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FNP 652 FINAL EXAM SPRING-SUMMER TERM GRAND CANYON UNIVERSITY (GCU) LATEST UPDATE
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FNP 652 FINAL EXAM SPRING-SUMMER TERM GRAND CANYON UNIVERSITY (GCU) LATEST UPDATE
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Page 1 of 34FNP 652 FINAL EXAM SPRING-SUMMER TERM GRAND
CANYON UNIVERSITY (GCU) LATEST UPDATE 2024-2025
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a parent.
An exam reveals three avulsed front teeth. Radiologic studies are negative for facial fractures.
What is the recommended treatment? - ANSWER✔✔Refer the child to the dentist immediately
for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for acute otitis media
is seen for follow-up. The primary care nurse practitioner notes dull-gray tympanic membranes
with a visible air-fluid level. The child is afebrile and without pain. What is the next course of
action? - ANSWER✔✔Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What will the
primary care nurse practitioner recommend to promote dental health in this child? -
ANSWER✔✔Daily chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient with which finding? -
ANSWER✔✔Asymmetric red reflex
A patient has chronically dry eyes, sometimes with a foreign body sensation, burning, and
itching. A Schirmer test is abnormal. What is the suspected cause of this patient's symptoms? -
ANSWER✔✔Aqueous Deficiency
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A teen who has otitis externa has severe swelling of the external auditory canal that persists
after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is the next step in
treatment for this child? - ANSWER✔✔Insert a wick into the external auditory canal
A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with
erythema and edema of the surrounding tissues without discharge. Which is the initial course of
action by the provider? - ANSWER✔✔Prescribe amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell and diminished taste. What will be
included in teaching this patient about managing these symptoms? - ANSWER✔✔1. The
importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The primary nurse
practitioner will refer to a pediatric ophthalmologist to initiate which treatment? -
ANSWER✔✔Patching of the unaffected eye for 2 hours each day
An adolescent has localized bleeding of the gums when brushing the teeth. An exam of the
mouth reveals the presence of plaque and calculus on the teeth which are not loose. What will
the primary care nurse practitioner recommend? - ANSWER✔✔Consistently brushing and
flossing the teeth twice daily
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A provider is recommending a cerumenolytic for a patient who has chronic cerumen buildup.
The provider notes that the patient has dry skin in the ear canal. Which preparation is FDA
approved for this use? - ANSWER✔✔Carbamide peroxide
A parent asks about ways to promote dental health in school-aged children while on family
vacation that are convenient while camping and picnicking. What will the primary care nurse
practitioner recommend? - ANSWER✔✔Offering gum containing xylitol after meals
A patient reports several episodes of acute vertigo, some lasting up to an hour with associated
nausea and vomiting. What is part of the initial diagnostic workup for this patient? -
ANSWER✔✔Audiogram and MRI
A teen with a history of otitis externa asks about ways to prevent this condition. What will the
primary care nurse practitioner recommend? - ANSWER✔✔Drying the ear canal with a hair
dryer
A 7-month-old infant has had two prior acute ear infections and is currently on the 10th day of
therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The primary care nurse
practitioner notes marker middle ear effusion and erythema of the TM. The child is irritable and
has a temperature of 99.8. What is the next step in management of this child's infection? -
ANSWER✔✔Refer the child to an otolayngologist
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A patient reports painful swelling in the mouth with increased pain at mealtimes. The provider
notes a mass in the salivary gland region. What is the likely cause of these symptoms? -
ANSWER✔✔Sialolithiasis
A child complains of itching in both ears and is having trouble hearing. The primary care nurse
practitioner notes periauricular edema and marked swelling of the external auditory canal and
elicits severe pain when manipulating the external ear structures. Which is an appropriate
intervention? - ANSWER✔✔Order ototopical antibiotic/corticosteroid drops
During a well child assessment of an African American infant, the primary care nurse
practitioner notes a dark red-brown light reflex in the left eye and a slightly brighter, red-orange
light reflex in the right eye. The nurse practitioner will... - ANSWER✔✔Refer the infant to an
opthalmologist
Which are risk factors for development of cataracts? - ANSWER✔✔1. Smoking
2. Advancing Age
3. UV Light
A preschool age child who attend daycare has a 2 day history of matted eyelids in the morning
and burning and itching of the eyes. The primary care NP notes yellow-green purulent discharge
from both eyes, conjunctival erythema and mild URI symptoms. Which action is correct? -
ANSWER✔✔Prescribe topical antibiotic drops
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