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NRNP 6540 MIDTERM EXAM LATEST WITH
500 QUESTIONS AND VERIFIED ANSWERS
question- 1. You are invited to speak to a group of public school administrators about recent outbreaks of head lice. As an advocate for children and families you share A. "no nit" policies that exclude children until all nits are removed are essential to eradicate this problem B. the American Academy of Pediatrics and the National Association of School Nurses discourage "no nit" policies that exclude children from school C. occlusive agents, such as petroleum shampoo and herbal oils, applied to suffocate the lice are showing promising results in randomized controlled trials D. lindane is recommended by the American Academy of Pediatrics as a treatment choice - answer-B. the American Academy of Pediatrics and the National Association of School Nurses discourage "no nit" policies that exclude children from school question- 2. What is the simplest and safest method of suppressing lactation after it has started? A. administering oral and long-acting injections of hormonal preparations B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week period D. stopping "cold-turkey" - answer-C. gradually weaning the baby to a bottle or cup over a 3- week period question- 3. When can you hear fetal heart tones with a conventional fetoscope? A. 7 to 8 weeks B. 10 to 12 weeks C. 18 to 20 weeks D. more than 20 weeks - answer-C. 18 to 20 weeks
- Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She asks about receiving the HPV vaccine. How do you respond? A. "As long as you're in your first trimester, the HPV vaccine is safe and effective." B. "Research has not shown this vaccine to be effective against preventing cervical cancer." C. "After the age of 20, the HPV vaccine is not recommended."
B. the perception that the infant is not receiving enough milk C. the ease of formula use D. maternal or infant illness - answer-B. the perception that the infant is not receiving enough milk question-7. Pediatric patients may now be prescribed OxyContin for pain. Patients must be already responding to and tolerating a minimum opioid dose equal to at least 20 mg of oxycodone per day before they can be prescribed an equivalent dose of OxyContin. In order to be prescribed OxyContin, pediatric patient must be A. 5 to 16 years B. 11 to 16 years C. 8 to 16 years D. over 10 years - answer-B. 11 to 16 years question-8. Hegar's sign, a physiological sign of pregnancy is A. cervical blueness
B. softness of the uterus and ballottement at the isthmus C. cervical softness D. quickening - answer-B. softness of the uterus and ballottement at the isthmus question-9. Carrie, of Irish descent, is due to deliver her second baby. During your work-up, you note that she hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia, and bruises easily. Her lab work reveals a normal blood workup, including a normal prothrombin time and activated partial thromboplastin time. What do you suspect? A. Von Willebrand's disease B. Hemophilia C. Sickle cell anemia D. Beta thalassemia - answer-A. Von Willebrand's disease question-10. Koplik spots are small, white spots that occur on the inside of the cheeks early in the course of A. measles
B. dysmorphic facial features will be present C. identification of growth problems is usually made by an auxological evaluation, which compares the child's growth to standardized norms D. measurements of children lying on the exam table paper are most accurate - answer-C. identification of growth problems is usually made by an auxological evaluation, which compares the child's growth to standardized norms question-13. Nancy is concerned that her new breastfed baby is not getting enough fluid. What do you tell her so that she can assess for an adequate intake? A. weigh the infant every other day to see the weight gain in ounces B. if the infant is drinking and sleeping normally, an adequate intake is assumed C. if there are 6 to 10 wet diapers a day, intake is adequate D. if the infant is not irritable, an intake problem does not exist - answer-C. if there are 6 to 10 wet diapers a day, intake is adequate question-14. Marci has had several abortions in the past and has been unable to carry a pregnancy to full term because of an incompetent cervix. She states that the physician mentioned cerclage to her and asks you what that means. You tell her that cerclage is
A. a treatment of bedrest with frequent pelvic exams to make sure the cervix is not dilated B. a method in which an apparatus resembling a diaphragm is placed over the cervix to help it stay "tight" C. a purse-string type of stitch placed around the cervix D. a treatment using intravaginal medicated sponges - answer-C. a purse-string type of stitch placed around the cervix question-15. Mrs. Peterson found pinworms on 8 year old Randy. The clinician knows that treatment for pinworms with pyrantel pamoate includes treating A. Randy and all his siblings B. Randy and the siblings who share the same bathroom C. Randy and the siblings who share the same bedroom D. the entire household - answer-D. the entire household question-16. Gloria just delivered her baby and wants to start a vigorous exercise program to get back in shape. You advise her that she can start strenuous exercises
A. One quart of cow's milk B. Two cups of yogurt C. Four slices of cheese D. One cup of cottage cheese - answer-A. One quart of cow's milk question-19. Allie, who has asthma, just found out she is pregnant. She is wondering whether she should continue taking her medications. Which of the following is true regarding asthma and pregnancy? A. only inhaled (rather than oral) medications should be used B. in the event of an acute exacerbation, glucocorticoids should not be used C. management differs little from management in nonpregnant women D. all medications may be used except for theophylline - answer-C. management differs little from management in nonpregnant women question-20. Mrs. Nelms shares with you that her husband is on active duty with the National Guard. She states, "I'm left alone to care for three children." You know that children of active duty service members face many stressors. These stressors can lead to
A. increased academic performance in children B. decreased behavior problems in children C. child maltreatment D. decreased incidence of depression in children - answer-C. child maltreatment question-21. Sandra, who is 5 months pregnant and of average height and weight, asks you how many extra calories she should be adding to her diet per day. You tell her to add A. 200 calories B. 300 calories C. 500 calories D. 700 calories - answer-B. 300 calories question-22. At birth, the anterior fontanelle has what shape? A. triangle
B. threatened C. inevitable D. missed - answer-A. incomplete question-25. Mr. Davis states, "I've had high cholesterol most of my life. I'm concerned about my daughter having it as well." The clinician knows that according to the National Cholesterol Education Program (NCEP) guidelines for children and adolescents, the acceptable range of total cholesterol for children 2 to 19 years old is: A. less than 200 B. less than 190 C. less than 180 D. less than 170 - answer-D. less than 170 question-26. Margie, who has been breastfeeding for 4 weeks, has mastitis in her right breast and is taking dicloxacillin. She asks you what she needs to do about feeding the baby. You respond: A. "You need to stop breastfeeding and start with a bottle."
B. "You can still breastfeed on your left side and express the milk from your right side until the problem is resolved." C. "There is no need to stop breastfeeding, but start with your left side." D. "Stop breastfeeding for 2 weeks, then continue." - answer-C. "There is no need to stop breastfeeding, but start with your left side." question-27. Which of the following statements about lesbian relationships is true? A. Battering is a concern only in heterosexual relationships. In lesbian relationships, there may be emotional or financial abuse instead of physical abuse B. Support from family, friends, and coworkers may be lost C. HIV infection is not a concern with two women who are in a committed relationship D. Childbearing issues do not affect lesbian couples - answer-B. Support from family, friends, and coworkers may be lost question-28. Lynne comes to the clinic for her initial prenatal visit. Based on her menstrual history, the client is at 9 weeks' gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time?
A. It is a series of four maneuvers to determine fetal position B. It is a multiparameter evaluation of fetal condition following a nonreactive nonstress test C. It is an assessment of the cervix's readiness for elective induction D. It is an evaluation of fetal lung maturity and readiness for birth - answer-C. It is an assessment of the cervix's readiness for elective induction question-31. When does the American Academy of Pediatrics recommend that children be screened for cholesterol? A. over 5 years old B. 9 to 11 years old C. over 8 years old D. 12 to 15 years old - answer-B. 9 to 11 years old question-32. Which screening test has the highest sensitivity and specificity for diagnosing iron deficiency in anemic clients?
A. ferritin B. hemoglobin C. hematocrit D. reticulocyte count - answer-A. ferritin question-33. Risperidone (Risperdal) has been approved by the FDA for the treatment of the behaviors associated with autism in children over 5 years old. The clinician should be aware of the following common side effect A. weight loss B. diarrhea C. nausea D. fatigue - answer-D. fatigue question-34. When asking a family member if the family generally gets the things they want out of life, if there are any "rules" in the family that everyone believes are important, and what role religion plays in the family, you are trying to assess which functional health pattern?
B. "Pregnancy will have no effect on your RA." C. "75% of women experience remission of the disease during pregnancy." D. "It is advised that you don't get pregnant with this condition." - answer-C. "75% of women experience remission of the disease during pregnancy." question-37. Mr. Johnson calls your office from the soccer field. His 10 year old son, Joshua, was hit in the mouth during the game. One of Joshua's front teeth was knocked out. The clinician advises Mr. Johnson to A. rinse the tooth gently in cold milk, saline, or room temperature water and then replant it B. rinse the tooth gently in cold milk, saline, or room temperature water and put it in a clean cloth C. rub the root surface clean and rinse with saline or room temperature water D. rub the root surface clean and keep it as dry as possible - answer-A. rinse the tooth gently in cold milk, saline, or room temperature water and then replant it question-38. An example of an X-linked recessive condition or trait is
A. muscular dystrophy B. hemophilia C. sickle cell anemia D. cystic fibrosis - answer-B. hemophilia question-39. At what age should a child who is not at risk for high-dose lead exposure be screened with a blood lead test? A. 3 months B. 6 months C. 12 months D. 3 years - answer-C. 12 months question-40. Marissa is a long-distance runner with 9% body fat. Which of the following findings is consistent with this situation? A. regular menses and a basal body temperature that indicates ovulation
