CMN 577 - Final Exam Questions
With Revised Correct Detailed
Answers With Rationales
|ALREADY GRADED A+ PASS >
> BRAND NEW VERSION!!
1. A mother brought her 2-year-old daughter complaining of "Right elbow will not
bend". The Nurse Practitioner suspects that the child has a nursemaid's elbow if:
a) Child's right elbow appears fully pronated and painful
b) Child's right elbow with obvious deformity, edema, and hematoma
c) Child's right elbow with no pain or any point of tenderness
d) Radiologic findings on the right elbow are abnormal
a) Child's right elbow appears fully pronated and painful
2. A social-worker brings in a school-aged adolescent who has a known history of
bipolar disorder. Which of the following is TRUE regarding bipolar disorder?
A. Bipolar disorder is associated with heightened levels of energy and activity.
B. Bipolar disorder is caused by illicit drug use.
C. Depressive symptoms are a late finding of bipolar disorder
D. Primary care providers should be the first to prescribe treatment for newly
diagnosed patients.
A. Bipolar disorder is associated with heightened levels of energy and activity.*
Bipolar disorder is associated with heightened levels of energy and activity,
irritability, pressured speech, racing thoughts, and impaired judgment (Hay et al.,
2016 p. 203). It is not caused by illicit or prescribed drug use. One of the first
indications most commonly reported is depressive symptoms. Primary care
,providers should refer all patients with suspected bipolar disorder to mental
health specialist for diagnostic clarification and treatment.
3. A 10-year-old child presents to the clinic for abdominal pain with her father
who has stepped out to use the bathroom. The NP notices bruises along the
child's abdomen that are in different stages of healing and noticeable belt marks
along her torso. The child tells the NP that she was hit by her father when he got
home from the bar last night and that this sort of thing happens often. Which of
the following is NOT the appropriate action to take in this situation.
A. Consult with a multidisciplinary child protection team.
B. Report to child protective services the findings you have collected.
C. Ask the father in the waiting room to validate the child's story.
D. Order an abdominal CT to rule out abdominal injury.
C. Ask the father in the waiting room to validate the child's story. *
Always notify the appropriate officials, such as child protective services, when
abuse is suspected. Never confront the suspected abuser as this could put the
medical team in danger. Order a CT of the abdomen to rule out possible injury
4) A 68-year-old male with CKD has been diagnosed with a new DVT. His
creatinine clearance is 25 ml/min. Which direct-acting oral anticoagulant (DOAC)
would be the safest option:
A. Dabigatran
B. Rivaroxaban
C. Edoxaban
D. Apixaban
D. Apixaban
5) While all choices are viable options, only 25% of apixaban is renally excreted.
The other options would need a dosage adjustment for CrCl < 30 ml/min.
You are counseling a 24-year-old healthy female on recommendations for cancer
risk reduction. Which of the following strategies would not be recommended?
A. Be physically active and maintain a healthy weight
B. Eat mostly fruits, vegetables, and whole grains while avoiding trans fats
,C. Avoid tobacco and excessive sun exposure
D. Radiation from radiographic studies does not increase the lifetime cancer risk
D. Radiation from radiographic studies does not increase the lifetime cancer risk *
6) All the options are modifiable risk factors for cancer prevention. Radiation
exposure can increase the lifetime risk of developing cancer as well.
All of the following are true regarding Multiple Sclerosis, except?
A) Multiple Sclerosis is a neurologic disorder
B) Is an autoimmune disease and the onset is mostly under 55 years of age.
C) A definitive diagnoses can be made once laboratory results are completed.
D) Several forms of the disease are recognized.
C) A definitive diagnoses can be made once laboratory results are completed. *
A definitive diagnosis for Multiple Sclerosis can never be based solely on the
laboratory findings. A MRI should demonstrate at least 1 lesion in at least 2 or
more different regions of the central white matter
7) A 15 year old boy is seen in the clinic with recurrent depression despite trying
cognitive behavioral therapy and intervention modifications at home and school.
He denies suicidal ideation but reports he doesn't want to get out of bed. What is
the next appropriate plan?
A) Advise the boy and his family that this is a normal finding in adolescents.
B) Prescribe medication such as a SSRI and educate this will take 4-6 weeks for the
optimal effects.
C) Refer patient to a Psychiatrist for further management.
D) Prescribe a stimulant medication (controlled class II) to improve the boys
energy level.
B) Prescribe medication such as a SSRI and educate this will take 4-6 weeks for the
optimal effects. *
The next appropriate step would be to prescribe a medication such as a SSRI to
help with the patient's depression while he is continuing cognitive behavioral
therapy.
, 8. A 14 year old male is presenting into the clinic in a hyperalert state with visible
tremors and increased restlessness. Assessment reveals increased blood pressure,
discoordination and dilated pupils, FNP suspects an overdose of which of the
following substances:
a. THC
b. MDMA (ecstasy)
c. Opiates
d. Amphetamines
d. Amphetamines
THC signs of intoxication include euphoria, mood changes, psychosis, and
impaired thinking. MDMA (ecstasy) s/s of intoxication include increased self-
esteem, illusions, difficulty with concentration, headache, flushing, increased
energy. Opiate intoxication includes the s/s of sedation, constricted pupils,
decreased blood pressure, and impaired thinking. Amphetamine intoxication
includes hyperalert state, ataxia, tremors, hyperactivity, increased blood pressure,
fever/flushing
2. A 16 year old female presents into the clinic for an annual exam. Pt reports
being on olanzapine for the last three years for the treatment of anorexia
nervosa. FNP knows to periodically screen which of the following labs in this
patient:
a. Hgb and Hct
b. PT/INR
c. Plasma glucose
d. BUN
c. Plasma glucose
Second generation antipsychotics can cause new-onset diabetes. Blood glucose
levels should be checked before starting the therapy, 12 months after and then
annually
Several comorbidities can present with a diagnosis of ADHD, all of the following
can be comorbidities of ADHD except:
A. Depression
With Revised Correct Detailed
Answers With Rationales
|ALREADY GRADED A+ PASS >
> BRAND NEW VERSION!!
1. A mother brought her 2-year-old daughter complaining of "Right elbow will not
bend". The Nurse Practitioner suspects that the child has a nursemaid's elbow if:
a) Child's right elbow appears fully pronated and painful
b) Child's right elbow with obvious deformity, edema, and hematoma
c) Child's right elbow with no pain or any point of tenderness
d) Radiologic findings on the right elbow are abnormal
a) Child's right elbow appears fully pronated and painful
2. A social-worker brings in a school-aged adolescent who has a known history of
bipolar disorder. Which of the following is TRUE regarding bipolar disorder?
A. Bipolar disorder is associated with heightened levels of energy and activity.
B. Bipolar disorder is caused by illicit drug use.
C. Depressive symptoms are a late finding of bipolar disorder
D. Primary care providers should be the first to prescribe treatment for newly
diagnosed patients.
A. Bipolar disorder is associated with heightened levels of energy and activity.*
Bipolar disorder is associated with heightened levels of energy and activity,
irritability, pressured speech, racing thoughts, and impaired judgment (Hay et al.,
2016 p. 203). It is not caused by illicit or prescribed drug use. One of the first
indications most commonly reported is depressive symptoms. Primary care
,providers should refer all patients with suspected bipolar disorder to mental
health specialist for diagnostic clarification and treatment.
3. A 10-year-old child presents to the clinic for abdominal pain with her father
who has stepped out to use the bathroom. The NP notices bruises along the
child's abdomen that are in different stages of healing and noticeable belt marks
along her torso. The child tells the NP that she was hit by her father when he got
home from the bar last night and that this sort of thing happens often. Which of
the following is NOT the appropriate action to take in this situation.
A. Consult with a multidisciplinary child protection team.
B. Report to child protective services the findings you have collected.
C. Ask the father in the waiting room to validate the child's story.
D. Order an abdominal CT to rule out abdominal injury.
C. Ask the father in the waiting room to validate the child's story. *
Always notify the appropriate officials, such as child protective services, when
abuse is suspected. Never confront the suspected abuser as this could put the
medical team in danger. Order a CT of the abdomen to rule out possible injury
4) A 68-year-old male with CKD has been diagnosed with a new DVT. His
creatinine clearance is 25 ml/min. Which direct-acting oral anticoagulant (DOAC)
would be the safest option:
A. Dabigatran
B. Rivaroxaban
C. Edoxaban
D. Apixaban
D. Apixaban
5) While all choices are viable options, only 25% of apixaban is renally excreted.
The other options would need a dosage adjustment for CrCl < 30 ml/min.
You are counseling a 24-year-old healthy female on recommendations for cancer
risk reduction. Which of the following strategies would not be recommended?
A. Be physically active and maintain a healthy weight
B. Eat mostly fruits, vegetables, and whole grains while avoiding trans fats
,C. Avoid tobacco and excessive sun exposure
D. Radiation from radiographic studies does not increase the lifetime cancer risk
D. Radiation from radiographic studies does not increase the lifetime cancer risk *
6) All the options are modifiable risk factors for cancer prevention. Radiation
exposure can increase the lifetime risk of developing cancer as well.
All of the following are true regarding Multiple Sclerosis, except?
A) Multiple Sclerosis is a neurologic disorder
B) Is an autoimmune disease and the onset is mostly under 55 years of age.
C) A definitive diagnoses can be made once laboratory results are completed.
D) Several forms of the disease are recognized.
C) A definitive diagnoses can be made once laboratory results are completed. *
A definitive diagnosis for Multiple Sclerosis can never be based solely on the
laboratory findings. A MRI should demonstrate at least 1 lesion in at least 2 or
more different regions of the central white matter
7) A 15 year old boy is seen in the clinic with recurrent depression despite trying
cognitive behavioral therapy and intervention modifications at home and school.
He denies suicidal ideation but reports he doesn't want to get out of bed. What is
the next appropriate plan?
A) Advise the boy and his family that this is a normal finding in adolescents.
B) Prescribe medication such as a SSRI and educate this will take 4-6 weeks for the
optimal effects.
C) Refer patient to a Psychiatrist for further management.
D) Prescribe a stimulant medication (controlled class II) to improve the boys
energy level.
B) Prescribe medication such as a SSRI and educate this will take 4-6 weeks for the
optimal effects. *
The next appropriate step would be to prescribe a medication such as a SSRI to
help with the patient's depression while he is continuing cognitive behavioral
therapy.
, 8. A 14 year old male is presenting into the clinic in a hyperalert state with visible
tremors and increased restlessness. Assessment reveals increased blood pressure,
discoordination and dilated pupils, FNP suspects an overdose of which of the
following substances:
a. THC
b. MDMA (ecstasy)
c. Opiates
d. Amphetamines
d. Amphetamines
THC signs of intoxication include euphoria, mood changes, psychosis, and
impaired thinking. MDMA (ecstasy) s/s of intoxication include increased self-
esteem, illusions, difficulty with concentration, headache, flushing, increased
energy. Opiate intoxication includes the s/s of sedation, constricted pupils,
decreased blood pressure, and impaired thinking. Amphetamine intoxication
includes hyperalert state, ataxia, tremors, hyperactivity, increased blood pressure,
fever/flushing
2. A 16 year old female presents into the clinic for an annual exam. Pt reports
being on olanzapine for the last three years for the treatment of anorexia
nervosa. FNP knows to periodically screen which of the following labs in this
patient:
a. Hgb and Hct
b. PT/INR
c. Plasma glucose
d. BUN
c. Plasma glucose
Second generation antipsychotics can cause new-onset diabetes. Blood glucose
levels should be checked before starting the therapy, 12 months after and then
annually
Several comorbidities can present with a diagnosis of ADHD, all of the following
can be comorbidities of ADHD except:
A. Depression
