FNP CERTIFICATION Verified Instructor Notes for Exam Success

b A family nurse practitioner is assessing an 11-month-old African-American child who was brought in by his mother for concerns about swelling in both hands and both feet. On examination, the nurse practitioner finds tenderness and obvious swelling of the hands and feet. Vital signs, including temperature and blood pressure, are normal The most likely diagnosis is: a. osteomyelitis b. hand-foot-mouth disease c. glomerulonephritis d. sickle cell disease d (hand-foot syndrome) dactylitis due to sickle cell disease A 65-year-old woman complains of urinary incontinence. She is experiencing leakage of urine when she coughs, sneezes, or laughs. This form of urinary incontinence is called: a. stress incontinence b. urge incontinence c. overflow incontinence d. functional incontinence a A full-term newborn weighed 7 pounds, 9 ounces at birth. Three days after hospital discharge, the family nurse practitioner is seeing the baby for his first checkup. he now weighs 7 pounds, 4 ounces. This level of weight loss is: a. worrisome because it is below birth weight b Indicative of inadequate nutrition c. A sign of dehydration d. Normal at this age d Which of the following drugs is NOT associated with human teratogenicity? a. Valproic acid b. Warfarin c. Phenytoin d. Amoxicillin d Valproic acid - neural tube defects (spina bifida, meningocele) Phenytoin (Dilantin) - developmental defects (cleft palate, mental deficiency, cleft lip) Warfarin (Coumadin) - nasal deformities, brain abnormalities and stillbirth The family nurse practitioner is assessing an infant for indications of developmental hip dysplasia utilizing the Ortolani-Barlow maneuver. The maneuver begins by placing the infant on the back and includes the following steps: 1. Grasp the infant's knees with the thumbs over the inner thighs 2. Slowly abduct the infant's hips and observe for equal movement, resistance, or an abnormal "clunk" sound. 3. Flex the infant's knees and hips to 90 degrees