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MN 580: FINAL EXAM QUESTIONS AND ANSWERS
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MN 580: FINAL EXAM QUESTIONS AND ANSWERS
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MN 580: FINAL EXAM QUESTIONS AND ANSWERSThe most common reason for precocious puberty in girls is: - answer- Early onset of
normal puberty
When billing Medicaid, NPs get the authority to bill their services from: - answer- State
and federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed
doxycycline. He returns in 3 weeks, complaining that his skin is no better. Your next
action is to: - answer- Counsel him that 6-8 weeks of treatment is often needed before
significant improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - answer- 24
hours
Hemoglobin A1c best provides information on glucose control over the past: - answer-
21-47 days
18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the
past 48 hours. Physical examination reveals rebound tenderness and laboratory
analysis shows the presence of bandemia and a total WBC of 28,000. To support the
diagnosis of acute appendicitis with suspected appendiceal rupture, you consider
obtaining the following: - answer- CT scan
2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her
respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath
sounds are noted at the right lung base. Skin turgur and normal, and she is wearing a
wet diaper. She is alert, resisting the examination as age appropriate, and engages in
eye contact. Temperature is 38.3. Her diagnostic evaluation should include: - answer-
Chest x-ray
Aortic stenosis in a 15 yom is: - answer- A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of
bronchiolitis? - answer- Nasal washing antigen test
A Still murmur: - answer- Has a humming or vibratory quality
A physiological murmur has which of the following characteristics? - answer- Becomes
softer when the patient moves from supine to standing
Cyclic vomiting may: - answer- Not be associated with a headache
, 5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18,
dehydrated and drinks breast milk, jaundice. Interventions? - answer- Interventions: all
of the above (phototherapy, providing support, strict I/O)
Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output.
How much fluid would you give? - answer- 13 ml/kg/hour
The clinician anticipates that a child with mongolian spots will cry out because of
discomfort when the area is gently pressed or palpated. T/F - answer- False
The first line therapy for acne vulgaris with closed comedones includes: - answer- Oral
antibiotics
Kawasaki disease most commonly occurs in what age group? - answer- Younger than 5
At which of the following ages should screening begin for a child who has significant risk
for lead poisoning? - answer- 1 year
The following chromosomal syndrome is a common etiology of social and verbal
developmental delays in boys: - answer- Tay-Sachs disease
Characteristics of onychomycosis include all of the following except: - answer- It is
readily diagnosed by clinical examination
An important part of the treatment of Kawasaki disease includes the use of: - answer-
Immune globulin
In counseling a patient with scabies, the NP recommends all of the following methods to
eliminate the mite from bedclothes and other items except: - answer- Soak items in cold
water for at least 1 hour
You examine a newborn with a capillary hemangioma on her thigh. You advise her
parents that this lesion: - answer- Is likely to increase in size over the first year of life
Girls typically grow to their adult height by: - answer- Menarche/age 16
Of the following, the most common route of hepatitis A virus transmission is: - answer-
Fecal-oral route
Type 1 hypersensitivity reactions, such as atopic dermatitis, involve the action of which
antibodies binding to receptor sites on mast cells? - answer- IgE
Poststreptococcal glomerulonephritis typically occurs how long following a bacterial
pharyngitis infection? - answer- 10 days
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