Walden NRNP6541 Week 1 Quiz Latest 2021 September

NRNP-6541F/NRNP-6541/NRNP6541/NRNP6541F

NRNP6541 Primary Care of Adolescents and Children

Week 1 Quiz  

Question 1  The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical findings are not usually associated with the diagnosis of school phobia?

a Chronic medical .illness

b Vague physical .symptoms

c Sporadic school .absence

d Depression and .anxiety

QUESTION 2 Which of the following statements about bullying is true?

a About 35% of second graders report having been bullied.

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

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

d Victims rarely have physical symptoms.

QUESTION 3  A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents report that she is doing poorly in school and is disruptive in the

classroom. They ask you what they can do. Your best response is:

a "Use a consistent approach with behavioral cues both at home. and at school."

b "Medications are the only intervention that can help with ADHD."

c "Children usually outgrow a high activity level.".

d "You can have her tested for developmental delays.".

QUESTION 4.A14-yearoldhasataxia.Heisbroughttothelocalemergencydepartment,wherehe appears euphoric, emotionally labile, and disoriented. Many notice his abusive language. Which of the following agents is most likely responsible for his condition?

aAlcohol.

b Amphetamines.

c Barbituates.

d Cocaine.

e Phencyclidine.(PCP)

QUESTION 5 Which of the following characterizes middle adolescence (14 to 16 years old)?

a Concrete thinking, present orientation, intense preoccupation with. body image

b Long-range planning, adult cognitive abilities, developed individual.values

c Intense peer group involvement, feelings of immortality, sexual.experimentation

d Need for privacy, increased conflicts with parents, financial.independence

QUESTION 6 Parents bring their 16-year-old daughter for a “well-child” checkup. She looks normal on examination. As part of your routine care you plan a urinalysis. The father pulls you aside and asks you to secretly run a UDS on his daughter. Which of the

following is the most appropriate course of action?

a Explore the reasons for the request with the parents and the adolescent and. perform a UDS with the adolescent's permission if the history warrants.

b Perform the UDS as requested but have the family and the girl return for the.results.

c Perform the UDS in the manner requested..

d Refer the adolescent to a psychiatrist for further evaluation..

e Tell the family to bring the adolescent back for a UDS when she is exhibiting. signs or symptoms such as euphoria or ataxia.

QUESTION 7 The father of a 3-year-old is concerned because the child stutters. What should your approach be?

a Refer to a pediatric neurologist..

b Refer to a speech clinic for further.evaluation.

c Explain that this can be normal until 4. years of age.

d Perform an articulation test on the child..

QUESTION 8 The diagnostic criteria for autism spectrum disorder include all of the

following except

a A noted lack of back-and-forth. conversation

b Tolerance of flexibility with routines

c Abnormal eye movements or body. language

d Fascination with light or movement.

QUESTION 9 Tammy, age 3, is at the office for her well-child visit. She has trouble removing her own shirt as requested. Her mother yanks off her shirt after smacking her wrist and

saying, "you must do as you're told quickly." Which action is indicated?

a Report the mother to Child Protective Services..

b Observe Tammy for signs of child abuse..

c Ignore the behavior because Tammy and her mother are. probably nervous.

d Tell the mother that Tammy's behavior is perfectly normal..

QUESTION 10 You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall?

a Recognize 5 colors and identify all letters in. her name.

b Empathize with others..

c Counts to 4 and draws a person with three.parts.

d Accurately uses pronouns

QUESTION 11 FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention- deficit hyperactive disorder is:

a Methylphenidate.

b Clonidine

c Behavior therapy

d Interpersonal.therapy

QUESTION 12 Which of the following statements regarding adolescent substance use is true?

a A negative drug screen effectively rules out drug use..

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

c Most teen alcohol abusers are not "functional" alcoholics..

d Tobacco is the most commonly abused substance during adolescence..

QUESTION 13 A differential diagnosis for child abuse would include all of the following except.

aInadequate.parenting

b Prader-Wlli.syndrome

c Birth marks

d Unintentional .injury

QUESTION 14 A 14-year-old female comes into the office for an urgent visit after taking 10 valium

tablets. Following the initial emergent care and stailization, the most important part of the management is:

a Assessing the family supports available to. the child.

bReferring the case to social services..

c Obtaining a psychiatricconsultation..

d Reviewing the history for signs of.depression.

QUESTION 15The most common substance used in middle school is

a Cocaine.

b Marijuan.a

c Heroine.

d Alcohol.

QUESTION 16. Which of the following statements is true regarding lying and stealing by the school- age child?

a They are highly correlated with later criminal behavior..

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

c They represent a common, transient problem..

d They are usually associated with serious psychological problems..

QUESTION 17 At what age would a child be expected to remember a string of numbers and repeat them backwards?

a 4.years

b 6.years

c 10.years

d 12.years

QUESTION 18 An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, techycardia, and facial flushing. She says she can "see" sound and "hear" colors. The agent likely to

be responsible is which of the following?

aAlcohol.

b Amphetamines.

c Ecstasy.

d Lysergic acid diethylamide.(LSD)

e PCP

QUESTION 19 Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing signs of

aADHD.

b Autism.

c Dyslexia.

d Impaired.hearing

QUESTION 20 Sandy, age 18 months, crosses her legs when lifted from behind rather than pulling

them up. Her legs are also hard to separate, making diaper changing difficult. She persistently uses only one hand. What condition do you suspect?

a Mild hydrocephalus

.b Mild spinal cord.defect

c Fetal alcohol.syndrome

d Cerebral palsy