2022-2023 NRNP6541 Final Exam (3 Versions) with Answers (200 Solved Questions)

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NRNP 6541 Final Exam (3 Versions, 300 Q& A, Latest-2022/2023) / NRNP 6541NFinal Exam / NRNP6541 Final Exam /NRNP-6541N Final Exam: WaldenUniversity | 100% Verified Q & A |

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 Question 10 out of 1 pointsMedicaid provides health insurance coverage toSelectedAnswer:b.Newborn, pregnant women, and those older than 65 whose personal incomefalls below the federal poverty level. Question 21 out of 1 pointsA differential diagnosis for child abuse would includeallof the followingexcept.Selected Answer:c.Prader-Wlli syndrome Question 31 out of 1 pointsWhich of the following injuries is most likely to be caused by abuse of a toddler?Selected Answer:d.A displaced posterior rib fracture. Question 41 out of 1 points

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You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarioswould 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 51 out of 1 pointsThe first sign of the onset of female puberty is usually:Selected Answer:b.Breast buds Question 61 out of 1 pointsYou see a 7-year-old with complaints of "having accidents at night." Physical exam andhistory are unremarkable. Urinalysis, urine culture, and specific gravity are normal. Hisparents ask about the best treatment for this problem. The best response isSelected Answer:b.Fluid restriction and voiding prior to the night may be effective. Question 71 out of 1 pointsWhich of the following statements about bullying is true?

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Selected Answer:d.It occurs most commonly during unstructured times (lunch, recess, etc.). Question 80 out of 1 pointsThe mother of a 5-year-old informs you that her daughter cheats when playing board games.What is the best response?SelectedAnswer:d.Tell the mother to spend time clarifying board game rules before startinggames. Question 90 out of 1 pointsWhich of the following conditions requires urgent inpatient admission?Selected Answer:d.Epiglottis Question 101 out of 1 pointsAllof the following are consistent with peritonsillar abscessexcept:Selected Answer:d.Trismus

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 Question 111 out of 1 pointsThe parents of a 7-year-old are concerned their son does not want to attend school. Which ofthe historical findings arenotusually associated with the diagnosis of school phobia?Selected Answer:d.Chronic medical illness Question 120 out of 1 pointsYou are performing an examination of a 3-year-old who is new to your office. Which findingrequires immediate further evaluation?Selected Answer:c.Heart rate increases during inspiration and decreases during expiration. Question 131 out of 1 pointsA child's head circumference is routinely measured on each well visit until what age?Selected Answer:a.2 years Question 141 out of 1 points

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Which of the following children has abnormal language development?Selected Answer:c.Speech is 50% understandable at 36 months of age Question 151 out of 1 pointsPlease interpret the following labs for an adolescent. The adolescent has a history of obesityand acanthosis nigricans.TestResultsFasting blood glucose112 mg/dL2 hour postprandial glucose138 mg/dLSelected Answer:d.Impaired fasting glucose, postprandial glucose within normal limits Question 161 out of 1 pointsWhich of the following issues or concepts is relevant to the school-age child?Selected Answer:c.Erikson's initiative versus guilt Question 171 out of 1 points

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The diagnostic criteria for autism spectrum disorder include all of the followingexceptSelected Answer:d.Tolerance of flexibility with routines Question 181 out of 1 pointsConductive hearing loss can be caused bySelected Answer:d.Serous otitis Question 191 out of 1 pointsThe most common substance used in middle school isSelected Answer:a.Alcohol Question 200 out of 1 pointsThe results of the hemoglobin A1c test are LESS reliable in children with which of thefollowing conditions? (Hint: select two)Selected Answers: a.

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Crohn's Diseaseb.Celiac Disease Question 211 out of 1 pointsA teenage female who is overweight has moderate acne on the face and chest, and irregularmenses. Elevation of which laboratory test provides the test evidence of polycystic ovariansyndrome?Selected Answer:d.free testosterone Question 221 out of 1 pointsMark is in the exam room. You are concerned he may have epiglottitis. In what position dothese patients prefer to sit?Selected Answer:a.Sitting up and leaning forward Question 231 out of 1 pointsYou see a 30-month-old who speaks in mixed Spanish and English. The child’svocabulary is normal but at the low end of the normal language spectrum. The parentis worried the child’s development will not be normal because she mixes up the two

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languages. You respond:SelectedAnswer:b."Your child's speech is normal and bilingual children commonly intermix thewords from both languages until about 3 years of age." Question 241 out of 1 pointsWhich of the following characterizes middle adolescence (14 to 16 years old)?SelectedAnswer:b.Intense peer group involvement, feelings of immortality, sexualexperimentation Question 251 out of 1 pointsYou 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); onemeasles, mumps, and rubella vaccine (MMR); one varicella vaccine; and twohepatitis B (Hep B) vaccines. What do you order today?Selected Answer:c.DTaP, IPV, MMR, and Varivax Question 261 out of 1 pointsA 14-year old has ataxia. He is brought to the local emergency department, where he

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appears euphoric, emotionally labile, and a bit disoriented. He has nystagmus andhypersalivation. Many notice his abusive language. Which of the following agents ismost likely responsible for his condition?Selected Answer:d.Alcohol Question 271 out of 1 pointsParents bring their 6-month-old son to see you. He is symmetrically less than the 5thpercentile for height, weight and head circumference. He was born at 30 weeks’gestation and weighed 1000g. He was a planned pregnancy, and his mother’sprenatal course was uneventful until an automobile accident initiated the labor. Hewas ventilated for 3 days in the intensive care unit but otherwise did well withoutongoing problems. He was discharged at 8 weeks of life. Which of the following isthe most likely explanation for his small size?Selected Answer:b.Normal ex-preemie infant growth Question 281 out of 1 pointsA fifteen-year-old female makes a statement to you during a well visit. Which of thefollowing statements shouldnotbe kept confidential?Selected Answer:c."Sometimes I feel like ending my life." Question 29

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1 out of 1 pointsMost children can independently get dressed by themselves by age:Selected Answer:b.5 years Question 300 out of 1 pointsA 13-month-old child is noted to be at the 25th percentile for weight, the 10thpercentile for height, and less than the 5thpercentile for head circumference. Shewas born at term. She was noted to have a small head at birth, to bedevelopmentally delayed throughout her life, and to have required cataract surgeryshortly after birth. She currently takes phenobarbital for seizures. Which of thefollowing would most likely explain this child’s small size?Selected Answer:b.Down syndrome Question 311 out of 1 pointsA 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 plannedpregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child weredischarged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantityseems sufficient. The child has had no illness. The examination is unremarkable except forthe child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levelsare sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, andcreatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasionalepithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances.Which of the following is the most appropriate therapy for this child?

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Selected Answer:d.Oral supplementation with bicarbonate Question 321 out of 1 pointsChelsea, age 8, complains that she feels as if something is stuck in her ear. What action iscontraindicated?Selected Answer:b.Flushing the ear with water. Question 331 out of 1 pointsWhich of the following substances is associated with pupillary constriction?Selected Answer:c.Heroin Question 340 out of 1 pointsWhich of the following children should be referred for a comprehensive developmentalevaluation?Selected Answer:a.A 12-month-old who does not speak.

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 Question 350 out of 1 pointsJohn is diagnosed with allergic conjunctivitis. What type of discharge do you expect to seeupon exam?Selected Answer:a.Purulent Question 361 out of 1 pointsYou diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic withbeta-lactamase coverage. What do you choose?Selected Answer:d.amoxicillin and potassium clavulanate (Augmentin) Question 371 out of 1 pointsA new mom calls the NP on postpartum day 5. She reports her newborn wants to nurse for 30minutes every 1-1/2 to 2 hours. Which of these is the best response?SelectedAnswer:d."This is a very healthy breastfeeding pattern. Be sure to rest when you can.You are doing a great job." Question 381 out of 1 points

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Which of the following represents normal sequencing of development in a toddler?Selected Answer:b.Feeds self, can undress self with help, washes hands, imitateshousework. Question 391 out of 1 pointsBy what age should most children be able to sit well without support?Selected Answer:a.9 months Question 400 out of 1 pointsA common feature of 2-year-old behavior is:Selected Answer:d.a and b Question 411 out of 1 pointsYou assess a 15-year-old's visual acuity and note her vision to be 20/50 in the right eye. Sheasks you what that means and you respondSelectedd.

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Answer:"You can see at 20 feet with your right eye what most people can see at50 feet." Question 421 out of 1 pointsFlourescein staining of the eye is used to detect aSelected Answer:b.Corneal abrasion Question 431 out of 1 pointsBlood pressure should be measured at well-child visits starting at age:Selected Answer:a.3 years Question 441 out of 1 pointsSarah, 7 years old, is in the office today. All of the following are acceptable managementoptions for allergic rhinitis, exceptSelected Answer:a.Nasal neosynephrine

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