CMN 577 Final exam pool-student driven

CMN 577 Final exam pool-student driven A father brings his 5-year-old daughter to the office, inquiring about her tetanus vaccinations. According to the patient's records, she received her 4thDTaP vaccine at the age of 4. The NP should: - Inform the father the child does not need an additional tetanus vaccine. When introducing solid foods to a normal 6-month-old infant, the NP should educate parents that they should: - Introduce a single-ingredient food, one at a time, every 3-4 days As a family nurse practitioner caring for the pediatric population, the FNP should expect complete primary dentition by: - 36 months Which of the following is the most common chronic disease of childhood? - Dental caries A 45-year-old healthy male comes in to your clinic complaining of severe, sharp headaches, worse behind his right eye, occurring nightly for the past 2 weeks. The pain comes on suddenly in the late evening or in the middle of the night, often awakening him from his sleep. The headaches last approximately 45 minutes to 1 hour and then they remit. The headaches are often accompanied by a runny nose and severe restlessness. He rates the pain as a 10/10, and states he has had no relief with ibuprofen or acetaminophen. He reports similar symptoms two months ago but the headaches went away after a few weeks. The nurse practitioner knows that the best treatment for this condition in the outpatient setting includes: - PO Verapamil daily plus intranasal sumatriptan PRN at onset of headache. The nurse practitioner is performing a well-child exam of a 6-month-old girl. Her mother is planning to raise her on a vegan diet and introduce solid foods soon. The nurse practitioner advises the mother that she should give the infant: - Fortified cereals or formulas rich in iron, zinc, and B12, or a daily supplement with these nutrients. A 47-year-old woman with a history of seizure disorder presents to the clinic with an upper respiratory illness. She states that she "really needs to quit smoking" as this is her third respiratory illness this year. As the provider you know that nicotine replacement therapy doubles the chance of successful smoking cessation. All the following are suitable options for this patient EXCEPT: - Bupropion A 4-month-old child presents to the clinic for a well child check. The mother states that she is worried her baby is not getting enough iron. She has a niece that was recently diagnosed with iron deficiency anemia at age 3. As the provider you can reassure the parent by stating all the following as effective measures to guard against iron deficiency anemia EXCEPT: - Limiting cow's milk to 32 oz/d in children 1-5 years The following conditions or risk factors are indication for early blood pressure monitoring in a child except: - Topical steroid treatment of eczema CMN 577 Final exam pool-student driven After being diagnosed with a minor respiratory illness, a nurse practitioner advises a parent about over the counter medication to treat the child's fever and discomfort. The child is 4 months old and has no pre-existing conditions. The child's parent should be advised to select: - Acetaminophen 15mg/kg every 4-6hours A nurse practitioner works at a local health department in suburban Alabama. They should advise a mother against breastfeeding or pumping and feeding their own breast milk in all of the following situations except: - Mastitis in the mother's right breast A 10 year old boy presents to for a well child exam. His BMI today is in the 86th percentile. Previous BMI has been under 75th percentile for the last 3 years. Based on this BMI, how should the nurse practitioner proceed? - Ask the child his favorite foods and outside activities. Discuss healthy alternatives or things to add to meals. Encourage a team sport or exercise activity of the child's preference. Limit snacks and desserts for special occasions and not entirely restricted. Offer healthy eating resources but encourage whole family wellness and exercise. A 62-year-old white female presents to the walk-in clinic today with complaints of acute onset of nausea, vomiting, and diarrhea. While she has vomited twice and has had multiple episodes of diarrhea in the last 12 hrs after eating at a local restaurant, it is the continuous queasiness that she cannot tolerate. You obtain a thorough history including a list of her current daily medications: Atorvastatin 40 mg po q hs, Lisinopril/Hctz 10mg/12.5 mg po q am, ASA EC 81 mg po q hs, sotalol 80 mg po BID. When prescribing antiemetics for her today, which of the following would place her at greatest risk of torsades de pointes? - Ondansetron A 57-year-old Hispanic female is seeing you today at the local free clinic. Over the last 2 weeks, she has noticed a change in her stools which were previously light brown, formed, and occurred daily. Now she experiences a bowel movement maybe every 4 days, consisting of what she describes as "a soft, limp straw," and now they are much darker in color. Thinking back, her appetite is not what it used to be and she has lost approx. 20 lbs in the last 6 mths without a change in diet or exercise. She takes no medications regularly. You perform a thorough H&P. VS are stable. BMI is 38. Physical examination today includes a digital rectal exam which is negative, and there is no evidence of fecal impaction. Having limited resources, which of the following would be ordered in your initial evaluation of her condition? - FIT testing You are seeing a 55-year-old white male who recently moved from Texas. He presents with complaints of worsening tremors in both hands. He first noticed the subtle shaking ~ 5 yrs ago and they have gotten progressively worse. You notice that he does not exhibit tremors while at rest but seem to be pronounced with minimal activity. The rest of his physical exam is unremarkable. Based on the history and clinical findings, which of the following would be an appropriate choice of treatment? - Propranolol