FNP 652 FINAL EXAM REVIEW QUESTIONS
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54 year old female with fasting labs to discuss results. Patient requested lab work
cause she was more fatigued than normal. Findings are—hg 13 (n) hct 40 (n) plat
250 (n) Na 140 (n) K 3.8 (n) ch 100 (n) BUN 20 (n) creat .9 glucose 85, chol 180
LDL 100 HDL 45 trig 50, TSH 3.8, T4 1.8 T3 1.0. What is diagnosis?
subclinical hypothyroidism
Starting dose of lantus for 100 kilos.
10 units
Which of following med should be used with caution in a poorly controlled
diabetic
glucocorticoids
45 year old obese perimenopause female. Indigestion, flatulent, and pain that
radiates to right scapula, worse with high fat meal. What is diagnosis?
choliathiasis
68 yr old patient with bloating irritation and cramping diagnosis of ibs. What
criteria to meet IBS?
symptoms started at least 6 months ago
,2|Page
Fnp performs well child exam on 12 month who had repair of congenital heart
defect at 8 months. Child has normal exam, parent reports child not taking
medications. NP will contact cardiologist to discuss whether the child needs which
of the following medications?
Amoxicillin
5 yr old child who had repair of transposition of great artery is growing normally
and is asymptotic since surgery. NP notices mild sob with exertion, child
complains of dizziness. What will NP do?
Refer for a same day eval
Well check on school age child, they had complete repair of tetrology of fallot.
What is important in this child health maintenance regiment?
Cardiology clearance to play sports
Routine well child exam of 5 yr old. NP hears 2/6 harsh late systolic EF murmur at
upper left sternal border that transmits to both fields. Child has normal growth and
develop. Which murmur do you suspect?
Pulmonic stenosis
Adolescent female has repair of tet of fallot, lifetime cardiology is done to evaluate
all the long term complications except what?
,3|Page
chronic cyanosis
5 yr old with history of repaired congenital heart defect, has many dental cavities
with gingivitis and temp of 102 degrees. What do you do?
send to er
6 yr old has systolic pressure between 95-99th percentile for age and sex. Diastolic
90-95th percentile. High sys and diastolic. Childs bp is classified as what?
stage 1 hypertension
12 month old infant who had cardiopulmonary bypass with RBC and plasma
infusions during surgery at 8 months old. This child is being seen for 12 month
well child exam. Which vaccine may be administered at this visit?
Pcv13, pneumonia
Jnc 8 34 yr old African American male on a thiazide diuretic, bp still high 160/98.
What's next med?
calcium channel blocker
Young mom with 3 week old with excessive crying. Mom states no matter what I
do the child cries. I make sure all his needs are met but still crying happens 4 to 5
days a week and is worse in the afternoon. Nothing wrong with exam. What say to
mom?
, 4|Page
Provide reassurance to mother as well as acknowledge stress
54 yr old male with constipation. Has felt this way for years. 1 bm q 5 days. Small
hard rabbit pellets. Did have colonoscopy at age 50. What is plan of action for pt?
increase fluids and fiber in the diet
18 month old who has 1 day hx of intermittent cramping and abd pain and non
bilious vomiting. Child cries and draws their knees up then lethargic in between.
What does child have?
Intussusception
58 yr old male with poorly controlled HTN. Grade 1 hypertensive retinopathy. You
anticipate all the following will be present except what?
retinal hemorrhage
Pt is currently taking atenolol and clopidogrel. They start to have CP, what is
appropriate medication to give at beginning of chest pain?
Nitroglycerin
84 yr old pt with hf, patient comes to office with increased SOB, they are tachy
106 and an extra heartbeat sound heard in diastole. Extra heart sound represents?
S3
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