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FNP 652
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FNP 652
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FNP 652 EXAM ACTUAL EXAM TEST BANK COMPLETE
250 QUESTIONS AND CORRECT SOLUTIONS LATEST
UPDATE THIS YEAR
QUESTION: A patient is diagnosed with ulcerative colitis. Which medication will be prescribed
initially to establish remission?
A. Azathioprine
B. Infliximab
C. Sulfasalazine
D. Budesonide - ANSWER-C. Sulfasalazine
QUESTION: A 13-year-old child has had abdominal pain for 2 days, which began in the
periumbilical area and then localized to the right lower quadrant. The child vomited once today
and then experienced relief from pain followed by an increased fever. What is the likely
diagnosis?
A. Pelvic inflammatory disease (PID)
B. Appendicitis with perforation
C. Gastroenteritis
D. Urinary tract infection - ANSWER-B. Appendicitis with perforation
QUESTION: During a routine well-child exam on a 5-year-old child, the primary care nurse
practitioner auscultates a grade I/V, harsh, late systolic ejection murmur at the upper left
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sternal border that transmits to both lung fields. The child has normal growth and
development. What will the nurse practitioner suspect?
A. Aortic stenosis
B. Pulmonic stenosis
C. Patent ductus arteriosus
D. Tricuspid atresia - ANSWER-B. Pulmonic stenosis
QUESTION: A 12-year-old child whose BMI is greater than the 95th percentile has a blood
pressure at the 98th percentile for age, sex, and height. After lifestyle changes that include diet
and exercise, the child's BMI drops to the 90th percentile, but the blood pressure remains the
same. What is the primary care nurse practitioner's next step in treating this child?
A. Referral to a nephrologist or cardiologist
B. Prescribing an ACE inhibitor medication - ANSWER-A. Referral to a nephrologist or
cardiologist
QUESTION: The primary care nurse practitioner is performing a well-child examination on a
school-age child who had complete repair of a tetralogy of Fallot defect in infancy. What is
important in this child's health maintenance regime?
A. Cardiology clearance for sports participation
B. Restriction of physical activity to avoid pulmonary complications
C. Teaching about management of hypercyanotic episodes
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D. Sub-acute bacterial endocarditis prophylaxis precautions - ANSWER-A. Cardiology clearance
for sports participation
QUESTION: A toddler is seen in the clinic after a 2-day history of intermittent vomiting and
diarrhea. An assessment reveals an irritable child with dry mucous membranes, 3-second
capillary refill, 2- second recoil of skin, mild tachycardia and tachypnea, and cool hands and
feet. The child has had two wet diapers in the past 24 hours. What will the primary care
pediatric nurse practitioner recommend?
A. Anti-diarrheal medication and clear fluids for 24 hours
B. Bolus of IV normal saline in the clinic until improvement
C. Hospital admission for IV rehydration and oral fluids
D. Oral rehydration solution with follow-up in 24 hours - ANSWER-D. Oral rehydration solution
with follow-up in 24 hours
QUESTION: A patient reports a decrease in the frequency of stools and asks about treatment
for constipation. Which findings are part of the ROM III criteria for diagnosing constipation?
(Select all that apply)
Lumpy stools
Fewer than 5 stools per week
Feeling of incomplete evacuation
Symptoms present for 3 months
Presence of irritable bowel syndrome - ANSWER-Lumpy stools
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Feeling of incomplete evacuation
Symptoms present for 3 months
QUESTION: A patient who has recently traveled has acute diarrhea which began the day after
returning home. What are recommended treatments for this type of diarrhea? (Select all that
apply)
Oral fluid replacement
Sulfamethoxazole twice daily for 5 days
Quinolones daily for 2 to 4 weeks
Ciprofloxacin for 3 days, twice daily
Loperamide at bedtime and after each stool - ANSWER-Oral fluid replacement
Ciprofloxacin for 3 days
Loperamide at bedtime and after each stool
QUESTION: During a well-baby examination of a 6-week-old infant, the primary care pediatric
nurse practitioner notes poor weight gain, acrocyanosis of the hands and feet, and a respiratory
rate of 60 breaths per minute. Oxygen saturation on room air is 93%. The remainder of he exam
is unremarkable. Which action is correct?
A. Order a chest radiograph and an electrocardiogram
B. Refer the infant to a pediatric cardiologist
C. Reassure the parents that the exam is within normal limits
4
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