GRAND CANYON UNIVERSITY (GCU) FNP 652 ACTUAL 2024 MIDTERM EXAM (SPRING – SUMMER TERM) COMPLETE QUESTIONS AND ANSWERS GRADED A+

GRAND CANYON UNIVERSITY (GCU) FNP 652 ACTUAL 2024 MIDTERM EXAM (SPRING – SUMMER TERM) COMPLETE QUESTIONS AND ANSWERS GRADED A+ 1. A patient has chronically dry eyes sometimes with a foreign body sensation burning and itching a smear test is abnormal what is the suspected cause of this patient's symptoms based on this test finding? a. Aqueous deficiency b. Evaporative disorder c. poor eyelid closure d. Corneal abrasion 2. The parent of a toddler and a four week old infant tells the primary care pediatric nurse practitioner that the toddler has just been diagnosed with pertussis what will the nurse practitioner do to prevent disease transmission to the infant? a. Instruct the parent to limit contact between the toddler and the infant b. Prescribe erythromycin 10 milligrams/kilogram/dose 4 times daily for 14 days c. Order azithromycin 10mg/kg/day in a single dose daily for five days d. administered the initial diphtheria pertussis and tetanus vaccine 3. the primary care nurse practitioner is evaluating a school-aged child who after removal of a pituitary tumor has altered hypothalamic control over hunger and satiety. The child is morbidly obese and expresses feelings of depression because of the obesity what will the nurse practitioner recommend? a. Suggesting an after school exercise program to help with weight loss b. developing a system to reward compliance with a dietary regimen c. Restricting all access to food in the house and at school d. Using a food diary to track all calories and food intake 4. which thyroid stimulating hormone level indicates hyperthyroidism? a. 0.4 ulU/L b. 0.2 ulU/L c. 2.4 ulU/L d. 4.2 ulU/L 5. Who has had an episode of bronchiolitis asked the provider if the infant may have an influenza vaccine what will the provider tell this parent? a. The infant should have an influenza vaccine with a booster in one month b. The rest of the family and all close contacts should have the influenza vaccine c. The infant should have the live attenuated influenza vaccine d. The infant should be given prophylactic antiviral medications 6. an adolescent who has exercise induced asthma is one on the high school track team and has recently begun to practice daily during the school week. The adolescent uses 2 puffs of albuterol via a metered dose inhaler 20 minutes before exercise but reports decreased effectiveness since beginning daily practice. What will the primary care pediatric nurse practitioner do? a. Prescribe cromolyn sodium in addition to the albuterol b. Increase the albuterol to 4 puffs 20 minutes prior to exercise c. Order a daily inhaled corticosteroid medication d. Council the adolescent to decrease the number of practices each week 7. an adult develops A chronic cough with episodes of losing and shortness of breath. The provider performs chest radiography and other tests and rules out infection, upper respiratory, and gastroesophageal causes. Which test will the provider order initially to evaluate the possibility of asthma as the cause of these symptoms? a. Methacholine challenge test b. Spirometry c. Peak expiratory flow rate d. Allergy testing 8. after 14 days of treatment with amoxicillin 45 mg/kg/day for acute rhinosinusitis , a child continues to have mucopurulent nasal discharge along with induration, swelling, and erythema of both eyelids. What is the next course of treatment? a. Amoxicillin 80 mg/kg/day for 14 days b. Antibiotic ophthalmic drops for five to seven days c. Referral to a pediatric otolaryngologist d. amoxicillin clavulanate for 10 to 14 days 9. a previously healthy school aged child develops a cough and a low grade fever. The primary care pediatric nurse practitioner auscultates wheezes and all lung fiel