NU 665C FAMILY PSYCHIATRIC MENTAL
HEALTH NURSE PRACTITIONER EXAMS 1 2
AND FINAL BUNDLED NEW UPDATE
COMPLETE PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
⫸ Child maltreatment Answer: 1. Signs
-Repeated injuries that are unexplainable or unusual
-Overly compliant or exhibits exaggerated fearfulness
-Clingy or indiscriminate attachment
-Extremes in behavior (aggressive or passive)
-Wary of physical contact with adults
-Frightened of a parent or another caregiver
-Exhibits drastic behavioral changes in and out of parental or caregiver
presence
-Withdrawal from family or friends, poor school performance,
depression or sadness, anxiety, aggressive or destructive behavior, or
mistreating an animal or pet
-Suicidal (attempts or plans) or engages in self-mutilation
-Displays sleep or eating disorders
2. Steps to take as a provider
-Must report suspected or known maltreatment to the appropriate
agencies - CPS or law enforcement
,⫸ Abrasions Answer: -Superficial skin injuries, from falls or friction
that involve epidermal trauma
-Findings - determine the extent of the abrasion and the presence of dirt,
grime, or other foreign objects; skin scraped off, oozing of serous fluid
and/or blood; pain, swelling, warmth, erythema, and red streaking of the
injured area suggesting a deeper injury or secondary infection
-Interventions - cleansing the wound by scrubbing with soap or an
antibacterial cleanser; may be open to air or may need a small bandage;
larger ones should be kept moist; cover larger ones with a sterile
dressing; antibiotic ointment like bacitracin/polymyxin B may be use;
wash every 24 hours until a dry scab; tetanus if significant or has not had
one vaccine in 5 years
⫸ Animal or snake bite Answer: -Ask about type of animal,
domesticated or feral, and location
-The wound should be assessed; ROM and sensory intactness
-Interventions - tetanus booster, rabies prophylaxis; analgesia or
anesthesia; debride tissue and remove foreign matter; with NS, irrigate
the wound; if isolated - soak in tap water and iodine; antibiotics for all
human and cat bites (amoxicillin)
-Refer if severe; obtain a surgical consult if there is evidence about
nerve, tendon, and/or ligament injury
-Report dog and animal bites to animal control
-Snake - type of snake; severe local reaction after the bite, ecchymosis
and swelling with later fluid filled or hemorrhagic bullae and necrosis;
peripheral and central neurological symptoms including numbness,
tingling, diplopia, lethargy, increased salivation, metallic taste in mouth,
sweating, n/v, hematemesis, melena, and hemoptysis; respiratory distress
and shock that can lead to death
,-Interventions for snack bite - clean, tetanus prophylaxis, pain
medication, oral antibiotic therapy with Augmentin; if unsure about the
snake - poison control and observe patient for 3-4 hours
-For people with more than local symptoms (venomous snake)- rapid
transportation to a medical center, referral to medical specialists,
antivenin therapy, an treatment for shock and respiratory difficulties
-Nonvenomous - clean, tetanus prophylaxis if necessary, pain
medication, augmentin for5 days if wound contaminated or secondary
infection
-If uncertainty about snake - poison control and watch for venomous
symptoms for 3-4 hours (severe local reaction after bite with intense
pain, burning, discoloration, edema, hemorrhagic effects, ecchymosis
and swelling with later fluid filled or hemorrhagic bullae and necrosis,
neurological symptoms, salivation, metallic taste in mouth, sweating,
and n/v, hematemesis, melena and hemopty
⫸ Burns Answer: -Findings - superficial burns are only the epidermis
with symptomatic treatment; example is a sunburn; partial-thickness
burns involve involve the epidermis and the dermis; superficial partial
thickness are red, very painful, mottled, moist, and blistered that heal in
7-14 days; deep partial thickness - pale, yellow, less painful and weepy ,
usually scar; full thickness destroy the epidermis and dermis completely;
the skin appears whitish or leathery, dry, nontender, fluid losses occur,
skin grafting needed; full thickness - tendons, nerves, muscle, fascia,
bone and need surgery and skin grafting
-Management - determine the need for admission to a burn center; if
more than 20% BSA, partial thickness burns involving more than 10%
, TBSA, full thickness burns more than 2% TBSA, circumferential burn,
burns overlying joints or critical areas, such as the hands, feet, genitalia,
and perineum, full thickness burns, chemical burns, electrical burns,
inhalation injury, suspicion of child abuse or unsafe home environment,
presence of an underlying chronic illness - admission
-Outpatient treatment - superficial burns and partial thickness burns to
less than 10% of BSA
⫸ Health benefits of exercise for children with asthma Answer: -
Participation in aerobic activity has demonstrated an improvement to the
individual's exercise capacity and reduction in their airway inflammation
⫸ Down Syndrome Answer: -These patients have low tone and looser
ligaments that place them at greater risk of compression of the spinal
cord causing nerve damage - atlantoaxial instability
-May have changes in ambulation, the ability to use upper extremities,
complaints of neck pain, a new fixed head tilt, bowel or bladder
dysfunction, or new unexplained weakness
-Signs - weakness, numbness, neck pain, localized neurologic pain,
spasticity, gait difficulties, change in bowel or bladder function
⫸ Hours of sleep per age Answer: -1 week old - 8.25 at night
-1 month old - 8.5 hours
-3 months old - 10 hours
-6 months old - 11 hours
-9 months old - 11.2 hours
-12 months old - 11.7 hours
HEALTH NURSE PRACTITIONER EXAMS 1 2
AND FINAL BUNDLED NEW UPDATE
COMPLETE PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
⫸ Child maltreatment Answer: 1. Signs
-Repeated injuries that are unexplainable or unusual
-Overly compliant or exhibits exaggerated fearfulness
-Clingy or indiscriminate attachment
-Extremes in behavior (aggressive or passive)
-Wary of physical contact with adults
-Frightened of a parent or another caregiver
-Exhibits drastic behavioral changes in and out of parental or caregiver
presence
-Withdrawal from family or friends, poor school performance,
depression or sadness, anxiety, aggressive or destructive behavior, or
mistreating an animal or pet
-Suicidal (attempts or plans) or engages in self-mutilation
-Displays sleep or eating disorders
2. Steps to take as a provider
-Must report suspected or known maltreatment to the appropriate
agencies - CPS or law enforcement
,⫸ Abrasions Answer: -Superficial skin injuries, from falls or friction
that involve epidermal trauma
-Findings - determine the extent of the abrasion and the presence of dirt,
grime, or other foreign objects; skin scraped off, oozing of serous fluid
and/or blood; pain, swelling, warmth, erythema, and red streaking of the
injured area suggesting a deeper injury or secondary infection
-Interventions - cleansing the wound by scrubbing with soap or an
antibacterial cleanser; may be open to air or may need a small bandage;
larger ones should be kept moist; cover larger ones with a sterile
dressing; antibiotic ointment like bacitracin/polymyxin B may be use;
wash every 24 hours until a dry scab; tetanus if significant or has not had
one vaccine in 5 years
⫸ Animal or snake bite Answer: -Ask about type of animal,
domesticated or feral, and location
-The wound should be assessed; ROM and sensory intactness
-Interventions - tetanus booster, rabies prophylaxis; analgesia or
anesthesia; debride tissue and remove foreign matter; with NS, irrigate
the wound; if isolated - soak in tap water and iodine; antibiotics for all
human and cat bites (amoxicillin)
-Refer if severe; obtain a surgical consult if there is evidence about
nerve, tendon, and/or ligament injury
-Report dog and animal bites to animal control
-Snake - type of snake; severe local reaction after the bite, ecchymosis
and swelling with later fluid filled or hemorrhagic bullae and necrosis;
peripheral and central neurological symptoms including numbness,
tingling, diplopia, lethargy, increased salivation, metallic taste in mouth,
sweating, n/v, hematemesis, melena, and hemoptysis; respiratory distress
and shock that can lead to death
,-Interventions for snack bite - clean, tetanus prophylaxis, pain
medication, oral antibiotic therapy with Augmentin; if unsure about the
snake - poison control and observe patient for 3-4 hours
-For people with more than local symptoms (venomous snake)- rapid
transportation to a medical center, referral to medical specialists,
antivenin therapy, an treatment for shock and respiratory difficulties
-Nonvenomous - clean, tetanus prophylaxis if necessary, pain
medication, augmentin for5 days if wound contaminated or secondary
infection
-If uncertainty about snake - poison control and watch for venomous
symptoms for 3-4 hours (severe local reaction after bite with intense
pain, burning, discoloration, edema, hemorrhagic effects, ecchymosis
and swelling with later fluid filled or hemorrhagic bullae and necrosis,
neurological symptoms, salivation, metallic taste in mouth, sweating,
and n/v, hematemesis, melena and hemopty
⫸ Burns Answer: -Findings - superficial burns are only the epidermis
with symptomatic treatment; example is a sunburn; partial-thickness
burns involve involve the epidermis and the dermis; superficial partial
thickness are red, very painful, mottled, moist, and blistered that heal in
7-14 days; deep partial thickness - pale, yellow, less painful and weepy ,
usually scar; full thickness destroy the epidermis and dermis completely;
the skin appears whitish or leathery, dry, nontender, fluid losses occur,
skin grafting needed; full thickness - tendons, nerves, muscle, fascia,
bone and need surgery and skin grafting
-Management - determine the need for admission to a burn center; if
more than 20% BSA, partial thickness burns involving more than 10%
, TBSA, full thickness burns more than 2% TBSA, circumferential burn,
burns overlying joints or critical areas, such as the hands, feet, genitalia,
and perineum, full thickness burns, chemical burns, electrical burns,
inhalation injury, suspicion of child abuse or unsafe home environment,
presence of an underlying chronic illness - admission
-Outpatient treatment - superficial burns and partial thickness burns to
less than 10% of BSA
⫸ Health benefits of exercise for children with asthma Answer: -
Participation in aerobic activity has demonstrated an improvement to the
individual's exercise capacity and reduction in their airway inflammation
⫸ Down Syndrome Answer: -These patients have low tone and looser
ligaments that place them at greater risk of compression of the spinal
cord causing nerve damage - atlantoaxial instability
-May have changes in ambulation, the ability to use upper extremities,
complaints of neck pain, a new fixed head tilt, bowel or bladder
dysfunction, or new unexplained weakness
-Signs - weakness, numbness, neck pain, localized neurologic pain,
spasticity, gait difficulties, change in bowel or bladder function
⫸ Hours of sleep per age Answer: -1 week old - 8.25 at night
-1 month old - 8.5 hours
-3 months old - 10 hours
-6 months old - 11 hours
-9 months old - 11.2 hours
-12 months old - 11.7 hours
