FNP-652 FINAL STUDY GUIDE QUESTIONS WITH
COMPLETE SOLUTIONS
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: (Select all that apply.)
The importance of installing smoke detectors
Putting dates on food in the fridge
Eating regular meals at scheduled times
An adolescent has localized bleeding of the gums when brushing
the teeth. An exam of the mouth reveals the presence of plaque
and calculus on the teeth which are not loose. What will the
primary care nurse practitioner recommend?
Consistently brushing and flossing the teeth twice daily
A patient reports painful swelling in the mouth with increased
pain at mealtimes. The provider notes a mass in the salivary
gland region. What is the likely cause of these symptoms?
Sialolithiasis
During a well child assessment of an African American infant,
the primary care nurse practitioner notes a dark red-brown light
,reflex in the left eye and a slightly brighter, red-orange light
reflex in the right eye. The nurse practitioner will:
Refer the infant to an opthalmologist
An 18-month-old child with no previous history of otitis media
awoke during the night with right ear pain. The primary care NP
notes an axillary temperature of 100.5 and an erythematous,
bulging TM. A tympanogram reveals a peak of +15-mm H2O.
What is the recommended treatment for this child?
An analgesic medication and watchful waiting
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
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
The primary care pediatric nurse practitioner is performing a
well-child examination on a 4-year-old child. The parent reports
that the child snores frequently, often awakens during the night,
and seems cranky during the day. What will the nurse
practitioner tell this parent?
Sleep disorders at this age can have long-term impacts on
learning.
COMPLETE SOLUTIONS
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: (Select all that apply.)
The importance of installing smoke detectors
Putting dates on food in the fridge
Eating regular meals at scheduled times
An adolescent has localized bleeding of the gums when brushing
the teeth. An exam of the mouth reveals the presence of plaque
and calculus on the teeth which are not loose. What will the
primary care nurse practitioner recommend?
Consistently brushing and flossing the teeth twice daily
A patient reports painful swelling in the mouth with increased
pain at mealtimes. The provider notes a mass in the salivary
gland region. What is the likely cause of these symptoms?
Sialolithiasis
During a well child assessment of an African American infant,
the primary care nurse practitioner notes a dark red-brown light
,reflex in the left eye and a slightly brighter, red-orange light
reflex in the right eye. The nurse practitioner will:
Refer the infant to an opthalmologist
An 18-month-old child with no previous history of otitis media
awoke during the night with right ear pain. The primary care NP
notes an axillary temperature of 100.5 and an erythematous,
bulging TM. A tympanogram reveals a peak of +15-mm H2O.
What is the recommended treatment for this child?
An analgesic medication and watchful waiting
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
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
The primary care pediatric nurse practitioner is performing a
well-child examination on a 4-year-old child. The parent reports
that the child snores frequently, often awakens during the night,
and seems cranky during the day. What will the nurse
practitioner tell this parent?
Sleep disorders at this age can have long-term impacts on
learning.
