CMN 577 Final Exam Questions With Complete Solutions
13 year old Jessica presents to the Emergency Department with
her mother, stating that she cannot breathe, can't feel her fingers
and thinks she is having a panic attack. Vital signs are: T-98.9,
HR-115, RR-32, BP-136/90, O2-100% RA. ABG results were
pH 7.47, pCO2 25, HCO3 21. What is the likely cause for her
respiratory alkalosis?
A. Hypoventilation
B. Hyperventilation
C. Diarrhea
D. Hyperemesis Correct Answers B
A 1-month-old female presents to your clinic with her mother
for a well child check. The mother reports a bright red, rubbery
appearing bump that is located on her daughter's neck. She says
that it started out as a flat red area, but now it has grown and is
sticking out. This most likely represents which type of
birthmark:
a) Mongolian spot
b) Port-wine stain
c) Hemangioma
d) Melanocytic nevi Correct Answers C
A 12-year-old male patient presents to your clinic today with
mother who reports for the past week he has been expecting
muscle weakness, tingling all over his body that is worse in his
feet and hand and muscle spasms throughout the day. You
obtained a 12-lead ECG in the office which revealed peaked T
,waves and widening QRS. What electrolyte abnormality would
you suspect based on symptoms and ECG findings?
a. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypercalcemia Correct Answers B
A 13 y.o male with a medical history of intermittent asthma
presents to the clinic c/o of the following: symptoms that last 3
days/week, minor limitation in normal activity, and waking up at
least once/week for the past month. The pt. states he has been
using his PRN SABA at least once a day, 3 days during the
week. Keeping these symptoms in mind, what classification of
asthma severity should the NP recognize this as to best tailor
treatment?
a. Intermittent
b. Mild
c. Moderate
d. Severe Correct Answers B
A 16-year-old female presents to clinic accompanied by her
mother. She has a rash that appears as erythematous plaques
with thick, white, silvery overlying scales on her elbows, knees,
and umbilicus. She reports this has been going on for about 2
years and tends to come and go. The mother reports her father
has psoriasis. The patient is not on any medications and she is
not currently treating her rash with anything. She has tried
various moisturizers in the past but has never had a prescription
to treat this. She weighs 130 pounds and has no allergies. You
, diagnose her with psoriasis with body surface area involvement
less than 10%. Which is the best option as first line therapy?
A. Ketoconazole (Nizoral) 2% cream
B. Clobetasol (Temovate) 0.05% ointment
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3
days, 10 mg x 3 days Correct Answers B
A 3-year-old-boy presents to clinic with his mother with honey-
colored crusted sores around his mouth and nose. The mother
states her son started attending daycare a couple of weeks ago
and noticed the sores starting to develop earlier this week.
Which highly contagious childhood illness do you suspect?
A. Impetigo
B. Varicella
C. Herpes Simplex
D. Molluscum contagiosum Correct Answers A
A 31 year old male presents to the clinic for c/o fever of 101,
nausea and vomiting, and decreased urine output for 3 days.
Patient reports he just finished penicillin for a bacterial
infection. On exam, the NP notices a maculopapular rash.
Urinalysis reveals pyuria and hematuria. The NP knows this to
be expected in:
A. Pyelonephritis
B. Acute Kidney Injury
C. Interstitial Nephritis
D. Glomerulonephritis Correct Answers C
13 year old Jessica presents to the Emergency Department with
her mother, stating that she cannot breathe, can't feel her fingers
and thinks she is having a panic attack. Vital signs are: T-98.9,
HR-115, RR-32, BP-136/90, O2-100% RA. ABG results were
pH 7.47, pCO2 25, HCO3 21. What is the likely cause for her
respiratory alkalosis?
A. Hypoventilation
B. Hyperventilation
C. Diarrhea
D. Hyperemesis Correct Answers B
A 1-month-old female presents to your clinic with her mother
for a well child check. The mother reports a bright red, rubbery
appearing bump that is located on her daughter's neck. She says
that it started out as a flat red area, but now it has grown and is
sticking out. This most likely represents which type of
birthmark:
a) Mongolian spot
b) Port-wine stain
c) Hemangioma
d) Melanocytic nevi Correct Answers C
A 12-year-old male patient presents to your clinic today with
mother who reports for the past week he has been expecting
muscle weakness, tingling all over his body that is worse in his
feet and hand and muscle spasms throughout the day. You
obtained a 12-lead ECG in the office which revealed peaked T
,waves and widening QRS. What electrolyte abnormality would
you suspect based on symptoms and ECG findings?
a. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypercalcemia Correct Answers B
A 13 y.o male with a medical history of intermittent asthma
presents to the clinic c/o of the following: symptoms that last 3
days/week, minor limitation in normal activity, and waking up at
least once/week for the past month. The pt. states he has been
using his PRN SABA at least once a day, 3 days during the
week. Keeping these symptoms in mind, what classification of
asthma severity should the NP recognize this as to best tailor
treatment?
a. Intermittent
b. Mild
c. Moderate
d. Severe Correct Answers B
A 16-year-old female presents to clinic accompanied by her
mother. She has a rash that appears as erythematous plaques
with thick, white, silvery overlying scales on her elbows, knees,
and umbilicus. She reports this has been going on for about 2
years and tends to come and go. The mother reports her father
has psoriasis. The patient is not on any medications and she is
not currently treating her rash with anything. She has tried
various moisturizers in the past but has never had a prescription
to treat this. She weighs 130 pounds and has no allergies. You
, diagnose her with psoriasis with body surface area involvement
less than 10%. Which is the best option as first line therapy?
A. Ketoconazole (Nizoral) 2% cream
B. Clobetasol (Temovate) 0.05% ointment
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3
days, 10 mg x 3 days Correct Answers B
A 3-year-old-boy presents to clinic with his mother with honey-
colored crusted sores around his mouth and nose. The mother
states her son started attending daycare a couple of weeks ago
and noticed the sores starting to develop earlier this week.
Which highly contagious childhood illness do you suspect?
A. Impetigo
B. Varicella
C. Herpes Simplex
D. Molluscum contagiosum Correct Answers A
A 31 year old male presents to the clinic for c/o fever of 101,
nausea and vomiting, and decreased urine output for 3 days.
Patient reports he just finished penicillin for a bacterial
infection. On exam, the NP notices a maculopapular rash.
Urinalysis reveals pyuria and hematuria. The NP knows this to
be expected in:
A. Pyelonephritis
B. Acute Kidney Injury
C. Interstitial Nephritis
D. Glomerulonephritis Correct Answers C
