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Answers | 2026 Update | 100% Correct - St.
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Thomas University.
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1. A 2-year-old child has chronic "toddler's" diarrhea, which has an unknown but
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benign etiology. The child's parent asks the primary care NP if a medication
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can be used to treat the child's symptoms. The NP should recommend giving:
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An electrolyte solution (Pedialyte).
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2. A 12-year-old patient has acute diarrhea and an upper respiratory infection.
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Other family members have had similar symptoms, which have resolved. The
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primary care NP should recommend: An electrolyte solution (Pedialyte).
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3. A 30-year-old white woman has a BMI of 26 and weighs 150 lb. At an annual
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physical examination, the patient's fasting plasma glucose Is 130 mg/dL. The
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patient walks 1 mile three or four times weekly. She has had two children
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who weighed 7 lbs. and 8 lbs. at birth. Her personal and family histories are
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noncontributory. The primary care NP should: Set a weight loss goal of 10 to
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15 lb.
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To prevent or delay onset of diabetes, patients with impaired glucose should be
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advised to lose 5% to 10% of body weight. Metformin should be considered
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in patients with high risk of developing diabetes. This woman does not
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have risk factors. Other tests are not indicated.
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4. A 40-year-old patient is in the clinic for a routine physical examination. The
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patient has a body mass index (BMI) of 26. The patient is active and walks a
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dog daily. A lipid profile reveals low-density lipoprotein (LDL) of 100 mg/dL,
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high-density lipoprotein (HDL) of 30 mg/dL, and triglycerides of 250 mg/d.
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The primary care nurse practitioner (NP) should: Order a fasting plasma
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glucose level.
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5. A 45-year-old has chronic constipation. The primary care NP plans to
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prescribe fiber for long-term management. In addition to pharmacologic
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therapy, the NP should also recommend ___ grams of fiber per day. 40
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6. A 75-year-old patient who has cardiovascular disease reports insomnia and
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vomiting for several weeks. The primary care NP orders thyroid function
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tests. The tests show TSH is decreased, and Ta is increased. The NP should
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consult with an endocrinologist and order: Methimazole.
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7. An 80-year-old female patient with a history of angina has increased TSH and
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, decreased T. The primary care NP should prescribe
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liothyronine
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8. A female patient who is underweight tells the primary care NP that she has
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been using bisacody (Dulcolax) daily for several years. The NP should:
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prescribe docusate sodium (Colace) and decrease Bisacodyl gradually.
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9. Hydrochloric acid (HCI) and pepsin are responsible for gastric mucosal
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damage found in PUD. Baseline acid production occurs during fasting states,
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whereas maximal acid production occurs following meals. Parietal cells are
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stimulated to release acid by histamine, acetylcholine, and gastrin. All of
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these stimuli are released by the sensation of all of these except: Hearing.
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