NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

Question 1

The Patient Protection and Affordable Care Act of 2010 (ACA) brought about several changes, including:
A. Standardizing copays for patients across insurance companies.
B. Prohibiting private insurance companies from denying claims based on preexisting conditions.
C. Requiring each state to enforce insurance regulations uniformly.
D. Allowing children to remain on their parents’ insurance plans as long as they are unmarried.

Question 2

When it comes to sexual development, a five-year-old child is expected to:
A. Have limited knowledge about where babies come from.
B. Use colloquial terms for sexual body parts.
C. Not yet grasp the concept of saying no to unwanted touch.
D. Understand that discussions about sex are meant for private settings at home.

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Question 3

The largest organ in the human body is the:
A. Heart
B. Lung
C. Skin
D. Liver

Question 4

A teratogen is defined as:
A. A chromosomal disorder
B. A genetic disorder
C. An agent that leads to or increases the likelihood of congenital malformations.
D. A term referring to a hand with four fingers.

Question 6

Nystagmus, an involuntary eye movement, can occur in which of the following directions?
A. Horizontal
B. Vertical
C. Rotary
D. A and B
E. A, B, and C

Question 7

A child should be excluded from a childcare setting if he or she:
A. Is HIV positive
B. Displays a skin rash without fever or behavioral changes
C. Experiences uncontrollable diarrhea not contained by diapers or toilet use
D. Has head lice and is currently undergoing treatment

NRNP 6541: Primary Care of Adolescents and Children Midterm Exam Question 28

A herald patch is observed in approximately 70% of cases of:
A. Tinea corporis
B. Roseola
C. Pityriasis rosea
D. Psoriasis

Question 29

The Centers for Disease Control and Prevention (CDC) recommends initial universal screening for congenital or birth-related hearing loss to occur:
A. Shortly after birth
B. At the age of 6 months
C. During the one-year well exam
D. Before starting kindergarten

Question 30

Among the following topical corticosteroids, which one possesses the highest potency?
A. Clobetasol propionate 0.05%
B. Triamcinolone acetonide 0.1%
C. Hydrocortisone 1%
D. Betamethasone dipropionate 0.05%

Question 31

Cora, a first-time mother, delivered her baby at full term, and the baby weighed 8 pounds, 1 oz. Cora is breastfeeding, and the baby is producing 6-8 wet diapers and having 3-5 bowel movements each day. When she brings the baby for a one-week checkup, the baby weighs 7 lbs., 15 oz. Cora expresses concern about the weight loss. You reassure her that:
A. This is a matter of concern as babies need to gain weight steadily.
B. Weight loss in the first week is common, with babies typically losing 5-8% of their birth weight but regaining it by 10-14 days.
C. Babies usually lose weight initially, but they should have returned to their birth weight by now. You plan to conduct a weight check tomorrow.
D. This is extremely worrisome, and you recommend admitting the baby back to the hospital.

NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

Question 32

A developmental red flag for a six-year-old child may involve:
A. Difficulty with penmanship, particularly in holding a pencil.
B. Challenges in throwing a ball.
C. Inability to print their name.
D. Depicting themselves with fewer than eight body parts in their self-portraits.

Question 33

Adelaide visits you with concerns about her breast. She is breastfeeding her 8-week-old baby, and her left breast is painful. She has noticed a lump in the lower outer quadrant of her breast, which is warm and slightly red. She also experiences fatigue and flu-like symptoms. After examination, you diagnose her with mastitis, a breast infection that can occur during lactation. You advise her to:
A. Discontinue breastfeeding to prevent the bacteria from affecting the baby.
B. Nurse or pump more frequently to ensure complete emptying of the breast.
C. Apply warm compresses to the affected area.
D. Follow both B and C recommendations.

Question 48

Otitis externa, commonly known as “swimmer’s ear,” refers to:
A. Inflammation of the external auditory canal.
B. An infection of the tympanic membrane.
C. A labyrinthine infection.
D. A condition involving the eardrum.
E. Both A and D.

Question 49

Monosymptomatic nocturnal enuresis is characterized by:
A. Involuntary urination at an age when toilet training should be complete.
B. Involuntary urination exclusively during waking hours.
C. Nighttime bedwetting in children who have normal daytime elimination with no concerns.
D. Involuntary nighttime stooling only.

Question 50

In children, the normal heart sounds include:
A. S1 and S2
B. S1, S2, and aortic closure
C. S1, S2, S3, and S4
D. Mitral and aortic sounds

Question 51

A hordeolum, commonly referred to as a “stye,” is:
A. A sebaceous cyst
B. A chalazion
C. An infection of the labyrinthine
D. A localized inflammation of the external eye glands

Question 52

Shigella primarily spreads through which mode of transmission?
A. Respiratory
B. Fecal-oral
C. Skin contact
D. Contact with blood, urine, or saliva

NRNP 6541: Primary Care of Adolescents and Children Midterm Exam Question 53

The World Health Organization (WHO) recommends handwashing for a duration of:
A. 10 seconds
B. 20-30 seconds
C. 40-60 seconds
D. 2 minutes

Question 54

An absolute contraindication for swimming is:
A. Otitis externa
B. Otitis media
C. Tympanic membrane perforation
D. Both A and C

Question 55

At birth, a newborn’s visual

abilities include:
A. Able to see clearly up to 20 feet.
B. Able to focus across a room.
C. Able to see objects 8-12 inches away with 20/20 vision.
D. Able to discern colors vividly.

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Question 56

Jonathan presents with a wart on his finger, and cryotherapy is considered. When discussing the procedure with Jonathan and his mother, you inform them that:
A. The wart will disappear after the procedure, but it’s essential to keep the area covered for 48 hours to minimize infection risk.
B. One treatment may not entirely resolve the wart, and it might require additional sessions.
C. The wart won’t vanish immediately; a blister will form over the next 1-2 days, gradually resolving.
D. Both B and C are accurate explanations.

Question 57

In a child with pectus excavatum, clinical findings may include:
A. Posterior depression of the sternum and costal cartilage.
B. A more protuberant abdomen.
C. Anterior bowing of the sternum.
D. Both A and B.

NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

Question 58

Justine, a mother of a three-month-old baby, is concerned because her baby only has a bowel movement every 3-4 days, despite producing 6-8 wet diapers daily. You explain to her that:
A. This is unusual, and the baby should be started on laxatives immediately to resolve the issue.
B. It’s common for infants not to have daily bowel movements, with up to 40% of breastfed babies experiencing this pattern.
C. It’s quite rare for breastfed babies, and an abdominal ultrasound is warranted to check for anatomical problems.
D. You will prescribe glycerin suppositories to soften the stool and stimulate bowel movements.

Question 59

Unique characteristics of multiple birth children include:
A. Increased independence and a reduced need for parental attention.
B. Lower levels of sibling rivalry compared to other family structures.
C. The development of a distinct sibling relationship marked by loyalty and cooperative play.
D. None of the above.

NRNP 6541: Primary Care of Adolescents and Children Midterm Exam Question 97

The guidelines indicating the need for a tonsillectomy include:
A. At least one serious throat infection annually for five consecutive years.
B. At least three throat infections in the past year.
C. More than seven episodes of throat infections in the past year, or more than five episodes in the past two years, or at least three episodes per year for the past three years.
D. One episode of Strep throat in the past six months.

Question 98

A Grade VI heart murmur is characterized by being:
A. Barely audible.
B. Moderately loud with no associated thrill.
C. Loud and audible over a wide area without a thrill.
D. Perceptible without the need for a stethoscope.

Question 99

A fungal infection of the nails is medically referred to as:
A. Onychomycosis
B. Herpetic whitlow
C. Paronychia
D. Tinea cruris

Question 100

A common term for a pertussis infection is:
A. Polio
B. Whooping cough
C. Chickenpox
D. Diphtheria

NRNP 6541: Primary Care of Adolescents and Children Midterm Exam