MN 580 FINAL EXAM 2023 QUESTIONS AND ANSWERS ALREADY PASSED A+

The most common reason for precocious puberty in girls is: - CORRECT ANS Early onset of normal puberty When billing Medicaid, NPs get the authority to bill their services from: - CORRECT ANS State and federal law You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline. He returns in 3 weeks, complaining that his skin is no better. Your next action is to: - CORRECT ANS Counsel him that 6-8 weeks of treatment is often needed before significant improvement is achieved For a Grade I ankle sprain, weight-bearing should be avoided for at least: - CORRECT ANS 24 hours Hemoglobin A1c best provides information on glucose control over the past: - CORRECT ANS 21-47 days 18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence of bandemia and a total WBC of 28,000. To support the diagnosis of acute appendicitis with suspected appendiceal rupture, you consider obtaining the following: - CORRECT ANS CT scan 2 yof presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at the right lung base. Skin turgur and normal, and she is wearing a wet diaper. She is alert, resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3. Her diagnostic evaluation should include: - CORRECT ANS Chest x-ray Aortic stenosis in a 15 yom is: - CORRECT ANS A result of a congenital defect Which of the following laboratory tests can identify the causative organism of bronchiolitis? - CORRECT ANS Nasal washing antigen test A Still murmur: - CORRECT ANS Has a humming or vibratory quality A physiological murmur has which of the following characteristics? - CORRECT ANS Becomes softer when the patient moves from supine to standing Cyclic vomiting may: - CORRECT ANS Not be associated with a headache 5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18, dehydrated and drinks breast milk, jaundice. Interventions? - CORRECT ANS Interventions: all of the above (phototherapy, providing support, strict I/O) Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How much fluid would you give? - CORRECT ANS 13 ml/kg/hour PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose inhaler. What information is important to give? - CORRECT ANS Make recommendations for disease mamagement 18 month old presents with rectal temperature of 100.4, acting normal. NP would recommend: - CORRECT ANS Offering