NRNP-6541 Week 3: Knowledge Check Quiz

NRNP-6541 Week 3: Knowledge Check Quiz

Question 1

1 
/ 1
 pts

Which of the following is a true contraindication of vaccinating a child?

Acute otitis media requiring antibiotic therapy

 

Previous vaccination reaction that consisted of a small red knot at the vaccination site

 

History of an allergic reaction to penicillin

 

Correct!

Previous vaccination reaction that consisted of wheezing and hypotension

 

Question 2

1
/ 1
 pts

Which of the following children has abnormal language development?

Repeats simple phrases at 32 months

 

Stutters when excited or tired at 4 years of age

 

Has a 10-word vocabulary at 12 months

 

Correct!

 

Speech is 50% understandable at 36 months of age

 

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Question 3

1 
/ 1
 pts

An expected milestone of a 4-year-old is the ability to

Correct!

Copy a cross

 

Copy a circle

 

Copy a vertical line

 

Draw a person in six parts

 

NRNP-6541 Week 3: Knowledge Check Quiz  Question 4

1 
/ 1
 pts

Which of the following children should be referred for a comprehensive developmental evaluation?

A 12-month-old who does not speak.

 

Correct!

A 2-year-old who lost the ability to perform previously attained developmental milestones.

 

A 3-year-old who consistently tracks at the 5th percentile for height and weight since birth.

 

A 19-month-old with explosive temper tantrums.

 

Question 5

1 
/ 1
 pts

The most likely weight of a 1-year-old whose birth weight was 6-1/2 pounds would be:

13 to 14 pounds

 

Correct!

19 to 20 pounds

 

25 to 26 pounds

 

impossible to estimate

 

Question 6

1 
/ 1
 pts

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

Correct!

No pubic hair at all

 

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

 

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

 

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

 

Question 7

1 
/ 1
 pts

Head and chest circumferences should be equal at:

6 months of age

 

Correct!

1 year of age

 

2 years of age

 

3 years of age

 

Question 8

1 
/ 1
 pts

A 2-year-old child weighs 34 lb. What type of car seat should the child use?

Correct!

A forward-facing car seat in the back of the vehicle.

 

A rear facing car seat in the back seat of the vehicle.

 

A forward-facing car seat in the front seat of the vehicle.

 

A booster seat in the back seat of the vehicle.

 

NRNP-6541 Week 3: Knowledge Check Quiz  Question 9

1 
/ 1
 pts

Which of the following injuries is most likely to be caused by abuse of a toddler?

Three or four bruises on the shins and knees.

 

Spiral fracture of the tibia.

 

Correct!

A displaced posterior rib fracture.

 

A forehead laceration.

 

Question 10

1 
/ 1
 pts

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?

Activity

 

Correct!

Rhythmicity

 

Adaptability

 

Threshold of response

 

Question 11

1 
/ 1
 pts

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?

Chromosomal abnormality

 

Protein-calorie malnutrition

 

Correct!

Normal ex-preemie infant growth

 

Malabsorption secondary to short gut syndrome

 

Congenital hypothyroidism

 

Question 12

1
/ 1
 pts

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?

Correct!

Oral supplementation with bicarbonate

 

Transfusion with packed red blood cells

 

Intravenous infusion of potassium chloride

 

Sweat chloride analysis

 

Growth hormone determination

 

Question 13

1 
/ 1
 pts

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?

5 months

 

Correct!

6 months

 

9 months

 

12 months

 

Question 14

1
/ 1
 pts

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

Operational thinking

 

Correct!

Erikson’s initiative versus guilt

Formal operational thinking

 

Conservation, classification, and seriation

 

Question 15

1 
/ 1
 pts

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?

Brain tumor

 

Chromosomal aberration

 

Correct!

Complications of prematurity

 

Congenital infection with cytomegalovirus

 

Elevated serum lead levels

 

NRNP-6541 Week 3: Knowledge Check Quiz  Question 16

1 
/ 1
 pts

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?

Gather urine for pH and electrolytes

 

Measure serum factor IX levels

 

Measure serum immunoglobulins

 

Correct!

Obtain a sweat chloride concentration

 

Perform a hemoglobin electrophoresis

 

Question 17

1 
/ 1
 pts

Which adolescent would be at greatest risk for developing anorexia nervosa?

Correct!

14-year-old female gymnast

 

18-year-old female college student

 

12-year-old female who just started her first period

 

16-year-old male runner

 

Question 18

1 
/ 1
 pts

Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following?

Correct!

Sleep in the supine position is recommended

 

By age 1 month, the child should be sleeping through the night

 

Children should be able to roll over by age 2 months and to sit by age 4 months .

 

Half-strength fruit juices can be initiated at age 2 months.

 

Potty training should begin at age 1 year.

 

Question 19

1 
/ 1
 pts

A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none sense. Which of the following statements about him is correct?

He should receive the live oral polio virus vaccine rather than the inactivated (injectable) polio virus vaccine.

 

The pertussis vaccine is contraindicated at his age and is replaced with the tetanus-diphtheria vaccine.

 

Correct!

He is too old to receive the 
Haemophilus influenzae
 Type B vaccine.

His vaccinations at birth and 2 months are repeated because too much time has elapsed for them to be effective.

 

He is too young for the varicella vaccine.

 

NRNP-6541 Week 3: Knowledge Check Quiz  Question 20

1 
/ 1
 pts

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

 

Correct!

DTaP, varicella, hepatitis A, and hepatitis B

 

DTaP, IPV, varicella, PCV13, and hepatitis B

 

Hib, PCV13, IPV, and hepatitis A