NR 652 FINAL EXAM QUESTIONS AND AND WELL DETAILED ANSWERS|LATEST 2025/2026|GUARANTEED A+|VERIFIED

NR 652 FINAL EXAM QUESTIONS AND AND
WELL DETAILED ANSWERS|LATEST
2025/2026|GUARANTEED A+|VERIFIED

The primary care nurse practitioner evaluates children's growth to screen for endocrine and m
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etabolic disorders. Which is a critical component of this screening? - ANSWER-
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Obtaining serial measurements to assess patterns over time.
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The primary care pediatric nurse practitioner is performing a well-child examination on a 4-
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year-
old child. The parent reports that the child snores frequently, often awakens during the night,
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and seems cranky during the day. What will the nurse practitioner tell this parent? - ANSWER-
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Sleep disorders at this age can have long-term impacts on learning.
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A previously healthy patient develops influenza which is confirmed by RT-
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PCR testing and begins taking an antiviral medication. The next day, the patient reports increa
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sed fever and cough without respiratory distress. The patient's lungs are clear and oxygen satu
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rations are 97% on room air. What will the provider recommend? - ANSWER-
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Symptomatic treatment with close follow up in clinic. B B B B B B B




A patient develops a dry, non-
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productive cough and is diagnosed with bronchitis. Several days later, the cough becomes pro
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ductive with mucoid sputum. What may be prescribed to help with symptoms? - ANSWER-
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Antitussive medication B




A patient who has HIV infection has a negative tuberculosis skin test with induration less than
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10 mm. The provider learns that the patient lives with a person who has active tuberculosis.
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What is the next step in managing this patient? - ANSWER-
B B B B B B B B B B Order a chest radiograph. B B B




A child complains of itching in both ears and is having trouble hearing. The primary care nurse
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practitioner notes periauricular edema and marked swelling of the external auditory canal an
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d elicits severe pain when manipulating the external ear structures. Which is an appropriate in
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tervention? - ANSWER- B B Order ototopical antibiotic/corticosteroid drops.
B B B




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Wicky

, A woman who is obese has a neck circumference of 16.5 cm. Which test is necessary to assess
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for complications of obesity in this patient based on this finding? - ANSWER-
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Polysomnography.



A 5-month old infant who has a 3-
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day history of cough and rhinorrhea has developed symptoms of respiratory distress with audi
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ble expiratory wheezes and increased coughing. The infant's immunizations are up-to-
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date. The physical exam reveals a respiratory rate of 50 breaths per minute, coarse expiratory
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wheezing, and prolonged expiration. An oxygen saturation is 96% on room air. What is the rec
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ommended treatment for this infant? - ANSWER- B B B B B B



a. Recommend increased fluids and close follow-up.
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Which patient would benefit from a polysomnography evaluation to assess a potential sleep d
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isorder? - ANSWER- B B a. A child with enlarged tonsils who has daytime sleepiness.
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A patient has a cough and fever and the provider auscultates rales in both lungs that do not cle
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ar with cough. The patient reports having a headache and sore throat prior to the onset of cou
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ghing. A chest radiograph shows patchy, nonhomogeneous infiltrates. Based on these findings
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, which organism is the most likely cause of this patient's pneumonia? - ANSWER-
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a. Mycoplasma
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After 14 days of treatment with amoxicillin 45 mg/kg/day for acute rhinosinusitis, a child conti
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nues to have mucopurulent nasal discharge along with induration, swelling, and erythema of
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both eyelids. What is the next course of treatment? - ANSWER-
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Referral to a pediatric otolaryngologist. B B B B




A patient who is obese has recurrent urinary tract infections and reports feeling tired most of t
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he time. What initial diagnostic test will the provider order in the clinic at this visit? - ANSWER-
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Hemoglobin A1C B




A patient complains of otalgia and difficulty hearing from one ear. The provider performs an ot
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oscopic exam and notes a dark brown mass in the lower portion of the external canal blocking
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the patient's tympanic membrane. What is the initial action? - ANSWER-
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Ask the patient about previous problems with that ear.
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Wicky