NUR 652 FINAL EXAM NEWEST VERSION WITH 350 QUESTIONS AND WELL EXPLAINED ANSWERS JUST RELEASED THIS YEAR

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NUR 652 FINAL EXAM NEWEST VERSION WITH 350
QUESTIONS AND WELL EXPLAINED ANSWERS JUST
RELEASED THIS YEAR



Question: A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What
will the primary care nurse practitioner recommend to promote dental health in this child? -
CORRECT ANSWER✔✔Daily chlorhexidine gluconate




Question: A teen who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is the next
step in treatment for this child? - CORRECT ANSWER✔✔Insert a wick into the external auditory
canal



A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a parent.
An exam reveals three avulsed front teeth. Radiologic studies are negative for facial fractures.
What is the recommended treatment? - CORRECT ANSWER✔✔Refer the child to the dentist
immediately for further evaluation



Question: An elderly patient has a permanent loss of the sense of smell and diminished taste.
What will be included in teaching this patient about managing these symptoms? - CORRECT
ANSWER✔✔1. The importance of installing smoke detectors

2. Putting dates on food in the fridge

3. Eating regular meals at scheduled times

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Question: A toddler exhibits exotropia of the right eye during a cover-uncover screen. The
primary nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment?
- CORRECT ANSWER✔✔Patching of the unaffected eye for 2 hours each day




Question: An adolescent has localized bleeding of the gums when brushing the teeth. An exam
of the mouth reveals the presence of plaque and calculus on the teeth which are not loose.
What will the primary care nurse practitioner recommend? - CORRECT ANSWER✔✔Consistently
brushing and flossing the teeth twice daily




Question: A provider is recommending a cerumenolytic for a patient who has chronic cerumen
buildup. The provider notes that the patient has dry skin in the ear canal. Which preparation is
FDA approved for this use? - CORRECT ANSWER✔✔Carbamide peroxide




Question: A parent asks about ways to promote dental health in school-aged children while on
family vacation that are convenient while camping and picnicking. What will the primary care
nurse practitioner recommend? - CORRECT ANSWER✔✔Offering gum containing xylitol after
meals




Question: A 7-month-old infant has had two prior acute ear infections and is currently on the
10th day of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The primary
care nurse practitioner notes marker middle ear effusion and erythema of the TM. The child is
irritable and has a temperature of 99.8. What is the next step in management of this child's
infection? - CORRECT ANSWER✔✔Refer the child to an otolayngologist




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Question: A patient reports painful swelling in the mouth with increased pain at mealtimes. The
provider notes a mass in the salivary gland region. What is the likely cause of these symptoms? -
CORRECT ANSWER✔✔Sialolithiasis




Question: During a well child assessment of an African American infant, the primary care nurse
practitioner notes a dark red-brown light reflex in the left eye and a slightly brighter, red-orange
light reflex in the right eye. The nurse practitioner will... - CORRECT ANSWER✔✔Refer the infant
to an opthalmologist




Question: A preschool age child who attend daycare has a 2 day history of matted eyelids in the
morning and burning and itching of the eyes. The primary care NP notes yellow-green purulent
discharge from both eyes, conjunctival erythema and mild URI symptoms. Which action is
correct? - CORRECT ANSWER✔✔Prescribe topical antibiotic drops




Question: An 18-month-old child with no previous history of otitis media awoke during the
night with right ear pain. The primary care NP notes an axillary temperature of 100.5 and an
erythematous, bulging TM. A tympanogram reveals a peak of +15-mm H2O. What is the
recommended treatment for this child? - CORRECT ANSWER✔✔An analgesic medication and
watchful waiting



Question: During a well-child exam on a 4-year-old child, the primary care NP notes that the
clinic nurse recorded 20/50 for the child's vision and noted that the child has difficulty
cooperating with the exam. What will the NP recommend? - CORRECT ANSWER✔✔Test the
child's vision in 1 month




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Question: Causes of cough, not related to pulmonary issues - CORRECT ANSWER✔✔Allergies,
GERD, medications (lisinopril)




Question: The primary care NP is providing nutritional counseling for a 9-year-old female whose
weight is at the 95th percentile for her age. What is the goal for this patient? - CORRECT
ANSWER✔✔Maintenance of her current weight




Question: The primary care NP is performing a well child examination on a 12-year-old child
who was diagnosed with type 1 DM at age 9. The child had a lipid screen at age 10 with an LDL
cholesterol <100mg/dL. What will the NP recommend as part of ongoing management for this
child? - CORRECT ANSWER✔✔Comprehensive ophthalmologic exams




Question: The primary care NP is reviewing lab work and diabetes management with a school-
aged child whose HbA1C is 7.6% who reports usual blood sugars before meals as being 80-
90mg/dL. The NP will consult with the child's endocrinologist to consider which therapy? -
CORRECT ANSWER✔✔Continuous glucose monitoring




Question: The primary care NP notes a musty odor when examining a newborn at a 2-week
checkup. What will the NP suspect? - CORRECT ANSWER✔✔Phenylketonuria




Question: A patient who has diabetes has a blood pressure of 140/90 and albuminuria. Which
initial action by the primary care NP is indicated for management of this patient? - CORRECT
ANSWER✔✔Consulting with a nephrologist




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