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FNP 652 FINAL EXAM SPRING-SUMMER TERM GRAND CANYON UNIVERSITY (GCU) LATEST UPDATE A GRADE
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FNP 652 FINAL EXAM SPRING-SUMMER TERM GRAND CANYON UNIVERSITY (GCU) LATEST UPDATE A GRADE
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Page 1 of 34FNP 652 FINAL EXAM SPRING-SUMMER TERM GRAND
CANYON UNIVERSITY (GCU) LATEST UPDATE 2024-2025
A GRADE
The primary care NP is reviewing lab work and diabetes management with a school-aged child
whose HbA1C is 7.6% who reports usual blood sugars before meals as being 80-90mg/dL. The
NP will consult with the child's endocrinologist to consider which therapy? -
ANSWER✔✔Continuous glucose monitoring
The primary care NP notes a musty odor when examining a newborn at a 2-week checkup.
What will the NP suspect? - ANSWER✔✔Phenylketonuria
A patient who is obese has recurrent UTIs and reports feeling tired most of the time. What
initial diagnostic test will the provider order in the clinic at this visit? - ANSWER✔✔HbA1C
A patient who has diabetes has a blood pressure of 140/90 and albuminuria. Which initial action
by the primary care NP is indicated for management of this patient? - ANSWER✔✔Consulting
with a nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child with a history
of intrauterine growth retardation whose height remains less than the 3rd percentile on a WHO
growth chart. What will the NP do? - ANSWER✔✔Refer the child to a pediatric endocrinologist
, Page 2 of 34
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the primary care
NP notes vomiting, poor feeding, lethargy, and mild dehydration. Which action is correct? -
ANSWER✔✔Refer the infant to the ED for fluids, dextrose, and steroids
A patient with T2DM becomes insulin dependent after a year of therapy with oral diabetes
medication. When explaining this change in therapy, the provider will tell the patient: -
ANSWER✔✔This is because of the natural progression of the disease
A 16-year-old female whose BMI is at the 90th percentile reports irregular periods. The primary
care NP notes widespread acne on her face and back and an abnormal distribution of facial hair.
The NP will evaluate her further based on a suspicion of which diagnosis? - ANSWER✔✔PCOS
A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The provider
notes that the patient appears confused and irritable and is sweating and shaking. What
intervention will the provider expect to perform once the POC blood glucose is known? -
ANSWER✔✔Giving a rapid acting carbohydrate
A 15-year-old child has a recent history of increased thirst and frequent urination. The child's
weight has been in the 95th percentile for several years. A dipstick UA is positive for glucose,
and random plasma glucose is 350mg/dL. Which test will the primary care NP order to
determine the type of diabetes in this child? - ANSWER✔✔Pancreatic antibodies
, Page 3 of 34
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - ANSWER✔✔Thyroid ultrasound
The primary care NP diagnoses a 14-year-old child with T1DM after a routine urine screen is
positive for glucose and negative for ketones and plasma glucose is 350mg/dL. The child's
weight is normal and the parents report a mild increase in thirst and urine output in the past
few days. Which course of action is correct? - ANSWER✔✔Begin insulin and refer the child to a
children's diabetes center
An initial key part of management of a child suspected of having an inborn error of metabolism
is - ANSWER✔✔Consulting a metabolic specialist
The primary care NP is performing a well-child examination on a 5-year-old girl. The parents ask
if the child's adult height can be predicted. The NP learns that the mother is 5'8" tall and the
father is 5'11" tall. The NP will estimate which expected adult height for this child? -
ANSWER✔✔5'7"
A diabetic patient who is taking a statin drug to treat dyslipidemia has begun a diet and exercise
program. The patient reports new onset of muscle pain several weeks after beginning therapy.
What is the initial action of the provider? - ANSWER✔✔obtain a creatinine kinase level
, Page 4 of 34
The mother of a female infant is concerned that her daughter is developing breasts. The
primary care NP notes mild breast development but no pubic or axillary hair. What is the likely
diagnosis? - ANSWER✔✔Premature thelarche which will resolve over time
Which thyroid stimulating hormone (TSH) level indicates hyperthyroidism -
ANSWER✔✔0.2uIU/L
A patient with T2DM has a low-density lipoprotein (LDL) level of 110mg/dL. What is
recommended to manage this patient? - ANSWER✔✔Prescription of a moderate or high
intensity statin
The primary care NP performs a physical examination on a 9-month-old infant with congenital
hypothyroidism who takes daily levothyroxine sodium and notes a recent slowing of the infant's
growth rate. What will the NP order? - ANSWER✔✔Free serum T4 and TSH levels
A 6-year-old female has had a recent growth spurt and an exam reveals breast and pubic hair
development. Her bone age is determined to be 8 years. What will the NP do next? -
ANSWER✔✔Refer the child to a pediatric endocrinologist for management
The primary care NP is performing a well child examination on a 13-year-old child who was
diagnosed with T1DM at age 9. The child had a lipid screen at age 10 with an LDL of <100mg/dL.
What will the NP recommend as part of ongoing management for this child? -
ANSWER✔✔Comprehensive ophthalmologic exam
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