FNP 652 FINAL EXAM 2024 GRADED A+ SPRING-SUMMER TERM LATEST GRAND CANYON UNIVERSITY (GCU)
1. A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a parent. An exam reveals three avulsed front teeth. Radiologic studies are negative for facial fractures. What is ...
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FNP 652 Family Primary Care I GRAND CANYON UNIVERSITY FNP 652 FINAL EXAM 2024 GRADED A+ SPRING -SUMMER TERM LATEST GRAND CANYON UNIVERSITY (GCU) 1. A 5-year -old child is hit in the face with a baseball bat and is brought to the clinic by a parent. An exam reveals three avulsed front teeth. Radiologic studies are negat ive for facial fractures. What is the recommended treatment? Refer the child to the dentist immediately for further evaluation 2. A child who was treated with amoxicillin and then amoxicillin -clavulanate for acute otitis media is seen for follow -up. The pri mary care nurse practitioner notes dull -gray tympanic membranes with a visible air -fluid level. The child is afebrile and without pain. What is the next course of action? Monitoring ear fluid levels for 3 months 3. A 13 -year -old with cerebral palsy receives all nutrition via gastrostomy tube. What will the primary care nurse prac titioner recommend to promote dental health in this child? Daily chlorhexidine gluconate 4. A primary care provider may suspect cataract formation in a patient with which finding? Asymmetric red reflex 5. A patient has chronically dry eyes, sometimes with a foreign body sensation, burning, and itching. A Schirmer test is abnormal. What is the suspected cause of this patient's symptoms? Aqueous Deficiency 6. A teen who has otitis externa has severe swelling of the external auditory canal that persists after 2 d ays of therapy with ototopical antibiotic/corticosteroid drops. What is the next step in treatment for this child? FNP 652 Family Primary Care I GRAND CANYON UNIVERSITY Insert a wick into the external auditory canal 7. A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with erythema and edema of the surrounding tissues without discharge. Which is the initial course of action by the provider? Prescribe amoxicillin and refer to a dentist in 2-3 days 8. An elderly patient has a permanent loss of the sense of smell and diminished taste. What will be included in teaching this patient about managing these symptoms? 1. The importance of installing smoke detectors 2. Putting dates on food in the fr idge 3. Eating regular meals at scheduled times 9. A toddler exhibits exotropia of the right eye during a cover -uncover screen. The primary nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment? Patching of the unaffected eye for 2 hours each day 10. An adolescent has localized bleeding of the gums when brushing the teeth. An exam of the mouth reveals the presence of plaque and calculus on the teeth which are not loose. What will the primary care nurse practitioner recommend? Consistently brushing and flossing the teeth twice daily 11. A provider is recommending a cerumenolytic for a patient who has chronic cerumen buildup. The provider notes that the patient has dry skin in the ear canal. Which preparation is FDA approved for t his use? Carbamide peroxide FNP 652 Family Primary Care I GRAND CANYON UNIVERSITY 12. A parent asks about ways to promote dental health in school -aged children while on family vacation that are convenient while camping and picnicking. What will the primary care nurse practitioner recommend? Offering gum contain ing xylitol after meals 13. A patient reports several episodes of acute vertigo, some lasting up to an hour with associated nausea and vomiting. What is part of the initial diagnostic workup for this patient? Audiogram and MRI 14. A teen with a history of otitis externa asks about ways to prevent this condition. What will the primary care nurse practitioner recommend? Drying the ear canal with a hair dryer 15. A 7-month -old infant has had two prior acute ear infections and is currentl y on the 10th day of therapy with amoxicillin -clavulanate after a failed course of amoxicillin. The primary care nurse practitioner notes marker middle ear effusion and erythema of the TM. The child is irritable and has a temperature of 99.8. What is the n ext step in management of this child's infection? Refer the child to an otolayngologist 16. A patient reports painful swelling in the mouth with increased pain at mealtimes. The provider notes a mass in the salivary gland region. What is the likely cause of these symptoms? Sialolithiasis 17. A child complains of itching in both ears and is having trouble hearing. The primary care nurse practitioner notes periauricular edema and marked swelling of the external auditory canal and elicits severe pain when manipula ting the external ear structures. Which is an appropriate intervention? FNP 652 Family Primary Care I GRAND CANYON UNIVERSITY Order ototopical antibiotic/corticosteroid drops 18. During a well child assessment of an African American infant, the primary care nurse practitioner notes a dark red -brown light reflex in the left eye and a slightly brighter, red -orange light reflex in the right eye. The nurse practitioner will... Refer the infant to an opthalmologist 19. Which are risk factors for development of cataracts? 1. Smoking 2. Advancing Age 3. UV Light 20. A preschool age child who attend daycare has a 2 day history of matted eyelids in the morning and burning and itching of the eyes. The primary care NP notes yellow -green purulent discharge from both eyes, conjunctival erythema and mild URI symptoms. Which action is correct? Prescribe topical antibiotic drops 21. An 18 -month -old child with no previous history of otitis media awoke during the night with right ear pain. The primary care NP notes an axillary temperature of 100.5 and an erythematous, bulging TM. A tympanogram reveals a peak of +15 -mm H2O. What is the recommended treatment for this child? An analgesic medication and watchful waiting 22. A patient complains of otalgia and difficulty hearing from one ear. The provider performs an otoscopic exam and note s a dark brown mass in the lower portion of the external canal blocking the patient's TM. What is the initial action? Ask the patient about previous problems with the ear
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