NURP-532-Exam 3 Questions With Complete Solutions
A 12-year-old child is brought to the clinic with joint pain, a 3-
week history of low-grade fever, and a facial rash. The primary
care pediatric nurse practitioner palpates an enlarged liver 2 cm
below the subcostal margin along with diffuse
lymphadenopathy. An antinuclear antibody (ANA) test is
positive. Which of the following tests has the highest sensitivity
in confirming the diagnosis? Correct Answers Anti-double-
strand DNA antibodies
A 19-year-old patient presents with a cough and fever. The
nurse practitioner auscultates rales in both lungs that do not clear
with cough. The patient reports having a headache and sore
throat prior to the onset of coughing. A chest radiograph shows
patchy, nonhomogeneous infiltrates. Based on these findings,
which organism is the most likely cause of this patient's
pneumonia? Correct Answers *** Mycoplasma ***
Atypical pneumonias, such as those caused by mycoplasma,
often present with headache and sore throat and will have larger
areas of infiltrate on chest radiograph. Viral pneumonias show
more diffuse radiographic findings. S. pneumonia will have high
fever and cough and distinct areas of infiltration.
A 2 year old child has sickle cell disease. The NP understands
that he is not at an increased risk for: Correct Answers
Spontaneous bleeding
A 25-year old male patient with a history of cryptorchidism
presents for a lump noted in the left testicle several days ago. It
is not painful. The NP notes a firm, non-tender mass on the
,inferior aspect of the testes. There is no scrotal swelling. What
should the NP do next? Correct Answers Order a testicular
ultrasound
A 25-year-old female with no past medical history presents with
several days of dysuria and urgency and today, developed pain
in her right flank. She denies fever or chills, but has slight
nausea without vomiting. On exam, she has no abdominal
tenderness but the right CVA is tender. Her urine dipstick is
positive for large amount of leukocyte esterace, trace blood, and
is negative for nitrite. The nurse practitioner should Correct
Answers Treat with Cipro
A 26 year old patient has thalassemia minor. What should the
NP expect to see on a CBC? Correct Answers Microcytosis
A 28-year old patient with asthma reports 2-3 days of flu like
symptoms and tests positive for flu A. What is the best
management? Correct Answers Treat with oseltamivir and
supportive care
A 3 year old child presents with a painless abdominal mass that
does not cross the midline. What other finding is associated with
the suspected diagnosis? Correct Answers HTN
A 3-month-old male infant has edema and painless swelling of
the left scrotum. On physical examination, the nurse practitioner
can transilluminate the scrotum. What will the provider
recommend? Correct Answers Observation and reassurance that
spontaneous resolution may occur
,A 30-year old patient with no PMH presents for acute onset of
wheezing, dyspnea, chest pain, T 99 F, HR 110, RR 28.
Diagnosis? Correct Answers Pulmonary embolism
A 35-year-old patient with no past medical history is diagnosed
with acute bronchitis. What is the focus for the management of
this patient? Correct Answers *** Supportive care ***
The mainstay of treatment in acute bronchitis is directed toward
symptom reduction and supportive care. Data suggest that 85%
of patients diagnosed with acute bronchitis will improve without
specific treatment. Trimethoprim-sulfamethoxazole is prescribed
for pertussis when macrolides are not an option. Antibiotic
therapy is not effective in treating viral acute bronchitis. SABA's
are not helpful in bronchitis, unless the patient has underlying
asthma or bronchospasm.
A 4 month old infant who was born at term presents for a well
child exam. He was weaned completely from the breast at 3
months of age and is now formula fed. The NP should: Correct
Answers Instruct the parent to discontinue vitamin D
supplementation
A 4-month old infant presents for a well child check and the NP
notes that the left testes is palpable at the external inguinal ring
and cannot be manipulated into the scrotum. The NP should...
Correct Answers Recheck @ the 6 month visit
A 4-year-old child is diagnosed with community-acquired
pneumonia and will be treated as an outpatient. Which antibiotic
will the primary care pediatric nurse practitioner prescribe?
Correct Answers *** Amoxicillin ***
, Amoxicillin is given to young children with community-
acquired pneumonia. Azithromycin is used to treat atypical
pneumonia, which is more common in school age and
adolescents. Ceftriaxone is used for inpatient treatment.
Oseltamivir is used for viral pneumonia due to influenza.
A 5-month-old infant who has a 3-day history of low grade
fever, cough, and rhinorrhea has developed respiratory
symptoms with audible expiratory wheezes and increased
coughing. The infant's immunizations are up-to-date. The
physical exam reveals a respiratory rate of 42 breaths per
minute, coarse expiratory wheezing, and prolonged expiration.
An oxygen saturation is 96% on room air. What is the
recommended treatment for this infant?
Responses Correct Answers Recommend increased fluids and
close follow-up
A 50 year old male patient presents with 2 days of fever of 101,
chills, pelvic pain, dysuria and a weak stream. The most likely
diagnosis is: Correct Answers Acute bacterial prostatitis
A 50-year-old man reports having erectile dysfunction (ED) that
has developed gradually over time. What is an important
response by the nurse practitioner when developing a plan of
care for this patient? Correct Answers Evaluating the patient for
cardiovascular disease
A 50-year-old woman reports pain in one knee upon awakening
each morning that goes away after about a half hour. A knee
radiograph is negative for pathology and serum inflammatory
markers are normal. What will the nurse practitioner tell this
A 12-year-old child is brought to the clinic with joint pain, a 3-
week history of low-grade fever, and a facial rash. The primary
care pediatric nurse practitioner palpates an enlarged liver 2 cm
below the subcostal margin along with diffuse
lymphadenopathy. An antinuclear antibody (ANA) test is
positive. Which of the following tests has the highest sensitivity
in confirming the diagnosis? Correct Answers Anti-double-
strand DNA antibodies
A 19-year-old patient presents with a cough and fever. The
nurse practitioner auscultates rales in both lungs that do not clear
with cough. The patient reports having a headache and sore
throat prior to the onset of coughing. A chest radiograph shows
patchy, nonhomogeneous infiltrates. Based on these findings,
which organism is the most likely cause of this patient's
pneumonia? Correct Answers *** Mycoplasma ***
Atypical pneumonias, such as those caused by mycoplasma,
often present with headache and sore throat and will have larger
areas of infiltrate on chest radiograph. Viral pneumonias show
more diffuse radiographic findings. S. pneumonia will have high
fever and cough and distinct areas of infiltration.
A 2 year old child has sickle cell disease. The NP understands
that he is not at an increased risk for: Correct Answers
Spontaneous bleeding
A 25-year old male patient with a history of cryptorchidism
presents for a lump noted in the left testicle several days ago. It
is not painful. The NP notes a firm, non-tender mass on the
,inferior aspect of the testes. There is no scrotal swelling. What
should the NP do next? Correct Answers Order a testicular
ultrasound
A 25-year-old female with no past medical history presents with
several days of dysuria and urgency and today, developed pain
in her right flank. She denies fever or chills, but has slight
nausea without vomiting. On exam, she has no abdominal
tenderness but the right CVA is tender. Her urine dipstick is
positive for large amount of leukocyte esterace, trace blood, and
is negative for nitrite. The nurse practitioner should Correct
Answers Treat with Cipro
A 26 year old patient has thalassemia minor. What should the
NP expect to see on a CBC? Correct Answers Microcytosis
A 28-year old patient with asthma reports 2-3 days of flu like
symptoms and tests positive for flu A. What is the best
management? Correct Answers Treat with oseltamivir and
supportive care
A 3 year old child presents with a painless abdominal mass that
does not cross the midline. What other finding is associated with
the suspected diagnosis? Correct Answers HTN
A 3-month-old male infant has edema and painless swelling of
the left scrotum. On physical examination, the nurse practitioner
can transilluminate the scrotum. What will the provider
recommend? Correct Answers Observation and reassurance that
spontaneous resolution may occur
,A 30-year old patient with no PMH presents for acute onset of
wheezing, dyspnea, chest pain, T 99 F, HR 110, RR 28.
Diagnosis? Correct Answers Pulmonary embolism
A 35-year-old patient with no past medical history is diagnosed
with acute bronchitis. What is the focus for the management of
this patient? Correct Answers *** Supportive care ***
The mainstay of treatment in acute bronchitis is directed toward
symptom reduction and supportive care. Data suggest that 85%
of patients diagnosed with acute bronchitis will improve without
specific treatment. Trimethoprim-sulfamethoxazole is prescribed
for pertussis when macrolides are not an option. Antibiotic
therapy is not effective in treating viral acute bronchitis. SABA's
are not helpful in bronchitis, unless the patient has underlying
asthma or bronchospasm.
A 4 month old infant who was born at term presents for a well
child exam. He was weaned completely from the breast at 3
months of age and is now formula fed. The NP should: Correct
Answers Instruct the parent to discontinue vitamin D
supplementation
A 4-month old infant presents for a well child check and the NP
notes that the left testes is palpable at the external inguinal ring
and cannot be manipulated into the scrotum. The NP should...
Correct Answers Recheck @ the 6 month visit
A 4-year-old child is diagnosed with community-acquired
pneumonia and will be treated as an outpatient. Which antibiotic
will the primary care pediatric nurse practitioner prescribe?
Correct Answers *** Amoxicillin ***
, Amoxicillin is given to young children with community-
acquired pneumonia. Azithromycin is used to treat atypical
pneumonia, which is more common in school age and
adolescents. Ceftriaxone is used for inpatient treatment.
Oseltamivir is used for viral pneumonia due to influenza.
A 5-month-old infant who has a 3-day history of low grade
fever, cough, and rhinorrhea has developed respiratory
symptoms with audible expiratory wheezes and increased
coughing. The infant's immunizations are up-to-date. The
physical exam reveals a respiratory rate of 42 breaths per
minute, coarse expiratory wheezing, and prolonged expiration.
An oxygen saturation is 96% on room air. What is the
recommended treatment for this infant?
Responses Correct Answers Recommend increased fluids and
close follow-up
A 50 year old male patient presents with 2 days of fever of 101,
chills, pelvic pain, dysuria and a weak stream. The most likely
diagnosis is: Correct Answers Acute bacterial prostatitis
A 50-year-old man reports having erectile dysfunction (ED) that
has developed gradually over time. What is an important
response by the nurse practitioner when developing a plan of
care for this patient? Correct Answers Evaluating the patient for
cardiovascular disease
A 50-year-old woman reports pain in one knee upon awakening
each morning that goes away after about a half hour. A knee
radiograph is negative for pathology and serum inflammatory
markers are normal. What will the nurse practitioner tell this
