NUR 652 FINAL EXAM 2025 QUESTIONS
WITH CORRECT ANSWERS ALREADY
GRADED A+
A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation.
The provider notes that the patient appears confused and irritable and is sweating
and shaking. What intervention will the provider expect to perform once the POC
blood glucose is known?
Giving a rapid acting carbohydrate
A 15-year-old child has a recent history of increased thirst and frequent urination.
The child's weight has been in the 95th percentile for several years. A dipstick UA
is positive for glucose, and random plasma glucose is 350mg/dL. Which test will
the primary care NP order to determine the type of diabetes in this child?
Pancreatic antibodies
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate
thyroid nodules for potential malignancy, which test is performed?
Thyroid ultrasound
,The primary care NP diagnoses a 14-year-old child with T1DM after a routine
urine screen is positive for glucose and negative for ketones and plasma glucose is
350mg/dL. The child's weight is normal and the parents report a mild increase in
thirst and urine output in the past few days. Which course of action is correct?
Begin insulin and refer the child to a children's diabetes center
An initial key part of management of a child suspected of having an inborn error of
metabolism is
Consulting a metabolic specialist
The primary care NP is performing a well-child examination on a 5-year-old girl.
The parents ask if the child's adult height can be predicted. The NP learns that the
mother is 5'8" tall and the father is 5'11" tall. The NP will estimate which expected
adult height for this child?
5'7"
A patient with T2DM has a low-density lipoprotein (LDL) level of 110mg/dL.
What is recommended to manage this patient?
Prescription of a moderate or high intensity statin
,The primary care NP is performing a well child examination on a 13-year-old child
who was diagnosed with T1DM at age 9. The child had a lipid screen at age 10
with an LDL of <100mg/dL. What will the NP recommend as part of ongoing
management for this child?
Comprehensive ophthalmologic exam
Dietary changes should be recommended to parents at what age if
obesity/overweight
12 mos
Which recommendation is incorrect for six mos & older
Juice is consumed with breakfast
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic
by a parent. An exam reveals three avulsed front teeth. Radiologic studies are
negative for facial fractures. What is the recommended treatment?
Refer the child to the dentist immediately for further evaluation
, A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What
will the primary care nurse practitioner recommend to promote dental health in this
child?
Daily chlorhexidine gluconate
A teen who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops.
What is the next step in treatment for this child?
Insert a wick into the external auditory canal
An elderly patient has a permanent loss of the sense of smell and diminished taste.
What will be included in teaching this patient about managing these symptoms?
1. The importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The
primary nurse practitioner will refer to a pediatric ophthalmologist to initiate which
treatment?
Patching of the unaffected eye for 2 hours each day
WITH CORRECT ANSWERS ALREADY
GRADED A+
A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation.
The provider notes that the patient appears confused and irritable and is sweating
and shaking. What intervention will the provider expect to perform once the POC
blood glucose is known?
Giving a rapid acting carbohydrate
A 15-year-old child has a recent history of increased thirst and frequent urination.
The child's weight has been in the 95th percentile for several years. A dipstick UA
is positive for glucose, and random plasma glucose is 350mg/dL. Which test will
the primary care NP order to determine the type of diabetes in this child?
Pancreatic antibodies
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate
thyroid nodules for potential malignancy, which test is performed?
Thyroid ultrasound
,The primary care NP diagnoses a 14-year-old child with T1DM after a routine
urine screen is positive for glucose and negative for ketones and plasma glucose is
350mg/dL. The child's weight is normal and the parents report a mild increase in
thirst and urine output in the past few days. Which course of action is correct?
Begin insulin and refer the child to a children's diabetes center
An initial key part of management of a child suspected of having an inborn error of
metabolism is
Consulting a metabolic specialist
The primary care NP is performing a well-child examination on a 5-year-old girl.
The parents ask if the child's adult height can be predicted. The NP learns that the
mother is 5'8" tall and the father is 5'11" tall. The NP will estimate which expected
adult height for this child?
5'7"
A patient with T2DM has a low-density lipoprotein (LDL) level of 110mg/dL.
What is recommended to manage this patient?
Prescription of a moderate or high intensity statin
,The primary care NP is performing a well child examination on a 13-year-old child
who was diagnosed with T1DM at age 9. The child had a lipid screen at age 10
with an LDL of <100mg/dL. What will the NP recommend as part of ongoing
management for this child?
Comprehensive ophthalmologic exam
Dietary changes should be recommended to parents at what age if
obesity/overweight
12 mos
Which recommendation is incorrect for six mos & older
Juice is consumed with breakfast
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic
by a parent. An exam reveals three avulsed front teeth. Radiologic studies are
negative for facial fractures. What is the recommended treatment?
Refer the child to the dentist immediately for further evaluation
, A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What
will the primary care nurse practitioner recommend to promote dental health in this
child?
Daily chlorhexidine gluconate
A teen who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops.
What is the next step in treatment for this child?
Insert a wick into the external auditory canal
An elderly patient has a permanent loss of the sense of smell and diminished taste.
What will be included in teaching this patient about managing these symptoms?
1. The importance of installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover screen. The
primary nurse practitioner will refer to a pediatric ophthalmologist to initiate which
treatment?
Patching of the unaffected eye for 2 hours each day
