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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 6541N Final Exam / NRNP6541 Final Exam / NRNP - 6541N Final Exam: Walden University | 100% Verified Q & A |

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     Question 1 0 out of 1 points Medicaid provides health insurance coverage to Selected Answer: b. Newborn, pregnant women, and those older than 65 whose personal income falls below the federal poverty level.  Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. Selected Answer: c. Prader-Wlli syndrome  Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? Selected Answer: d. A displaced posterior rib fracture.  Question 4 1 out of 1 points

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    You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would 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 5 1 out of 1 points The first sign of the onset of female puberty is usually: Selected Answer: b. Breast buds  Question 6 1 out of 1 points 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 Selected Answer: b. Fluid restriction and voiding prior to the night may be effective.  Question 7 1 out of 1 points Which 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 8 0 out of 1 points The mother of a 5-year-old informs you that her daughter cheats when playing board games. What is the best response? Selected Answer: d. Tell the mother to spend time clarifying board game rules before starting games.  Question 9 0 out of 1 points Which of the following conditions requires urgent inpatient admission? Selected Answer: d. Epiglottis  Question 10 1 out of 1 points All of the following are consistent with peritonsillar abscess except: Selected Answer: d. Trismus

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     Question 11 1 out of 1 points The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical findings are not usually associated with the diagnosis of school phobia? Selected Answer: d. Chronic medical illness  Question 12 0 out of 1 points You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate further evaluation? Selected Answer: c. Heart rate increases during inspiration and decreases during expiration.  Question 13 1 out of 1 points A child's head circumference is routinely measured on each well visit until what age? Selected Answer: a. 2 years  Question 14 1 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 15 1 out of 1 points Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. Test Results Fasting blood glucose 112 mg/dL 2 hour postprandial glucose 138 mg/dL Selected Answer: d. Impaired fasting glucose, postprandial glucose within normal limits  Question 16 1 out of 1 points Which of the following issues or concepts is relevant to the school-age child? Selected Answer: c. Erikson's initiative versus guilt  Question 17 1 out of 1 points

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    The diagnostic criteria for autism spectrum disorder include all of the following except Selected Answer: d. Tolerance of flexibility with routines  Question 18 1 out of 1 points Conductive hearing loss can be caused by Selected Answer: d. Serous otitis  Question 19 1 out of 1 points The most common substance used in middle school is Selected Answer: a. Alcohol  Question 20 0 out of 1 points The results of the hemoglobin A1c test are LESS reliable in children with which of the following conditions? (Hint: select two) Selected Answers: a.

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    Crohn's Disease b. Celiac Disease  Question 21 1 out of 1 points A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian syndrome? Selected Answer: d. free testosterone  Question 22 1 out of 1 points Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? Selected Answer: a. Sitting up and leaning forward  Question 23 1 out of 1 points 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

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    languages. You respond: Selected Answer: b. "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age."  Question 24 1 out of 1 points Which of the following characterizes middle adolescence (14 to 16 years old)? Selected Answer: b. Intense peer group involvement, feelings of immortality, sexual experimentation  Question 25 1 out of 1 points You 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); one measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today? Selected Answer: c. DTaP, IPV, MMR, and Varivax  Question 26 1 out of 1 points A 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 and hypersalivation. Many notice his abusive language. Which of the following agents is most likely responsible for his condition? Selected Answer: d. Alcohol  Question 27 1 out of 1 points 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? Selected Answer: b. Normal ex-preemie infant growth  Question 28 1 out of 1 points A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential? Selected Answer: c. "Sometimes I feel like ending my life."  Question 29

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    1 out of 1 points Most children can independently get dressed by themselves by age: Selected Answer: b. 5 years  Question 30 0 out of 1 points A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5 th 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? Selected Answer: b. Down syndrome  Question 31 1 out of 1 points A 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 planned pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity seems sufficient. The child has had no illness. The examination is unremarkable except for the child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial 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 32 1 out of 1 points Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? Selected Answer: b. Flushing the ear with water.  Question 33 1 out of 1 points Which of the following substances is associated with pupillary constriction? Selected Answer: c. Heroin  Question 34 0 out of 1 points Which of the following children should be referred for a comprehensive developmental evaluation? Selected Answer: a. A 12-month-old who does not speak.

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     Question 35 0 out of 1 points John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon exam? Selected Answer: a. Purulent  Question 36 1 out of 1 points You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose? Selected Answer: d. amoxicillin and potassium clavulanate (Augmentin)  Question 37 1 out of 1 points A new mom calls the NP on postpartum day 5. She reports her newborn wants to nurse for 30 minutes every 1-1/2 to 2 hours. Which of these is the best response? Selected Answer: d. "This is a very healthy breastfeeding pattern. Be sure to rest when you can. You are doing a great job."  Question 38 1 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, imitates housework.  Question 39 1 out of 1 points By what age should most children be able to sit well without support? Selected Answer: a. 9 months  Question 40 0 out of 1 points A common feature of 2-year-old behavior is: Selected Answer: d. a and b  Question 41 1 out of 1 points 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 Selected d.

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    Answer: "You can see at 20 feet with your right eye what most people can see at 50 feet."  Question 42 1 out of 1 points Flourescein staining of the eye is used to detect a Selected Answer: b. Corneal abrasion  Question 43 1 out of 1 points Blood pressure should be measured at well-child visits starting at age: Selected Answer: a. 3 years  Question 44 1 out of 1 points Sarah, 7 years old, is in the office today. All of the following are acceptable management options for allergic rhinitis, except Selected Answer: a. Nasal neosynephrine

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