MN 580: Final Exam Latest
Updates 2024/2025
The most common reason for precocious puberty in girls is: ANS✔✔ Early
onset of normal puberty
When billing Medicaid, NPs get the authority to bill their services from:
ANS✔✔ 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: ANS✔✔ 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:
ANS✔✔ 24 hours
Hemoglobin A1c best provides information on glucose control over the past:
ANS✔✔ 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: ANS✔✔ 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: ANS✔✔ Chest x-ray
Aortic stenosis in a 15 yom is: ANS✔✔ A result of a congenital defect
Which of the following laboratory tests can identify the causative organism of
bronchiolitis? ANS✔✔ Nasal washing antigen test
A Still murmur: ANS✔✔ Has a humming or vibratory quality
A physiological murmur has which of the following characteristics? ANS✔✔
Becomes softer when the patient moves from supine to standing
Cyclic vomiting may: ANS✔✔ 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?
ANS✔✔ 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? ANS✔✔ 13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via
metered-dose inhaler. What information is important to give? ANS✔✔ Make
recommendations for disease mamagement
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