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MN 580 Final Exam Graded A+
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MN 580 Final Exam Graded A+
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MN 580 Final Exam Graded A+10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin
point specific location. What type of pain is this? - ANS-Neuropathic pain
18 month old presents with rectal temperature of 100.4, acting normal. NP would
recommend: - ANS-Offering extra fluids and calling if symptoms change
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: - ANS-CT scan
2 month old in the office to receive immunization, having fevers after. What would the
NP recommend? - ANS-Ibuprofen and Tylenol as needed
2 week old presents with wide spitting, S2 expiration - ANS-Atrial septal defect
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: - ANS-
Chest x-ray
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18,
dehydrated and drinks breast milk, jaundice. Interventions? - ANS-Interventions: all of
the above (phototherapy, providing support, strict I/O)
5 year old female with a history of transposition of the great arteries has mild shortness
of breath and dizziness. What should the NP do? - ANS-Refer to cardiology ASAP
5 year old with a history of pertussis. What immunizations do they need prior to starting
kindergarten? - ANS-DTaP
A 10-day old child presents with multiple raised lesions resembling flea bites over the
trunk and nape of the neck. The infant is nursing well and has no fever or exposure to
animals. These lesions likely represent: - ANS-Erythema toxicum neonatorum
A 13-year-old Native American female has a BMI at the 90th percentile for age. The
primary care pediatric nurse practitioner notes the presence of a hyperpigmented
velvet-like rash in skin folds. The child denies polydipsia, polyphagia, and polyuria. -
, ANS-Counsel the child to lose weight to prevent type 2 diabetes. Diagnose type 2
diabetes if the child has a random glucose of 180 mg/dL.
Order a fasting blood sample for a metabolic screen for type 2 diabetes.
Refer the child to a pediatric endocrinologist.
A 14 year old male presents with acne consisting of 25 comedones and 20 inflammatory
lesions with no nodules. This patient can be classified as having: - ANS-Moderate ance
A 6 year old boy presents with a 1 day history of a fiery red, maculopapular facial rash
concentrated on the cheeks. He has had a mild headache and myalgia for the past
week. The most likely diagnosis is: - ANS-Fifth's disease
A 7 year old female presents with pubic and axillary hair without breast development.
What should the NP be concerned for? - ANS-PCOS
A healthy 3 month old presents to the office with a cough, bilateral crackles, decreased
appetite, grade III/VI low-pitched, holosystolic murmur - ANS-Ventrical septal defect
A patient presents with diarrhea with foul smelling odors, increase in flatulence,
abdominal distention, and 2 week lactose free trail fail. What should the NP do? - ANS-
Serologic testing got celia disease
A physiological murmur has which of the following characteristics? - ANS-Becomes
softer when the patient moves from supine to standing
A risk factor for mitral valve prolapse includes a history of: - ANS-Marfan syndrome
A Still murmur: - ANS-Has a humming or vibratory quality
An important part of the treatment of Kawasaki disease includes the use of: - ANS-
Immune globulin
Aortic stenosis in a 15 yom is: - ANS-A result of a congenital defect
At 3 weeks of age, the average-weight, formula-fed infant should be expected to take: -
ANS-2-3 oz every 3-4 hours
At which of the following ages should screening begin for a child who has significant risk
for lead poisoning? - ANS-1 year
Characteristics of onychomycosis include all of the following except: - ANS-It is readily
diagnosed by clinical examination
Cyclic vomiting may: - ANS-Not be associated with a headache
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