The most common reason for precocious puberty in girls is: CORRECT ANS Early onset of normal puberty
When billing Medicaid, NPs get the authority to bill their services from: CORRECT ANS State and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline. He returns in 3 weeks, complaining that his skin
is no better. Your next action is to: CORRECT ANS Counsel him that 6-
8 weeks of treatment is often needed before significant improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: CORRECT ANS 24 hours
Hemoglobin A1c best provides information on glucose control over the past: CORRECT ANS 21-47 days
18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence of bandemia and a total WBC of 28,000. To support the diagnosis of acute appendicitis with suspected appendiceal rupture, you consider obtaining the following: CORRECT ANS CT scan 2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at the right lung base. Skin turgur and normal, and she is wearing a wet diaper. She is alert, resisting the examination as age appropriate, and engages in eye contact.
Temperature is 38.3. Her diagnostic evaluation should include: CORRECT ANS Chest x-ray
Aortic stenosis in a 15 yom is: CORRECT ANS A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of bronchiolitis? CORRECT ANS Nasal washing antigen test
A Still murmur: CORRECT ANS Has a humming or vibratory quality
A physiological murmur has which of the following characteristics? CORRECT ANS Becomes softer when the patient moves from supine to
standing
Cyclic vomiting may: CORRECT ANS Not be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18, dehydrated and drinks breast milk, jaundice. Interventions? CORRECT ANS Interventions: all of the above (phototherapy, providing support, strict I/O)