Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children

Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children

Question 1

The assessment tool often used to assess for hyperactivity is:

A. The PHQ-9
B. The Columbia Impairment Scale
C. The Vanderbilt Assessment Scale
D. The Eyberg Child Inventory



Question 2

In the first 3-4 days of life, the baby should urinate approximately _____ times in 24 hours.

A. 1-2
B. 3-4
C. 6-8
D. 12-15


Question 3

Things to monitor in a child with Marfan syndrome include:

A. Growth using a specialized growth chart
B. Orthopedic problems
C. Blood pressure
D. All of the above

Question 4

In a 24-hour period, the typical neonate sleeps

A. 20-22 hours
B. 18-20 hours
C. 10.5-18 hours
D. 6-15 hours

Question 5

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

A. Yes
B. No


Question 6

When a perforation of the tympanic membrane occurs,

A. The patient will have intense pain until intervention occurs
B. The patient may have bleeding from the ear
C. The pain may improve
D. A and C
E. B and C


Question 7

Ophthalmia neonatorum, or conjunctivitis of the newborn, is most commonly caused by:

A. Staphylococcus aureus.
B. Pseudomonas
C. Escherichia coli
D. Chlamydia trachomatis


Question 8

An echocardiogram:

A. Monitors the electrical activity of the heart from different locations and different planes of the body
B. Uses reflected sound waves to identify intracardiac structures and their motion
C. Rules out anemia or polycythemia as a cause of a murmur
D. Provides information about cardiac output


Question 9

The following are consistent with symptoms of the common cold:

A. Malaise, sneezing, watery nasal discharge, mild sore throat, may have fever-all within the past 0-10 days
B. Persistent nasal symptoms for more than 10 days with URI, purulent or colored nasal drainage, cough, fever
C. Malaise, nasal obstruction, unilateral or bilateral nasal discharge
D. Persistent nasal symptoms for more than 30 days with URI


Question 10

The National Heart, Lung, and Blood Institute (NHLBI) recommends measuring blood pressures annually and at every health care episode at:

A. Birth
B. Age 1 year
C. Age 3 years
D. Age 5 years


Question 11

The characteristic rash of Lyme disease is at least 5 cm in size and resembles a:

A. Golf ball
B. Kidney bean
C. Starfish
D. Bullseye


Question 12

Peggy comes in to see you because her nipples are very sore. Her baby is four weeks old and she is exclusively breastfeeding. You examine her and they are cracked and peeling. You advise her to:

A. Immediately quit breastfeeding. This can be harmful to her breasts.
B. Rub some breastmilk onto the nipple and areola after every feeding and let it air-dry.
C. Nurse from the least sore side first.
D. B and C


Question 13

Mumps is an acute generalized viral disease with painful enlargement of one or more:

A. Parotid glands
B. Parathyroid glands
C. Tonsils
D. Adenoids


Question 14

Fecal incontinence after an age when the child should be able to control bowel movements is called:

A. Enuresis
B. Encopresis
C. Stool retention
D. Diarrhea


Question 15

The clinical findings of retinal detachment include:

A. Blurry vision that becomes progressively worse
B. Pallor to the retinal vessels on fundoscopic examination
C. A perception of flashing lights by the patient in the affected eye
D. A and C
E. A, B, and C


Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children Question 16

Candidiasis is a:

A. Fungal infection
B. Bacterial infection
C. Viral infection
D. A combination of A, B, and C


Question 17

The gold standard for the diagnosis of cystic fibrosis is:

A. The pilocarpine iontophoresis sweat test
B. A sputum culture
C. The CF blood panel

Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children

D. A CF urine regimate test


Question 76

When feeding pumped breast milk, it is important to:

A. Warm it up in the microwave prior to feeding.
B. Warm it in warm water prior to feeding.
C. Never warm it up, as that causes bacterial overgrowth.
D. Ensure that the milk has been in the refrigerator less than 72 hours.



Question 77

Erythema infectiosum is also known as,

A. Third disease
B. Roseola
C. Fifth disease
D. Strep throat


Question 78


A common term for strabismus is:


Lazy eye








Question 79

Viral conjunctivitis may be caused by:

A. An adenovirus
B. Herpes simplex
C. Enterovirus
D. All of the above


Question 80

In Erikson’s Developmental theory, the first stage (0-12 months) which is the stage of:

A. Trust vs. mistrust
B. Autonomy vs shame
C. Intimacy vs isolation
D. Initiative vs guilt


Question 81

The following are barriers to care:

A. Financial issues
B. Insurance issues
C. Clinic services that are available outside working hours
D. A and B
E. A, B, and C


Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children Question 82

Ectropion is a condition where:

A. The eyelid margins evert
B. There is a wide palpebral fissure
C. The eyelids invert
D. There is a contusion to the eye, resulting in a “black eye”


Question 83

The Denver Developmental Screening Test II divides content into the following four areas:

A. Gross motor, language, fine motor, personal and social
B. Visual motor integration, Auditory integration, Olfactory integration, Touch integration
C. Neurodevelopmental, behavioral, emotional, physical
D. Knowledge, self-awareness, basic skills, strategies


Question 84

A basic first-grade readiness skill is the child can:

A. Balance on each foot for 12 seconds
B. Copy geometric shapes (circle, square, triangle)
C. Recognize four colors
D. B and C

Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children

E. A, B, and C


Question 85

During the day, a newborn should breastfeed about:

A. Every hour
B. Every 2-3 hours
C. Every 4-6 hours
D. Three times a day


Question 96

Hepatitis B is highly contagious and causes:

A. Blindness
B. Severe renal disease
C. Severe liver disease
D. Thyroid cancer


Question 97

For children ages 6 months to 12 years, the following anti-pyretic(s) can be used:

A. Acetaminophen
B. Ibuprofen
C. Naproxen
D. A and B
E. A, B, and C


Question 98

School-age children tend to be rather ________ in their sense of right or wrong.

A. Flexible
B. Rigid
C. Fluid
D. Relaxed


Walden University NRNP 6541 Mid Term Exam: Primary Care of Adolescents and Children Question 99

Deaths from sudden infant death syndrome (SIDS) have decreased since the AAP recommended:

A. That all babies sleep on their backs
B. That all babies be awakened every two hours during the night
C. That all babies sleep with a pacifier
D. That babies who have asthma sleep on their sides


Question 100

Night terrors are characterized by:

A. A sudden arousal from sleep to a fully awake state
B. Occur during sleep and the child does not remember them the following day
C. Are recalled in detail the following day
D. Occur during REM sleep
E. B and D