EXAM STUDY GUIDE 2025/2026 |
COMPLETE QUESTIONS | VERIFIED
ANSWERS | GRADED A + | PASS
GUARANTEED | RECENT UPDATE
When can children return to school after chickenpox - ANSWER When all the
lesions are crushed over
Molluscum contagiosum presentation - ANSWER Flesh-colored papules w/
central umbilication. Contagious
Encopresis - ANSWER a childhood disorder characterized by repeated
defecating in inappropriate places, such as one's clothing after already being toilet
trained.
Child resists having bowel movements, causing impacted stool to collect in the
colon and rectum, which can lead to leakage.
Encopresis Treatment - ANSWER Daily laxatives until BM is soft and regular
Behavior management: toilet refusal behavior, scheduled toileting time, and
incentives.
Prevention of constipation
Counseling
,Reduce family tension
What indicates hepatitis B immune - ANSWER Hepatitis surface antibody
What indicates Hepatitis B is active - ANSWER Hepatitis B surface antigen
(lasts 1-10 weeks after infection )
IgM
Liver enzyme that is grossly elevated in hepatitis - ANSWER ALT compared to
AST
Liver enzymes that are elevated when the liver is damaged due to alcohol or
medications like APAP - ANSWER AST compared to ALT
Viral infections like hepatitis would predominantly have _______, as compared to
bacterial infection predominantly would have _____ on labs -
ANSWER Lymphocytes (viral infections)
Leukocytes ( bacterial infections)
Which medication produces rapid relief for stomach acid? - ANSWER Calcium
carbonate (Tums- Antacids); however, it does not relieve symptoms as long
H2 blockers- end in dine (rantadine, famotidine). Provides relief in 1-2 hours for 6-
12 hours.
,As compared to PPIs, they are not as fast, but are stronger (omeprazole,
pantoprazole). They provide relief after several hours and relieve up to days
Which lab is elevated in pancreatitis - ANSWER Serum amylase
Hirschsprung's disease presentation - ANSWER Failure to pass meconium in
the first 48 hours of life
cachexia - ANSWER a condition of physical wasting away due to the loss of
weight and muscle mass that occurs in patients with diseases such as older adults,
advanced cancer or AIDS
hepatitis panel with the following results: - HBsAg, + IgG Anti-HBc, - IgM Anti-
HBc, +HBsAb. Which of the following is the correct interpretation of these
findings? - ANSWER Immune due to previous infection
HBsAg is the surface antigen used to determine if a hepatitis B infection is
present.The Anti-HBc is the core antibody. The core antibody will always remain
positive after an infection has occurred and can be further broken down into the
IgG and IgM to determine if the infection is current or resolved. HBsAb
(sometimes called the Anti-HBs) is used to detect the surface antibody which
indicates the patient has immunity from Hepatitis B. Immunity from Hepatitis B
occurs either from past infection or from the immunization. This patient has a
positive IgG, meaning they had an infection that is now gone. Since their HBsAb is
positive, they are now immune to hepatitis B due to the previously resolved
infection.
A 60-year-old female presents with dull, aching back pain in her lower back and
occasional weakness in her left foot. She states that the pain is relieved when she
, sits down and rests. What does the nurse practitioner suspect? -
ANSWER Spinal stenosis
Low back pain that is relieved by sitting is a sign of spinal stenosis. Weakness or
"foot drop," burning in the buttocks and thigh, and abnormal reflexes can all be
signs of spinal stenosis as well. Spinal stenosis is most common in patients older
than 50 years old and is many times due to osteoarthritis. The pain is often
described as dull or aching.
A 37-year-old female patient presents with unusual complaints of continued
fatigue, increasing bone pain, and nausea. She has had several visits in the last
several months but no resolution of symptoms. Which of the following is the most
likely differential for this patient given her presenting symptoms and history? -
ANSWER Some of the classic symptoms of hyperparathyroidism include
abdominal pain, nausea, vomiting, fatigue, confusion, muscle weakness, and bone
pain. A patient with depression may have the symptom of fatigue, but would not
necessarily present with the other symptoms. Patients with iron deficiency anemia
do not present with nausea or bone pain but instead present with pallor,
palpitations, pica, nail pitting, etc. Patients with undiagnosed diabetes normally
present with the classic symptoms of polydipsia, polyuria, and polyphagia.
history of lupus has a positive direct Coombs test. This finding is commonly
associated with which of the following? - ANSWER A patient diagnosed with
systemic lupus erythematosus (SLE) is at an increased risk for an autoimmune
hemolytic anemia.
A direct Coombs test can indicate a hemolytic anemia in which the red blood cells
are being destroyed prematurely.