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NURS6541 Week 1 to Week 11 Quiz (Each Quiz 2 Versions): Walden University

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NURS 6541 Week 1 to Week 11 Quiz / NURS6541 Week 1 to Week 11 Quiz (Each Quiz 2 Versions): Primary Care of Adolescents and Children: Walden University

Walden University NURS 6541 Week 1 Quiz / Walden University NURS6541 Week 1 Quiz (2 Latest Versions)

Question 1

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?

a. Sensorimotor

b. Preoperational

c. Concrete operational

d. Formal operational

1 points

Question 2

I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I can’t balance on one foot for 1 second. I am:

a.2 years old (24 months)

b. 2½ years old (30 months)

c. 3 years old (36 months)

d. 4 years old (48 months)

1 points

Question 3

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?

a. 5 months

b. 6 months

c. 9 months

d. 12 months

1 points

Question 4

Which of the following children has abnormal language development?

a. Repeats simple phrases at 32 months

b. Stutters when excited or tired at 4 years of age

c. Has a 10-word vocabulary at 12 months

d. Speech is 50% understandable at 36 months of age

1 points

Question 5

The first sign of the onset of female puberty is usually:

a. Sparsely distributed fine, pale pubic hairs

b. Breast buds

c. Menarche

d. Peak height growth velocity

1 points

Question 6

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?

a. Activity

b. Rhythmicity

c. Adaptability

d. Threshold of response

1 points

Question 7

You see a 6-month-old for a well-child visit and the mother tells you the child’s grandmother recommends that she give the infant whole milk and eggs when he starts solids. What should you tell the mother?

a. It is okay to begin weaning to whole milk between 9 and 12 months of age.

b. The most important thing to add at this time is table foods; discussion of other dietary issues will happen at 9 months of age.

c. The baby should remain on infant formula and stage 2 and 3 baby foods for now.

d. It is a good idea to introduce whole eggs to the diet of 5- to 6-month-olds.

1 points

Question 8

A typically developing 8-year-old girl will have which of the following genital development?

a. No pubic hair at all

b. Small amount of long, downy pubic hair along the labia majora

c. Coarse, curly pubic hair that extends laterally from the labia majora

d. Adult-like pubic hair that extends along the mons pubis but does not include the medial thighs

1 points

Question 9

Most children can independently get dressed by themselves by age:

a. 2 years

b. 3 years

c. 4 years

d. 5 years

1 points

Question 10

The most likely weight of a 1-year-old whose birth weight was 6½ pounds would be:

a. 13 to 14 pounds

b. 19 to 20 pounds

c. 25 to 25 pounds

d. Impossible to estimate

NURS 6541 Week 2 Quiz / NURS6541 Week 2 Quiz (2 Latest Versions): Primary Care of Adolescents and Children: Walden University

Walden University NURS 6541 Week 2 Quiz / Walden University NURS6541 Week 2 Quiz (2 Latest Versions)

QUESTION 1

1. 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:

“Your child’s speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age.”

“Don’t be concerned because your child’s speech is normal and young childhood is the best time to learn languages.”

“Stop speaking English at home to avoid confusion. She can always learn English outside the home.”

“The child may confuse the words now, but that will change by second grade.”

QUESTION 2

1. A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best response is:

10 hours at night and 1 to 2 hours during the day

10 hours at night and 3 to 4 hours during the day

10 hours at night and 5 to 6 hours during the day

8 hours at night and 4 to 5 hours during the day

QUESTION 3

1. 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?

Varicella and DTaP

DTaP, varicella, hepatitis A, and hepatitis B

DTaP, IPV, varicella, PCV13, and hepatitis B

Hib, PCV 13, IPV, and hepatitis A

QUESTION 4

1. A common feature of 2-year-old behavior is:

Negativism

Stranger anxiety

Nonparallel play

a and b

QUESTION 5

1. You see a 6-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower lateral incisor bulges. You recommend:

Acetaminophen 10-15 mg/kg/dose every 4 to 6 hours as needed

Ibuprofen 20 mg/kg/dose every 6 to 8 hours as needed

Over-the-counter topical anesthetic gels

Gum massage with a cold washcloth

A and D

QUESTION 6

1. 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:

Set his own bedtime based on his internal clock

Protest when he goes to bed, but the parents should not pick him up or give him any attention

Put himself to sleep somewhere other than his own bed and the parents should move him to the bed once he is asleep

Make multiple requests, but the parents should only respond to every third request

QUESTION 7

1. The parent of a 2-year-old tells you her daughter recently started having breath-holding spells. She tells you the older sibling “did the same thing” and asks you for help. You advise her that after a breath-holding event:

Act as if nothing abnormal happened.

Stand and watch, but do nothing while she is holding her breath.

Splash the child’s face to stimulate her breathing.

Place her in a timeout as soon as the breath-holding spell is over.

QUESTION 8

1. You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today?

Pneumococcal conjugate vaccine (PCV13), IPV, varicella, and DTaP

Tetanus and diphtheria toxoid with acellular pertussis (TdaP), MMR, hepatitis B, and IPV

DTaP, IPV, MMR, and Varivax

PCV13, DTaP, IPV, MMR, and Varivax

QUESTION 9

1. A 19-month-old 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?

Tell parent, “Your child’s language development is normal ”

Tell parent, “Boys typically have delayed speech compared with girls at this age.”

Encourage early intervention services for speech

Reevaluate the child at the 24-month visit.

QUESTION 10

1. Which of the following represents normal sequencing of development in a toddler?

Feeds self, can undress self with help, washes hands, imitates housework

Uses spoon without difficulty, uses parallel play, dresses and undresses self independently, washes hands

Feeds self, dresses and undresses self independently, washes hands and feet

Washes hands, dresses self independently, uses nonparallel play, uses fork without difficulty

QUESTION 11

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

Yes

NURS 6541 Week 3 Quiz / NURS6541 Week 3 Quiz (2 Latest Versions): Primary Care of Adolescents and Children: Walden University

Walden University NURS 6541 Week 3 Quiz / Walden University NURS6541 Week 3 Quiz (2 Latest Versions)

QUESTION 1

1. 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:

The penis will grow in length and width

The penis will grow in width.

Facial hair will appear.

Changes in your voice will occur.

QUESTION 2

1. 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:

Send the child for a timeout without comment

Ignore the behavior and make no comment to the child

Explain to the child that masturbation is something that should be done in private

Explain to the child the moral and social reasons why he should not masturbate

Question 3

1. Which of the following statements about bullying is true?

About 35% of second graders report having been bullied.

It occurs most commonly during unstructured times (lunch, recess, etc.).

Boys are more likely to indirectly bully while girls usually directly bully.

Victims rarely have physical symptoms.

QUESTION 4

1. Which of the following statements is true regarding lying and stealing by the school-age child?

They are highly correlated with later criminal behavior.

They are more likely to happen when parents use consistent and firm behavior modeling.

They represent a common, transient problem.

They are usually associated with serious psychological problems.

QUESTION 5

1. Which of the following issues or concepts is relevant to the school-age child?

Operational thinking

Erikson’s initiative versus guilt

Formal operational thinking

Conservation, classification, and seriation

QUESTION 6

1. 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:

Fluid restriction and voiding prior to the night may be effective.

Maturation of the urinary tract is still incomplete at this age and they just need to give it more time.

Conditioning devices like bed-wetting alarms are not the best option at this time because of the child’s age.

Medications like desmopressin acetate (DDAVP) provide the best long-term resolution.

QUESTION 7

1. 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:

The safest place for children under 12 years old and 100 pounds is the backseat of the car.

Air bags are not effective for children this age and will often not reach the child.

It’s okay to sit in the front seat as long as air bags are not present or are turned off.

Booster seats should never be used after 8 years of age.

QUESTION 8

1. Which of the following statements regarding adolescent substance use is true?

A negative drug screen effectively rules out drug use.

Taking drug screen samples from adolescents without their assent is acceptable in pediatrics.

Tobacco is the most commonly abused substance during adolescence.

Most teen alcohol abusers are not “functional” alcoholics.

QUESTION 9

1. Which of the following is a priority nurse practitioner role to help children and adolescents to have healthy sexual development?

Begin anticipatory guidance related to sexuality and normal pubertal development in the early school-age visits.

Inform parents about a child’s risky sexual behaviors.

Ask teenage girls if they have a boyfriend.

Assessing parental beliefs regarding sexual education.

QUESTION 10

1. The mother of a 5-year-old informs you her daughter cheats when playing board games. What is the best response?

Encourage the parents to use timeouts when cheating occurs.

Explain that this is developmentally normal until the child is old enough to understand complex game rules.

Tell the mother to spend time clarifying board game rules before starting games.

Have the mother explain to her daughter that cheating, like lying, is unacceptable behavior and make her stop playing.

NURS 6541 Week 4 Quiz / NURS6541 Week 4 Quiz (2 Latest Versions): Primary Care of Adolescents and Children: Walden University

Walden University NURS 6541 Week 4 Quiz / Walden University NURS6541 Week 4 Quiz(2 Latest Versions)

· Question 1

A 30-year-old Caucasian female was recently diagnosed with primary hypertension. She reports that she eats fairly well, usually having red meat and potatoes daily. She also reports that her father has hypertension as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis?

· Question 2

A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of:

· Question 3

An 80-year-old female is in the hospital for a bone fracture. While there she develops a large, nonlethal pulmonary embolus. Which of the following is a direct result of the obstruction to pulmonary blood flow?

· Question 4

A 65-year-old male is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures should the nurse assess for in this patient?

· Question 5

A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the:

· Question 6

A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for myocardial:

· Question 7

A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause:

· Question 8

A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart?

· Question 9

Which characteristic changes should the nurse keep in mind while caring for a patient with left heart failure? As left heart failure progresses:

· Question 10

A patient wants to know what causes atherosclerosis. How should the nurse respond? In general, atherosclerosis is caused by:

· Question 11

What term should the nurse document for a detached blood clot?

· Question 12

A 28-year-old female presents with severe chest pain and shortness of breath. She is diagnosed with pulmonary embolism, which most likely originated from the:

· Question 13

A 50-year-old male is diagnosed with pulmonary embolism (PE). Which of the following symptoms most likely occurred before treatment?

· Question 14

A 5-year-old female is found to have hypertension during three separate visits to her primary care provider. The nurse would expect tests to suggest that the hypertension is secondary to:

· Question 15

A 56-year-old male is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest the patient change?

· Question 16

Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)?

· Question 17

Which of the following findings in the patient with Raynaud disease would indicate a need for further teaching?

· Question 18

A 60-year-old male is diagnosed with cerebral aneurysm. Where does the nurse suspect the cerebral aneurysm is located?

· Question 19

A 35-year-old male presents with pulmonary hypertension. Testing reveals he is in right heart failure. Which of the following is the most likely diagnosis the nurse will see listed on the chart?

· Question 20

A 50-year-old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage?

· Question 21

Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following conditions should alert the nurse that the patient may have both types of valve dysfunction?

· Question 22

A 50-year-old obese male with hypertension and coronary artery disease visits a nutritionist for food counseling. He has an elevated level of low-density lipoprotein (LDL) and a low level of high-density lipoprotein (HDL). Which of the following should the nurse advise him to avoid?

· Question 23

A 68-year-old female is experiencing left heart failure. Physical exam reveals elevated blood pressure. The nurse understands this is most likely caused by:

· Question 24

A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse?

· Question 25

Which of the following patients is at highest risk for developing pulmonary embolism (PE)?

· Question 26

A 50-year-old male visits the cardiologist for an EKG. Results indicate that he has no PR interval and a variable QRS rate with rhythm irregularity. Which of the following is the most likely diagnosis to be recorded on the chart?

· Question 27

A 32-year-old female presents with lower leg pain, with swelling and redness. While obtaining the patient’s history, which finding could have caused her condition?

· Question 28

A 75-year-old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has developed a severe oxygen supply and demand imbalance. The statement that best describes this imbalance is which of the following?

· Question 29

A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by:

· Question 30

While planning care for a patient with superior vena cava syndrome (SVCS), which principle should the nurse remember? SVCS is a progressive _____ of the superior vena cava (SVC) that leads to venous distention of the upper extremities and head.

NURS 6541 Week 5 Quiz / NURS6541 Week 5 Quiz (2 Latest Versions): Primary Care of Adolescents and Children: Walden University

Walden University NURS 6541 Week 5 Quiz / Walden University NURS6541 Week 5 Quiz (2 Latest Versions)

QUESTION 1

1. Which of the following treatments is indicated for tinea versicolor?

Mupirocin (Bactroban) topical ointment

Cephalexin (Keflex) oral for 10 days

Selenium sulfide 2.5% lotion (Selsun)

Griseofulvin microsize oral until clear

QUESTION 2

1. Jaime presents with lesions on his forearms. He was bit by mosquitos and he “just wouldn’t stop scratching them.” You notice two crusted lesions with erythematous bases on the lower portion of both arms. He also has two pustular lesions around his nose. What is the preferred therapy for this child?

Topical neomycin-based antibiotic like Neosporin

Topical antibiotic therapy with mupirocin (Bactroban)

Oral antibiotic therapy with penicillin VK

Oral antibiotic therapy with cephalexin (Keflex)

QUESTION 3

1. A 7-year-old presents to your office with several linear, curved lines approximately 4 millimeters in length that end in a papule. The lines are near the umbilicus and waist area. He complains about severe itching that is worse at night. You suspect:

Scabies

Hives

Fleas

Ticks

QUESTION 4

1. You see a 10-year-old with warts on the hand. This is best treated with:

Topical salicylic acid applied twice daily

Podophyllum resin