AANP Exam | Actual Exam | All 75 Questions and Answers | Brand New Exam!

A 16-year-old female adolescent is brought to the nurse practitioner's office by her mother, who is concerned about her daughter's recent weight loss. History reveals that the daughter was consistently in the 50th percentile for weight, but is now in the 10th percentile. The mother states that she is concerned that her daughter is purging herself after meals since she often goes to the restroom after eating and remains there for a long period of time. The daughter denies any self-induced vomiting, starvation or excessive activity. She does state that she jogs five miles a day and is in good condition. In addition to a complete blood count with differential, which of the following laboratory tests will be most helpful for further assessment? 1. Electrolytes, fasting blood sugar 2. Creatine phosphokinase, follicle-stimulating hormone (FSH) 3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis 4. Electrolytes, FSH, stool for occult blood ----CORRECT ANSWER-------electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis An adult female who is homeless presents for an initial obstetric visit at 34 weeks of pregnancy. She is diagnosed with Chlamydia trachomatis infection. What complication will her newborn be most at risk? 1. Conjunctivitis 2. Hearing loss 3. Pneumonitis 4. Meningitis ----CORRECT ANSWER-------conjunctivitis A 2-year-old male presents for reevaluation. Two days ago, he had four episodes of vomiting and six diarrheal stools. On physical examination today, his vital signs reveal P = 120 and capillary refill of 3 seconds. The patient's eyes are sunken and his extremities are mottled and cool to the touch. The treatment plan would include: 1. start oral electrolyte mixture every hour. 2. hospitalization for IV fluid replacement. 3. giving the child loperamide for each diarrheal stool. 4. catheterizing the child to obtain accurate urine output. ----CORRECT ANSWER------- hospitalization for IV fluid replacement