You are examining a 9-month-old infant who you suspect has cystic fibrosis. Which of the following
would be inconsistent with a diagnosis of cystic fibrosis in an infant?
abdominal distention
recurrent URI
diarrhea
salty taste when kissed - answer✔Correct Answer:
diarrhea
These are all signs consistent with cystic fibrosis in an infant. Other signs include: chronic cough, and
persistent vomiting, especially with cough.
Which of the following statements should the nurse practitioner consider correct regarding the use of
influenza immunizations?
The influenza immunization should not be administered to patients over the age of 70.
Everyone 6 months of age or older should get the influenza immunization yearly.
It is recommended that the influenza immunization not be administered to children under the age of 5.
The influenza immunization is generally effective against the influenza virus within 2 days of
administration. - answer✔Correct Answer:
Everyone 6 months of age or older should get the influenza immunization yearly.
The nurse practitioner should know that everyone 6 months of age or older should get the influenza
immunization yearly. The influenza immunization is generally effective against the influenza virus within
2 weeks of administration.
If the FNP is giving the Mini-mental exam (MME) to an elderly patient, which subject area is being tested
when the FNP asks the patient to spell a word backwards?
attention and calculation
orientation
recall
sentence writing - answer✔Correct Answer:
attention and calculation
The MME is a brief screening exam to assess for dementia. Five subject areas are tested. The area tested
by asking the patient to spell a word backwards is attention and calculation.
Which of the following should be done for diabetic patients with insulin resistance requiring more than
200 units per day?
change to less immunogenic pork or human synthetic insulins
administer a higher dosage of insulin
use purified insulin and inject directly into atrophic areas
use amylin analogs instead of insulin - answer✔Correct Answer:
change to less immunogenic pork or human synthetic insulins
Insulin resistance requiring more than 200 unites per day is rare and even less common with increased
use of human inclines. The cause is overproduction of insulin binding immunoglobulins. Treatment is to
change to less immunogenic pork or human synthetic insults. It may require glucocorticoid treatment;
consultation required.
What is the Catarrhal stage of Pertussis - answer✔Usually 7-10 days; range of 4-21 Characterized by:
Coryza
Low-grade fever
Mild, occasional cough (which gradually becomes more severe)
What is the Paroxysmal stage of Pertussis - answer✔Usually lasts 1-6 weeks, but may persist for up to 10
weeks Characterized by:
Paroxysms of numerous, rapid coughs due to difficulty expelling thick mucus from the tracheobronchial
tree
Long inspiratory effort accompanied by a high-pitched "whoop" at the end of the paroxysms
Cyanosis
Vomiting and exhaustion
Paroxysmal attacks:
Occur frequently at night, with an average of 15 attacks per 24 hours
Increase in frequency during the first 1-2 weeks, remain at the same frequency for 2-3 weeks, and then
gradually decrease
Your follow-up of a patient reveals Jarisch-Herxheimer reaction. This is a reaction that occurs in
approximately 30% of patients treated for which of the following diseases?
Jarisch-Herxheimer reaction is a reaction that occurs in approximately 30% of patients treated for
primary syphilis. It occurs in approximately 70% of those treated for secondary syphilis within 24 hours
of treatment.
You have a 59-year-old female patient with osteoporosis. Which of the following would you NOT expect
to find in the radiographic results of this patient?
changes in vertebral body shape
increased radiodensity
fractures
generalized osteopenia - answer✔Correct Answer:
increased radiodensity
You would not expect to find increased radiodensity; you would expect to find decreased radiodensity.
Osteoporosis is a systemic skeletal disease characterized by low bone mass.
The classic signs and symptoms of a migraine with aura would include all but which of the following?
Nausea/vomiting
Weight loss
Halos
Photophobia - answer✔Correct Answer:
Weight loss
The classic signs and symptoms of a migraine with aura would include:
Nausea/vomiting
Halos
Photophobia
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