CMN 577 Final Fall 2022| 300 questions| with complete solutions

A 3-year-old presents to the office for a well child visit. While examining his oral cavity, the NP notices white spot lesions on the child's teeth. All the following are ways to prevent progression of these lesions except: A. Parents brushing the child's teeth twice per day B. Consumption of sugar containing beverages C. Chewing sugar free gum D. Using a pea sized amount of fluoridated toothpaste Correct Answer: Consumption of sugar containing beverages Your pediatric patient presents with complaint of watery, itchy, and red eyes. On exam you notice mucoid and stringy ocular discharge. The most likely diagnosis is ___? a. Bacterial conjunctivitis b. Corneal abrasion c. Allergic conjunctivitis d. Viral conjunctivitis Correct Answer: Allergic conjunctivitis Patients with bacterial conjunctivitis usually present with purulent ocular discharge. Patients with corneal abrasions or viral conjunctivitis usually present with watery ocular discharge. You diagnose an established 33yo female patient with benign essential tremor. What education about etiology and symptoms do you share that is NOT characteristic with benign essential tremor? A. May improve temporarily with alcohol intake B. Tremors are of the hands, head, or voice C. It may be an inherited condition D. Cranial nerves dysfunction is often involved Correct Answer: Cranial nerves dysfunction is often involved A young mother with a 3-week-old infant presents to your clinic with complaints of nipple tenderness and decreasing milk supply. She states that her infant has not gained any weight, and is fussy. You advise her to: A) Discontinue breast feeding immediately and begin formula feeding B) Continue exactly what she is doing; the baby is not expected to gain weight during the first month of life C) Take a break from breast feeding and try again in a week D) Encourage continuation of breast feeding and provide education regarding technique and duration of feedings Correct Answer: Encourage continuation of breast feeding and provide education regarding technique and duration of feedings A patient present to the clinic with well-defined borders of silvery scales on the elbows and scalp with redness and mild itching. The nurse practitioner knows that treatment includes all the following EXCEPT a. Vitamin D analog b. systemic corticosteroids c. phototherapy