1
CMN 577 Final exam pool-student driven
Questions with Correct Answers | Updated
(100% Correct Answers)
A father brings his 5-year-old daughter to the office, inquiring
about her tetanus vaccinations. According to the patient's records,
she received her 4thDTaP vaccine at the age of 4. The NP should:
Answer: Inform the father the child does not need an additional
tetanus vaccine.
When introducing solid foods to a normal 6-month-old infant, the
NP should educate parents that they should: Answer: Introduce a
single-ingredient food, one at a time, every 3-4 days
As a family nurse practitioner caring for the pediatric population,
the FNP should expect complete primary dentition by: Answer: 36
months
Which of the following is the most common chronic disease of
childhood? Answer: Dental caries
A 45-year-old healthy male comes in to your clinic complaining of
severe, sharp headaches, worse behind his right eye, occurring
nightly for the past 2 weeks. The pain comes on suddenly in the late
evening or in the middle of the night, often awakening him from his
sleep. The headaches last approximately 45 minutes to 1 hour and
© 2025 All rights reserved
,2
then they remit. The headaches are often accompanied by a runny
nose and severe restlessness. He rates the pain as a 10/10, and
states he has had no relief with ibuprofen or acetaminophen. He
reports similar symptoms two months ago but the headaches went
away after a few weeks. The nurse practitioner knows that the best
treatment for this condition in the outpatient setting includes:
Answer: PO Verapamil daily plus intranasal sumatriptan PRN at
onset of headache.
The nurse practitioner is performing a well-child exam of a 6-
month-old girl. Her mother is planning to raise her on a vegan diet
and introduce solid foods soon. The nurse practitioner advises the
mother that she should give the infant: Answer: Fortified cereals or
formulas rich in iron, zinc, and B12, or a daily supplement with these
nutrients.
A 47-year-old woman with a history of seizure disorder presents to
the clinic with an upper respiratory illness. She states that she "really
needs to quit smoking" as this is her third respiratory illness this
year. As the provider you know that nicotine replacement therapy
doubles the chance of successful smoking cessation. All the
following are suitable options for this patient EXCEPT: Answer:
Bupropion
A 4-month-old child presents to the clinic for a well child check. The
mother states that she is worried her baby is not getting enough
© 2025 All rights reserved
,3
iron. She has a niece that was recently diagnosed with iron
deficiency anemia at age 3. As the provider you can reassure the
parent by stating all the following as effective measures to guard
against iron deficiency anemia EXCEPT: Answer: Limiting cow's milk
to 32 oz/d in children 1-5 years
The following conditions or risk factors are indication for early blood
pressure monitoring in a child except: Answer: Topical steroid
treatment of eczema
After being diagnosed with a minor respiratory illness, a nurse
practitioner advises a parent about over the counter medication to
treat the child's fever and discomfort. The child is 4 months old and
has no pre-existing conditions. The child's parent should be advised
to select: Answer: Acetaminophen 15mg/kg every 4-6hours
A nurse practitioner works at a local health department in suburban
Alabama. They should advise a mother against breastfeeding or
pumping and feeding their own breast milk in all of the following
situations except: Answer: Mastitis in the mother's right breast
A 10 year old boy presents to for a well child exam. His BMI today
is in the 86th percentile. Previous BMI has been under 75th
percentile for the last 3 years. Based on this BMI, how should the
nurse practitioner proceed? Answer: Ask the child his favorite foods
and outside activities. Discuss healthy alternatives or things to add
© 2025 All rights reserved
, 4
to meals. Encourage a team sport or exercise activity of the child's
preference. Limit snacks and desserts for special occasions and not
entirely restricted. Offer healthy eating resources but encourage
whole family wellness and exercise.
A 62-year-old white female presents to the walk-in clinic today with
complaints of acute onset of nausea, vomiting, and diarrhea. While
she has vomited twice and has had multiple episodes of diarrhea in
the last 12 hrs after eating at a local restaurant, it is the continuous
queasiness that she cannot tolerate. You obtain a thorough history
including a list of her current daily medications: Atorvastatin 40 mg
po q hs, Lisinopril/Hctz 10mg/12.5 mg po q am, ASA EC 81 mg po
q hs, sotalol 80 mg po BID.
When prescribing antiemetics for her today, which of the following
would place her at greatest risk of torsades de pointes? Answer:
Ondansetron
A 57-year-old Hispanic female is seeing you today at the local free
clinic. Over the last 2 weeks, she has noticed a change in her stools
which were previously light brown, formed, and occurred daily. Now
she experiences a bowel movement maybe every 4 days, consisting
of what she describes as "a soft, limp straw," and now they are
much darker in color. Thinking back, her appetite is not what it used
to be and she has lost approx. 20 lbs in the last 6 mths without a
change in diet or exercise. She takes no medications regularly. You
© 2025 All rights reserved
CMN 577 Final exam pool-student driven
Questions with Correct Answers | Updated
(100% Correct Answers)
A father brings his 5-year-old daughter to the office, inquiring
about her tetanus vaccinations. According to the patient's records,
she received her 4thDTaP vaccine at the age of 4. The NP should:
Answer: Inform the father the child does not need an additional
tetanus vaccine.
When introducing solid foods to a normal 6-month-old infant, the
NP should educate parents that they should: Answer: Introduce a
single-ingredient food, one at a time, every 3-4 days
As a family nurse practitioner caring for the pediatric population,
the FNP should expect complete primary dentition by: Answer: 36
months
Which of the following is the most common chronic disease of
childhood? Answer: Dental caries
A 45-year-old healthy male comes in to your clinic complaining of
severe, sharp headaches, worse behind his right eye, occurring
nightly for the past 2 weeks. The pain comes on suddenly in the late
evening or in the middle of the night, often awakening him from his
sleep. The headaches last approximately 45 minutes to 1 hour and
© 2025 All rights reserved
,2
then they remit. The headaches are often accompanied by a runny
nose and severe restlessness. He rates the pain as a 10/10, and
states he has had no relief with ibuprofen or acetaminophen. He
reports similar symptoms two months ago but the headaches went
away after a few weeks. The nurse practitioner knows that the best
treatment for this condition in the outpatient setting includes:
Answer: PO Verapamil daily plus intranasal sumatriptan PRN at
onset of headache.
The nurse practitioner is performing a well-child exam of a 6-
month-old girl. Her mother is planning to raise her on a vegan diet
and introduce solid foods soon. The nurse practitioner advises the
mother that she should give the infant: Answer: Fortified cereals or
formulas rich in iron, zinc, and B12, or a daily supplement with these
nutrients.
A 47-year-old woman with a history of seizure disorder presents to
the clinic with an upper respiratory illness. She states that she "really
needs to quit smoking" as this is her third respiratory illness this
year. As the provider you know that nicotine replacement therapy
doubles the chance of successful smoking cessation. All the
following are suitable options for this patient EXCEPT: Answer:
Bupropion
A 4-month-old child presents to the clinic for a well child check. The
mother states that she is worried her baby is not getting enough
© 2025 All rights reserved
,3
iron. She has a niece that was recently diagnosed with iron
deficiency anemia at age 3. As the provider you can reassure the
parent by stating all the following as effective measures to guard
against iron deficiency anemia EXCEPT: Answer: Limiting cow's milk
to 32 oz/d in children 1-5 years
The following conditions or risk factors are indication for early blood
pressure monitoring in a child except: Answer: Topical steroid
treatment of eczema
After being diagnosed with a minor respiratory illness, a nurse
practitioner advises a parent about over the counter medication to
treat the child's fever and discomfort. The child is 4 months old and
has no pre-existing conditions. The child's parent should be advised
to select: Answer: Acetaminophen 15mg/kg every 4-6hours
A nurse practitioner works at a local health department in suburban
Alabama. They should advise a mother against breastfeeding or
pumping and feeding their own breast milk in all of the following
situations except: Answer: Mastitis in the mother's right breast
A 10 year old boy presents to for a well child exam. His BMI today
is in the 86th percentile. Previous BMI has been under 75th
percentile for the last 3 years. Based on this BMI, how should the
nurse practitioner proceed? Answer: Ask the child his favorite foods
and outside activities. Discuss healthy alternatives or things to add
© 2025 All rights reserved
, 4
to meals. Encourage a team sport or exercise activity of the child's
preference. Limit snacks and desserts for special occasions and not
entirely restricted. Offer healthy eating resources but encourage
whole family wellness and exercise.
A 62-year-old white female presents to the walk-in clinic today with
complaints of acute onset of nausea, vomiting, and diarrhea. While
she has vomited twice and has had multiple episodes of diarrhea in
the last 12 hrs after eating at a local restaurant, it is the continuous
queasiness that she cannot tolerate. You obtain a thorough history
including a list of her current daily medications: Atorvastatin 40 mg
po q hs, Lisinopril/Hctz 10mg/12.5 mg po q am, ASA EC 81 mg po
q hs, sotalol 80 mg po BID.
When prescribing antiemetics for her today, which of the following
would place her at greatest risk of torsades de pointes? Answer:
Ondansetron
A 57-year-old Hispanic female is seeing you today at the local free
clinic. Over the last 2 weeks, she has noticed a change in her stools
which were previously light brown, formed, and occurred daily. Now
she experiences a bowel movement maybe every 4 days, consisting
of what she describes as "a soft, limp straw," and now they are
much darker in color. Thinking back, her appetite is not what it used
to be and she has lost approx. 20 lbs in the last 6 mths without a
change in diet or exercise. She takes no medications regularly. You
© 2025 All rights reserved
