Test Bank for Nurse Practitioner's Business Practice and
g g g g g g g g
Legal Guide, 7th Edition by Carolyn Buppert, 978128420
g g g g g g g
8542, Covering Chapters 1-118 | Includes Rationales
g g g g g g
•
Thegconceptgofghealthgpromotiongconsistsgofgeffortsgtogpreventgrathergthangtogcuregdi
seasegorgdisability.gThisgdescriptiongbestgdescribes:
a.gtertiarygprevention
b.gsecondarygprevention
c.gprimarygprevention
d.gmorbiditygpreventiong-gANSWERgc
Standardsgforgwellgchildgcaregandghealthgpromotiongaregsetgforthgbygthe:
a.gTaskgForcegongPreventativegServices,gUSgDepartmentgofgHealthgandgHumangservi
ces
b.gAmericangAcademygofgFamilygPhysicians
c.gAmericangAcademygofgpediatrics
d.gHealthygPeopleg2010gandg2020g-gANSWERgc
Ag15gyogfemalegcomesgtogthegclinicgforgaghealthgmaintenancegvisit.gThegpatientgreport
sgnogcomplaints.gShegdoesgwellgingschool,ghasgmanygfriends,gandggetsgalonggwellgwit
hghergparentsgandgtwogsiblings.gSheghasgrecentlygbecomegsexuallygactivegwithghergb
oyfriendgofg6mo.gThegphysicalgexamgisgnormalgforghergage.gWhatgscreening,glabgtest
s,gand/orgimmunizationsgshouldgthegPNPgorder?
a.gVision,ghearing,gurinalysis,gSTDgscreen,gpelvicgexam,gandgimmunizationsgasgneed
ed
b.gSTDgscreen,gpneumococcalgvaccine,gpelvicgexam,gandgcholesterolgscreeninggasgi
ndicated
c.gvision,ghearing,gSTDgscreen,gpelvicgexam,gandghemoglobingifgindicated.
d.gMeaslesgvaccine,gvision,ghearing,gSTDgscreen,gpelvicgexamgexam,gandgcholestero
lgscreengifgindicated.g-gANSWERga
Whichgofgthegfollowinggisgthegbestgwrittengchiefgcomplaint?
a.g5yogasiangfemalegwithgitchygredgrash
b.g1gmogwithgdifficultygfeeding
c.g15yogafricangamericangfemalegcomplaininggofglowergabdominalgpaingforg3gdays
d.g12yogcaucasiangwithgitchygeyegforg1gweekg-gANSWERgc
Thegpastghistorygshouldginclude
a.gfamilyghistory
b.gsocialghx
c.gsymptomganalysis
d.ghospitalizationg-gANSWERgd
Thegfamilyghistorygshouldginclude:
a.gtheghealthgstatusgofgthegpaternalggrandparents
b.gtheglivinggconditionsgofgthegfamily
c.gthegworkgstatusgofgthegparents
,d.gschoolginformationg-gANSWERga
Whichgofgthegfollowinggstatementsgwouldgbegconsideredgsubjectivegdatagobtainedgfro
mgthegclientgduringgthegreviewgofgsystemsgforgthegskin?
a.gthegskingappearsgdryg&gexcoriated
b.gaglesiongisgnotedgongtheglateralgaspectgofgthegrightgleg
c.gtheregisgmoderategacnegongthegforeheadgandgback
d.gthegpatientgdeniesgchangesgingskingtextureg-gANSWERgd
ThegPNPgisgcompletinggthegROSgongag4mo.gWhatgresponsegfromgthegmothergmightgi
ndicategagcardiacgproblemgingtheginfantg&grequiregagmoregthoroughghistory?g
a.gthegbabyggetsgtheghiccupsgoften.
b.gitgtakesgthegbabygoverg30mingtogcompletegagbottle
c.gthegbaby'sgheartgseemsgtogbeatgrapidlygsometimes
d.gsometimesgthegbabygsoundsgcongestedg-gANSWERgb
ThegPNPgisgobtaininggagreviewgofgsystemsgongaghealthyg8yoggirl.gItgwouldgbegimporta
ntgtoginclude:
a.gthegdategofglastgbreastgself-exam.
b.ganyglimitationsgrelatedgtogsportsgparticipation.
c.gtheglastghematocritgandghemoglobin
d.gtheglastgleadgscreeng-gANSWERgb
Thegmothergofgag3yogstatesgthatghergsongwasgcompletelygtoiletgtrainedgatg18mo.gTheg
PNPgexploresgfurther,gasking:
a.ghowgthegmothergdidgthegtoiletgtraining
b.gifgthegchildgisgdrygatgnightgandgfullygtrainedgforgurinegandgstoolgdaygandgnight
c.gatgwhatgagegdidgthegmothergbegingtoiletgtraininggthegothergchild.
d.gifgthegchildggetsgupgatgnightgtogusegthegbathroomg-gANSWERgb
Jasmine,gag5-month-
oldginfantgisgingthegclinicgforgagwellgchildgvisitgandgisgsleepingginghergmother'sgarms.gW
hatgshouldgthegPNPgdogfirst?g
a.gExaminegthegears,gsincegthisgisguncomfortablegforgtheginfant.
b.gQuicklyggiveganygneededgimmunizations.
c.gBegingwithgassessmentgofgthegheadgandgproceedgfromgheadgtogtoe.
d.gauscultategthegheartg&glungsgwhilegtheginfantgisgsleeping.g-gANSWERgd
Thegmothergofgagnewborngbringsgthegbabygtogthegclinicgbecausegshegisgafraidgsometh
inggisgwronggwithghergbabyg("hisgheadgisgsogbig").gThegPNPgrespondsgthat:
a.g"thisgisgnormal.gThegheadgofgagnewborngisgproportionatelyglargegtogthegrestgofgtheg
body"
b.g"Yes,gthisgdoesgappeargabnormal.gIgwillgmakegangappointmentgforgthegbabygtogbegs
eengbygagneurologist."
d.g"yourgheadgappearsglargegsogitgisgprobablyggenetic."g-gANSWERga
Aghealthyg12yogfemalegisgatgthegclinicgforgagwellgcheckup.gOngphysicalgexamination,g
agmarkedgelevationgofgthegrightgscapulagandgrightgthoracicghumpgandgspinalgcurvegab
normallygaregnoted.gSpinalgfilmsgindicateg20gdegreegcurve.gThegPNPgshould:
a.grefergthegpatientgtogangorthopedist
,b.gmonitorgthegpatientgeveryg3gmoguntilgmenarche
c.grefergthegpatientgforgphysicalgtherapy
d.grecommendgbedrestgandgbackgbraceg-gANSWERga
Whatgisgtheg%gofgriskgangautosomalgdominantggenegisgbeinggpassedgongtogeachgoffs
pring?g
a.g25
b.g50
c.g100
d.gnoneg-gANSWERgb
Ag13yogfemalegisgatgthegclinicgforgagroutinegcheckgup.gWhatgpresentinggsymptomsgmi
ghtgalertgthegPNPgtogthegpresencegofgagpossibleggeneticgdisorder?
a.g<10%gonggrowthgchart,gTannergI,gandglearninggdifficulties
b.gPrecociousgpuberty,gdevelopmentalgdelays,ggiftedgpianogplayer
c.gLactosegintolerance,gfrequentgearginfections,gspeechgdelays
d.gPeanutgallergy,gright-sidedgweakness,gandgexhibitsgbullyinggbehaviorg-
gANSWERga
Thegparentsgofgagchildgwithgcysticgfibrosisgaregconsideringganothergpregnancy.gTheyg
wantgtogknowgwhatgtheirgchancesgaregofghavingganothergchildgwithgcysticgfibrosis.gTh
egPNPgexplainsgthatgcysticgfibrosisgisgangautosomalgrecessivegdisordergandgthatgeac
hgconceptiongofgcarriergparentsghasga:
a.g25%gchancegofgbeinggaffected
b.g50%gchancegofgbeinggaffected
c.g75%gchancegofgbeinggaffected
d.g100%gchancegofgbeinggaffectedg-gANSWERga
Thegparentsgofgagsongwithghemophiliagaregconsideringganothergpregnancy.gThegmoth
erghasgbeengidentifiedgasgagcarriergofgtheghemophiliaggene.gWhatgchancegdoesgeachg
femalegoffspringghavegofghavingghemophilia.g
a.g100%
b.g50%
c.g25%
d.gnoneg-gANSWERgd
AgmalegwithgVitamingD-
resistantgricketsgasksgwhatghisgchancesgaregofgpassingghisgdiseasegtoghisgparents.gT
hegPNPganswers:
a.gallgsonsgwillgbegaffectedgbygonlyg25%gdaughters
b.gallgdaughtersgaregaffectedgbygonlyg25%gsons
c.g50%gofgallgoffspringgwillghavegthegdisease
d.gallgdaughtersgwillgbegaffectedgbutgnogsons.g-gANSWERgd
ThegPNPgisgfollowinggag15-year-
oldgmalegadolescentgwithgconsistentgbloodgpressuregreadingsgofg132gtog138/84gtog86
gmmgHg,gwhichgisgclassifiedgasgsignificantghypertension.gAftergperforminggagworkup,gt
hegPNPgdeterminesgthatgthegadolescentghasgprimaryghypertension.gThegmostgjudicio
usgrecommendationgforgtherapygis:
A)gDietgandgexercisegcounselinggandgreferralgtogagspecialist
, B)gAgdiuretic,glow-saltgdiet,gexercise,gandgcounselinggbygagdietician
C)gPerformgangextensivegfamilyghistorygtogdeterminegothergriskgfactors
D)gAgvasodilator,grestrictedgactivity,gandgaglow-fatgdietg-gANSWERga
ThegPNPgisgexamininggagneonategwithgagheartgmurmur.gThegS2gsoundgisgloudestgatgt
hegapex.gThegrespiratorygrategisg65gbreathsgpergminute,gandgthegheartgrategisg180gbe
atsgpergminute.gWhichgofgthegfollowinggwouldgbegangappropriategactiongbygthegPNP?
A)gReevaluategthegneonateging24ghours
B)gIncreasegthegnumbergofgoralgfeedings
C)gOrdergcardiacgcatheterization
D)gRefergthegneonategtogagcardiologistg-gANSWERgd
Ag2-week-
oldgneonategisgbroughtgtogthegclinicgwithgexcessiveglacrimationgofgbothgeyes.gThegeye
sgaregclear,gwithgnogareasgofgredness,gbutgthegcorneasgappearghazy.gThegPNPgexplai
nsgtogthegparentsgthegpossiblegdiagnosisgandgtreatmentgasgfollows:
A)gCongenitalgglaucomagrequiringgangophthalmologygreferral
B)gCornealgforeigngbodygrequiringgfluoresceingstaininggandgremoval
C)gChalaziongrequiringgtreatmentgwithgantibioticgeyedrops
D)gAllergicgconjunctivitisgrequiringgtreatmentgwithgBenadrylgeyedropsg-gANSWERga
Ongexaminationgofgag3-month-
oldginfantgthegPNPgisgunablegtogelicitgagredgreflexgingthegrightgeye.gPreviousgexaminati
onsgfailedgtognotegthegpresencegorgabsencegofgagredgreflex.gThegPNP'sgresponsegisgt
o:
A)gReassuregthegparentsgthatgthisgisgnotgagproblemgbecausegtheginfantghasgdarkgeye
s
B)gNotegthisgfindinggingtheginfant'sgchartgandgcheckgagaingingagfewgmonths
C)gRefergtheginfantgtogangophthalmologistgtogrulegoutgretinalgtrauma
D)gImmediatelygrefergtheginfantgtogagpediatricgophthalmologistgtogrulegoutgagcongenita
lgcataractgorgretinoblastomag-gANSWERgd
Ag4-year-
oldgchildgwithgchickenpoxghasgvesiclesgongthegskingofgthegrightgeyelid.gThegchildgcom
plainsgofgeyegpaingandgblurredgvision.gThegPNPgshouldgtreatgthegconditiongby:
A)gApplyinggcoolgcompressesgtogthegeyegandglesions
B)gPrescribinggeyedropsgcontaininggsteroidsgtogdecreaseginflammationgandgpain
C)gPrescribinggpolyspoiumgophthalmicgointmentgforgthegsecondarygbacterialginfection
D)gImmediatelygreferringgthegchildgtogangophthalmologistg-gANSWERgd
Angadolescentgisgbeinggseengatgagcommunityghealthgcentergbecausegofgrecurrentgres
piratorygtractginfections.gThegcompletegbloodgcellgcountg(CBC)gwithgdifferentialgshows
gagwhitegbloodgcellgcountgofg20,500gwithg35%gblastgcells.gThegnextgstepgingmanagingg
thegadolescent'sgcaregisgto:
A)gRepeatgthegCBCgwithgdifferentialging1gweek
B)gRefergtogagspecialistgingpediatricghematology
C)gPerformgbonegmarrowgaspiration
D)gHospitalizegthegadolescentgimmediatelyg-gANSWERgb
g g g g g g g g
Legal Guide, 7th Edition by Carolyn Buppert, 978128420
g g g g g g g
8542, Covering Chapters 1-118 | Includes Rationales
g g g g g g
•
Thegconceptgofghealthgpromotiongconsistsgofgeffortsgtogpreventgrathergthangtogcuregdi
seasegorgdisability.gThisgdescriptiongbestgdescribes:
a.gtertiarygprevention
b.gsecondarygprevention
c.gprimarygprevention
d.gmorbiditygpreventiong-gANSWERgc
Standardsgforgwellgchildgcaregandghealthgpromotiongaregsetgforthgbygthe:
a.gTaskgForcegongPreventativegServices,gUSgDepartmentgofgHealthgandgHumangservi
ces
b.gAmericangAcademygofgFamilygPhysicians
c.gAmericangAcademygofgpediatrics
d.gHealthygPeopleg2010gandg2020g-gANSWERgc
Ag15gyogfemalegcomesgtogthegclinicgforgaghealthgmaintenancegvisit.gThegpatientgreport
sgnogcomplaints.gShegdoesgwellgingschool,ghasgmanygfriends,gandggetsgalonggwellgwit
hghergparentsgandgtwogsiblings.gSheghasgrecentlygbecomegsexuallygactivegwithghergb
oyfriendgofg6mo.gThegphysicalgexamgisgnormalgforghergage.gWhatgscreening,glabgtest
s,gand/orgimmunizationsgshouldgthegPNPgorder?
a.gVision,ghearing,gurinalysis,gSTDgscreen,gpelvicgexam,gandgimmunizationsgasgneed
ed
b.gSTDgscreen,gpneumococcalgvaccine,gpelvicgexam,gandgcholesterolgscreeninggasgi
ndicated
c.gvision,ghearing,gSTDgscreen,gpelvicgexam,gandghemoglobingifgindicated.
d.gMeaslesgvaccine,gvision,ghearing,gSTDgscreen,gpelvicgexamgexam,gandgcholestero
lgscreengifgindicated.g-gANSWERga
Whichgofgthegfollowinggisgthegbestgwrittengchiefgcomplaint?
a.g5yogasiangfemalegwithgitchygredgrash
b.g1gmogwithgdifficultygfeeding
c.g15yogafricangamericangfemalegcomplaininggofglowergabdominalgpaingforg3gdays
d.g12yogcaucasiangwithgitchygeyegforg1gweekg-gANSWERgc
Thegpastghistorygshouldginclude
a.gfamilyghistory
b.gsocialghx
c.gsymptomganalysis
d.ghospitalizationg-gANSWERgd
Thegfamilyghistorygshouldginclude:
a.gtheghealthgstatusgofgthegpaternalggrandparents
b.gtheglivinggconditionsgofgthegfamily
c.gthegworkgstatusgofgthegparents
,d.gschoolginformationg-gANSWERga
Whichgofgthegfollowinggstatementsgwouldgbegconsideredgsubjectivegdatagobtainedgfro
mgthegclientgduringgthegreviewgofgsystemsgforgthegskin?
a.gthegskingappearsgdryg&gexcoriated
b.gaglesiongisgnotedgongtheglateralgaspectgofgthegrightgleg
c.gtheregisgmoderategacnegongthegforeheadgandgback
d.gthegpatientgdeniesgchangesgingskingtextureg-gANSWERgd
ThegPNPgisgcompletinggthegROSgongag4mo.gWhatgresponsegfromgthegmothergmightgi
ndicategagcardiacgproblemgingtheginfantg&grequiregagmoregthoroughghistory?g
a.gthegbabyggetsgtheghiccupsgoften.
b.gitgtakesgthegbabygoverg30mingtogcompletegagbottle
c.gthegbaby'sgheartgseemsgtogbeatgrapidlygsometimes
d.gsometimesgthegbabygsoundsgcongestedg-gANSWERgb
ThegPNPgisgobtaininggagreviewgofgsystemsgongaghealthyg8yoggirl.gItgwouldgbegimporta
ntgtoginclude:
a.gthegdategofglastgbreastgself-exam.
b.ganyglimitationsgrelatedgtogsportsgparticipation.
c.gtheglastghematocritgandghemoglobin
d.gtheglastgleadgscreeng-gANSWERgb
Thegmothergofgag3yogstatesgthatghergsongwasgcompletelygtoiletgtrainedgatg18mo.gTheg
PNPgexploresgfurther,gasking:
a.ghowgthegmothergdidgthegtoiletgtraining
b.gifgthegchildgisgdrygatgnightgandgfullygtrainedgforgurinegandgstoolgdaygandgnight
c.gatgwhatgagegdidgthegmothergbegingtoiletgtraininggthegothergchild.
d.gifgthegchildggetsgupgatgnightgtogusegthegbathroomg-gANSWERgb
Jasmine,gag5-month-
oldginfantgisgingthegclinicgforgagwellgchildgvisitgandgisgsleepingginghergmother'sgarms.gW
hatgshouldgthegPNPgdogfirst?g
a.gExaminegthegears,gsincegthisgisguncomfortablegforgtheginfant.
b.gQuicklyggiveganygneededgimmunizations.
c.gBegingwithgassessmentgofgthegheadgandgproceedgfromgheadgtogtoe.
d.gauscultategthegheartg&glungsgwhilegtheginfantgisgsleeping.g-gANSWERgd
Thegmothergofgagnewborngbringsgthegbabygtogthegclinicgbecausegshegisgafraidgsometh
inggisgwronggwithghergbabyg("hisgheadgisgsogbig").gThegPNPgrespondsgthat:
a.g"thisgisgnormal.gThegheadgofgagnewborngisgproportionatelyglargegtogthegrestgofgtheg
body"
b.g"Yes,gthisgdoesgappeargabnormal.gIgwillgmakegangappointmentgforgthegbabygtogbegs
eengbygagneurologist."
d.g"yourgheadgappearsglargegsogitgisgprobablyggenetic."g-gANSWERga
Aghealthyg12yogfemalegisgatgthegclinicgforgagwellgcheckup.gOngphysicalgexamination,g
agmarkedgelevationgofgthegrightgscapulagandgrightgthoracicghumpgandgspinalgcurvegab
normallygaregnoted.gSpinalgfilmsgindicateg20gdegreegcurve.gThegPNPgshould:
a.grefergthegpatientgtogangorthopedist
,b.gmonitorgthegpatientgeveryg3gmoguntilgmenarche
c.grefergthegpatientgforgphysicalgtherapy
d.grecommendgbedrestgandgbackgbraceg-gANSWERga
Whatgisgtheg%gofgriskgangautosomalgdominantggenegisgbeinggpassedgongtogeachgoffs
pring?g
a.g25
b.g50
c.g100
d.gnoneg-gANSWERgb
Ag13yogfemalegisgatgthegclinicgforgagroutinegcheckgup.gWhatgpresentinggsymptomsgmi
ghtgalertgthegPNPgtogthegpresencegofgagpossibleggeneticgdisorder?
a.g<10%gonggrowthgchart,gTannergI,gandglearninggdifficulties
b.gPrecociousgpuberty,gdevelopmentalgdelays,ggiftedgpianogplayer
c.gLactosegintolerance,gfrequentgearginfections,gspeechgdelays
d.gPeanutgallergy,gright-sidedgweakness,gandgexhibitsgbullyinggbehaviorg-
gANSWERga
Thegparentsgofgagchildgwithgcysticgfibrosisgaregconsideringganothergpregnancy.gTheyg
wantgtogknowgwhatgtheirgchancesgaregofghavingganothergchildgwithgcysticgfibrosis.gTh
egPNPgexplainsgthatgcysticgfibrosisgisgangautosomalgrecessivegdisordergandgthatgeac
hgconceptiongofgcarriergparentsghasga:
a.g25%gchancegofgbeinggaffected
b.g50%gchancegofgbeinggaffected
c.g75%gchancegofgbeinggaffected
d.g100%gchancegofgbeinggaffectedg-gANSWERga
Thegparentsgofgagsongwithghemophiliagaregconsideringganothergpregnancy.gThegmoth
erghasgbeengidentifiedgasgagcarriergofgtheghemophiliaggene.gWhatgchancegdoesgeachg
femalegoffspringghavegofghavingghemophilia.g
a.g100%
b.g50%
c.g25%
d.gnoneg-gANSWERgd
AgmalegwithgVitamingD-
resistantgricketsgasksgwhatghisgchancesgaregofgpassingghisgdiseasegtoghisgparents.gT
hegPNPganswers:
a.gallgsonsgwillgbegaffectedgbygonlyg25%gdaughters
b.gallgdaughtersgaregaffectedgbygonlyg25%gsons
c.g50%gofgallgoffspringgwillghavegthegdisease
d.gallgdaughtersgwillgbegaffectedgbutgnogsons.g-gANSWERgd
ThegPNPgisgfollowinggag15-year-
oldgmalegadolescentgwithgconsistentgbloodgpressuregreadingsgofg132gtog138/84gtog86
gmmgHg,gwhichgisgclassifiedgasgsignificantghypertension.gAftergperforminggagworkup,gt
hegPNPgdeterminesgthatgthegadolescentghasgprimaryghypertension.gThegmostgjudicio
usgrecommendationgforgtherapygis:
A)gDietgandgexercisegcounselinggandgreferralgtogagspecialist
, B)gAgdiuretic,glow-saltgdiet,gexercise,gandgcounselinggbygagdietician
C)gPerformgangextensivegfamilyghistorygtogdeterminegothergriskgfactors
D)gAgvasodilator,grestrictedgactivity,gandgaglow-fatgdietg-gANSWERga
ThegPNPgisgexamininggagneonategwithgagheartgmurmur.gThegS2gsoundgisgloudestgatgt
hegapex.gThegrespiratorygrategisg65gbreathsgpergminute,gandgthegheartgrategisg180gbe
atsgpergminute.gWhichgofgthegfollowinggwouldgbegangappropriategactiongbygthegPNP?
A)gReevaluategthegneonateging24ghours
B)gIncreasegthegnumbergofgoralgfeedings
C)gOrdergcardiacgcatheterization
D)gRefergthegneonategtogagcardiologistg-gANSWERgd
Ag2-week-
oldgneonategisgbroughtgtogthegclinicgwithgexcessiveglacrimationgofgbothgeyes.gThegeye
sgaregclear,gwithgnogareasgofgredness,gbutgthegcorneasgappearghazy.gThegPNPgexplai
nsgtogthegparentsgthegpossiblegdiagnosisgandgtreatmentgasgfollows:
A)gCongenitalgglaucomagrequiringgangophthalmologygreferral
B)gCornealgforeigngbodygrequiringgfluoresceingstaininggandgremoval
C)gChalaziongrequiringgtreatmentgwithgantibioticgeyedrops
D)gAllergicgconjunctivitisgrequiringgtreatmentgwithgBenadrylgeyedropsg-gANSWERga
Ongexaminationgofgag3-month-
oldginfantgthegPNPgisgunablegtogelicitgagredgreflexgingthegrightgeye.gPreviousgexaminati
onsgfailedgtognotegthegpresencegorgabsencegofgagredgreflex.gThegPNP'sgresponsegisgt
o:
A)gReassuregthegparentsgthatgthisgisgnotgagproblemgbecausegtheginfantghasgdarkgeye
s
B)gNotegthisgfindinggingtheginfant'sgchartgandgcheckgagaingingagfewgmonths
C)gRefergtheginfantgtogangophthalmologistgtogrulegoutgretinalgtrauma
D)gImmediatelygrefergtheginfantgtogagpediatricgophthalmologistgtogrulegoutgagcongenita
lgcataractgorgretinoblastomag-gANSWERgd
Ag4-year-
oldgchildgwithgchickenpoxghasgvesiclesgongthegskingofgthegrightgeyelid.gThegchildgcom
plainsgofgeyegpaingandgblurredgvision.gThegPNPgshouldgtreatgthegconditiongby:
A)gApplyinggcoolgcompressesgtogthegeyegandglesions
B)gPrescribinggeyedropsgcontaininggsteroidsgtogdecreaseginflammationgandgpain
C)gPrescribinggpolyspoiumgophthalmicgointmentgforgthegsecondarygbacterialginfection
D)gImmediatelygreferringgthegchildgtogangophthalmologistg-gANSWERgd
Angadolescentgisgbeinggseengatgagcommunityghealthgcentergbecausegofgrecurrentgres
piratorygtractginfections.gThegcompletegbloodgcellgcountg(CBC)gwithgdifferentialgshows
gagwhitegbloodgcellgcountgofg20,500gwithg35%gblastgcells.gThegnextgstepgingmanagingg
thegadolescent'sgcaregisgto:
A)gRepeatgthegCBCgwithgdifferentialging1gweek
B)gRefergtogagspecialistgingpediatricghematology
C)gPerformgbonegmarrowgaspiration
D)gHospitalizegthegadolescentgimmediatelyg-gANSWERgb
