TEST BANK PEDIATRIC NURSE PRACTITIONER EXAM LATEST VERIFIED ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (RATIONALES) |ALREADY GRADED A+||BRAND NEW VERSION!!

TEST BANK PEDIATRIC NURSE PRACTITIONER EXAM LATEST VERIFIED ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (RATIONALES) |ALREADY GRADED A+||BRAND NEW VERSION!! A 17-year-old ballet student arrives at your clinic for treatment of amenorrhea of one year's duration. On physical exam, her weight is 70% of that expected for her age and height. When you bring this up, she replies that in fact she looks fat in her ballet outfit and is afraid of eating because she cannot afford to gain any more weight. Your next step is: A. Draw blood for a complete metabolic panel and complete blood count B. Refer her to a nutritionist C. Suggest she see a psychiatrist for weekly psychotherapy PEDIATRIC NURSE PRACTITIONER EXAM A+ TEST BANK 2 D. Admit her for psychiatric hospitalization – Correct Answer : A. Draw blood for a complete metabolic panel and complete blood count This patient suffers from anorexia nervosa. Patients who are under 75% of expected body weight warrant admission to a psychiatric facility, however it is necessary to draw labs rst to asses whether she is at risk for likethreatening conditions such as re-feeding syndrome which can be assessed by her potassium, phosphate and magnesium levels. A CBC is also helpful to asses for severe anemia. She will most likely need to be admitted. She would either be admitted to a medical hospital or a psychiatric hospital, depending on the facility. Some psychiatric hospitals will not admit her if she is at severe risk for re-feeding syndrome and therefore a psychiatric hospital will require labs before this decision is made. While a nutritionist, and psychotherapy, all may at some point play a role in her care, this ill patient requires hospitalization after her labs return. Bupropion is contraindicated in patients with eating disorders as it lowers the seizure threshold. A 16-year-old male arrives with his parents for a sports clearance physical. Which of the following cardiac conditions should unequivocally disqualify an athlete from sports participation? A. Carditis B. Hypertension C. Congenital heart disease D. Heart murmur – Correct Answer : A. Carditis PEDIATRIC NURSE PRACTITIONER EXAM A+ TEST BANK 3 Carditis is a cardiac condition that refrains participation; patients with carditis can suffer from sudden death with exertion. An 21 year old female comes to you for a physical prior to enlisting in the military. She has previously received 2 MMR and 2 varicella vaccines, as well as 3 hepatitis B and 2 hepatitis A vaccines. She received meningococcal conjugate and Td vaccines at age 11 and 2 HPV vaccines at age 15. You tell her she needs the following vaccines at this visit: A. 3rd HPV vaccine and Meningococcal vaccine B. Restart the HPV series today and return in 2 months for the 2nd dose and 4 months later for the 3rd dose C. Meningococcal conjugate, Tdap, and 3rd HPV D. Meningococcal conjugate, Td, and 3rd HPV – Correct Answer : C. Meningococcal conjugate, Tdap, and 3rd HPV 3rd HPV vaccine and a meningococcal booster are needed. Meningococcal vaccine is recommended at age 11 with a booster at age 16 -18 years of age. If college freshman did not receive this booster then this can be given up to age 21 for those college freshmen living in dorms. HPV vaccine is a 3 dose series over a period of 6 months however if a dose is missed there is no need to start the series over. Children 14 and younger require only two doses of the HPV vaccine rather than the previously recommended three shots. Waning immunity against tetanus and diphtheria is responsible for the recommendation for universal administration of Td boosters every 10 years. The United States Advisory Committee on Immunization Practices (ACIP) also recommends a single dose of a vaccine containing tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap; Adacel or Boostrix) 0.5 mL IM in place of Td for all adults aged 19 years and older who have not received Tdap previously to address waning immunity against pertussis. A 17-year-old ballet student arrives at your clinic for treatment of amenorrhea of one year's duration. On physical exam, her weight is 70% of that expected for her age and height. When you bring this up, she replies that in fact she looks fat in her ballet outfit and is afraid of eating because she cannot afford to gain any more weight. Your next step is: A. Draw blood for a complete metabolic panel and complete blood count B. Refer her to a nutritionist C. Suggest she see a psychiatrist for weekly psychotherapy PEDIATRIC NURSE PRACTITIONER EXAM A+ TEST BANK 2 D. Admit her for psychiatric hospitalization – Correct Answer : A. Draw blood for a complete metabolic panel and complete blood count This patient suffers from anorexia nervosa. Patients who are under 75% of expected body weight warrant admission to a psychiatric facility, however it is necessary to draw labs rst to asses whether she is at risk for likethreatening conditions such as re-feeding syndrome which can be assessed by her potassium, phosphate and magnesium levels. A CBC is also helpful to asses for severe anemia. She will most likely need to be admitted. She would either be admitted to a medical hospital or a psychiatric hospital, depending on the facility. Some psychiatric hospitals will not admit her if she is at severe risk for re-feeding syndrome and therefore a psychiatric hospital will require labs before this decision is made. While a nutritionist, and psychotherapy, all may at some point play a role in her care, this ill patient requires hospitalization after her labs return. Bupropion is contraindicated in patients with eating disorders as it lowers the seizure threshold. A 16-year-old male arrives with his parents for a sports clearance physical. Which of the following cardiac conditions should unequivocally disqualify an athlete from sports participation? A. Carditis B. Hypertension C. Congenital heart disease D. Heart murmur – Correct Answer : A. Carditis PEDIATRIC NURSE PRACTITIONER EXAM A+ TEST BANK 3 Carditis is a cardiac condition that refrains participation; patients with carditis can suffer from sudden death with exertion. An 21 year old female comes to you for a physical prior to enlisting in the military. She has previously received 2 MMR and 2 varicella vaccines, as well as 3 hepatitis B and 2 hepatitis A vaccines. She received meningococcal conjugate and Td vaccines at age 11 and 2 HPV vaccines at age 15. You tell her she needs the following vaccines at this visit: A. 3rd HPV vaccine and Meningococcal vaccine B. Restart the HPV series today and return in 2 months for the 2nd dose and 4 months later for the 3rd dose C. Meningococcal conjugate, Tdap, and 3rd HPV D. Meningococcal conjugate, Td, and 3rd HPV – Correct Answer : C. Meningococcal conjugate, Tdap, and 3rd HPV 3rd HPV vaccine and a meningococcal booster are needed. Meningococcal vaccine is recommended at age 11 with a booster at age 16 -18 years of age. If college freshman did not receive this booster then this can be given up to age 21 for those college freshmen living in dorms. HPV vaccine is a 3 dose series over a period of 6 months however if a dose is missed there is no need to start the series over. Children 14 and younger require only two doses of the HPV vaccine rather than the previously recommended three shots. Waning immunity against tetanus and diphtheria is responsible for the recommendation for universal administration of Td boosters every 10 years. The United States Advisory Committee on Immunization Practices (ACIP) also recommends a single dose of a vaccine containing tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap; Adacel or Boostrix) 0.5 mL IM in place of Td for all adults aged 19 years and older who have not received Tdap previously to address waning immunity against pertussis.