NR602 Week 4: Midterm Exam (july 2026)

NR602 Week 4: Midterm Exam [July 2026]

A 6-year-old presents with large, warm, erythematous swelling at a mosquito bite site occurring within hours of exposure. The area resembles cellulitis but lacks systemic symptoms. What is the MOST likely diagnosis?

A. Inflammatory dermatitis

B. Systemic hypersensitivity reaction

✅ C. Skeeter syndrome

D. Secondary bacterial infection

A 6-year-old child returns to the clinic with persistent pediculosis capitis. The child was treated with permethrin 1% lotion, applied appropriately with a repeat treatment nine days later. On examination, multiple live lice are still present on the scalp. Which of the following is the MOST appropriate next step in management?

A. Prescribe oral trimethoprim-sulfamethoxazole

B. Repeat treatment with benzyl alcohol 5% lotion

C. Treat with malathion 0.5% topical lotion

✅ D. Begin spinosad topical suspension

A 3-year-old child demonstrates intermittent inward deviation of one eye when focusing on near objects and is found to have significant hyperopia. Which diagnosis is MOST consistent with this presentation?

A. Congenital esotropia resulting from early extraocular muscle imbalance

✅ B. Accommodative esotropia related to uncorrected refractive error

C. Intermittent exotropia associated with fatigue and distant fixation

D. Pseudo strabismus caused by epicanthal folds and a flat nasal bridge

A 13-year-old obese boy presents with 2 weeks of progressive right knee pain. He denies trauma. He limps and externally rotates the right leg while walking and hip flexion causes obligatory external rotation. The NP suspects slipped capital femoral epiphysis. Which diagnostic does the NP order?

A. Knee MRI

B. Knee arthrocentesis

✅ C. AP and frog-leg lateral pelvis radiographs

D. NSAIDs and rest

A parent reports that strangers understand “about half” of her 2-year-old’s speech. How should this finding be interpreted?

A. Suggestive of expressive language disorder

✅ B. Normal speech intelligibility for age

C. Concerning for articulation delay

D. Indicative of early stuttering

An 8-year-old boy presents with irritability, poor attention in school by late morning, and complaints of fatigue. Which health history element is the PRIORITY assessment for the NP?

A. Family history of anemia

B. ADHD screening

✅ C. Recent dietary intake

D. Evaluation of sleep hygiene

A 3-month-old infant presents with persistent tachypnea and difficulty feeding. The NP orders a chest x-ray to evaluate for pulmonary and cardiac etiologies. Which finding, if present, is MOST concerning for heart failure?

A. Peribronchial cuffing

✅ B. Enlarged cardiac silhouette

C. Flattened diaphragm

D. Rib notching……………………………………purchase this 100% accurate exam at $99 only.