FNP 652 Final Exam Version 2 Newest Actual Exam
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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? -
Answers-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? -
Answers-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? - Answers-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? - Answers-
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? - Answers-
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? - Answers-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? - Answers-Drying the ear canal
with a hair dryer
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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? - Answers-Refer the child to an
otolayngologist
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? -
Answers-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? - Answers-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
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practitioner recommend to promote dental health in this
child? - Answers-Daily chlorhexidine gluconate
A primary care provider may suspect cataract formation in
a patient with which finding? - Answers-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? - Answers-Aqueous Deficiency
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? - Answers-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? - Answers-
Prescribe amoxicillin and refer to a dentist in 2-3 days