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: - ANS-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: - ANS-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: - ANS-36 months
Which of the following is the most common chronic disease of childhood? - ANS-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: - ANS-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: - ANS-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: - ANS-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: - ANS-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: - ANS-Topical steroid treatment of eczema
After being diagnosed with a minor respiratory illness, a nurse practitioner advises a
parent about over the counter medication to treat the child's fever and discomfort. The
child is 4 months old and has no pre-existing conditions. The child's parent should be
advised to select: - ANS-Acetaminophen 15mg/kg every 4-6hours
A nurse practitioner works at a local health department in suburban Alabama. They
should advise a mother against breastfeeding or pumping and feeding their own breast
milk in all of the following situations except: - ANS-Mastitis in the mother's right breast
A 10 year old boy presents to for a well child exam. His BMI today is in the 86th
percentile. Previous BMI has been under 75th percentile for the last 3 years. Based on
this BMI, how should the nurse practitioner proceed? - ANS-Ask the child his favorite
foods and outside activities. Discuss healthy alternatives or things to add to meals.
Encourage a team sport or exercise activity of the child's preference. Limit snacks and
desserts for special occasions and not entirely restricted. Offer healthy eating resources
but encourage whole family wellness and exercise.
A 62-year-old white female presents to the walk-in clinic today with complaints of acute
onset of nausea, vomiting, and diarrhea. While she has vomited twice and has had
multiple episodes of diarrhea in the last 12 hrs after eating at a local restaurant, it is the
continuous queasiness that she cannot tolerate. You obtain a thorough history including
a list of her current daily medications: Atorvastatin 40 mg po q hs, Lisinopril/Hctz
10mg/12.5 mg po q am, ASA EC 81 mg po q hs, sotalol 80 mg po BID.
When prescribing antiemetics for her today, which of the following would place her at
greatest risk of torsades de pointes? - ANS-Ondansetron
A 57-year-old Hispanic female is seeing you today at the local free clinic. Over the last 2
weeks, she has noticed a change in her stools which were previously light brown,
formed, and occurred daily. Now she experiences a bowel movement maybe every 4
days, consisting of what she describes as "a soft, limp straw," and now they are much
, darker in color. Thinking back, her appetite is not what it used to be and she has lost
approx. 20 lbs in the last 6 mths without a change in diet or exercise. She takes no
medications regularly. You perform a thorough H&P. VS are stable. BMI is 38. Physical
examination today includes a digital rectal exam which is negative, and there is no
evidence of fecal impaction. Having limited resources, which of the following would be
ordered in your initial evaluation of her condition? - ANS-FIT testing
You are seeing a 55-year-old white male who recently moved from Texas. He presents
with complaints of worsening tremors in both hands. He first noticed the subtle shaking
~ 5 yrs ago and they have gotten progressively worse. You notice that he does not
exhibit tremors while at rest but seem to be pronounced with minimal activity. The rest of
his physical exam is unremarkable. Based on the history and clinical findings, which of
the following would be an appropriate choice of treatment? - ANS-Propranolol
A 35 year old male presents to the office with a chief complaint of chronic headaches.
Today he has a unilateral pulsatile headache accompanied by photophobia and nausea.
The Nurse Practitioner would most likely diagnose this headache as: - ANS-Migraine
What type of tremor would the Nurse Practitioner most likely see in a recently
diagnosed patient with Parkinson's disease? - ANS-Unilateral resting tremor
What is the single most prognostic factor when evaluating a patient with a malignant
melanoma? - ANS-Thickness
A 53 year old male presents to the office with silvery scales overlying bright red,
well-demarcated plaques bilaterally on his elbows, and developing on his knees. What
dermatologic condition would the Nurse Practitioner identify this as? - ANS-Plaque
psoriasis
Which of the following statements is true regarding the Rotavirus vaccine? - ANS-The
Rotavirus series can be started no earlier than 6-weeks of age
Which of the following statements is true regarding vitamins? - ANS-Beginning shortly
after birth, 400 IU of Vitamin D daily is recommended to all breastfed infants
63-year-old Hispanic female being seen at the urgent care clinic with complaints of right
upper gastric pain, nausea with positive Murphy's sign. HIDA scan indicates thickening
of gallbladder wall and was admitted to hospital. What post-inpatient hospital symptom
is most alarming? - ANS-Hydrops and jaundice
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: - ANS-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: - ANS-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: - ANS-36 months
Which of the following is the most common chronic disease of childhood? - ANS-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: - ANS-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: - ANS-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: - ANS-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: - ANS-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: - ANS-Topical steroid treatment of eczema
After being diagnosed with a minor respiratory illness, a nurse practitioner advises a
parent about over the counter medication to treat the child's fever and discomfort. The
child is 4 months old and has no pre-existing conditions. The child's parent should be
advised to select: - ANS-Acetaminophen 15mg/kg every 4-6hours
A nurse practitioner works at a local health department in suburban Alabama. They
should advise a mother against breastfeeding or pumping and feeding their own breast
milk in all of the following situations except: - ANS-Mastitis in the mother's right breast
A 10 year old boy presents to for a well child exam. His BMI today is in the 86th
percentile. Previous BMI has been under 75th percentile for the last 3 years. Based on
this BMI, how should the nurse practitioner proceed? - ANS-Ask the child his favorite
foods and outside activities. Discuss healthy alternatives or things to add to meals.
Encourage a team sport or exercise activity of the child's preference. Limit snacks and
desserts for special occasions and not entirely restricted. Offer healthy eating resources
but encourage whole family wellness and exercise.
A 62-year-old white female presents to the walk-in clinic today with complaints of acute
onset of nausea, vomiting, and diarrhea. While she has vomited twice and has had
multiple episodes of diarrhea in the last 12 hrs after eating at a local restaurant, it is the
continuous queasiness that she cannot tolerate. You obtain a thorough history including
a list of her current daily medications: Atorvastatin 40 mg po q hs, Lisinopril/Hctz
10mg/12.5 mg po q am, ASA EC 81 mg po q hs, sotalol 80 mg po BID.
When prescribing antiemetics for her today, which of the following would place her at
greatest risk of torsades de pointes? - ANS-Ondansetron
A 57-year-old Hispanic female is seeing you today at the local free clinic. Over the last 2
weeks, she has noticed a change in her stools which were previously light brown,
formed, and occurred daily. Now she experiences a bowel movement maybe every 4
days, consisting of what she describes as "a soft, limp straw," and now they are much
, darker in color. Thinking back, her appetite is not what it used to be and she has lost
approx. 20 lbs in the last 6 mths without a change in diet or exercise. She takes no
medications regularly. You perform a thorough H&P. VS are stable. BMI is 38. Physical
examination today includes a digital rectal exam which is negative, and there is no
evidence of fecal impaction. Having limited resources, which of the following would be
ordered in your initial evaluation of her condition? - ANS-FIT testing
You are seeing a 55-year-old white male who recently moved from Texas. He presents
with complaints of worsening tremors in both hands. He first noticed the subtle shaking
~ 5 yrs ago and they have gotten progressively worse. You notice that he does not
exhibit tremors while at rest but seem to be pronounced with minimal activity. The rest of
his physical exam is unremarkable. Based on the history and clinical findings, which of
the following would be an appropriate choice of treatment? - ANS-Propranolol
A 35 year old male presents to the office with a chief complaint of chronic headaches.
Today he has a unilateral pulsatile headache accompanied by photophobia and nausea.
The Nurse Practitioner would most likely diagnose this headache as: - ANS-Migraine
What type of tremor would the Nurse Practitioner most likely see in a recently
diagnosed patient with Parkinson's disease? - ANS-Unilateral resting tremor
What is the single most prognostic factor when evaluating a patient with a malignant
melanoma? - ANS-Thickness
A 53 year old male presents to the office with silvery scales overlying bright red,
well-demarcated plaques bilaterally on his elbows, and developing on his knees. What
dermatologic condition would the Nurse Practitioner identify this as? - ANS-Plaque
psoriasis
Which of the following statements is true regarding the Rotavirus vaccine? - ANS-The
Rotavirus series can be started no earlier than 6-weeks of age
Which of the following statements is true regarding vitamins? - ANS-Beginning shortly
after birth, 400 IU of Vitamin D daily is recommended to all breastfed infants
63-year-old Hispanic female being seen at the urgent care clinic with complaints of right
upper gastric pain, nausea with positive Murphy's sign. HIDA scan indicates thickening
of gallbladder wall and was admitted to hospital. What post-inpatient hospital symptom
is most alarming? - ANS-Hydrops and jaundice
