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You are conducting an interview ith a paitne. The patient describes a
number of symptoms she is experiencing. In the middle of descbibing her
symtpms, she jokinly says that, if the condition respobile for these
symptosm is something serious, then she does not want to know it.
Acceding to this patient requiest would be a violation of which of the
following eithical principles?
A. Fidelity
B. Veracity
C. Beneficence
D. Justice ---------CORRECT ANSWER-----------------B
Which of the folliwn grants the authority that is afforded to nurse
practiioners, including the use of titel, authorization for scope of practice,
prescitptice authority and disciplinary action?
A. scope of practice
B. American nurses association
C. state board of nruing
D. certiciation baords ---------CORRECT ANSWER-----------------C
Annie, age 11, presents with a threeday history of a red, wollen bump on
her left eyelid. Annies ays that her affected eye dells scratch, as if
something wer on it. An exam indicates that annie has light sensitivity in the
affected eye. Which of the following would most appropriately treat annies
condition?
A. cool compress to affected eyelid
B. ophthalmology referral
C. erythromycin administered orally
,D. surgical removal. ---------CORRECT ANSWER-----------------B
You are doing a well child chek on a 7 year old cuacaian boy. His
temperatue and other vital signs are normal, bu you not only as small
height gain since the last visit. The boy remains slightly shorter than his
peer group. His father mentions that the boy has been limping, and the
child tells you that he dells moderate pain in his knee and sometimes in his
goin. Further examination reveals limited passive internal rotation and
abduction of the hip join with mild guarding. His father cannot recall, nor do
you see, overt evidence of any recent trauma. Which of the following is the
most likely diagnosis?
A. Hass diseas
B. Osgood-Schlatter disease
B. Legg-calve-perthes disease
D. septic arthritis ---------CORRECT ANSWER-----------------C
A mother bring her 4 year old son to your clinic. She is concerened about
the blisters on his skin. Upon examination you fine erythema in the affected
areas. When you look at his immunization history, you see that he had a
vaccination four weeks ago and suspect that his rash is an adverse
response to the vaccination. Which of the folloiwng vaccinations did he
most likely last receive?
A. pneumococcal vaccine
B. influenza vaccine
C. varicella vaccine
D. Inactivated poliovirus vaccine ---------CORRECT ANSWER-----------------
C
A mother bring her infact for immuncations. trhe mother indicates that her 2
year old daugeter has diabetes. Her immunization schedule indicates that
her last vaccination was PCV13 vaccine when she was a year old. Which
of the following should her next vaccination?
,A. PCV 12
B. Rotavirus
C. 23PS
D. Hepatitis B ---------CORRECT ANSWER-----------------C
You are doing a well child check on a 9mnth old infant with down
syndrome. You eventually discuver tht he has a low hemoatocrit count. his
mother informs you hta he eats takes only goats milk because he has
trouble tolerating cowns milk formula. What test should you order intitially?
A. Radioallergosorbent testing
B. Serum ferritin
C. Endoscopy
D. Serum albumin ---------CORRECT ANSWER-----------------B
You are perfomring an eye exam on a 3 month old infant. WHen you test of
rthe red reflex, you find that it is replaced by a black spot. What does this
suggest to you/
A. No clear pathway from lens to retina
B. Retinoblastoma
C. congenital cataracts
D. Down syndrome ---------CORRECT ANSWER-----------------A
Kimberly, 15, has done from having may close friends at school to being
virtually friendless, She does not talk to anyone in the family about it. Her
school performance, once stellar, has also declined as she faces difficulty
organizing her homework assignments. Upon interview with the nurse
practitioner learns that Kimberly is aware of the changes but does not
belive it to be a problem. Ahe seems only concerned with a boy at school.
for whom she has stong feelings. Of these behavior which one is not
condisered a developmental warning sign?
, A. Apparent personality change
B. Poor adjustment to school
C. difficulty accepting failure
D. Withdrawal from friends and family ---------CORRECT ANSWER-----------
------B
You are folliwn up on a 12 year old sickle cell patient who has been
hospitalized for a pain crisis. the patients hisoty indicates four previous
hospitlzations this year for tother pain crises. His lab test indicate
hemoglobin is 9g/dL and a white blood cell coung of 10500. Which of the
following indicates the most appropriate treaemt for this patient?
A. Schedule monthly blood transfusion
B. Start the child on penicillin twice daily for one year
C. Meperidine
D. Refer to a hematologist to begin hydoxyurea ---------CORRECT
ANSWER-----------------D
You have just diagnosed a 2.5 year old girl with iron deficiency anemao.
The patients lab tests indicate that her hemoglobin is 10.9g/dl, hematocrit is
32% and serum ferritin is 25ug/L. The patietns retains much of her color
and has nroam breathing function. Which of the following si the most
approtpatie treatment optiun for this patient?
A. Blood transfusion
B. 3 to 6 mg/kg/day of elemental iron
C. 2 to mg/kg/day of elemental iron
D. Intravenous iron supplemtnatinon ---------CORRECT ANSWER-------------
----B
Which of thte follwin is not a reason which credientialing is necessary for
nurse practitioners?