NURS612 final Exam Questions with Correct Answers 100% Verified By Experts| Latest
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12-year-old ST presents with a complaint of a possible "spider bite" on exam you note a tender
3 cm fluctuant area of erythema. As his primary care nurse practitioner how will you manage
this condition?
A. Incise the lesion and then await culture results to determine antibiotic treatment
B. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with Group A strep
coverage
C. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with both staph
aureus and Group A strep coverage
D. Initiate oral antibiotic therapy with staph aureus and Group A strep coverage, if not
improving consider incising the lesion C. Incise and drain the fluctuant lesion and initiate
oral antibiotic therapy with both staph aureus and Group A strep coverage
During a well-child examination of an infant, the primary care nurse practitioner counts 8 light
brown flat lesions on the infant's trunk. What potential concern is associated with this finding?
A. Turner's syndrome
B. Neurofibromatosis
C. Sturge-Weber syndrome
D. Hypothyroidism B. Neurofibromatosis
At her 2-week follow-up you note 8-month-old TL's otitis media has resolved following a course
of Amoxil. On exam you also note bright red papules in a diaper distribution with areas of
confluence in the skin folds, and satellite lesions. Considering the most likely diagnosis, what is
the most appropriate treatment for TL's condition?
A. Exposure to air, frequent diaper changes and oral fluconazole
B. Exposure to air, frequent diaper changes and topical nystatin (antifungal) ointment to
affected areas
C. Exposure to air, frequent diaper changes and barrier diaper cream to affected areas
D. Exposure to air, frequent diaper changes and 1% hydrocortisone cream to affected areas
B. Exposure to air, frequent diaper changes and topical nystatin (antifungal) ointment to
affected areas
,10-year-old WH presents with a unilateral swollen eye-lid with no history of trauma. You
consider preseptal vs. orbital cellulitis. During your examination what signs would be
concerning (likely orbital cellulitis) warranting imaging and hospital admission?
A. Pain when testing extra ocular movements
B. Vision changes
C. Proptosis
D. All of the above D. All of the above
Reviewing lesion pathophysiology you are aware that pigmented nevi are melanocytes near the
skin surface. Which of the following lesions is NOT a type of pigmented nevi:
A. Melanoma
B. Hemangioma
C. Blue nevi
D. Café au lait patch B. Hemangioma
An afebrile 15-month-old infant presents with a clearly demarcated warm erythematous area
on the right thigh. There is no evidence of yellow or weepy drainage or an umbilicated lesion.
Considering the likely diagnosis what is the most appropriate treatment for this condition?
A. Outline the affected area, strep testing, topical antibiotic ointment
B. Incise the affected area, strep testing, oral TMP-SMX (sulfa class drug)
C. Outline the affected area, strep testing, topical steroid ointment
D. Outline the affected area, strep testing, oral amoxicillin or cephalosporin D. Outline the
affected area, strep testing, oral amoxicillin or cephalosporin
Your patient's mother expresses concern her daughter may have ADHD. All of the following are
symptoms of ADHD EXCEPT
A. Trouble organizing school work
B. Talking excessively
, C. Onset of symptoms after age 7 years
D. Easily distracted from tasks C. Onset of symptoms after age 7 years
After ruling out sleep apnea, hypothyroidism and anemia, you diagnose 14-year-old S.H. with
mild depression. Which of the following interventions is NOT a recommended treatment for
depression:
A. Regular exercise and sleep regimen
B. SSRI and sunlight exposure
C. Distraction with increased screen time
D. Cognitive Behavioral Therapy C. Distraction with increased screen time
Which of the following tools would you choose to screen your patient for autism?
A. MCHAT
B. Conners
C. PHQ-9
D. HEADDSS A. MCHAT
A 4-month-old is consolable but is fussy with a history of intermittent low grade fever. An
appropriate antipyretic measures would be:
A. ibuprofen 10mg/kg q6-8 PRN
B. acetaminophen 15mg/kg q 6-8 PRN
C. acetylsalicylic acid 20mg/kg
D. cool sponge baths B. acetaminophen 15mg/kg q 6-8 PRN
As an NP running the student health clinic a 17-year-old J.T. has been referred to you after he
"jokingly" made a statement to his teacher that he was going to kill himself. Your surveillance
and his PHQ9 score are consistent with depression. Your initial action would be to:
A. Report your findings to the school administrator
B. Ensure his safety and notify his parents
Update Guaranteed Success
12-year-old ST presents with a complaint of a possible "spider bite" on exam you note a tender
3 cm fluctuant area of erythema. As his primary care nurse practitioner how will you manage
this condition?
A. Incise the lesion and then await culture results to determine antibiotic treatment
B. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with Group A strep
coverage
C. Incise and drain the fluctuant lesion and initiate oral antibiotic therapy with both staph
aureus and Group A strep coverage
D. Initiate oral antibiotic therapy with staph aureus and Group A strep coverage, if not
improving consider incising the lesion C. Incise and drain the fluctuant lesion and initiate
oral antibiotic therapy with both staph aureus and Group A strep coverage
During a well-child examination of an infant, the primary care nurse practitioner counts 8 light
brown flat lesions on the infant's trunk. What potential concern is associated with this finding?
A. Turner's syndrome
B. Neurofibromatosis
C. Sturge-Weber syndrome
D. Hypothyroidism B. Neurofibromatosis
At her 2-week follow-up you note 8-month-old TL's otitis media has resolved following a course
of Amoxil. On exam you also note bright red papules in a diaper distribution with areas of
confluence in the skin folds, and satellite lesions. Considering the most likely diagnosis, what is
the most appropriate treatment for TL's condition?
A. Exposure to air, frequent diaper changes and oral fluconazole
B. Exposure to air, frequent diaper changes and topical nystatin (antifungal) ointment to
affected areas
C. Exposure to air, frequent diaper changes and barrier diaper cream to affected areas
D. Exposure to air, frequent diaper changes and 1% hydrocortisone cream to affected areas
B. Exposure to air, frequent diaper changes and topical nystatin (antifungal) ointment to
affected areas
,10-year-old WH presents with a unilateral swollen eye-lid with no history of trauma. You
consider preseptal vs. orbital cellulitis. During your examination what signs would be
concerning (likely orbital cellulitis) warranting imaging and hospital admission?
A. Pain when testing extra ocular movements
B. Vision changes
C. Proptosis
D. All of the above D. All of the above
Reviewing lesion pathophysiology you are aware that pigmented nevi are melanocytes near the
skin surface. Which of the following lesions is NOT a type of pigmented nevi:
A. Melanoma
B. Hemangioma
C. Blue nevi
D. Café au lait patch B. Hemangioma
An afebrile 15-month-old infant presents with a clearly demarcated warm erythematous area
on the right thigh. There is no evidence of yellow or weepy drainage or an umbilicated lesion.
Considering the likely diagnosis what is the most appropriate treatment for this condition?
A. Outline the affected area, strep testing, topical antibiotic ointment
B. Incise the affected area, strep testing, oral TMP-SMX (sulfa class drug)
C. Outline the affected area, strep testing, topical steroid ointment
D. Outline the affected area, strep testing, oral amoxicillin or cephalosporin D. Outline the
affected area, strep testing, oral amoxicillin or cephalosporin
Your patient's mother expresses concern her daughter may have ADHD. All of the following are
symptoms of ADHD EXCEPT
A. Trouble organizing school work
B. Talking excessively
, C. Onset of symptoms after age 7 years
D. Easily distracted from tasks C. Onset of symptoms after age 7 years
After ruling out sleep apnea, hypothyroidism and anemia, you diagnose 14-year-old S.H. with
mild depression. Which of the following interventions is NOT a recommended treatment for
depression:
A. Regular exercise and sleep regimen
B. SSRI and sunlight exposure
C. Distraction with increased screen time
D. Cognitive Behavioral Therapy C. Distraction with increased screen time
Which of the following tools would you choose to screen your patient for autism?
A. MCHAT
B. Conners
C. PHQ-9
D. HEADDSS A. MCHAT
A 4-month-old is consolable but is fussy with a history of intermittent low grade fever. An
appropriate antipyretic measures would be:
A. ibuprofen 10mg/kg q6-8 PRN
B. acetaminophen 15mg/kg q 6-8 PRN
C. acetylsalicylic acid 20mg/kg
D. cool sponge baths B. acetaminophen 15mg/kg q 6-8 PRN
As an NP running the student health clinic a 17-year-old J.T. has been referred to you after he
"jokingly" made a statement to his teacher that he was going to kill himself. Your surveillance
and his PHQ9 score are consistent with depression. Your initial action would be to:
A. Report your findings to the school administrator
B. Ensure his safety and notify his parents
