MN 580: Final Exam UPDATED Exam
Questions and CORECT Answers
The most common reason for precocious puberty in girls is: - CORRECT ANSWER Early
onset of normal puberty
When billing Medicaid, NPs get the authority to bill their services from: - CORRECT
ANSWER State and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline.
He returns in 3 weeks, complaining that his skin is no better. Your next action is to: - CORRECT
ANSWER Counsel him that 6-8 weeks of treatment is often needed before significant
improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - CORRECT
ANSWER 24 hours
Hemoglobin A1c best provides information on glucose control over the past: - CORRECT
ANSWER 21-47 days
18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past 48
hours. Physical examination reveals rebound tenderness and laboratory analysis shows the
presence of bandemia and a total WBC of 28,000. To support the diagnosis of acute appendicitis
with suspected appendiceal rupture, you consider obtaining the following: - CORRECT
ANSWER CT scan
2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory
rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at
the right lung base. Skin turgur and normal, and she is wearing a wet diaper. She is alert,
resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3.
Her diagnostic evaluation should include: - CORRECT ANSWER Chest x-ray
Aortic stenosis in a 15 yom is: - CORRECT ANSWER A result of a congenital defect
, Which of the following laboratory tests can identify the causative organism of bronchiolitis? -
CORRECT ANSWER Nasal washing antigen test
A Still murmur: - CORRECT ANSWER Has a humming or vibratory quality
A physiological murmur has which of the following characteristics? - CORRECT
ANSWER Becomes softer when the patient moves from supine to standing
Cyclic vomiting may: - CORRECT ANSWER Not be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18, dehydrated
and drinks breast milk, jaundice. Interventions? - CORRECT ANSWER Interventions: all of
the above (phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How
much fluid would you give? - CORRECT ANSWER 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose
inhaler. What information is important to give? - CORRECT ANSWER Make
recommendations for disease mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: -
CORRECT ANSWER Offering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point
specific location. What type of pain is this? - CORRECT ANSWER Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - CORRECT
ANSWER MMR may be linked to febrile seizures in immunocompromised children
Questions and CORECT Answers
The most common reason for precocious puberty in girls is: - CORRECT ANSWER Early
onset of normal puberty
When billing Medicaid, NPs get the authority to bill their services from: - CORRECT
ANSWER State and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline.
He returns in 3 weeks, complaining that his skin is no better. Your next action is to: - CORRECT
ANSWER Counsel him that 6-8 weeks of treatment is often needed before significant
improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - CORRECT
ANSWER 24 hours
Hemoglobin A1c best provides information on glucose control over the past: - CORRECT
ANSWER 21-47 days
18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past 48
hours. Physical examination reveals rebound tenderness and laboratory analysis shows the
presence of bandemia and a total WBC of 28,000. To support the diagnosis of acute appendicitis
with suspected appendiceal rupture, you consider obtaining the following: - CORRECT
ANSWER CT scan
2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory
rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at
the right lung base. Skin turgur and normal, and she is wearing a wet diaper. She is alert,
resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3.
Her diagnostic evaluation should include: - CORRECT ANSWER Chest x-ray
Aortic stenosis in a 15 yom is: - CORRECT ANSWER A result of a congenital defect
, Which of the following laboratory tests can identify the causative organism of bronchiolitis? -
CORRECT ANSWER Nasal washing antigen test
A Still murmur: - CORRECT ANSWER Has a humming or vibratory quality
A physiological murmur has which of the following characteristics? - CORRECT
ANSWER Becomes softer when the patient moves from supine to standing
Cyclic vomiting may: - CORRECT ANSWER Not be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18, dehydrated
and drinks breast milk, jaundice. Interventions? - CORRECT ANSWER Interventions: all of
the above (phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How
much fluid would you give? - CORRECT ANSWER 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose
inhaler. What information is important to give? - CORRECT ANSWER Make
recommendations for disease mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: -
CORRECT ANSWER Offering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point
specific location. What type of pain is this? - CORRECT ANSWER Neuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - CORRECT
ANSWER MMR may be linked to febrile seizures in immunocompromised children
