Answers | 2026 Update | 100% Correct - St.
Thomas University.
1. A 2-year-old child has chronic "toddler's" diarrhea, which has an unknown but
benign etiology. The child's parent asks the primary care NP if a medication
can be used to treat the child's symptoms. The NP should recommend giving:
An electrolyte solution (Pedialyte).
2. A 12-year-old patient has acute diarrhea and an upper respiratory infection.
Other family members have had similar symptoms, which have resolved. The
primary care NP should recommend: An electrolyte solution (Pedialyte).
3. A 30-year-old white woman has a BMI of 26 and weighs 150 lb. At an annual
physical examination, the patient's fasting plasma glucose Is 130 mg/dL. The
patient walks 1 mile three or four times weekly. She has had two children
who weighed 7 lbs. and 8 lbs. at birth. Her personal and family histories are
noncontributory. The primary care NP should: Set a weight loss goal of 10 to
15 lb.
To prevent or delay onset of diabetes, patients with impaired glucose should
be advised to lose 5% to 10% of body weight. Metformin should be
considered in patients with high risk of developing diabetes. This woman
does not have risk factors. Other tests are not indicated.
4. A 40-year-old patient is in the clinic for a routine physical examination. The
patient has a body mass index (BMI) of 26. The patient is active and walks a
dog daily. A lipid profile reveals low-density lipoprotein (LDL) of 100 mg/dL,
high-density lipoprotein (HDL) of 30 mg/dL, and triglycerides of 250 mg/d.
The primary care nurse practitioner (NP) should: Order a fasting plasma
glucose level.
5. A 45-year-old has chronic constipation. The primary care NP plans to
prescribe fiber for long-term management. In addition to pharmacologic
therapy, the NP should also recommend ____ grams of fiber per day. 40
6. A 75-year-old patient who has cardiovascular disease reports insomnia and
vomiting for several weeks. The primary care NP orders thyroid function
tests. The tests show TSH is decreased, and Ta is increased. The NP should
consult with an endocrinologist and order: Methimazole.
7. An 80-year-old female patient with a history of angina has increased TSH and
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, decreased T. The primary care NP should prescribe mcg of: 25;
liothyronine
8. A female patient who is underweight tells the primary care NP that she has
been using bisacody (Dulcolax) daily for several years. The NP should:
prescribe docusate sodium (Colace) and decrease Bisacodyl gradually.
9. Hydrochloric acid (HCI) and pepsin are responsible for gastric mucosal
damage found in PUD. Baseline acid production occurs during fasting states,
whereas maximal acid production occurs following meals. Parietal cells are
stimulated to release acid by histamine, acetylcholine, and gastrin. All of
these stimuli are released by the sensation of all of these except: Hearing.
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