MN 580: Final Exam Test Questions and Answers Rated A
The most common reason for precocious puberty Temperature is 38.3. Her diagnostic evaluation
in girls is: - -Early onset of normal puberty should include: - -Chest x-ray
When billing Medicaid, NPs get the authority to Aortic stenosis in a 15 yom is: - -A result of
bill their services from: - -State and federal a congenital defect
law
Which of the following laboratory tests can
You have initiated therapy for an 18 yom with identify the causative organism of bronchiolitis? -
acne vulgaris and have prescribed doxycycline. -Nasal washing antigen test
He returns in 3 weeks, complaining that his skin
is no better. Your next action is to: - -
Counsel him that 6-8 weeks of treatment is often A Still murmur: - -Has a humming or
needed before significant improvement is vibratory quality
achieved
A physiological murmur has which of the
For a Grade I ankle sprain, weight-bearing following characteristics? - -Becomes
should be avoided for at least: - -24 hours softer when the patient moves from supine to
standing
Hemoglobin A1c best provides information on
glucose control over the past: - -21-47 Cyclic vomiting may: - -Not be associated
days with a headache
18 yom presents with periumbilical pain, 5 day old infant, jaundice, sunken anterior
vomiting, and abdominal cramping over the past fontanel, difficulty latching, bilirubin 18,
48 hours. Physical examination reveals rebound dehydrated and drinks breast milk, jaundice.
tenderness and laboratory analysis shows the Interventions? - -Interventions: all of the
presence of bandemia and a total WBC of above (phototherapy, providing support, strict
28,000. To support the diagnosis of acute I/O)
appendicitis with suspected appendiceal rupture,
you consider obtaining the following: - -CT
scan Infant with dehydration. Weight 6kg, watching
I/O, adequate hydration, urinary output. How
much fluid would you give? - -13
2 yof presents with a 3-day history of fever, ml/kg/hour
crankiness, and congested cough. Her
respiratory rate is more than 50% of the upper
limits of normal for age. Tubular breath sounds PCP diagnosed 5 year old with asthma.
are noted at the right lung base. Skin turgur and Prescribes PO steroid and SABA via metered-
normal, and she is wearing a wet diaper. She is dose inhaler. What information is important to
alert, resisting the examination as age
give? - -Make recommendations for
appropriate, and engages in eye contact.
1/5
, MN 580: Final Exam Test Questions and Answers Rated A
disease mamagement
Down Syndrome 18x greater in what population
than that of the general population? - -
18 month old presents with rectal temperature of Leukemia
100.4, acting normal. NP would recommend: -
-Offering extra fluids and calling if
symptoms change Down syndrome spinal cord changes? - -
All of the above
10 year old child with shooting pain in both legs,
aching, tingling, burning, unable to pin point Patient presents with chronic otitis media,
specific location. What type of pain is this? - profuse purulent otorrhea, pearly white lesion on
-Neuropathic pain one tympanic membrane - -Cholestatoma
Parent concerned about vaccine reaction. What 2 week old presents with wide spitting, S2
should NP tell them? - -MMR may be expiration - -Atrial septal defect
linked to febrile seizures in immunocompromised
children
New grade II vibratory, midsystolic murmur,
louder when patient is supine - -Stills
2 month old in the office to receive immunization, murmur
having fevers after. What would the NP
recommend? - -Ibuprofen and Tylenol as
needed Harsh, blowing, grade IV/VI murmur at 6 month
old. What should the NP do? - -Refer to
cardiology
PCP has an 18 month old patient who received
MMR 2 days prior to 1st birthday. What should
the NP do? - -Recommend next dose of What should the NP prescribe for a 12 month old
MMR at 4-5 years who had a heart defect at 8 months? - -
Amoxicillin
5 year old with a history of pertussis. What
immunizations do they need prior to starting A healthy 3 month old presents to the office with
kindergarten? - -DTaP a cough, bilateral crackles, decreased appetite,
grade III/VI low-pitched, holosystolic murmur -
-Ventrical septal defect
Trelarche stage in females? - -All of the
above (pubic hair, breast tissue, 1st period)
5 year old female with a history of transposition of
the great arteries has mild shortness of breath
How often should thyroid studies be performed? - and dizziness. What should the NP do? - -
-Yearly Refer to cardiology ASAP
2/5
The most common reason for precocious puberty Temperature is 38.3. Her diagnostic evaluation
in girls is: - -Early onset of normal puberty should include: - -Chest x-ray
When billing Medicaid, NPs get the authority to Aortic stenosis in a 15 yom is: - -A result of
bill their services from: - -State and federal a congenital defect
law
Which of the following laboratory tests can
You have initiated therapy for an 18 yom with identify the causative organism of bronchiolitis? -
acne vulgaris and have prescribed doxycycline. -Nasal washing antigen test
He returns in 3 weeks, complaining that his skin
is no better. Your next action is to: - -
Counsel him that 6-8 weeks of treatment is often A Still murmur: - -Has a humming or
needed before significant improvement is vibratory quality
achieved
A physiological murmur has which of the
For a Grade I ankle sprain, weight-bearing following characteristics? - -Becomes
should be avoided for at least: - -24 hours softer when the patient moves from supine to
standing
Hemoglobin A1c best provides information on
glucose control over the past: - -21-47 Cyclic vomiting may: - -Not be associated
days with a headache
18 yom presents with periumbilical pain, 5 day old infant, jaundice, sunken anterior
vomiting, and abdominal cramping over the past fontanel, difficulty latching, bilirubin 18,
48 hours. Physical examination reveals rebound dehydrated and drinks breast milk, jaundice.
tenderness and laboratory analysis shows the Interventions? - -Interventions: all of the
presence of bandemia and a total WBC of above (phototherapy, providing support, strict
28,000. To support the diagnosis of acute I/O)
appendicitis with suspected appendiceal rupture,
you consider obtaining the following: - -CT
scan Infant with dehydration. Weight 6kg, watching
I/O, adequate hydration, urinary output. How
much fluid would you give? - -13
2 yof presents with a 3-day history of fever, ml/kg/hour
crankiness, and congested cough. Her
respiratory rate is more than 50% of the upper
limits of normal for age. Tubular breath sounds PCP diagnosed 5 year old with asthma.
are noted at the right lung base. Skin turgur and Prescribes PO steroid and SABA via metered-
normal, and she is wearing a wet diaper. She is dose inhaler. What information is important to
alert, resisting the examination as age
give? - -Make recommendations for
appropriate, and engages in eye contact.
1/5
, MN 580: Final Exam Test Questions and Answers Rated A
disease mamagement
Down Syndrome 18x greater in what population
than that of the general population? - -
18 month old presents with rectal temperature of Leukemia
100.4, acting normal. NP would recommend: -
-Offering extra fluids and calling if
symptoms change Down syndrome spinal cord changes? - -
All of the above
10 year old child with shooting pain in both legs,
aching, tingling, burning, unable to pin point Patient presents with chronic otitis media,
specific location. What type of pain is this? - profuse purulent otorrhea, pearly white lesion on
-Neuropathic pain one tympanic membrane - -Cholestatoma
Parent concerned about vaccine reaction. What 2 week old presents with wide spitting, S2
should NP tell them? - -MMR may be expiration - -Atrial septal defect
linked to febrile seizures in immunocompromised
children
New grade II vibratory, midsystolic murmur,
louder when patient is supine - -Stills
2 month old in the office to receive immunization, murmur
having fevers after. What would the NP
recommend? - -Ibuprofen and Tylenol as
needed Harsh, blowing, grade IV/VI murmur at 6 month
old. What should the NP do? - -Refer to
cardiology
PCP has an 18 month old patient who received
MMR 2 days prior to 1st birthday. What should
the NP do? - -Recommend next dose of What should the NP prescribe for a 12 month old
MMR at 4-5 years who had a heart defect at 8 months? - -
Amoxicillin
5 year old with a history of pertussis. What
immunizations do they need prior to starting A healthy 3 month old presents to the office with
kindergarten? - -DTaP a cough, bilateral crackles, decreased appetite,
grade III/VI low-pitched, holosystolic murmur -
-Ventrical septal defect
Trelarche stage in females? - -All of the
above (pubic hair, breast tissue, 1st period)
5 year old female with a history of transposition of
the great arteries has mild shortness of breath
How often should thyroid studies be performed? - and dizziness. What should the NP do? - -
-Yearly Refer to cardiology ASAP
2/5
