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NRNP 6552 FINAL EXAM 150 QUESTIONS AND CORRECT (VERIFIED ANSWERS) ALREADY GRADED A+, Exams of Nursing

Watts School of NursingNursing

NRNP 6552 FINAL EXAM 150 QUESTIONS AND CORRECT (VERIFIED ANSWERS) ALREADY GRADED A+NRNP 6552 FINAL EXAM 150 QUESTIONS AND CORRECT (VERIFIED ANSWERS) ALREADY GRADED A+

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NRNP 6552 FINAL EXAM 150
QUESTIONS AND CORRECT
(VERIFIED ANSWERS) ALREADY
GRADED A+
1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She
asks about receiving the HPV vaccine. How do you respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe and effective."
B. "Research has not shown this vaccine to be effective against preventing cervical
cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are pregnant." - Correct
answerD. "You should not receive the vaccination when you are pregnant."
2. Jack and Jill present for a preconception health counseling session. Jack is 34, Jill is
33, and they have a 5 year old son, Jake. Jake is the product of an uncomplicated
pregnancy and labor. At birth, Jake had an open neural tube defect and now has spina
bifida with a loss of function of his lower extremities. Jack and Jill want another child
and ask if there is anything they can do to prevent the recurrence of a neural tube
defect in future pregnancies. What is your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal
development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the
fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before conception." - Correct
answerD. "Jill should take 4 mg/day of folic acid, beginning before conception."
3. You are invited to speak to a group of public school administrators about recent
outbreaks of head lice. As an advocate for children and families you share
A. "no nit" policies that exclude children until all nits are removed are essential to
eradicate this problem
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Download NRNP 6552 FINAL EXAM 150 QUESTIONS AND CORRECT (VERIFIED ANSWERS) ALREADY GRADED A+ and more Exams Nursing in PDF only on Docsity!

NRNP 6552 FINAL EXAM 150

QUESTIONS AND CORRECT

(VERIFIED ANSWERS) ALREADY

GRADED A+

  1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She asks about receiving the HPV vaccine. How do you respond? A. "As long as you're in your first trimester, the HPV vaccine is safe and effective." B. "Research has not shown this vaccine to be effective against preventing cervical cancer." C. "After the age of 20, the HPV vaccine is not recommended."

D. "You should not receive the vaccination when you are pregnant." - Correct

answer D. "You should not receive the vaccination when you are pregnant."

  1. Jack and Jill present for a preconception health counseling session. Jack is 34, Jill is 33, and they have a 5 year old son, Jake. Jake is the product of an uncomplicated pregnancy and labor. At birth, Jake had an open neural tube defect and now has spina bifida with a loss of function of his lower extremities. Jack and Jill want another child and ask if there is anything they can do to prevent the recurrence of a neural tube defect in future pregnancies. What is your best response to this couple? A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal development." B. "It is a matter of genetics, and there is nothing you can do." C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the fetus."

D. "Jill should take 4 mg/day of folic acid, beginning before conception." - Correct

answer D. "Jill should take 4 mg/day of folic acid, beginning before conception."

  1. You are invited to speak to a group of public school administrators about recent outbreaks of head lice. As an advocate for children and families you share A. "no nit" policies that exclude children until all nits are removed are essential to eradicate this problem

B. the American Academy of Pediatrics and the National Association of School Nurses discourage "no nit" policies that exclude children from school C. occlusive agents, such as petroleum shampoo and herbal oils, applied to suffocate the lice are showing promising results in randomized controlled trials D. lindane is recommended by the American Academy of Pediatrics as a treatment

choice - Correct answer B. the American Academy of Pediatrics and the National

Association of School Nurses discourage "no nit" policies that exclude children from school

  1. What is the simplest and safest method of suppressing lactation after it has started? A. administering oral and long-acting injections of hormonal preparations B. using breast binders C. gradually weaning the baby to a bottle or cup over a 3-week period

D. stopping "cold-turkey" - Correct answer C. gradually weaning the baby to a bottle

or cup over a 3-week period

  1. When can you hear fetal heart tones with a conventional fetoscope? A. 7 to 8 weeks B. 10 to 12 weeks C. 18 to 20 weeks

D. more than 20 weeks - Correct answer C. 18 to 20 weeks

  1. The reaspn most often cited to explain why women who have had a usual length of stay and normal delivery discontinue breastfeeding before 8 weeks postpartum is A. that the mother returned to work or school B. the perception that the infant is not receiving enough milk C. the ease of formula use

D. maternal or infant illness - Correct answer B. the perception that the infant is not

receiving enough milk

  1. Pediatric patients may now be prescribed OxyContin for pain. Patients must be already responding to and tolerating a minimum opioid dose equal to at least 20 mg of
  1. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an argument with her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored for the occurrence of A. abruptio placentae B. liver hemorrhage C. ruptured spleen

D. placenta previa - Correct answer A. abruptio placentae

  1. Growth hormone treatment for short stature in children remains controversial. The clinician should be aware of the following regarding the assessment of growth problems and idiopathic short stature A. identification of a growth problem can be made based on one measurement B. dysmorphic facial features will be present C. identification of growth problems is usually made by an auxological evaluation, which compares the child's growth to standardized norms D. measurements of children lying on the exam table paper are most accurate -

Correct answer C. identification of growth problems is usually made by an

auxological evaluation, which compares the child's growth to standardized norms

  1. Nancy is concerned that her new breastfed baby is not getting enough fluid. What do you tell her so that she can assess for an adequate intake? A. weigh the infant every other day to see the weight gain in ounces B. if the infant is drinking and sleeping normally, an adequate intake is assumed C. if there are 6 to 10 wet diapers a day, intake is adequate

D. if the infant is not irritable, an intake problem does not exist - Correct answer C. if

there are 6 to 10 wet diapers a day, intake is adequate

  1. Marci has had several abortions in the past and has been unable to carry a pregnancy to full term because of an incompetent cervix. She states that the physician mentioned cerclage to her and asks you what that means. You tell her that cerclage is A. a treatment of bedrest with frequent pelvic exams to make sure the cervix is not dilated

B. a method in which an apparatus resembling a diaphragm is placed over the cervix to help it stay "tight" C. a purse-string type of stitch placed around the cervix

D. a treatment using intravaginal medicated sponges - Correct answer C. a purse-

string type of stitch placed around the cervix

  1. Mrs. Peterson found pinworms on 8 year old Randy. The clinician knows that treatment for pinworms with pyrantel pamoate includes treating A. Randy and all his siblings B. Randy and the siblings who share the same bathroom C. Randy and the siblings who share the same bedroom

D. the entire household - Correct answer D. the entire household

  1. Gloria just delivered her baby and wants to start a vigorous exercise program to get back in shape. You advise her that she can start strenuous exercises A. in 1 week B. in 3 weeks C. in 6 weeks

D. in 8 weeks - Correct answer B. in 3 weeks

  1. The clinician is seeing a toddler for a follow-up visit. The chart indicates that the previous examiner noted an innocent murmur. You should suspect a possible pathological murmur if the examination reveals the following A. murmur is grade I-II/VI B. murmur changes with toddler's position C. murmur is musical in quality

D. murmur is diastolic - Correct answer D. murmur is diastolic

  1. To obtain the daily calcium intake recommended during pregnancy, what should a woman consume per day?

A. triangle B. oval C. round

D. diamond - Correct answer D. diamond

  1. You see a G5P4015 written on a client's history form. You surmise that: A. the woman has been pregnant five times and has five living children B. the woman has five living children, including a set of twins, and she has had one abortion C. the woman has four living children and had one abortion, for a total of five pregnancies D. the woman is pregnant now and has five living children, including a set of twins -

Correct answer B. the woman has five living children, including a set of twins, and

she has had one abortion

  1. Susie, who is 16 weeks pregnant, is having mild cramps with persistent and excessive bleeding. On exam, you find that some portion of the products of conception (placental) remains in the uterus, but the fetus has been expelled. What type of abortion is Susie having? A. incomplete B. threatened C. inevitable

D. missed - Correct answer A. incomplete

  1. Mr. Davis states, "I've had high cholesterol most of my life. I'm concerned about my daughter having it as well." The clinician knows that according to the National Cholesterol Education Program (NCEP) guidelines for children and adolescents, the acceptable range of total cholesterol for children 2 to 19 years old is: A. less than 200 B. less than 190 C. less than 180

D. less than 170 - Correct answer D. less than 170

  1. Margie, who has been breastfeeding for 4 weeks, has mastitis in her right breast and is taking dicloxacillin. She asks you what she needs to do about feeding the baby. You respond: A. "You need to stop breastfeeding and start with a bottle." B. "You can still breastfeed on your left side and express the milk from your right side until the problem is resolved." C. "There is no need to stop breastfeeding, but start with your left side."

D. "Stop breastfeeding for 2 weeks, then continue." - Correct answer C. "There is no

need to stop breastfeeding, but start with your left side."

  1. Which of the following statements about lesbian relationships is true? A. Battering is a concern only in heterosexual relationships. In lesbian relationships, there may be emotional or financial abuse instead of physical abuse B. Support from family, friends, and coworkers may be lost C. HIV infection is not a concern with two women who are in a committed relationship

D. Childbearing issues do not affect lesbian couples - Correct answer B. Support

from family, friends, and coworkers may be lost

  1. Lynne comes to the clinic for her initial prenatal visit. Based on her menstrual history, the client is at 9 weeks' gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time? A. Biparietal diameter B. Femur length C. Abdominal circumference

D. Crown-rump measurement - Correct answer D. Crown-rump measurement

  1. Karen is taking oral contraceptive pills for fertility control. Karen calls the clinic and reports the presence of chest pain and shortness of breath. You instruct Karen to: A. eat smaller meals more frequently to prevent gastric distention

A. weight loss B. diarrhea C. nausea

D. fatigue - Correct answer D. fatigue

  1. When asking a family member if the family generally gets the things they want out of life, if there are any "rules" in the family that everyone believes are important, and what role religion plays in the family, you are trying to assess which functional health pattern? A. role-relationship pattern B. cognitive-perceptual pattern C. value-belief pattern

D. health-perception/health-management pattern - Correct answer C. value-belief

pattern

  1. During nursery rounds, you examine a 12 hour old newborn. The infant has a yellow tint to the skin and sclera. What lab test will you order to further evaluate this infant? A. blood glucose B. Direct Coombs' test C. blood cultures

D. arterial blood gas - Correct answer B. Direct Coombs' test

  1. Marta asks you how pregnancy will affect her RA. You respond A. "There is a one-third rule: One-third get better, one-third remain the same, and one- third get worse" B. "Pregnancy will have no effect on your RA." C. "75% of women experience remission of the disease during pregnancy."

D. "It is advised that you don't get pregnant with this condition." - Correct answer C.

"75% of women experience remission of the disease during pregnancy."

  1. Mr. Johnson calls your office from the soccer field. His 10 year old son, Joshua, was hit in the mouth during the game. One of Joshua's front teeth was knocked out. The clinician advises Mr. Johnson to A. rinse the tooth gently in cold milk, saline, or room temperature water and then replant it B. rinse the tooth gently in cold milk, saline, or room temperature water and put it in a clean cloth C. rub the root surface clean and rinse with saline or room temperature water

D. rub the root surface clean and keep it as dry as possible - Correct answer A. rinse

the tooth gently in cold milk, saline, or room temperature water and then replant it

  1. An example of an X-linked recessive condition or trait is A. muscular dystrophy B. hemophilia C. sickle cell anemia

D. cystic fibrosis - Correct answer B. hemophilia

  1. At what age should a child who is not at risk for high-dose lead exposure be screened with a blood lead test? A. 3 months B. 6 months C. 12 months

D. 3 years - Correct answer C. 12 months

  1. Marissa is a long-distance runner with 9% body fat. Which of the following findings is consistent with this situation? A. regular menses and a basal body temperature that indicates ovulation B. irregular menses and a basal body temperature that indicates ovulation C. regular menses and a basal body temperature that indicates lack of ovulation
  1. Cydney, who is 30 weeks pregnant, is planning to travel outside of the U.S. She asks you which immunizations she should or should not have. Which immunization would be harmful for Cydney to receive? A. Pooled gamma globulin B. Chloroquine for malaria prophylaxis C. Yellow fever

D. Inactivated polio virus - Correct answer C. Yellow fever

  1. A poorly defined, flat, blue-black macule present at birth and usually on the trunk and buttocks is A. blue nevus B. drug-induced blue macule C. Mongolian spot

D. malignant melanoma - Correct answer C. Mongolian spot

  1. A low risk woman who is 16 weeks pregnant should be instructed to return to the prenatal clinic in A. 1 week B. 2 weeks C. 3 weeks

D. 4 weeks - Correct answer D. 4 weeks

  1. Glenda gave birth to Jack 4 weeks ago. Her postpartum course was complicated by an intrauterine infection that was successfully treated with antibiotics. Today Glenda calls the office because Jack has white patches on his tongue and gums. She is concerned that her milk has become "sour" and is causing the white patches in Jack's mouth. Based on these data, what diagnosis do you suspect on Jack? A. oral chlamydia infection B. oral candidiasis C. mastitis

D. epstein's pearls - Correct answer B. oral candidiasis

  1. Typically, treatment of a 4 year old with nursemaid's elbow involves A. surgery B. casting C. splinting

D. reduction - Correct answer D. reduction

  1. Heather, who is 5 weeks pregnant, is nauseated. She asks you how long this will last. You tell her the nausea usually disappears by the A. 12th week B. 16th week C. 20th week

D. 24th week - Correct answer C. 20th week

  1. What is the recommended first-trimester weight gain for an underweight woman? A. 2 lb B. 3.5 lb C. 5 lb

D. 7 lb - Correct answer C. 5 lb

  1. During the 6-week-visit after a stillbirth, Mary states, "Sometimes I feel like I left my baby somewhere, and I can't remember where she is. Then I remember that she isn't alive." What is this an example of? A. anticipatory grieving B. disorientation C. reorganization

D. searching and yearning - Correct answer D. searching and yearning

C. 20 weeks

D. 24 weeks - Correct answer B. 12 weeks

  1. Talya is 2 years old and presents with signs and symptoms of acute otitis media. Mom reports that Talya experienced a rash after the administration of penicillin in the past. If a "wait and see" approach is not indicated, which of the following antibiotics should be prescribed? A. augmentin B. amoxicillin C. omnicef

D. trimox - Correct answer C. omnicef

  1. Spontaneous abortion refers to the loss of a fetus less than A. 12 weeks B. 18 weeks C. 22 weeks

D. 26 weeks - Correct answer C. 22 weeks

  1. Heather is scheduled for a well-child visit. Her mother asks, "How much milk should she be drinking now?" The clinician states that the American Heart Association recommendation for milk intake after 12 months of age is A. 8 oz per day B. 12 oz per day C. 16 oz per day

D. 24 oz per day - Correct answer C. 16 oz per day

  1. Mrs. Garcia calls regarding her 18 month old son's cough and cold. She asks the clinician, "Which medication should I give him?" Which of the following cough and cold products do you recommend? A. sudafed PE B. dextromethorphan

C. guaifenesin

D. none - Correct answer D. none

  1. What is the primary site of drowning for children younger than age 3? A. ocean B. backyard pool C. lake

D. bathtub - Correct answer D. bathtub

  1. Which one of the following behavior ratings is not included on the Denver Developmental Screening test? A. compliance with examiner's requests B. alertness C. fearlessness

D. attention span - Correct answer C. fearlessness

  1. Jake is 8 years old. He is being seen for a routine physical. When reviewing his medications, you note that he is using the methyphenidate (Daytrana) transdermal patch for the attention deficit/hyperactivity disorder. What is the maximum length of time the Daytrana patch should be worn? A. 9 hours B. 6 hours C. 12 hours

D. 16 hours - Correct answer A. 9 hours

  1. Minnie is experiencing Braxton Hicks contractions. What should she do? A. take a cold shower B. immediately call her healthcare provider C. go for a walk

C. anticipatory grieving, related to inevitable pregnancy loss

D. ineffective coping, related to unwanted pregnancy - Correct answer B. anxiety,

related to effects of hyperemesis on fetal well-being

  1. Susan is keeping a basal body temperature graph as part of her fertility treatment. Today she shares the BBT graph with you. The BBT graph shows a nearly straight line. Which of the following is the best interpretation of her graph? A. she is not ovulating B. she is not having intercourse C. she is ovulating late in her menstrual cycle

D. she is not taking her temperature correctly - Correct answer A. she is not

ovulating

  1. Which of the following dietary changes would you recommend to Heather, who is experiencing nausea during her first trimester? A. bland diet taken frequently and in small amounts B. increase in fat intake C. decrease in carb intake

D. restriction of fluid intake after 7 pm - Correct answer A. bland diet taken frequently

and in small amounts

  1. According to the International Association of Diabetes and Pregnancy Study Group, screening for gestational diabetes should be done on which of the following women? A. all pregnant women at 24 to 28 weeks B. women aged 40 or older C. all women with threatened miscarriage

D. women who report hypoglycemic symptoms - Correct answer A. all pregnant

women at 24 to 28 weeks

  1. Danger signs in the first trimester of pregnancy include A. vaginal bleeding and absence of fetal movement

B. edema extending to the upper extremities and vomiting C. presence of proteinuria and elevated blood pressure

D. vaginal bleeding and persistent vomiting - Correct answer D. vaginal bleeding and

persistent vomiting

  1. Gabriella is being seen for a 12 month well child visit. She was born with a red to blue purple nodule on her thigh that blanches dramatically with pressure. Over the past few months, it has increased in size. Her mother asks you what you think it is. You respond A. "It might be a hemangioma" B. "It might be a melanoma" C. "It might be fibromatosis"

D. "It might be dermatofibrosarcoma protuberans" - Correct answer A. "It might be a

hemangioma"

  1. Patricia presents for her regularly scheduled prenatal visit at 34 weeks gestation. During the interview, you determine that Patricia has not felt fetal movement for the past week. On exam, you are unable to auscultate the fetal heart tones. Which of the following would be useful in the diagnosis of an intrauterine fetal death? A. Chadwick's sign B. Piskacek's sign C. Spalding's sign

D. Homan's sign - Correct answer C. Spalding's sign

  1. The G in APGAR stands for A. gross appearance B. grunting C. grimace

D. gas exchange - Correct answer C. grimace