NR 667 CEA FNP ACTUAL PREDICTOR EXAM
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A 55-year-old man with a history of smoking presents with a persistent cough and hemoptysis.
A chest X-ray reveals a solitary lung nodule. What is the most appropriate next step?
CT scan of the chest
PET scan
Bronchoscopy
Sputum culture
CT scan of the chest
A+ TEST BANK 1
, NR 667 CEA FNP ACTUAL EXAM
A patient with acute hyperventilation is at risk for which of the following acid base
derangements?
Respiratory acidosis
Metabolic alkalosis
Respiratory alkalosis
Metabolic acidosis
Respiratory alkalosis
A 15-year-old adolescent athlete complains of chest pain and fainting during intense exercise.
On examination, a systolic ejection murmur is heard that increases with standing. What is the
most likely diagnosis?
Hypertrophic cardiomyopathy
Pulmonary hypertension
Mitral valve prolapse
Aortic stenosis
Hypertrophic cardiomyopathy
A 13-year-old is concerned because she has not yet begun to menstruate. Physical
examination indicates that the patient is at Sexual Maturity Rating IV and is of average height
and weight. Which of the following would be the most appropriate response to this patient?
"We'll need to refer you to an endocrinologist for a complete workup."
"Your development is exactly as expected for your age; you'll probably begin to have periods
within a year."
"I'll give you some pills that will make your periods start."
"We'll need to do some tests to find out why you are not having periods."
A+ TEST BANK 2
, NR 667 CEA FNP ACTUAL EXAM
“Your development is exactly as expected for your age; you’ll probably begin to have periods
within a year.”
A pediatric patient presents with wheezing over the past 24 hours, an occasional cough,
runny nose, and decreased appetite. The child has been afebrile. The nurse practitioner
should begin with:
A complete blood count (CBC) and spirometry
A complete history and a physical examination
Peak flow measurement and a chest x-ray
Pulse oximetry and nebulizer treatment
A complete history and a physical examination
A 5-year-old girl presents with fever, rash, hacking cough, and swollen, tender lymph nodes.
The rash started on her face and has spread to the rest of her body. What is the most likely
diagnosis?
Chickenpox
Fifth disease
Measles
Scarlet fever
Measles
A 5-year-old child presents with facial puffiness, decreased urine output, and dark-colored
urine. The parents report that the child had a sore throat about two weeks ago. Which
condition is most likely?
Acute glomerulonephritis
Hydronephrosis
Nephrotic syndrome
Urinary tract infection
A+ TEST BANK 3
, NR 667 CEA FNP ACTUAL EXAM
Acute glomerulonephritis
A late adolescent is brought to the nurse practitioner's office by her mother, who is
concerned about her daughter's recent weight loss and the potential of purging herself after
meals. The daughter denies any self-induced vomiting, starvation or excessive activity. History
reveals that the daughter was consistently in the 50th percentile for weight but is now in the
10th percentile. She does state that she jogs 5 miles a day and is in good condition. In addition
to a complete blood count with differential, which of the following laboratory tests will be
most helpful for further assessment?
Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
Electrolytes, FSH, stool for occult blood
Electrolytes, fasting blood sugar
Creatine phosphokinase, follicle-stimulating hormone (FSH)
Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
A 5-year-old presents with a 3-month history of soiling his pants. The child was successfully
toilet trained at 3. What is the most likely diagnosis?
Intussusception
Encopresis
Hirschsprung's disease
Enuresis
Encopresis
By what age should a child typically be able to walk independently?
15 months
18 months
16 months
12 months
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