Questions andAnswers|2026Update|100%C
cf cf cf cf cf cf cf cf cf
orrect -St.Thomas University. cf cf cf cf
1. A 2-year- cf
old childhas chronic "toddler's" diarrhea, which has anunknown but benign etiolog
cf cf cf cf cf cf cf cf cf cf cf cf
y. The child's parent asks the primary care NP if a medication can be used to treat th
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
e child's symptoms. The NP should recommend giving: An electrolyte solution (Ped
cf cf cf cf cf cf cf cf cf cf cf
ialyte).
2. A 12-year- cf
old patient has acute diarrhea and an upper respiratory infection. Other family me
cf cf cf cf cf cf cf cf cf cf cf cf
mbershavehad similarsymptoms, which have resolved.The primary care NP shoul cf cf cf cf cf cf cf cf cf cf cf cf
d recommend: An electrolyte solution (Pedialyte).
cf cf cf cf cf
3. A 30-year- cf
old white woman has a BMI of 26 and weighs 150 lb. At an annual physical examinati
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
on,the patient's fasting plasma glucose Is 130mg/dL. The patient walks 1 mile thre
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
e or four times weekly. She has had two children who weighed 7 lbs. and 8 lbs. at bir
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
th. Her personal and family histories are noncontributory. The primary care NP sh
cf cf cf cf cf cf cf cf cf cf cf cf
ould: Set a weight loss goal of 10 to 15 lb. cf cf cf cf cf cf cf cf cf cf
To prevent ordelayonset of diabetes, patients withimpaired glucose should be advis
cf cf cf cf cf cf cf cf cf cf cf cf cf
ed to lose 5% to 10% of body weight. Metformin should be considered in patients w
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ith high risk of developing diabetes. This woman does not have risk factors. Other
cf cf cf cf cf cf cf cf cf cf cf cf cf
tests are not indicated.
cf cf cf cf
4. A 40-year- cf
old patient is in the clinic for a routine physical examination. The patient has a bod
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
y mass index (BMI) of 26. The patient is active and walks a dog daily.A lipidprofile r
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
eveals low-density lipoprotein (LDL) of 100 mg/dL, high- cf cf cf cf cf cf cf
density lipoprotein (HDL) of 30 mg/dL, and triglycerides of 250 mg/d. The primar cf cf cf cf cf cf cf cf cf cf cf cf
y care nurse practitioner (NP) should: Order a fasting plasma glucose level.
cf cf cf cf cf cf cf cf cf cf cf
5. A 45-year- cf
old has chronic constipation. The primary care NP plans to prescribe fiber forl
cf cf cf cf cf cf cf cf cf cf cf cf cf
ong-
termmanagement. In additionto pharmacologic therapy, the NP should also r
cf cf cf cf cf cf cf cf cf cf cf
ecommend________________________________ grams of fiber per day. 40 cf cf cf cf cf
6. A 75-year- cf
old patient who has cardiovascular disease reports insomnia and vomiting for se
cf cf cf cf cf cf cf cf cf cf cf
veral weeks. The primary care NP orders thyroid function tests. The tests show T
cf cf cf cf cf cf cf cf cf cf cf cf cf
SH is decreased, and Ta is increased.The NP should consult with an endocrinologi
cf cf cf cf cf cf cf cf cf cf cf cf cf
, st and order: Methimazole.
cf cf cf
7. An80-year-oldfemalepatientwithahistoryofanginahasincreasedTSHand
cf cf cf cf cf cf cf cf cf cf cf cf