NUR 652 - Final Exam Questions with Detailed
Verified Answers
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? Ans: Refer the child to the
dentist immediately for further evaluation
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?
Ans: Daily chlorhexidine gluconate
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? Ans: Insert a wick into the external auditory
canal
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? Ans: 1.
The importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
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? Ans: Patching of the unaffected eye for 2 hours each day
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? Ans: Consistently
brushing and flossing the teeth twice daily
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? Ans: Carbamide peroxide
,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? Ans: Offering gum containing xylitol
after meals
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? Ans: Refer the child to an otolayngologist
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? Ans: Sialolithiasis
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... Ans: Refer the
infant to an opthalmologist
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? Ans: Prescribe topical antibiotic drops
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? Ans: An analgesic medication and watchful
waiting
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? Ans: Test the child's vision
in 1 month
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, Causes of cough, not related to pulmonary issues Ans: Allergies, GERD, medications
(lisinopril)
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? Ans:
Maintenance of her current weight
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? Ans: Comprehensive ophthalmologic exams
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? Ans: Continuous glucose monitoring
The primary care NP notes a musty odor when examining a newborn at a 2-week
checkup. What will the NP suspect? Ans: Phenylketonuria
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? Ans:
Consulting with a nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child with
a history of intrauterine growth retardation whose height remains less than the 3rd
percentile on a WHO growth chart. What will the NP do? Ans: Refer the child to a
pediatric endocrinologist
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration. Which
action is correct? Ans: Refer the infant to the ED for fluids, dextrose, and steroids
A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The
provider notes that the patient appears confused and irritable and is sweating and
© Get it right 2025 Getaway - Stuvia US All rights reserved
Verified Answers
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? Ans: Refer the child to the
dentist immediately for further evaluation
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?
Ans: Daily chlorhexidine gluconate
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? Ans: Insert a wick into the external auditory
canal
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? Ans: 1.
The importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
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? Ans: Patching of the unaffected eye for 2 hours each day
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? Ans: Consistently
brushing and flossing the teeth twice daily
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? Ans: Carbamide peroxide
,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? Ans: Offering gum containing xylitol
after meals
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? Ans: Refer the child to an otolayngologist
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? Ans: Sialolithiasis
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... Ans: Refer the
infant to an opthalmologist
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? Ans: Prescribe topical antibiotic drops
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? Ans: An analgesic medication and watchful
waiting
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? Ans: Test the child's vision
in 1 month
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Causes of cough, not related to pulmonary issues Ans: Allergies, GERD, medications
(lisinopril)
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? Ans:
Maintenance of her current weight
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? Ans: Comprehensive ophthalmologic exams
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? Ans: Continuous glucose monitoring
The primary care NP notes a musty odor when examining a newborn at a 2-week
checkup. What will the NP suspect? Ans: Phenylketonuria
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? Ans:
Consulting with a nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child with
a history of intrauterine growth retardation whose height remains less than the 3rd
percentile on a WHO growth chart. What will the NP do? Ans: Refer the child to a
pediatric endocrinologist
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration. Which
action is correct? Ans: Refer the infant to the ED for fluids, dextrose, and steroids
A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The
provider notes that the patient appears confused and irritable and is sweating and
© Get it right 2025 Getaway - Stuvia US All rights reserved
