(2025/2026) UPDATE|QUESTIONS &
ANSWERS|VERIFIED & REVISED|
GRADE A+
(NEW)!!!
Am5-year-
oldmchildmismhitminmthemfacemwithmambaseballmbatmandmismbroughtmtomthemclinicmbymamparent.mAnmex
ammrevealsmthreemavulsedmfrontmteeth.mRadiologicmstudiesmaremnegativemformfacialmfractures.mWh
atmismthemrecommendedmtreatment?m-
mCORRECTmANSWERSmRefermthemchildmtomthemdentistmimmediatelymformfurthermevaluation
Amchildmwhomwasmtreatedmwithmamoxicillinmandmthenmamoxicillin-
clavulanatemformacutemotitismmediamismseenmformfollow-
up.mThemprimarymcaremnursempractitionermnotesmdull-
graymtympanicmmembranesmwithmamvisiblemair-
fluidmlevel.mThemchildmismafebrilemandmwithoutmpain.mWhatmismthemnextmcoursemofmaction?m-
mCORRECTmANSWERSmMonitoringmearmfluidmlevelsmform3mmonths
Am13-year-
oldmwithmcerebralmpalsymreceivesmallmnutritionmviamgastrostomymtube.mWhatmwillmthemprimarymcar
emnursempractitionermrecommendmtompromotemdentalmhealthminmthismchild?m-
mCORRECTmANSWERSmDailymchlorhexidinemgluconate
Amprimarymcaremprovidermmaymsuspectmcataractmformationminmampatientmwithmwhichmfinding?m-
mCORRECTmANSWERSmAsymmetricmredmreflex
Ampatientmhasmchronicallymdrymeyes,msometimesmwithmamforeignmbodymsensation,mburning,mandmitc
hing.mAmSchirmermtestmismabnormal.mWhatmismthemsuspectedmcausemofmthismpatient'smsymptoms?m-
mCORRECTmANSWERSmAqueousmDeficiency
,Amteenmwhomhasmotitismexternamhasmseveremswellingmofmthemexternalmauditorymcanalmthatmpersists
mafterm2mdaysmofmtherapymwithmototopicalmantibiotic/corticosteroid mdrops.mWhatmismthemnextmstep
minmtreatmentmformthismchild?m-
mCORRECTmANSWERSmInsertmamwickmintomthemexternalmauditorymcanal
Ampatientmreportsmtoothmpainminmamlowermmolarmandmthemprovidermnotesmammobilemtoothmwithmer
ythemamandmedemamofmthemsurroundingmtissuesmwithoutmdischarge.mWhichmismtheminitialmcoursem
ofmactionmbymthemprovider?m-
mCORRECTmANSWERSmPrescribemamoxicillinmandmrefermtomamdentistminm2-3mdays
Anmelderlympatientmhasmampermanentmlossmofmthemsensemofmsmellmandmdiminishedmtaste.mWhatmwi
llmbemincludedminmteachingmthismpatientmaboutmmanagingmthesemsymptoms?m-
mCORRECTmANSWERSm1.mThemimportancemofminstallingmsmokemdetectors
2.mPuttingmdatesmonmfoodminmthemfridge
3.mEatingmregularmmealsmatmscheduledmtimes
Amtoddlermexhibitsmexotropiamofmthemrightmeyemduringmamcover-
uncovermscreen.mThemprimarymnursempractitionermwillmrefermtomampediatricmophthalmologistmtomin
itiatemwhichmtreatment?m-
mCORRECTmANSWERSmPatchingmofmthemunaffectedmeyemform2mhoursmeachmday
Anmadolescentmhasmlocalizedmbleedingmofmthemgumsmwhenmbrushingmthemteeth.mAnmexammofmthem
mouthmrevealsmthempresencemofmplaquemandmcalculusmonmthemteethmwhichmaremnotmloose.mWhatm
willmthemprimarymcaremnursempractitionermrecommend?m-
mCORRECTmANSWERSmConsistentlymbrushingmandmflossingmthemteethmtwicemdaily
Amprovidermismrecommendingmamcerumenolyticmformampatientmwhomhasmchronicmcerumenmbuildup
.mThemprovidermnotesmthatmthempatientmhasmdrymskinminmthemearmcanal.mWhichmpreparationmismFDA
mapprovedmformthismuse?m-mCORRECTmANSWERSmCarbamidemperoxide
, Amparentmasksmaboutmwaysmtompromotemdentalmhealthminmschool-
agedmchildrenmwhilemonmfamilymvacationmthatmaremconvenientmwhilemcampingmandmpicnicking.mW
hatmwillmthemprimarymcaremnursempractitionermrecommend?m-
mCORRECTmANSWERSmOfferingmgummcontainingmxylitolmaftermmeals
Ampatientmreportsmseveralmepisodesmofmacutemvertigo,msomemlastingmupmtomanmhourmwithmassociat
edmnauseamandmvomiting.mWhatmismpartmofmtheminitialmdiagnosticmworkupmformthismpatient?m-
mCORRECTmANSWERSmAudiogrammandmMRI
Amteenmwithmamhistorymofmotitismexternamasksmaboutmwaysmtompreventmthismcondition.mWhatmwillmt
hemprimarymcaremnursempractitionermrecommend?m-
mCORRECTmANSWERSmDryingmthemearmcanalmwithmamhairmdryer
Am7-month-
oldminfantmhasmhadmtwompriormacutemearminfectionsmandmismcurrentlymonmthem10thmdaymofmtherapy
mwithmamoxicillin-
clavulanatemaftermamfailedmcoursemofmamoxicillin.mThemprimarymcaremnursempractitionermnotesmma
rkermmiddlemearmeffusionmandmerythemamofmthemTM.mThemchildmismirritablemandmhasmamtemperatur
emofm99.8.mWhatmismthemnextmstepminmmanagementmofmthismchild'sminfection?m-
mCORRECTmANSWERSmRefermthemchildmtomanmotolayngologist
Ampatientmreportsmpainfulmswellingminmthemmouthmwithmincreasedmpainmatmmealtimes.mThemprovid
ermnotesmammassminmthemsalivarymglandmregion.mWhatmismthemlikelymcausemofmthesemsymptoms?m-
mCORRECTmANSWERSmSialolithiasis
Amchildmcomplainsmofmitchingminmbothmearsmandmismhavingmtroublemhearing.mThemprimarymcaremnur
sempractitionermnotesmperiauricularmedemamandmmarkedmswellingmofmthemexternalmauditorymcanal
mandmelicitsmseverempainmwhenmmanipulatingmthemexternalmearmstructures.mWhichmismanmappropri
atemintervention?m-mCORRECTmANSWERSmOrdermototopicalmantibiotic/corticosteroidmdrops
DuringmamwellmchildmassessmentmofmanmAfricanmAmericanminfant,mthemprimarymcaremnursempractiti
onermnotesmamdarkmred-brownmlightmreflexminmthemleftmeyemandmamslightlymbrighter,mred-