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NUR 652 Midterm Questions And Answers

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The primary care NP evaluates children's growth to screen for endocrine and metabolic disorders. Which is a critical component of this screening? ~ obtaining serial measurements to assess patterns over time A 13-year-old Native American female has a BMI at the 90th percentile for age. The primary care NP notes the presence of a hyperpigmented velvet-like rash in skin folds. The child denies polydipsia, polyphagia, and polyuria. The NP will ~ order a fasting blood sample for a metabolic screen for type 2 DM

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NUR 652 Midterm Questions
And 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?


✓~ Refer the child to the dentist immediately for further evaluation




A child who was treated with amoxicillin and then amoxicillin-clavulanate for

acute otitis media is seen for follow-up. The primary care nurse practitioner

notes dull-gray tympanic membranes with a visible air-fluid level. The child is

afebrile and without pain. What is the next course of action?


✓~ Monitoring ear fluid levels for 3 months




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?

, ✓~ Daily chlorhexidine gluconate rinses




A primary care provider may suspect cataract formation in a patient with which

finding?


✓~ asymmetric red reflex




A patient has chronically dry eyes, sometimes with a foreign body sensation,

burning, and itching. A Schirmer test is abnormal. What is the suspected cause

of this patient's symptoms?


✓~ Aqueous-deficiency




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?


✓~ insert a wick into the external auditory canal




A patient reports tooth pain in a lower molar and the provider notes a mobile

tooth with erythema and edema of the surrounding tissues without discharge.

Which is the initial course of action by the provider?

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