctivitis of the newborn, is most commonly caused by:

	A.	Staphylococcus aureus.
	B.	Pseudomonas
	C.	Escherichia coli
	D.	Chlamydia trachomatis

 

Question 8

An echocardiogram:

	A.	Monitors the electrical activity of the heart from different locations and different planes of the body
	B.	Uses reflected sound waves to identify intracardiac structures and their motion
	C.	Rules out anemia or polycythemia as a cause of a murmur
	D.	Provides information about cardiac output

 

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

 

Question 13

Mumps is an acute generalized viral disease with painful enlargement of one or more:

	A.	Parotid glands
	B.	Parathyroid glands
	C.	Tonsils
	D.	Adenoids

 

Question 14

Fecal incontinence after an age when the child should be able to control bowel movements is called:

	A.	Enuresis
	B.	Encopresis
	C.	Stool retention
	D.	Diarrhea

 

Question 15

The clinical findings of retinal detachment include:

	A.	Blurry vision that becomes progressively worse
	B.	Pallor to the retinal vessels on fundoscopic examination
	C.	A perception of flashing lights by the patient in the affected eye
	D.	A and C
	E.	A, B, and C

 

Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children Question 16

Candidiasis is a:

	A.	Fungal infection
	B.	Bacterial infection
	C.	Viral infection
	D.	A combination of A, B, and C

Question 17

The gold standard for the diagnosis of cystic fibrosis is:

	A.	The pilocarpine iontophoresis sweat test
	B.	A sputum culture
	C.	The CF blood panel  Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children
	D.	A CF urine regimate test

 

Question 76

When feeding pumped breast milk, it is important to:

	A.	Warm it up in the microwave prior to feeding.
	B.	Warm it in warm water prior to feeding.
	C.	Never warm it up, as that causes bacterial overgrowth.
	D.	Ensure that the milk has been in the refrigerator less than 72 hours.

Question 77

Erythema infectiosum is also known as,

	A.	Third disease
	B.	Roseola
	C.	Fifth disease
	D.	Strep throat

 

Question 78

 

A common term for strabismus is:

 

Lazy eye

 

Monovision

 

Nystagmus

 

Astigmatism

 

Question 79

Viral conjunctivitis may be caused by:

	A.	An adenovirus
	B.	Herpes simplex
	C.	Enterovirus
	D.	All of the above

 

Question 80

In Erikson’s Developmental theory, the first stage (0-12 months) which is the stage of:

	A.	Trust vs. mistrust
	B.	Autonomy vs shame
	C.	Intimacy vs isolation
	D.	Initiative vs guilt

 

Question 81

The following are barriers to care:

	A.	Financial issues
	B.	Insurance issues
	C.	Clinic services that are available outside working hours
	D.	A and B
	E.	A, B, and C

 

Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children Question 82

Ectropion is a condition where:

	A.	The eyelid margins evert
	B.	There is a wide palpebral fissure
	C.	The eyelids invert
	D.	There is a contusion to the eye, resulting in a “black eye”

 

Question 83

The Denver Developmental Screening Test II divides content into the following four areas:

	A.	Gross motor, language, fine motor, personal and social
	B.	Visual motor integration, Auditory integration, Olfactory integration, Touch integration
	C.	Neurodevelopmental, behavioral, emotional, physical
	D.	Knowledge, self-awareness, basic skills, strategies

 

Question 84

A basic first-grade readiness skill is the child can:

	A.	Balance on each foot for 12 seconds
	B.	Copy geometric shapes (circle, square, triangle)
	C.	Recognize four colors
	D.	B and C  Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children
	E.	A, B, and C

Question 85

During the day, a newborn should breastfeed about:

	A.	Every hour
	B.	Every 2-3 hours
	C.	Every 4-6 hours
	D.	Three times a day

Question 96

Hepatitis B is highly contagious and causes:

	A.	Blindness
	B.	Severe renal disease
	C.	Severe liver disease
	D.	Thyroid cancer

 

Question 97

For children ages 6 months to 12 years, the following anti-pyretic(s) can be used:

	A.	Acetaminophen
	B.	Ibuprofen
	C.	Naproxen
	D.	A and B
	E.	A, B, and C

 

Question 98

School-age children tend to be rather ________ in their sense of right or wrong.

	A.	Flexible
	B.	Rigid
	C.	Fluid
	D.	Relaxed

Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children Question 99

Deaths from sudden infant death syndrome (SIDS) have decreased since the AAP recommended:

	A.	That all babies sleep on their backs
	B.	That all babies be awakened every two hours during the night
	C.	That all babies sleep with a pacifier
	D.	That babies who have asthma sleep on their sides

Question 100

Night terrors are characterized by:

	A.	A sudden arousal from sleep to a fully awake state
	B.	Occur during sleep and the child does not remember them the following day
	C.	Are recalled in detail the following day
	D.	Occur during REM sleep
	E.	B and D