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NURS6541-FINAL EXAM LATEST 2025
Question 1 1 out of 1 points An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a routine part of the clinical management? Selected Answer: c. School excuse to not participate in recess and/or physical education activities Question 2 1 out of 1 points A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn's disease? Selected Answer: b. Blood, mucous diarrhea Question 3 1 out of 1 points A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is Selected Answer: a. Trial of ranitidine (Zantac) Question 4 1 out of 1 points Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action? Selected Answer: a. Rule out a neurologic disorder.
NURS6541-FINAL EXAM LATEST 2025
Question 5 0 out of 1 points A 15-year-old girl has experienced abdominal pain, vomiting, and lethargy for 3 days. Her chest and throat examinations are clear, but her abdominal examination is significant for right lower quadrant pain. Rectal examination is equivocal for pain, and her pelvic examination is remarkable for pain upon movement of her cervix. Laboratory data include elevated white blood cell count, serum glucose level of 145 mg/dL, and serum bicarbonate level of 21mEq/dL. Her urinalysis is remarkable for 1+ white blood cells, 1+ glucose, and 1+ ketones. Which of the following is the most likely diagnosis? Selected Answer: a. Appendicitis Question 6 0 out of 1 points A previously healthy male has a 3-month history of increasing headaches, blurred vision, and personality changes. Previously he admitted to marijuana experimentation more than 1 year ago. On examination he is a healthy, athletic-appearing 17-year-old with decreased extraocular range of motion and left eye visual acuity. Which of the following is the best next step in his management? Selected Answer: e. Urine drug screen Question 7 1 out of 1 points Kelly, your 11-year-old well visit patient, presents to the office with weight loss, polyuria, and polydipsia. Which of the following do you need to rule out? Selected Answer: c. Diabetes mellitus Question 8 0 out of 1 points
NURS6541-FINAL EXAM LATEST 2025
Question 12 1 out of 1 points Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis? Selected Answer: a. Port-wine stain (nervus flammeus) Question 13 0 out of 1 points A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal. The most likely etiology is Selected Answer: a. Streptococcus pneumonia Question 14 1 out of 1 points A common cause of in-toeing in childhood is Selected Answer: c. Internal tibial torsion Question 15 1 out of 1 points A 2-year-old presents to your office with the following symptoms: nasal congestion and rhinorrhea for 48 hours, low-grade fever, and a harsh/barky cough that is significantly worse at night. Inspiratory stridor is present and she has clear but slightly decreased breath sounds. Which of the following treatments is best? Selected Answer: b.
NURS6541-FINAL EXAM LATEST 2025
One dose of oral dexamethasone Question 16 1 out of 1 points All of the following is treatment for a child with phimosis except Selected Answer: a. Ice packs Question 17 1 out of 1 points Which of the following is not a feature of DiGeorge syndrome? Selected Answer: b. Frontal bossing Question 18 1 out of 1 points A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping forehead, cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly, microphthalmia, and omphalocele. Which of these is the most likely diagnosis? Selected Answer: e. Patau syndrome (trisomy 13) Question 19 1 out of 1 points Which of the following physical stigmata are common in newborns with Down syndrome?
NURS6541-FINAL EXAM LATEST 2025
An ex-preemie with bronchopulmonary dysplasia has been discharged to home from the NICU. One potential problem area that requires close monitoring is Selected Answer: d. Temperature control. Question 24 0 out of 1 points The most common central nervous system side effect of mumps in children is Selected Answer: b. Decreased hearing Question 25 1 out of 1 points A 3-year-old presents with macrocephaly, developmental delay, coarse facial features, large tounge, kyphosis, hip dislocation, tonsillar and adenoidal hypertrophy, and hepatomegaly. She is receiving early intervention services without improvement. What is the best next step? Selected Answer: b. Refer to genetics for further evaluations Question 26 0 out of 1 points Which test is routinely recommended for a preparticipation sports physical? Selected Answer: c. An electrocardiogram Question 27 1 out of 1 points
NURS6541-FINAL EXAM LATEST 2025
A 6-year-old male is brought in for evaluation of a painful hip. He has been limping and not wanting to walk for the past 2 days. He has no obvious injury. He feels a little better if he is given ibuprofen. He has not had a fever and does not have any other current symptoms, although he had "the flu" last week. On examination, his vital signs are normal. His right hip has some pain with internal rotation. He walks with a pronounced limp. Which of the following statements is most accurate? Selected Answer: a. He should have a complete blood count (CBC) and ESR. Question 28 0 out of 1 points Which of the following is true regarding the diagnosis of epiglottitis? Selected Answer: d. Radiologic finding of "steeple sign" Question 29 1 out of 1 points Which of the following is not characteristic of an apparent life-threatening event (ALTE)? Selected Answer: b. Fever Question 30 1 out of 1 points Lyme disease is most closely associated with which of the following skin lesions? Selected Answer: d. Erythema migrans Question 31 1 out of 1 points
NURS6541-FINAL EXAM LATEST 2025
1 out of 1 points Individuals with chronic adrenal insufficiency often have Selected Answer: c. A craving for salt Question 36 0 out of 1 points A 3-year-old presents to your office with a history of wheezing over the last 3 months and has only been moderately responsive to therapy. Which of the following diagnostic tests would be appropriate? Selected Answer: d. All of these are appropriate Question 37 0 out of 1 points The most significant major contributor or contributors to asthma morbidity and mortality is/are Selected Answer: b. An increase in indoor allergies Question 38 1 out of 1 points A 3-week-old male infant with 2 days of projectile, nonbilious vomiting and constant feeding. Which of the following is the most likely etiology? Selected Answer: a. Pyloric stenosis Question 39
NURS6541-FINAL EXAM LATEST 2025
0 out of 1 points Dave, age 17, has gynecomastia. You should also assess him for Selected Answer: c. Endocrine abnormalities Question 40 0 out of 1 points Grace, age 15, has been diagnosed with acne. Which of the following is not true with this condition? Selected Answer: a. Severe acne having a later onset in puberty is more common among males. Question 41 0 out of 1 points Johnny, age 5, is receiving radiation therapy for his acute lymphocytic leukemia. He is at increased risk of developing which type of cancer as a secondary malignancy when he becomes an adult? Selected Answer: c. Chronic lymphocytic leukemia Question 42 0 out of 1 points A 6-year-old boy is left alone for 10 hours, now with hematemesis and pneumomediastinum on chest x-ray. Which of the following is the most likely etiology? Selected Answer: a. Insecticide ingestion Question 43 0 out of 1 points
NURS6541-FINAL EXAM LATEST 2025
reveals breast development, and long limbs with a decreased upper segment/lower segment ration. He has small testes and phallus. Selected Answer: a. Klinefelter syndrome (XXY) Question 47 1 out of 1 points The most common cause of primary amenorrhea is Selected Answer: a. Pregnancy Question 48 1 out of 1 points Seborrhea dermatitis is common for both infants and adolescents. Which is not correct for this condition? Selected Answer: Question 49 0 out of 1 points b. The condition in adolescents is known as acne with comedones and popular and pustular lesions. You are seeing a patient you think may have IBD. Which of the following tests would not be helpful? Selected Answer: c. Serum total protein and albumin Question 50 0 out of 1 points
NURS6541-FINAL EXAM LATEST 2025
Mrs. Bay is upset. She is convinced something is seriously wrong with her son. He is a 2-month-old and frequently vomits after feeding. Which of the following is most suggestive of GERD (gastroesophageal reflux disease)? Selected Answer: a. He's gained 5 ounces in the past month. Question 51 1 out of 1 points Which of the following symptoms are most suggestive of pneumonia in a young child? Selected Answer: b. Fever, tachypnea, coryza, cough, scattered rales Question 52 1 out of 1 points During the 2-year-old well-child visit, the child's mother shows you a picture from the birthday party. You notice only one eye has a red reflex on the picture. When you do the exam, in the right eye, you notice leukocoria. What is your diagnosis? Selected Answer: d. Retinoblastoma Question 53 1 out of 1 points A 3-week old presents to the office in January with a 1-week history of nasal congestion and occasional cough. On the night prior to the visit in infant developed a fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethargic with wheezing, tachypnea, and intercostal retractions. The infant is home with the mom at this time; however, has a sibling who is 4-years-old and is in daycare and recently had cold symptoms. Based on the clinical presentations, what is the most likely cause of the infant’s illness? Selected Answer: a.
NURS6541-FINAL EXAM LATEST 2025
Which of the following is not a sign or symptom of congenital hypothyroidism? Selected Answer: c. Frequent stooling Question 58 0 out of 1 points Sam is a healthy 17-year-old student. He is thinking about having sex and asks for more information about condoms. You give him all of the following information except Selected Answer: d. It is only safe to use water-based lubricant with latex condoms. Question 59 1 out of 1 points Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing? Selected Answer: e. Epiglottitis Question 60 0 out of 1 points Which of the following patients least warrents a sweat chloride test? Selected Answer: Question 61 1 out of 1 points b. 2-year-old male with recurrent pneumonia and growth parameters at 5% for age.
NURS6541-FINAL EXAM LATEST 2025
A healthy 8-month-old infant presents with diarrhea but no dehydration. What is the best advice to give to the parents? Selected Answer: b. Give bananas, cereal, vegetables, and full-strength formula as tolerated. Question 62 0 out of 1 points When examining a child with abdominal pain, what symptom would lead to a likely organic etiology? Selected Answer: d. Suprapubic pain Question 63 0 out of 1 points Hope is a 7-month-old who presents in January with a 1-day history of cough, yellow nasal discharge, and low-grade temp (T max 100°F). She was previously healthy. She does have 2+ edema of the nasal turbinates and cloudy rhinorrhea. She is afebrile in the office. Her chest, mouth, and ears are clear. You prescribe: Selected Answer: a. Neo-Senephrine half-strength drops three times a day for 5 to 6 days Question 64 1 out of 1 points Which of the following is not found in an adolescent with untreated Graves' disease? Selected Answer: b. Tendency to gain weight easily Question 65 0 out of 1 points
NURS6541-FINAL EXAM LATEST 2025
A 2-year-old girl has increased work of breathing. Her father notes she had cough and subjective fever over the past 3 days. She has been complaining that her “belly hurts” and has experienced one episode of post-tussive emesis but no diarrhea. Her immunizations are current, and she is otherwise healthy. Her temperature is 102°F. She is somnolent but easily aroused. Respirations are 28 breaths/min, and her examination is remarkable for decreased breath sounds at the left base posteriorly with prominent crackles. Which of the following acute interventions is the LEAST likely to assist in the diagnosis? Selected Answer: e. Viral nasal swab Question 70 0 out of 1 points Your patient has inflammatory bowel disease. Which of the following finding is most consistent with ulcerative colitis? Selected Answer: a. Occult blood Question 71 0 out of 1 points A 3-week old presents to the office in January with a 1-week history of nasal congestion and occastional cough. On the night prior to the visit in infant developed a fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethergic with wheezing, tachypnea, and intercostal retractions. The infant is home with the mom at this time; however, has a sibling who is 4-years-old and is in daycare and recently had cold symptoms. If the patient has been diagnosed with RSV bronchiolitis, which of the following would be the treatment of choice? Selected Answer: a. Antihistamine, decongestants, and cough suppressants Question 72 1 out of 1 points
NURS6541-FINAL EXAM LATEST 2025
Drew is a 6-month-old with newly diagnosed sickle cell disease. His mother brings him to the office for a well-baby visit. Which of the following should you do on this visit? Selected Answer: Question 73 c. Immunize Drew with diphtheria, tetanus, and pertussis: Haemophilus influenzae type B (HIB), hepatitis B (HBV), and polio vaccines. 1 out of 1 points The most common presentation of Hirschprung disease is which of the following? Selected Answer: d. Infrequent bowel movements Question 74 1 out of 1 points The most common congenital heart defect in children as Selected Answer: b. Ventricular septal defect Question 75 1 out of 1 points The organism that causes hand, foot, mouth syndrome is what virus? Selected Answer: a. Coxsackie Question 76 0 out of 1 points
