CMN 577 Final exam pool-student driven

A father brings his 5-year-old daughter to the office, inquiring about her tetanus vaccinations. According to the patient's records, she received her 4thDTaP vaccine at the age of 4. The NP should: Correct Answer: Inform the father the child does not need an additional tetanus vaccine. When introducing solid foods to a normal 6-month-old infant, the NP should educate parents that they should: Correct Answer: Introduce a single-ingredient food, one at a time, every 3-4 days As a family nurse practitioner caring for the pediatric population, the FNP should expect complete primary dentition by: Correct Answer: 36 months Which of the following is the most common chronic disease of childhood? Correct Answer: Dental caries A 45-year-old healthy male comes in to your clinic complaining of severe, sharp headaches, worse behind his right eye, occurring nightly for the past 2 weeks. The pain comes on suddenly in the late evening or in the middle of the night, often awakening him from his sleep. The headaches last approximately 45 minutes to 1 hour and then they remit. The headaches are often accompanied by a runny nose and severe restlessness. He rates the pain as a 10/10, and states he has had no relief with ibuprofen or acetaminophen. He reports similar symptoms two months ago but the headaches went away after a few weeks. The nurse practitioner knows that the best treatment for this condition in the outpatient setting includes: Correct Answer: PO Verapamil daily plus intranasal sumatriptan PRN at onset of headache. The nurse practitioner is performing a well-child exam of a 6-month-old girl. Her mother is planning to raise her on a vegan diet and introduce solid foods soon. The nurse practitioner advises the mother that she should give the infant: Correct Answer: Fortified cereals or formulas rich in iron, zinc, and B12, or a daily supplement with these nutrients. A 47-year-old woman with a history of seizure disorder presents to the clinic with an upper respiratory illness. She states that she "really needs to quit smoking" as this is her third respiratory illness this year. As the provider you know that nicotine replacement therapy doubles the chance of successful smoking cessation. All the following are suitable options for this patient EXCEPT: Correct Answer: Bupropion A 4-month-old child presents to the clinic for a well child check. The mother states that she is worried her baby is not getting enough iron. She has a niece that was recently diagnosed with iron deficiency anemia at age 3. As the provider you can reassure the parent by stating all the following as effective measures to guard against iron deficiency anemia EXCEPT: Correct Answer: Limiting cow's milk to 32 oz/d in children 1-5 years The following conditions or risk factors are indication for early blood pressure monitoring in a child except: Correct Answer: Topical steroid treatment of eczema