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NURS 6541 MIDTERM EXAM \u00a0\/ NURS6541 MIDTERM EXAM \/ NURS 6541N MIDTERM EXAM (2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A)<\/p>\n
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NURS 6541 Midterm Exam \/ NURS6541 Midterm Exam \u00a0\u00a0(Latest): Primary Care of Adolescents and Children: Walden University<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 1<\/strong><\/p>\n \u00a0\u00a0\u00a0<\/p>\n \u00a0\u00a0<\/p>\n When completing this \u00a0\u00a0quiz, did you comply with Walden University\u2019s Code of Conduct including the \u00a0\u00a0expectations for academic integrity?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 2<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Miguel, age 14, was hit in \u00a0\u00a0the eye with a baseball and developed eye pain, decreased visual acuity, and \u00a0\u00a0injection of the globe. Upon exam you note blood in the anterior chamber and \u00a0\u00a0confirm diagnosis of hyphema. What treatment do you recommend while Miguel is \u00a0\u00a0waiting to see the ophthalmologist<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 3<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The father of a \u00a0\u00a03-year-old is concerned because the child stutters. What should your approach \u00a0\u00a0be?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 4<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 2-day-old \u00a0\u00a0newbornwith conjunctivitis is likely due to<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 5<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You see a 13-year-old who \u00a0\u00a0reports she is learning some basic geometry (areas, volume etc.). The ability \u00a0\u00a0to successfully master these concepts occurs during which Piaget \u00a0\u00a0developmental stage?\u00a0<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 6<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n For adolescent \u00a0\u00a0girls, peak height velocity should occur by Tanner Stage (SMR):<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 7<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which is the correct \u00a0\u00a0order for introduction of solid foods to an infant?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 8<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n I can walk well on tiptoes, \u00a0\u00a0my speech is 50% understandable, I know six body parts, but I cannot balance \u00a0\u00a0on one foot for 1 second. I am:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 9<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You receive a phone call from \u00a0\u00a0the mother of a 2-year-old. She states her child has sleep refusal. You \u00a0\u00a0suggest the child should be able to:\u00a0<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 10<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A \u00a0\u00a015-month-old \u00a0boy says \u201cmama\u201d and \u201cdada,\u201d points and gestures if he \u00a0\u00a0wants things, and follows simple one-step commands. Your best response is \u00a0\u00a0which of the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 11<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n At what age would a child \u00a0\u00a0be expected to remember a string of numbers and repeat them backwards?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 12<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 13-month-old child is noted \u00a0\u00a0to be at the 25th percentile for weight, the 10th percentile for height, and \u00a0\u00a0less than the 5th percentile for head circumference. She was \u00a0\u00a0born at term. She was noted to have a small head at birth, to be \u00a0\u00a0developmentally delayed throughout her life, and to have required cataract \u00a0\u00a0surgery shortly after birth. She currently takes phenobarbital for seizures. \u00a0\u00a0Which of the following would most likely explain this child\u2019s small size?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 13<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A child’s head \u00a0\u00a0circumference is routinely measured on each well visit until what age?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 14<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 14-year-old female comes \u00a0\u00a0into the office for an urgent visit after taking 10 valium tablets. \u00a0\u00a0\u00a0Following the initial emergent care and stailization, the most important part \u00a0\u00a0of the management is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 15<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n All<\/em> of the \u00a0\u00a0following are consistent with peritonsillar abscess except:<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Trismus<\/p>\n \u00b7 Question 16<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following complication of strep pharyngitis cannot be prevented with \u00a0\u00a0antibiotics?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Glomerulonephritis<\/p>\n \u00b7 Question 17<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 4-year-old \u00a0\u00a0believes there is more juice in a tall, thin glass than a shorter, wider one. \u00a0\u00a0The child has not yet achieved which of the principles of Piaget?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Conservation<\/p>\n \u00b7 Question 18<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Josh, age 13, has \u00a0\u00a0some enlargement of the scrotum and testes, a reddened scrotal sac, and some \u00a0\u00a0hair texture alteration. His penis is not enlarged. He is in Tanner stage<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n II<\/p>\n \u00b7 Question 19<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A breastfed infant \u00a0\u00a0is expected to have a lower incidence of which of the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n e.\u00a0<\/p>\n Diarrhea<\/p>\n \u00b7 Question 20<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 12-year-old male \u00a0\u00a0states he noticed an enlargement of his testes and scrotum. When counseling \u00a0\u00a0him about the next step in pubertal development, you state:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n The penis will grow in length and width.<\/p>\n \u00b7 Question 21<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You see a 7-year-old \u00a0\u00a0with complaints of “having accidents at night.” Physical exam and \u00a0\u00a0history are unremarkable. Urinalysis, urine culture, and specific gravity are \u00a0\u00a0normal. His parents ask about the best treatment for this problem. The best \u00a0\u00a0response is<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Fluid restriction and voiding prior to the night may be effective.<\/p>\n \u00b7 Question 22<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Chelsea, age 8, \u00a0\u00a0complains that she feels as if something is stuck in her ear. What action is \u00a0\u00a0contraindicated?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Flushing the ear with water.<\/p>\n \u00b7 Question 23<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n By what age should most \u00a0\u00a0children be able to sit well without support?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n 9 months<\/p>\n \u00b7 Question 24<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A typically \u00a0\u00a0developing 8-year-old girl will have which of the following genital \u00a0\u00a0development?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n No pubic hair at all<\/p>\n \u00b7 Question 25<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n John is diagnosed \u00a0\u00a0with allergic conjunctivitis. What type of discharge do you expect to see \u00a0\u00a0upon exam?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Serous and clear<\/p>\n \u00b7 Question 26<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following \u00a0\u00a0vaccines is routinely recommended at 4 months of age?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Diphtheria, tetanus, acellular pertussis (DTaP)<\/p>\n \u00b7 Question 27<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An 8-year-old female \u00a0\u00a0has an edematous, mildly erythematous right upper eyelid for 2 days with a \u00a0\u00a0fever of 102.9 (F). Which important eye assessment do you need to consider?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Ocular mobility<\/p>\n \u00b7 Question 28<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Role-play with equipment during the course of the physical exam \u00a0\u00a0would be the most beneficial with which age group?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Preschoolers<\/p>\n \u00b7 Question 29<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Conductive hearing \u00a0\u00a0loss can be caused by<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Serous otitis<\/p>\n \u00b7 Question 30<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You see a 30-month-old who \u00a0\u00a0speaks in mixed Spanish and English. The child\u2019s vocabulary is normal but at \u00a0\u00a0the low end of the normal language spectrum. The parent is worried the \u00a0\u00a0child\u2019s development will not be normal because she mixes up the two \u00a0\u00a0languages. You respond:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n “Your child’s speech is normal and bilingual children commonly \u00a0\u00a0\u00a0\u00a0intermix the words from both languages until about 3 years of age.”<\/p>\n \u00b7 Question 31<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Mark is in the exam \u00a0\u00a0room. You are concerned he may have epiglottitis. In what position do these \u00a0\u00a0patients prefer to sit?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Sitting up and leaning forward<\/p>\n \u00b7 Question 32<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The mother of a \u00a0\u00a04-year-old tells you he likes to “play with himself” while playing \u00a0\u00a0and watching television. You advise the mother to<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Explain to the child that masturbation is something that should be \u00a0\u00a0\u00a0\u00a0done in private.<\/p>\n \u00b7 Question 33<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Parents bring their \u00a0\u00a06-month-old son to see you. He is symmetrically less than the 5th \u00a0\u00a0percentile for height, weight and head circumference. He was born at 30 \u00a0\u00a0weeks\u2019 gestation and weighed 1000g. He was a planned pregnancy, and his \u00a0\u00a0mother\u2019s prenatal course was uneventful until an automobile accident \u00a0\u00a0initiated the labor. He was ventilated for 3 days in the intensive care unit \u00a0\u00a0but otherwise did well without ongoing problems. He was discharged at 8 weeks \u00a0\u00a0of life. Which of the following is the most likely explanation for his small \u00a0\u00a0size?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n e.\u00a0<\/p>\n Normal ex-preemie infant growth<\/p>\n \u00b7 Question 34<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You assess a \u00a0\u00a015-year-old’s visual acuity and note her vision to be 20\/50 in the right eye. \u00a0\u00a0She asks you what that means and you respond<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n “You can see at 20 feet with your right eye what most people can \u00a0\u00a0\u00a0\u00a0see at 50 feet.”<\/p>\n \u00b7 Question 35<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n During a \u201cwell-child\u201d visit, \u00a0\u00a0the parents of a healthy 5-month-old offer a great amount of information. \u00a0\u00a0Which of the following bits of information is of most concern?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Limited eye contact with parents.<\/p>\n \u00b7 Question 36<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You are performing \u00a0\u00a0an examination of a 3-year-old who is new to your office. Which finding \u00a0\u00a0requires immediate further Assessment?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Heart rate \u00a0\u00a0\u00a0\u00a0increases during inspiration and decreases during expiration<\/p>\n \u00b7 Question 37<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 9-year-old who \u00a0\u00a0weighs 70 pounds asks why she can’t sit in the front passenger seat of the \u00a0\u00a0family car. Your best response is<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n The safest place for children under 12 years old and 100 pounds is in \u00a0\u00a0\u00a0\u00a0the backseat of the car.<\/p>\n \u00b7 Question 38<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following would not <\/em>suggest an eating disorder with a \u00a0\u00a0purging component?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Finger calluses<\/p>\n \u00b7 Question 39<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A fifteen-year-old \u00a0\u00a0female makes a statement to you during a well visit. Which of the following \u00a0\u00a0statements should not <\/em>be kept confidential?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n “Sometimes I feel like ending my life.”<\/p>\n \u00b7 Question 40<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Sarah, age 15, \u00a0\u00a0presents with pain and pressure over her cheeks and discolored nasal \u00a0\u00a0discharge. You cannot transilluminate the sinuses. You suspect which common \u00a0\u00a0sinus to be affected?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Maxillary sinus<\/p>\n \u00b7 Question 41<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 6-month-old infant has been \u00a0\u00a0growing poorly. His parents have changed his formula three times without \u00a0\u00a0success. His examination is remarkable for a pale, emaciated child with \u00a0\u00a0little subcutaneous fat and anterior fontanelle fullness. His laboratory test \u00a0\u00a0results are notable for a hemolytic anemia and prolonged bleeding times. \u00a0\u00a0Which of the following is the most appropriate next step?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Obtain a sweat chloride concentration<\/p>\n \u00b7 Question 42<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Medicaid provides \u00a0\u00a0health insurance coverage to<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Certain categories of people whose personal income falls below a \u00a0\u00a0\u00a0\u00a0certain percentage of the federal poverty level.<\/p>\n \u00b7 Question 43<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The mother of a \u00a0\u00a05-year-old informs you that her daughter cheats when playing board games. \u00a0\u00a0What is the best response?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Tell the mother to spend time clarifying board game rules before \u00a0\u00a0\u00a0\u00a0starting games.<\/p>\n \u00b7 Question 44<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following substances is associated with pupillary constriction?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Heroin<\/p>\n \u00b7 Question 45<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 7-year-old has just been \u00a0\u00a0diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents \u00a0\u00a0report that she is doing poorly in school and is disruptive in the classroom. \u00a0\u00a0They ask you what they can do. Your best response is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n “Use a consistent approach with behavioral cues both at home and \u00a0\u00a0\u00a0\u00a0at school.”<\/p>\n \u00b7 Question 46<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Flourescein staining \u00a0\u00a0of the eye is used to detect a<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Corneal abrasion<\/p>\n \u00b7 Question 47<\/strong><\/p>\n 0 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Luke, a 17-month-old, failed \u00a0\u00a0treatment with amoxicillin for otitis media. At the two-week recheck, his TM \u00a0\u00a0was still erythematous and you cannot see the landmarks. He has persistent \u00a0\u00a0nasal congestion, he is not sleeping at night, and he has a 101\u00b0F fever. What \u00a0\u00a0is the next best step for Luke?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Ceftriaxone and an antihistamine<\/p>\n \u00b7 Question 48<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n All<\/em> of the \u00a0\u00a0following may predispose a patient to thrush except:<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Poor oral hygiene<\/p>\n \u00b7 Question 49<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Head and chest \u00a0\u00a0circumferences should be equal at:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n 1 year of age<\/p>\n \u00b7 Question 50<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The diagnostic \u00a0\u00a0criteria for autism spectrum disorder include all of the following except<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Tolerance of flexibility with routines<\/p>\n \u00b7 Question 51<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following statements about bullying is true?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n It occurs most commonly during unstructured times (lunch, recess, \u00a0\u00a0\u00a0\u00a0etc.).<\/p>\n \u00b7 Question 52<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The most likely \u00a0\u00a0weight of a 1-year-old whose birth weight was 6-1\/2 pounds would be:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n 19 to 20 pounds<\/p>\n \u00b7 Question 53<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An eye that deviates \u00a0\u00a0in when covered but that returns to midline when uncovered is an<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n esophoria<\/p>\n \u00b7 Question 54<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 7-year-old boy with mental \u00a0\u00a0retardation was born at home at 26 weeks gestation to a 28-year-old mother \u00a0\u00a0who had received no prenatal care. An Assessment is likely to suggest his MR \u00a0\u00a0is related to which of the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n e.\u00a0<\/p>\n Complications of prematurity<\/p>\n \u00b7 Question 55<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The most common \u00a0\u00a0substance used in middle school is<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Alcohol<\/p>\n \u00b7 Question 56<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 2-day-old infant has \u00a0\u00a0significant nasal and rectal bleeding. He was delivered by a midwife at home; \u00a0\u00a0the pregnancy was without complications. His Apgar scores were 9 at 1 minute \u00a0\u00a0and 9 at 5 minutes. He has breastfed well and has not required a health care \u00a0\u00a0professional visit since birth. Which of the following vitamin deficiencies \u00a0\u00a0might explain his condition?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Vitamin K<\/p>\n \u00b7 Question 57<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Tammy, age 3, is at \u00a0\u00a0the office for her well-child visit. She has trouble removing her own shirt \u00a0\u00a0as requested. Her mother yanks off her shirt after smacking her wrist and \u00a0\u00a0saying, “you must do as you’re told quickly.” Which action is \u00a0\u00a0indicated?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Observe Tammy for signs of child abuse.<\/p>\n \u00b7 Question 58<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 4-month-old child has poor \u00a0\u00a0weight gain. Her current weight is less than the 5th percentile, height about \u00a0\u00a0the 10th percentile, and head circumference at the 50th percentile. The \u00a0\u00a0planned pregnancy resulted in a normal, spontaneous, vaginal delivery; mother \u00a0\u00a0and child were discharged after a 48-hour hospitalization. Feeding is via \u00a0\u00a0breast and bottle; the quantity seems sufficient. The child has had no \u00a0\u00a0illness. The examination is unremarkable except for the child\u2019s small size. \u00a0\u00a0Screening laboratory shows the hemoglobin and hematocrit are 11 mg\/dL and 33% \u00a0\u00a0respectively, with a platelet count of 198,000\/mm3. Serum electrolyte levels \u00a0\u00a0are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea \u00a0\u00a0nitrogen 15, and creatinine 0.3. Liver function tests are normal. Urinalysis \u00a0\u00a0reveals a pH of 8 with occasional epithelial cells but no white blood cells, \u00a0\u00a0bacteria, protein, ketones, or reducing substances. Which of the following is \u00a0\u00a0the most appropriate therapy for this child?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Oral supplementation with bicarbonate<\/p>\n \u00b7 Question 59<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A teenage female who \u00a0\u00a0is overweight has moderate acne on the face and chest, and irregular menses. \u00a0\u00a0Elevation of which laboratory test provides the test evidence of polycystic \u00a0\u00a0ovarian syndrome?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n free testosterone<\/p>\n \u00b7 Question 60<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 2-year-old boy has been \u00a0\u00a0slightly less than the 50th percentile for weight, height and head \u00a0\u00a0circumference, but in the last 6 months he has fallen to slightly less than \u00a0\u00a0the 25th percentile for weight. The pregnancy was normal, his development is \u00a0\u00a0as expected, and the family reports no psychosocial problems. The mother says \u00a0\u00a0that he is now a finicky eater (wants only macaroni and cheese at all meals), \u00a0\u00a0but she insists that he eat a variety of foods. The meals are marked by much \u00a0\u00a0frustration for everyone. His examination is normal. Which of the following \u00a0\u00a0is the best next step in his care?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Reassurance and counseling for family about childhood normal \u00a0\u00a0\u00a0\u00a0developmental stage<\/p>\n \u00b7 Question 61<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n I like to use my pincer grasp that involves the ablitily to pick \u00a0\u00a0up a small object such as a raisin or piece of cereal with the thumb and \u00a0\u00a0forefinger, and that is mastered around what age?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n 9 months<\/p>\n \u00b7 Question 62<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An 11-year-old girl \u00a0\u00a0has dizziness, pupillary dilation, nausea, fever, techycardia, and facial \u00a0\u00a0flushing. She says she can “see” sound and “hear” colors. \u00a0\u00a0The agent likely to be responsible is which of the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Lysergic acid diethylamide (LSD)<\/p>\n \u00b7 Question 63<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An 8-year-old female is \u00a0\u00a0brought into the office by her mother. She has complaints of fever and sore \u00a0\u00a0throat for the past 2 days. She denies difficulty swallowing but has loss of \u00a0\u00a0appetite and mild diarrhea. A few classmates have similar symptoms. A review of \u00a0\u00a0systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she \u00a0\u00a0has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical \u00a0\u00a0lymphadenopathy. What is the likely diagnosis?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Viral pharyngitis<\/p>\n \u00b7 Question 64<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Appropriate advice for a \u00a0\u00a0mother of a 2-week-old child here for a \u201cwell child\u201d visit includes which of \u00a0\u00a0the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Sleep in the supine position is recommended<\/p>\n \u00b7 Question 65<\/strong><\/p>\n 0 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n What is the most \u00a0\u00a0traumatic, yet common form and of child abuse seen in pediatric primary care?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Soft tissue injuries<\/p>\n \u00b7 Question 66<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following is a priority nurse practitioner role to help children and \u00a0\u00a0adolescents to have healthy sexual development?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Begin anticipatory guidance related to sexuality and normal pubertal \u00a0\u00a0\u00a0\u00a0development in the early school-age visits.<\/p>\n \u00b7 Question 67<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Appropriate \u00a0\u00a0anticipatory guidance for the parents of an 8-year-old girl includes<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Information that the child will start to value personal idols and role \u00a0\u00a0\u00a0\u00a0models.<\/p>\n \u00b7 Question 68<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Max, a 9-year-old \u00a0\u00a0boy, is a very active child with limited self-control. He is easily \u00a0\u00a0distracted and has difficulty staying on task. You determine that he should \u00a0\u00a0have a neurodevelopmental Assessment because he is showing signs of<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n ADHD<\/p>\n \u00b7 Question 69<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following injuries is most likely to be caused by abuse of a toddler?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n A displaced posterior rib fracture.<\/p>\n \u00b7 Question 70<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following issues or concepts is relevant to the school-age child?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Erikson’s initiative versus guilt<\/p>\n \u00b7 Question 71<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n While assessing the \u00a0\u00a0skin of an infant, you note cafe-au-lait spots. Which disease should be ruled \u00a0\u00a0out?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Neurofibromatosis<\/p>\n \u00b7 Question 72<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The first sign of \u00a0\u00a0the onset of female puberty is usually:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Breast buds<\/p>\n \u00b7 Question 73<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A mother states that \u00a0\u00a0her 4-year-old son constantly grinds his teeth at night. You document this \u00a0\u00a0as:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Bruxism<\/p>\n \u00b7 Question 74<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following characterizes middle adolescence (14 to 16 years old)?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Intense peer \u00a0\u00a0\u00a0\u00a0group involvement, feelings of immortality, sexual experimentation<\/p>\n \u00b7 Question 75<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n I can roll over, grasp a \u00a0\u00a0rattle, and reach for things and have begun feeding myself finger foods, but \u00a0\u00a0I can\u2019t wave bye-bye yet. How old am I?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n 6 months<\/p>\n \u00b7 Question 76<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You would be \u00a0\u00a0concerned about the language development of a child who:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Stutters when excited or tired at the age of 7<\/p>\n \u00b7 Question 77<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Most children can \u00a0\u00a0independently get dressed by themselves by age:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n 5 years<\/p>\n \u00b7 Question 78<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A differential \u00a0\u00a0diagnosis for child abuse would include all <\/em>of the \u00a0\u00a0following except.<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Prader-Wlli syndrome<\/p>\n \u00b7 Question 79<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following eye findings would be considered an ophthalmic emergency?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Unilateral vesicular lesions on the upper eyelid in a 3-week old.<\/p>\n \u00b7 Question 80<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 2-year-old child weighs 34 \u00a0\u00a0lb. What type of car seat should the child use?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n A forward-facing car seat in the back of the vehicle.<\/p>\n \u00b7 Question 81<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An expected \u00a0\u00a0milestone of a 4-year-old is the ability to<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n Copy a cross<\/p>\n \u00b7 Question 82<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Sam has an otitis \u00a0\u00a0media. He also presents with conjunctivitis. This is due to which organism?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Haemophilus influenza<\/p>\n \u00b7 Question 83<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 14-year \u00a0\u00a0old has ataxia. He is brought to the local emergency department, where he \u00a0\u00a0appears euphoric, emotionally labile, and disoriented. Many notice his \u00a0\u00a0abusive language. Which of the following agents is most likely responsible \u00a0\u00a0for his condition?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Alcohol<\/p>\n \u00b7 Question 84<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n What method can be \u00a0\u00a0safely used to remove cerumen in a 15-month-old child’s ear?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Irrigation using warm water from a soft bulb syringe<\/p>\n \u00b7 Question 85<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The appropriate lab \u00a0\u00a0tests in assessment of cervical adenitis include all <\/em>of the \u00a0\u00a0following except:<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Blood culture<\/p>\n \u00b7 Question 86<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following represents normal sequencing of development in a toddler?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Feeds self, can undress self with help, washes hands, imitates \u00a0\u00a0\u00a0\u00a0housework.<\/p>\n \u00b7 Question 87<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You see a young child who has \u00a0\u00a0tripled her birth weight and looks for hidden objects. When given blocks, she \u00a0\u00a0places one in each hand. She has a fine pincer grasp. On the floor, she \u00a0\u00a0walks around holding objects and is trying to take independent steps. This \u00a0\u00a0child is most likely how old?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n 12 months<\/p>\n \u00b7 Question 88<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n During a domestic health \u00a0\u00a0assessment, the CDC recommends screening every refugee child for which of the \u00a0\u00a0following diseases?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n tuberculosis<\/p>\n \u00b7 Question 89<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 4-month-old \u00a0\u00a0presents with both eyes turning inward. What is this called?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Esotropia<\/p>\n \u00b7 Question 90<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A mother brings her \u00a0\u00a04-week-old infant into the office because she noticed small yellow-white \u00a0\u00a0glistening bumps on her infant’s gums. She says they look like teeth but is \u00a0\u00a0concerned that they may be cancer. You diagnose these bumps as<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Epstein’s pearls<\/p>\n \u00b7 Question 91<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The parents of a \u00a0\u00a07-year-old are concerned their son does not want to attend school. Which of \u00a0\u00a0the historical findings are not<\/em> usually associated with the \u00a0\u00a0diagnosis of school phobia?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Chronic medical illness<\/p>\n \u00b7 Question 92<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You are doing a \u00a0\u00a0kindergarten physical on a 5-year-old girl. Which of the following scenarios \u00a0\u00a0would suggest the child is not ready to start kindergarten in the fall?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n d.\u00a0<\/p>\n Counts to 4 and draws a person with three parts.<\/p>\n \u00b7 Question 93<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following children should be referred for a comprehensive developmental \u00a0\u00a0Assessment?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n A 3-year-old who consistently tracks at the 5th percentile for height \u00a0\u00a0\u00a0\u00a0and weight since birth.<\/p>\n \u00b7 Question 94<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Sarah, 7 years old, \u00a0\u00a0is in the office today. All of the following are acceptable management \u00a0\u00a0options for allergic rhinitis, except<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Nasal neosynephrine<\/p>\n \u00b7 Question 95<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You see a 3-year-old for a \u00a0\u00a0well-child visit. His mother informs you that potty training has been very \u00a0\u00a0easy because he \u201chas an amazing internal clock. He falls asleep, gets hungry, \u00a0\u00a0and has bowel movements at the same time every day.\u201d This describes which \u00a0\u00a0aspect of temperament?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n a.\u00a0<\/p>\n Rhythmicity<\/p>\n \u00b7 Question 96<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You see a healthy \u00a0\u00a018-month-old for a well-child visit. At the 12-month visit he received the \u00a0\u00a0diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B \u00a0\u00a0second dose; measles, mumps, and rubella (MMR) first dose; injected \u00a0\u00a0poliovirus (IPV) second dose; pneumococcal conjugate (PCV13) fourth dose; and \u00a0\u00a0Haemophilus influenzae type B (Hib) fourth dose. Which of the following do \u00a0\u00a0you order today?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n c.\u00a0<\/p>\n DTaP, varicella, hepatitis A, and hepatitis B<\/p>\n \u00b7 Question 97<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The results of the hemoglobin \u00a0\u00a0A1c test are LESS reliable in children with which of the following \u00a0\u00a0conditions? (Hint: select two)<\/p>\n \u00a0\u00a0\u00a0\u00a0<\/p>\n Selected \u00a0\u00a0\u00a0\u00a0Answers:<\/p>\n a.\u00a0<\/p>\n Cystic Fibrosis<\/p>\n \u00a0\u00a0<\/p>\n b.\u00a0<\/p>\n Sickle Cell Disease<\/p>\n \u00b7 Question 98<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You see a 5-month-old who is \u00a0\u00a0fussy, has interrupted sleep, and is drooling. You note large lower lateral \u00a0\u00a0incisor bulges. You recommend:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 99<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 7-month-old male is found \u00a0\u00a0to have a spiral fracture of the femur that his father says he got by \u00a0\u00a0climbing onto a chair and then jumping off. Which of the following statements \u00a0\u00a0is true regarding this situation?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 100<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The nurse \u00a0\u00a0practitioner role was initially established to<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7 Question 101<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following is a \u00a0\u00a0true contraindication of vaccinating a child?<\/p>\n \u00a0\u00a0<\/p>\n NURS 6541 Midterm Exam \/ NURS 6541 Midterm Exam (Latest): Primary Care of Adolescents and Children: Walden University<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00b7<\/strong> Question 1\u00a0<\/strong><\/p>\n 1 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Medicaid provides \u00a0\u00a0health insurance coverage to<\/p>\n \u00a0\u00a0\u00a0\u00a0<\/p>\n Selected Answer:\u00a0<\/p>\n b.\u00a0<\/p>\n Certain categories of \u00a0\u00a0\u00a0\u00a0people whose personal income falls below a certain percentage of the \u00a0\u00a0\u00a0\u00a0federal poverty level.<\/p>\n \u00b7<\/strong> Question 2\u00a0<\/strong><\/p>\n 1 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A differential \u00a0\u00a0diagnosis for child abuse would include all <\/em>of the following except.<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0<\/p>\n Selected Answer:\u00a0<\/p>\n c.\u00a0<\/p>\n Prader-Wlli \u00a0\u00a0\u00a0\u00a0syndrome<\/p>\n \u00b7<\/strong> Question 3\u00a0<\/strong><\/p>\n 1 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following injuries is most likely to be caused by abuse of a toddler?<\/p>\n \u00a0\u00a0\u00a0\u00a0<\/p>\n Selected Answer:\u00a0<\/p>\n d.\u00a0<\/p>\n A displaced \u00a0\u00a0\u00a0\u00a0posterior rib fracture.<\/p>\n \u00b7<\/strong> Question 4\u00a0<\/strong><\/p>\n 1 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You are doing a \u00a0\u00a0kindergarten physical on a 5-year-old girl. Which of the following scenarios \u00a0\u00a0would suggest the child is not ready to start kindergarten in the fall?<\/p>\n \u00a0\u00a0\u00a0\u00a0<\/p>\n Selected Answer:\u00a0<\/p>\n a.\u00a0<\/p>\n Counts to 4 and \u00a0\u00a0\u00a0\u00a0draws a person with three parts.<\/p>\n \u00b7<\/strong> Question 5\u00a0<\/strong><\/p>\n 1 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The first sign of \u00a0\u00a0the onset of female puberty is usually:<\/p>\n \u00a0\u00a0\u00a0\u00a0<\/p>\n Selected Answer:\u00a0<\/p>\n b.\u00a0<\/p>\n Breast buds<\/p>\n \u00b7<\/strong> Question 6\u00a0<\/strong><\/p>\n 1 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You see a \u00a0\u00a07-year-old with complaints of “having accidents at night.” Physical \u00a0\u00a0exam and history are unremarkable. Urinalysis, urine culture, and specific \u00a0\u00a0gravity are normal. His parents ask about the best treatment for this \u00a0\u00a0problem. The best response is<\/p>\n \u00a0\u00a0\u00a0\u00a0<\/p>\n Selected Answer:\u00a0<\/p>\n b.\u00a0<\/p>\n Fluid restriction \u00a0\u00a0\u00a0\u00a0and voiding prior to the night may be effective.<\/p>\n \u00b7<\/strong> Question 7\u00a0<\/strong><\/p>\n 1 out of 1 points<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the \u00a0\u00a0following statements about bullying is true?<\/p>\n \u00a0\u00a0\u00a0\u00a0<\/p>\n Selected Answer:\u00a0<\/p>\n d.\u00a0<\/p>\n It occurs most \u00a0\u00a0\u00a0\u00a0commonly during unstructured times (lunch, recess, etc.).<\/p>\n \u00b7<\/strong> Question 8\u00a0<\/strong><\/p>\n