NR 667 | NR667 CEA FNP CAPSTONE
PRACTICUM AND INTENSIVE EXAM | 100+
QUESTIONS AND VERIFIED ANSWERS
RATED A+ | 2025 GUIDE
A 4-year-old child presents with a chronic cough, wheezing, and difficulty
breathing, especially at night. On examination, you hear expiratory
wheezing and observe the use of accessory muscles for breathing. What
is the most likely diagnosis?
A. Bronchitis
B. Asthma
C. Croup
D. Pneumonia
- Correct Answer - B
A 15-year-old adolescent athlete complains of chest pain and fainting
during intense exercise. On examination, a systolic ejection murmur is
heard that increases with standing. What is the most likely diagnosis?
A. Pulmonary hypertension
B. Aortic stenosis
C. Mitral valve prolapse
D. Hypertrophic cardiomyopathy
- Correct Answer - D
,A 5-year-old boy presents with a sore throat, fever, and a sandpaper-like
rash. What is the most likely diagnosis?
A. Scarlet fever
B. Fifth disease
C. Kawasaki disease
D. Measles
- Correct Answer - A
A 13-year-old is concerned because she has not yet begun to
menstruate. Physical examination indicates that the patient is at Sexual
Maturity Rating IV and is of average height and weight. Which of the
following would be the most appropriate response to this patient?
"Your development is exactly as expected for your age; you'll probably
begin to have periods within a year."
A 5-year-old girl presents with fever, rash, hacking cough, and swollen,
tender lymph nodes. The rash started on her face and has spread to the
rest of her body. What is the most likely diagnosis?
A. Chickenpox
B. Scarlet fever
C. Fifth disease
D. Measles
- Correct Answer - C
,During a well-child examination of a 24 month old, premature tooth
decay and inflamed gums, particularly of the maxillary incisors, are
noted. The approach to this problem includes:
- Correct Answer - referring the child to a dentist, assessing for bottle
feeding and fluoride in local water
A mother presents her 12-month-old child with concern because the
child does not yet say "mama" or "dada." The mother reports that in the
first months of life, the child enjoyed being talked to. The past medical
history is negative for ear infections. The nurse practitioner should:
A. evaluate for hearing loss.
B. this is a normal growth and development finding.
C. check for cerumen impaction.
D. refer to speech therapy
- Correct Answer – A
7-year-old boy presents with recurrent abdominal pain, diarrhea, and
weight loss. What is the most appropriate initial test?
A. Colonoscopy
B. Serum electrolytes
C. Celiac disease antibody test
D. Abdominal ultrasound
- Correct Answer - C
, A healthy unvaccinated child is exposed to Hepatitis A. The best option
for therapy is:
A. zidovudine
B. immune globulin
C. hepatitis B vaccine
D. inactive hepatitis A vaccine
- Correct Answer - B
Which of the following fine motor skills is typically expected of a 3-year-
old child?
A. Writing their own name
B. Stacking 10 blocks
C. Drawing a straight line
D. Using a pincer grasp to pick up small objects
- Correct Answer - C
Which of the following is a common physical sign of bulimia nervosa?
A. Persistant fever
B. Enlargement of the thyroid gland
C. Calluses or scars on the knuckles
D. Rapid fluctuation in weight gain or loss
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