Nursing5336 FNP Exam 3 2024 h h h h h
A hpatient hhas hrecurrent hcluster hheadaches hand hasks habout habortive htherapy.
hWhich h
h
therapy his heffective hfor ha hmajority hof hpatients hwith hcluster
hheadaches?
a. hLithium
h
b.
hNSAIDs
c.
hOxygen
h
h
h
d. hVerapamil h - h C.
hOxygen
h
A hpatient hreports hrecurrent hheadaches hoccurring h1 hor h2 htimes hper hmonth hthat
hgenerally hoccur hwith hweather hchanges hor hwhen hsleep hpatterns hare hdisrupted hand
hdescribes hthem has hsevere, hwith hthrobbing hon hone hside hof hthe hhead hand
hsometimes haccompanied hby hnausea. hWhat his hthe hrecommended htreatment hfor
hthis htype hof hheadache? h
a. Gabapentin h
b. Propranolol h
c. Rizatriptan h
d. Topiramate h- hc. hRizatriptan h
h
Which hmedication his hNOT huseful h in h treating h tension-type
hheadaches?
h
a.
hAntiemetics
h
b.
hLithium
h
c. hMuscle
hrelaxants
h
d. hNSAIDse. hOxygen h- hb.
hLithium
h
A hpatient hreports htwo hepisodes hof hvisual hdisturbances hand heye hpain hthat hlasted
h1 hto h2 h
h
days heach habout h2 hmonths hapart. hWhich hdiagnostic htesting hwill hthe hprovider
horder
h
initially?
h
a. hLumbar
hpuncture
h
b. hMagnetic hresonance
himaging
h
c. hOptical hCoherence
hTomography
, h
d. hVisual hevoked hpotential h- hb. hMagnetic hresonance
himaging
h
A hpatient hwith hParkinson's hdisease h(PD) hhas hbeen htaking hcarbidopa-levodopa
h(Sinemet) hwith hgood hresults hbut hdevelops hincreased hdyskinesia. hWhich hdrug
hwill hbe hadded hto hthis hpatient's hregimen hto hhelp hcontrol hthis hsymptom? ha.
hAmantadine h
b. Benztropine h
c. Ropinirole h
d. Tolcapone h- ha. hAmantadine h
h
All hof hthe hfollowing hare hcommon hsymptoms hseen hin hpatients hwith hParkinson's
hdisease hexcept: h
a. Bradykinesia h
b. Festination h
c. Hyperphonia h
d. Rigidity h
e. Symmetric htremor h- hc. hHyperphonia h
h
Which hdrug his hused hto htreat hpatients hwith hfocal hepilepsy hand hcomplex hpartial
hseizures? h
a. Carbamazepine h
b. Ethosuximide h
c. Lamotrigine h
d. Topiramate h- ha. hCarbamazepine h
h
A hpatient hdevelops ha hgait hdisorder hand hthe hpatient's hspouse hreports hnoticing
hrecent h
h
personality hchanges. hThe hprovider hsuspects ha hbrain hlesion. hWhich
hevaluation his
h
especially himportant hin hthe hinitial hphysical
hexamination?
h
a. hAssessment hof hperipheral
hreflexes
h
b. hEvaluation hof
hspeech
h
c. hExamination hof hthe hoptic
hfundi
h
d. hTesting hfor hmemory hloss h- hc. hExamination hof hthe hoptic
hfundi
h
A htoddler hhas hbegun hhitting hand hbiting hother hchildren hat ha hday hcare hcenter hand his
hexhibiting htemper htantrums hand hbad hlanguage hat hhome. hThe hparent hreports hthat
hthese hbehaviors hbegan hshortly hafter ha hsibling hwas hborn. hWhat hwill hthe hprimary
hcare hpediatric hnurse hpractitioner hdo? h
h h
A. Advise hthe hparent hthat hthe hchild his hexhibiting hearly hsymptoms hof hADHD. h
B. Engage hthe hparent hin hpositive hparenting hstrategies hto hfacilitate happropriate
hchild hcoping. h
C. Recommend hevaluating hthe hchild hfor hconduct hor hoppositional hdefiant hdisorder. h
,D. Suggest hputting hthe hchild hin hanother hday hcare hcenter hto hameliorate hthe
hproblems h- hB. hEngage hthe hparent hin hpositive hparenting hstrategies hto hfacilitate
happropriate hchild hcoping. h
h
A h14yearold hfemale hcomes hto hthe hclinic hwith hamenorrhea hfor h3 hmonths. hA
hpregnancy htest his hnegative. hThe hadolescent's hbody hweight his hat h82% hof hexpected
hfor hheight hand hage. hThe hmother hreports hthat hher hdaughter hoften hthrows hup hand
hrefuses hto heat hmost hfoods. hWhich hcondition hdoes hthe hprimary hcare hpediatric
hnurse hpractitioner hsuspect? h
A. Anorexia hnervosa h
B. Bulimia hnervosa h
C. Depression h
D. Substance habuse h- hA. hAnorexia hnervosa h
h
During ha hwell hchild hexamination hon ha h4monthold hinfant, hthe hprimary hcare
hpediatric hnurse hpractitioner hevaluates hmental hhealth hissues. hWhich hstatement
hby hthe hparent hindicates ha hpotential hproblem hwith hthe hparent hinfant
hrelationship? ha. h"I hcan hsense ha hdifference hin hmy hbaby's hcries." h
b. "I hlet hmy hbaby hcry ha hwhile hto hlearn hto hbe hpatient." h
c. "My hbaby hprefers hto hnurse hin ha hdarkened hroom." h
d. "My hbaby hseems hvery hsensitive hto hloud hnoises." h- hb. h"I hlet hmy hbaby hcry ha
hwhile hto hlearn hto hbe hpatient." h
h
The hprimary hcare hpediatric hnurse hpractitioner hattempts hto hlearn hmore habout
hthe h
emotional hhealth hof han h18monthold hchild hthrough hwhich hassessment
hstrategy?
h
a. Asking hthe hchild hto htell ha hstory husing hdolls hand hother hprops h
b. Asking hthe hchild hto hdraw ha hpicture hof hhim hor hherself hand hother hfamily
hmembers h
c. Interviewing hthe hchild hseparately hfrom hcaretakers hand hparents h
d. Observation hof hthe hchild hwith hcaretakers hin hstructured hand hunstructured
hsituations h- h
d. hObservation hof hthe hchild hwith hcaretakers hin hstructured hand hunstructured
hsituations h
h
The hparent hof ha h4 hyear hold hchild hreports hthat hthe hchild hseems hto hbe hhaving
htrouble hadjusting hto ha hnew hday hcare hand hreportedly his halways hengaging hin
hsolitary hplay hwhen hthe hparent harrives hto hpick hup hthe hchild. hWhat hwill hthe hprimary
hcare hpediatric hnurse hpractitioner hdo? h
h
a. Ask hthe hparent hif hthe hchild his hslow hto hwarm hup hto hother hnew hsituations. h
b. Reassure hthe hparent hthat hparallel hplay his hcommon hamong hpreschool hage
hchildren. h
c. Recommend hthat hthe hparent hspend htime hencouraging hthe hchild hto hplay hwith
hothers. h
d. Suggest hthat hthe hday hcare hcenter hmay hbe hneglecting hthe hchild. h- ha. hAsk hthe
hparent hif hthe hchild his hslow hto hwarm hup hto hother hnew hsituations. h
h
, The hparent hof ha hschool hage hchild hreports hthat hthe hchild hbecomes hfrustrated hwhen
hunable hto hperform htasks hwell hand hoften hhas htemper htantrums hand hdifficulty
hsleeping. hWhich hdisorder hmay hbe hconsidered hin hthis hchild? h
h
a. Generalized hanxiety hdisorder h(GAD) h
b. obsessive-compulsive hdisorder h(OCD) h
c. Pediatric hautoimmune hneuropsychiatric hdisorder hassociated hwith hstreptococcal
hinfection h(PANDAS) h
d. Separation hanxiety hdisorder h(SAD) h- ha. hGeneralized hanxiety hdisorder h(GAD) h
h
A hnewly hdivorced hmother hof ha htoddler hreports hthat hthe hchild hbegan hhaving
hdifficulty hsleeping hand hnightmares halong hwith hexhibiting hangry houtbursts hand
htantrums h2 hmonths hprior. hThe hprimary hcare hpediatric hnurse hpractitioner hlearns
hthat hthe hchild hrefuses hto hplay hwith husual hplaymates hand hoften hspends htime hsitting
hquietly. hWhat hwill hthe hnurse hpractitioner hdo hinitially? h
h
a. Ask hthe hmother habout hthe hchild's hrelationship hwith hthe hfather. h
b. Consult hwith ha hchild hpsychiatrist hto hprescribe hmedications. h
c. Recommend hcognitive hbehavioral hor hpsychodynamic htherapy. h
d. Refer hthe hfamily hto ha hchild hbehavioral hspecialist hfor hcounseling. h- ha. hAsk hthe
hmother habout hthe hchild's hrelationship hwith hthe hfather. h
h
An hadolescent his hdiagnosed hwith hmajor hdepression, hand hthe hmental hhealth
hspecialist h
h
has hprescribed hfluoxetine. hWhat hother htreatment his himportant hto hprotect
hagainst
h
suicide
hrisk?
h
h
a. hAddition hof hrisperidone
htherapy
h
b. hCognitive hbehavioral
htherapy
h
c. hFamily
htherapy
d. hHospitalization h- hb. hCognitive h behavioral
htherapy
h
A h13 hyear hold hchild hhas hexhibited hsymptoms hof hmild hdepression hfor hseveral
hweeks. hThe hparent hreports hfeeling hrelieved hthat hthe hsymptoms hhave hpassed hbut
hconcerned hthat hthe hchild hnow hseems hto hhave hboundless henergy hand han hinability
hto hsit hstill. hWhat hwill hthe hprimary hcare hpediatric hnurse hpractitioner hdo? h
h
A. Administer han hADHD hdiagnostic hscale hand hconsider han hADHD hmedication. h
B. Consult hwith ha hchild hpsychiatrist hto hprescribe han hantidepressant hmedication.
hC. hReassure hthe hparent hthat hthis hbehavior his hcommon hafter hmild hdepressive
hsymptoms h
D. hRefer hthe hchild hto ha hchild hpsychiatrist hfor hevaluation hof hbipolar hdisorder. h- hD.
hRefer hthe hchild hto ha hchild hpsychiatrist hfor hevaluation hof hbipolar hdisorder. h
h
A hpatient hhas hrecurrent hcluster hheadaches hand hasks habout habortive htherapy.
hWhich h
h
therapy his heffective hfor ha hmajority hof hpatients hwith hcluster
hheadaches?
a. hLithium
h
b.
hNSAIDs
c.
hOxygen
h
h
h
d. hVerapamil h - h C.
hOxygen
h
A hpatient hreports hrecurrent hheadaches hoccurring h1 hor h2 htimes hper hmonth hthat
hgenerally hoccur hwith hweather hchanges hor hwhen hsleep hpatterns hare hdisrupted hand
hdescribes hthem has hsevere, hwith hthrobbing hon hone hside hof hthe hhead hand
hsometimes haccompanied hby hnausea. hWhat his hthe hrecommended htreatment hfor
hthis htype hof hheadache? h
a. Gabapentin h
b. Propranolol h
c. Rizatriptan h
d. Topiramate h- hc. hRizatriptan h
h
Which hmedication his hNOT huseful h in h treating h tension-type
hheadaches?
h
a.
hAntiemetics
h
b.
hLithium
h
c. hMuscle
hrelaxants
h
d. hNSAIDse. hOxygen h- hb.
hLithium
h
A hpatient hreports htwo hepisodes hof hvisual hdisturbances hand heye hpain hthat hlasted
h1 hto h2 h
h
days heach habout h2 hmonths hapart. hWhich hdiagnostic htesting hwill hthe hprovider
horder
h
initially?
h
a. hLumbar
hpuncture
h
b. hMagnetic hresonance
himaging
h
c. hOptical hCoherence
hTomography
, h
d. hVisual hevoked hpotential h- hb. hMagnetic hresonance
himaging
h
A hpatient hwith hParkinson's hdisease h(PD) hhas hbeen htaking hcarbidopa-levodopa
h(Sinemet) hwith hgood hresults hbut hdevelops hincreased hdyskinesia. hWhich hdrug
hwill hbe hadded hto hthis hpatient's hregimen hto hhelp hcontrol hthis hsymptom? ha.
hAmantadine h
b. Benztropine h
c. Ropinirole h
d. Tolcapone h- ha. hAmantadine h
h
All hof hthe hfollowing hare hcommon hsymptoms hseen hin hpatients hwith hParkinson's
hdisease hexcept: h
a. Bradykinesia h
b. Festination h
c. Hyperphonia h
d. Rigidity h
e. Symmetric htremor h- hc. hHyperphonia h
h
Which hdrug his hused hto htreat hpatients hwith hfocal hepilepsy hand hcomplex hpartial
hseizures? h
a. Carbamazepine h
b. Ethosuximide h
c. Lamotrigine h
d. Topiramate h- ha. hCarbamazepine h
h
A hpatient hdevelops ha hgait hdisorder hand hthe hpatient's hspouse hreports hnoticing
hrecent h
h
personality hchanges. hThe hprovider hsuspects ha hbrain hlesion. hWhich
hevaluation his
h
especially himportant hin hthe hinitial hphysical
hexamination?
h
a. hAssessment hof hperipheral
hreflexes
h
b. hEvaluation hof
hspeech
h
c. hExamination hof hthe hoptic
hfundi
h
d. hTesting hfor hmemory hloss h- hc. hExamination hof hthe hoptic
hfundi
h
A htoddler hhas hbegun hhitting hand hbiting hother hchildren hat ha hday hcare hcenter hand his
hexhibiting htemper htantrums hand hbad hlanguage hat hhome. hThe hparent hreports hthat
hthese hbehaviors hbegan hshortly hafter ha hsibling hwas hborn. hWhat hwill hthe hprimary
hcare hpediatric hnurse hpractitioner hdo? h
h h
A. Advise hthe hparent hthat hthe hchild his hexhibiting hearly hsymptoms hof hADHD. h
B. Engage hthe hparent hin hpositive hparenting hstrategies hto hfacilitate happropriate
hchild hcoping. h
C. Recommend hevaluating hthe hchild hfor hconduct hor hoppositional hdefiant hdisorder. h
,D. Suggest hputting hthe hchild hin hanother hday hcare hcenter hto hameliorate hthe
hproblems h- hB. hEngage hthe hparent hin hpositive hparenting hstrategies hto hfacilitate
happropriate hchild hcoping. h
h
A h14yearold hfemale hcomes hto hthe hclinic hwith hamenorrhea hfor h3 hmonths. hA
hpregnancy htest his hnegative. hThe hadolescent's hbody hweight his hat h82% hof hexpected
hfor hheight hand hage. hThe hmother hreports hthat hher hdaughter hoften hthrows hup hand
hrefuses hto heat hmost hfoods. hWhich hcondition hdoes hthe hprimary hcare hpediatric
hnurse hpractitioner hsuspect? h
A. Anorexia hnervosa h
B. Bulimia hnervosa h
C. Depression h
D. Substance habuse h- hA. hAnorexia hnervosa h
h
During ha hwell hchild hexamination hon ha h4monthold hinfant, hthe hprimary hcare
hpediatric hnurse hpractitioner hevaluates hmental hhealth hissues. hWhich hstatement
hby hthe hparent hindicates ha hpotential hproblem hwith hthe hparent hinfant
hrelationship? ha. h"I hcan hsense ha hdifference hin hmy hbaby's hcries." h
b. "I hlet hmy hbaby hcry ha hwhile hto hlearn hto hbe hpatient." h
c. "My hbaby hprefers hto hnurse hin ha hdarkened hroom." h
d. "My hbaby hseems hvery hsensitive hto hloud hnoises." h- hb. h"I hlet hmy hbaby hcry ha
hwhile hto hlearn hto hbe hpatient." h
h
The hprimary hcare hpediatric hnurse hpractitioner hattempts hto hlearn hmore habout
hthe h
emotional hhealth hof han h18monthold hchild hthrough hwhich hassessment
hstrategy?
h
a. Asking hthe hchild hto htell ha hstory husing hdolls hand hother hprops h
b. Asking hthe hchild hto hdraw ha hpicture hof hhim hor hherself hand hother hfamily
hmembers h
c. Interviewing hthe hchild hseparately hfrom hcaretakers hand hparents h
d. Observation hof hthe hchild hwith hcaretakers hin hstructured hand hunstructured
hsituations h- h
d. hObservation hof hthe hchild hwith hcaretakers hin hstructured hand hunstructured
hsituations h
h
The hparent hof ha h4 hyear hold hchild hreports hthat hthe hchild hseems hto hbe hhaving
htrouble hadjusting hto ha hnew hday hcare hand hreportedly his halways hengaging hin
hsolitary hplay hwhen hthe hparent harrives hto hpick hup hthe hchild. hWhat hwill hthe hprimary
hcare hpediatric hnurse hpractitioner hdo? h
h
a. Ask hthe hparent hif hthe hchild his hslow hto hwarm hup hto hother hnew hsituations. h
b. Reassure hthe hparent hthat hparallel hplay his hcommon hamong hpreschool hage
hchildren. h
c. Recommend hthat hthe hparent hspend htime hencouraging hthe hchild hto hplay hwith
hothers. h
d. Suggest hthat hthe hday hcare hcenter hmay hbe hneglecting hthe hchild. h- ha. hAsk hthe
hparent hif hthe hchild his hslow hto hwarm hup hto hother hnew hsituations. h
h
, The hparent hof ha hschool hage hchild hreports hthat hthe hchild hbecomes hfrustrated hwhen
hunable hto hperform htasks hwell hand hoften hhas htemper htantrums hand hdifficulty
hsleeping. hWhich hdisorder hmay hbe hconsidered hin hthis hchild? h
h
a. Generalized hanxiety hdisorder h(GAD) h
b. obsessive-compulsive hdisorder h(OCD) h
c. Pediatric hautoimmune hneuropsychiatric hdisorder hassociated hwith hstreptococcal
hinfection h(PANDAS) h
d. Separation hanxiety hdisorder h(SAD) h- ha. hGeneralized hanxiety hdisorder h(GAD) h
h
A hnewly hdivorced hmother hof ha htoddler hreports hthat hthe hchild hbegan hhaving
hdifficulty hsleeping hand hnightmares halong hwith hexhibiting hangry houtbursts hand
htantrums h2 hmonths hprior. hThe hprimary hcare hpediatric hnurse hpractitioner hlearns
hthat hthe hchild hrefuses hto hplay hwith husual hplaymates hand hoften hspends htime hsitting
hquietly. hWhat hwill hthe hnurse hpractitioner hdo hinitially? h
h
a. Ask hthe hmother habout hthe hchild's hrelationship hwith hthe hfather. h
b. Consult hwith ha hchild hpsychiatrist hto hprescribe hmedications. h
c. Recommend hcognitive hbehavioral hor hpsychodynamic htherapy. h
d. Refer hthe hfamily hto ha hchild hbehavioral hspecialist hfor hcounseling. h- ha. hAsk hthe
hmother habout hthe hchild's hrelationship hwith hthe hfather. h
h
An hadolescent his hdiagnosed hwith hmajor hdepression, hand hthe hmental hhealth
hspecialist h
h
has hprescribed hfluoxetine. hWhat hother htreatment his himportant hto hprotect
hagainst
h
suicide
hrisk?
h
h
a. hAddition hof hrisperidone
htherapy
h
b. hCognitive hbehavioral
htherapy
h
c. hFamily
htherapy
d. hHospitalization h- hb. hCognitive h behavioral
htherapy
h
A h13 hyear hold hchild hhas hexhibited hsymptoms hof hmild hdepression hfor hseveral
hweeks. hThe hparent hreports hfeeling hrelieved hthat hthe hsymptoms hhave hpassed hbut
hconcerned hthat hthe hchild hnow hseems hto hhave hboundless henergy hand han hinability
hto hsit hstill. hWhat hwill hthe hprimary hcare hpediatric hnurse hpractitioner hdo? h
h
A. Administer han hADHD hdiagnostic hscale hand hconsider han hADHD hmedication. h
B. Consult hwith ha hchild hpsychiatrist hto hprescribe han hantidepressant hmedication.
hC. hReassure hthe hparent hthat hthis hbehavior his hcommon hafter hmild hdepressive
hsymptoms h
D. hRefer hthe hchild hto ha hchild hpsychiatrist hfor hevaluation hof hbipolar hdisorder. h- hD.
hRefer hthe hchild hto ha hchild hpsychiatrist hfor hevaluation hof hbipolar hdisorder. h
h