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CMN 577 Final exam pool-student driven.
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CMN 577 Final exam pool-student drivenA father brings his 5-year-old daughter to the office, inquiring about her tetanus
vaccinations. According to the patient's records, she received her 4thDTaP
vaccine at the age of 4. The NP should: - CORRECT ANSWER-Inform the father
the child does not need an additional tetanus vaccine.
When introducing solid foods to a normal 6-month-old infant, the NP should
educate parents that they should: - CORRECT ANSWER-Introduce a
single-ingredient food, one at a time, every 3-4 days
As a family nurse practitioner caring for the pediatric population, the FNP should
expect complete primary dentition by: - CORRECT ANSWER-36 months
Which of the following is the most common chronic disease of childhood? -
CORRECT ANSWER-Dental caries
A 45-year-old healthy male comes in to your clinic complaining of severe, sharp
headaches, worse behind his right eye, occurring nightly for the past 2 weeks.
The pain comes on suddenly in the late evening or in the middle of the night,
often awakening him from his sleep. The headaches last approximately 45
minutes to 1 hour and then they remit. The headaches are often accompanied by
a runny nose and severe restlessness. He rates the pain as a 10/10, and states
he has had no relief with ibuprofen or acetaminophen. He reports similar
symptoms two months ago but the headaches went away after a few weeks. The
nurse practitioner knows that the best treatment for this condition in the
outpatient setting includes: - CORRECT ANSWER-PO Verapamil daily plus
intranasal sumatriptan PRN at onset of headache.
The nurse practitioner is performing a well-child exam of a 6-month-old girl. Her
mother is planning to raise her on a vegan diet and introduce solid foods soon.
The nurse practitioner advises the mother that she should give the infant: -
CORRECT ANSWER-Fortified cereals or formulas rich in iron, zinc, and B12, or
a daily supplement with these nutrients.
,A 47-year-old woman with a history of seizure disorder presents to the clinic with
an upper respiratory illness. She states that she "really needs to quit smoking" as
this is her third respiratory illness this year. As the provider you know that
nicotine replacement therapy doubles the chance of successful smoking
cessation. All the following are suitable options for this patient EXCEPT: -
CORRECT ANSWER-Bupropion
A 4-month-old child presents to the clinic for a well child check. The mother
states that she is worried her baby is not getting enough iron. She has a niece
that was recently diagnosed with iron deficiency anemia at age 3. As the provider
you can reassure the parent by stating all the following as effective measures to
guard against iron deficiency anemia EXCEPT: - CORRECT ANSWER-Limiting
cow's milk to 32 oz/d in children 1-5 years
The following conditions or risk factors are indication for early blood pressure
monitoring in a child except: - CORRECT ANSWER-Topical steroid treatment of
eczema
After being diagnosed with a minor respiratory illness, a nurse practitioner
advises a parent about over the counter medication to treat the child's fever and
discomfort. The child is 4 months old and has no pre-existing conditions. The
child's parent should be advised to select: - CORRECT
ANSWER-Acetaminophen 15mg/kg every 4-6hours
A nurse practitioner works at a local health department in suburban Alabama.
They should advise a mother against breastfeeding or pumping and feeding their
own breast milk in all of the following situations except: - CORRECT
ANSWER-Mastitis in the mother's right breast
A 10 year old boy presents to for a well child exam. His BMI today is in the 86th
percentile. Previous BMI has been under 75th percentile for the last 3 years.
Based on this BMI, how should the nurse practitioner proceed? - CORRECT
ANSWER-Ask the child his favorite foods and outside activities. Discuss healthy
alternatives or things to add to meals. Encourage a team sport or exercise
activity of the child's preference. Limit snacks and desserts for special occasions
and not entirely restricted. Offer healthy eating resources but encourage whole
family wellness and exercise.
,A 62-year-old white female presents to the walk-in clinic today with complaints of
acute onset of nausea, vomiting, and diarrhea. While she has vomited twice and
has had multiple episodes of diarrhea in the last 12 hrs after eating at a local
restaurant, it is the continuous queasiness that she cannot tolerate. You obtain a
thorough history including a list of her current daily medications: Atorvastatin 40
mg po q hs, Lisinopril/Hctz 10mg/12.5 mg po q am, ASA EC 81 mg po q hs,
sotalol 80 mg po BID.
When prescribing antiemetics for her today, which of the following would place
her at greatest risk of torsades de pointes? - CORRECT ANSWER-Ondansetron
A 57-year-old Hispanic female is seeing you today at the local free clinic. Over
the last 2 weeks, she has noticed a change in her stools which were previously
light brown, formed, and occurred daily. Now she experiences a bowel movement
maybe every 4 days, consisting of what she describes as "a soft, limp straw," and
now they are much darker in color. Thinking back, her appetite is not what it used
to be and she has lost approx. 20 lbs in the last 6 mths without a change in diet
or exercise. She takes no medications regularly. You perform a thorough H&P.
VS are stable. BMI is 38. Physical examination today includes a digital rectal
exam which is negative, and there is no evidence of fecal impaction. Having
limited resources, which of the following would be ordered in your initial
evaluation of her condition? - CORRECT ANSWER-FIT testing
You are seeing a 55-year-old white male who recently moved from Texas. He
presents with complaints of worsening tremors in both hands. He first noticed the
subtle shaking ~ 5 yrs ago and they have gotten progressively worse. You notice
that he does not exhibit tremors while at rest but seem to be pronounced with
minimal activity. The rest of his physical exam is unremarkable. Based on the
history and clinical findings, which of the following would be an appropriate
choice of treatment? - CORRECT ANSWER-Propranolol
A 35 year old male presents to the office with a chief complaint of chronic
headaches. Today he has a unilateral pulsatile headache accompanied by
photophobia and nausea. The Nurse Practitioner would most likely diagnose this
headache as: - CORRECT ANSWER-Migraine
, What type of tremor would the Nurse Practitioner most likely see in a recently
diagnosed patient with Parkinson's disease? - CORRECT ANSWER-Unilateral
resting tremor
What is the single most prognostic factor when evaluating a patient with a
malignant melanoma? - CORRECT ANSWER-Thickness
A 53 year old male presents to the office with silvery scales overlying bright red,
well-demarcated plaques bilaterally on his elbows, and developing on his knees.
What dermatologic condition would the Nurse Practitioner identify this as? -
CORRECT ANSWER-Plaque psoriasis
Which of the following statements is true regarding the Rotavirus vaccine? -
CORRECT ANSWER-The Rotavirus series can be started no earlier than
6-weeks of age
Which of the following statements is true regarding vitamins? - CORRECT
ANSWER-Beginning shortly after birth, 400 IU of Vitamin D daily is
recommended to all breastfed infants
63-year-old Hispanic female being seen at the urgent care clinic with complaints
of right upper gastric pain, nausea with positive Murphy's sign. HIDA scan
indicates thickening of gallbladder wall and was admitted to hospital. What
post-inpatient hospital symptom is most alarming? - CORRECT
ANSWER-Hydrops and jaundice
A 5-year-old patient that you have been following has had a prior history of
retrograde flow of urine with history of hydronephrosis twice. Her mother asked
what they can do to avoid any future problems. - CORRECT
ANSWER-Prevention of UTIs and Immediate treatment upon onset of symptoms
Mr. Ford, a white 68-year-old man, presents to your clinic with the complaint of
the inability to discriminate between voices when in a noisy environment like a
restaurant. You recognize he is most likely suffering presbyacusis. Which
statement would NOT be a possible cause of Mr. Ford's hearing loss? -
CORRECT ANSWER-Frequent ear infections as a child
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