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NURS 6541 MIDTERM EXAM questions,100% CORRECT

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• Question 1 1 out of 1 points Medicaid provides health insurance coverage to • Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of... the following except. • Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? • Question 4 1 out of 1 points 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? • Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: NURS 6541N Midterm Exam (Latest): Walden University • Question 1 1 out of 1 points Medicaid provides health insurance coverage to • Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. • Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? • Question 4 1 out of 1 points 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? • Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: • Question 1 1 out of 1 points Medicaid provides health insurance coverage to • Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. • Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? • Question 4 1 out of 1 points 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? • Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: • Question 1 1 out of 1 points Medicaid provides health insurance coverage to • Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. • Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? • Question 4 1 out of 1 points 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? • Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: NURS 6541N Midterm Exam (Latest): Walden University • Question 1 1 out of 1 points Medicaid provides health insurance coverage to • Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. • Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? • Question 4 1 out of 1 points 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? • Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: • Question 1 1 out of 1 points Medicaid provides health insurance coverage to • Question 2 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. • Question 3 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? • Question 4 1 out of 1 points 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? • Question 5 1 out of 1 points The first sign of the onset of female puberty is usually: Course NUNP-6541N-10,Primary Care Adolescnt& Child.2020 Spring Qtr 02/24-05/17-PT27 Test Week 6 - Midterm Exam Started 3/31/20 2:52 AM Submitted 3/31/20 5:11 AM Due Date 4/6/20 1:59 AM Status Completed Attempt Score 84 out of 100 points Time Elapsed 2 hours, 18 minutes out of 3 hours and 20 minutes Results Displayed Submitted Answers • Question 1 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? • Question 2 1 out of 1 points Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist • Question 3 1 out of 1 points The father of a 3-year-old is concerned because the child stutters. What should your approach be? • Question 4 0 out of 1 points A 2-day-old newbornwith conjunctivitis is likely due to • Question 5 0 out of 1 points You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? • Question 6 1 out of 1 points For adolescent girls, peak height velocity should occur by Tanner Stage (SMR): • Question 7 0 out of 1 points Which is the correct order for introduction of solid foods to an infant? • Question 8 1 out of 1 points I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot balance on one foot for 1 second. I am: • Question 9 1 out of 1 points You receive a phone call from the mother of a 2-year-old. She states her child has sleep refusal. You suggest the child should be able to: • Question 10 0 out of 1 points A 15-month-old boy says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? • Question 11 1 out of 1 points At what age would a child be expected to remember a string of numbers and repeat them backwards? • Question 12 1 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 5th 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? • Question 13 1 out of 1 points A child's head circumference is routinely measured on each well visit until what age? • Question 14 1 out of 1 points A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: • Question 15 0 out of 1 points All of the following are consistent with peritonsillar abscess except: • Question 16 1 out of 1 points Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? • Question 17 1 out of 1 points A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget? • Question 18 1 out of 1 points Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage • Question 19 1 out of 1 points A breastfed infant is expected to have a lower incidence of which of the following? • Question 20 1 out of 1 points A 12-year-old male states he noticed an enlargement of his testes and scrotum. When counseling him about the next step in pubertal development, you state: • Question 21 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 • Question 22 1 out of 1 points Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? • Question 23 1 out of 1 points By what age should most children be able to sit well without support? • Question 24 1 out of 1 points A typically developing 8-year-old girl will have which of the following genital development? • Question 25 0 out of 1 points John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon exam? • Question 26 1 out of 1 points Which of the following vaccines is routinely recommended at 4 months of age? • Question 27 1 out of 1 points An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider? • Question 28 1 out of 1 points Role-play with equipment during the course of the physical exam would be the most beneficial with which age group? • Question 29 1 out of 1 points Conductive hearing loss can be caused by • Question 30 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 languages. You respond: • Question 31 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? • Question 32 1 out of 1 points The mother of a 4-year-old tells you he likes to "play with himself" while playing and watching television. You advise the mother to • Question 33 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? • Question 34 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 • Question 35 1 out of 1 points During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of information. Which of the following bits of information is of most concern? • Question 36 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? • Question 37 1 out of 1 points A 9-year-old who weighs 70 pounds asks why she can't sit in the front passenger seat of the family car. Your best response is • Question 38 0 out of 1 points Which of the following would not suggest an eating disorder with a purging component? • Question 39 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? • Question 40 1 out of 1 points Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge. You cannot transilluminate the sinuses. You suspect which common sinus to be affected? • Question 41 1 out of 1 points A 6-month-old infant has been growing poorly. His parents have changed his formula three times without success. His examination is remarkable for a pale, emaciated child with little subcutaneous fat and anterior fontanelle fullness. His laboratory test results are notable for a hemolytic anemia and prolonged bleeding times. Which of the following is the most appropriate next step? • Question 42 1 out of 1 points Medicaid provides health insurance coverage to • Question 43 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? • Question 44 1 out of 1 points Which of the following substances is associated with pupillary constriction? • Question 45 1 out of 1 points A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents report that she is doing poorly in school and is disruptive in the classroom. They ask you what they can do. Your best response is: • Question 46 0 out of 1 points Flourescein staining of the eye is used to detect a • Question 47 0 out of 1 points Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the two-week recheck, his TM was still erythematous and you cannot see the landmarks. He has persistent nasal congestion, he is not sleeping at night, and he has a 101°F fever. What is the next best step for Luke? • Question 48 1 out of 1 points All of the following may predispose a patient to thrush except: • Question 49 1 out of 1 points Head and chest circumferences should be equal at: • Question 50 1 out of 1 points The diagnostic criteria for autism spectrum disorder include all of the following except • Question 51 1 out of 1 points Which of the following statements about bullying is true? • Question 52 1 out of 1 points The most likely weight of a 1-year-old whose birth weight was 6-1/2 pounds would be: • Question 53 1 out of 1 points An eye that deviates in when covered but that returns to midline when uncovered is an • Question 54 1 out of 1 points A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28-year-old mother who had received no prenatal care. An evaluation is likely to suggest his MR is related to which of the following? • Question 55 1 out of 1 points The most common substance used in middle school is • Question 56 1 out of 1 points A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at home; the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5 minutes. He has breastfed well and has not required a health care professional visit since birth. Which of the following vitamin deficiencies might explain his condition? • Question 57 1 out of 1 points Tammy, age 3, is at the office for her well-child visit. She has trouble removing her own shirt as requested. Her mother yanks off her shirt after smacking her wrist and saying, "you must do as you're told quickly." Which action is indicated? • Question 58 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? • Question 59 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? • Question 60 1 out of 1 points A 2-year-old boy has been slightly less than the 50th percentile for weight, height and head circumference, but in the last 6 months he has fallen to slightly less than the 25th percentile for weight. The pregnancy was normal, his development is as expected, and the family reports no psychosocial problems. The mother says that he is now a finicky eater (wants only macaroni and cheese at all meals), but she insists that he eat a variety of foods. The meals are marked by much frustration for everyone. His examination is normal. Which of the following is the best next step in his care? • Question 61 1 out of 1 points I like to use my pincer grasp that involves the ablitily to pick up a small object such as a raisin or piece of cereal with the thumb and forefinger, and that is mastered around what age? • Question 62 1 out of 1 points An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, techycardia, and facial flushing. She says she can "see" sound and "hear" colors. The agent likely to be responsible is which of the following? • Question 63 1 out of 1 points An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis? • Question 64 1 out of 1 points Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following? • Question 65 0 out of 1 points What is the most traumatic, yet common form and of child abuse seen in pediatric primary care? • Question 66 1 out of 1 points Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development? • Question 67 1 out of 1 points Appropriate anticipatory guidance for the parents of an 8-year-old girl includes • Question 68 1 out of 1 points Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing signs of • Question 69 1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? • Question 70 1 out of 1 points Which of the following issues or concepts is relevant to the school-age child? • Question 71 1 out of 1 points While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out? • Question 72 1 out of 1 points The first sign of the onset of female puberty is usually: • Question 73 1 out of 1 points A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as: • Question 74 0 out of 1 points Which of the following characterizes middle adolescence (14 to 16 years old)? • Question 75 1 out of 1 points I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I? • Question 76 1 out of 1 points You would be concerned about the language development of a child who: • Question 77 1 out of 1 points Most children can independently get dressed by themselves by age: • Question 78 1 out of 1 points A differential diagnosis for child abuse would include all of the following except. • Question 79 1 out of 1 points Which of the following eye findings would be considered an ophthalmic emergency? • Question 80 1 out of 1 points A 2-year-old child weighs 34 lb. What type of car seat should the child use? • Question 81 1 out of 1 points An expected milestone of a 4-year-old is the ability to • Question 82 1 out of 1 points Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? • Question 83 0 out of 1 points A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and disoriented. Many notice his abusive language. Which of the following agents is most likely responsible for his condition? • Question 84 1 out of 1 points What method can be safely used to remove cerumen in a 15-month-old child's ear? • Question 85 1 out of 1 points The appropriate lab tests in assessment of cervical adenitis include all of the following except: • Question 86 1 out of 1 points Which of the following represents normal sequencing of development in a toddler? • Question 87 1 out of 1 points You see a young child who has tripled her birth weight and looks for hidden objects. When given blocks, she places one in each hand. She has a fine pincer grasp. On the floor, she walks around holding objects and is trying to take independent steps. This child is most likely how old? • Question 88 1 out of 1 points During a domestic health assessment, the CDC recommends screening every refugee child for which of the following diseases? • Question 89 1 out of 1 points A 4-month-old presents with both eyes turning inward. What is this called? • Question 90 1 out of 1 points A mother brings her 4-week-old infant into the office because she noticed small yellow-white glistening bumps on her infant's gums. She says they look like teeth but is concerned that they may be cancer. You diagnose these bumps as • Question 91 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? • Question 92 1 out of 1 points 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? • Question 93 0 out of 1 points Which of the following children should be referred for a comprehensive developmental evaluation? • Question 94 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 • Question 95 1 out of 1 points You see a 3-year-old for a well-child visit. His mother informs you that potty training has been very easy because he “has an amazing internal clock. He falls asleep, gets hungry, and has bowel movements at the same time every day.” This describes which aspect of temperament? • Question 96 1 out of 1 points You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received the diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second dose; measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type B (Hib) fourth dose. Which of the following do you order today? • Question 97 1 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) • Question 98 1 out of 1 points You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower lateral incisor bulges. You recommend: • Question 99 0 out of 1 points A 7-month-old male is found to have a spiral fracture of the femur that his father says he got by climbing onto a chair and then jumping off. Which of the following statements is true regarding this situation? • Question 100 1 out of 1 points The nurse practitioner role was initially established to • Question 101 1 out of 1 points Which of the following is a true contraindication of vaccinating a child? [Show More]

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