c c c c c c c c
egal Guide, 7th Edition by Carolyn Buppert, 978128420854
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2, Covering Chapters 1-118 | Includes Rationales
c c c c c c
Thecconceptcofchealthcpromotioncconsistscofceffortsctocpreventcrathercthanctoccurecdisea
secorcdisability.cThiscdescriptioncbestcdescribes:
a.ctertiarycprevention
b.csecondarycprevention
c.cprimarycprevention
d.cmorbiditycpreventionc-cANSWERcc
Standardscforcwellcchildccarecandchealthcpromotioncarecsetcforthcbycthe:
a.cTaskcForceconcPreventativecServices,cUScDepartmentcofcHealthcandcHumancservice
s
b.cAmericancAcademycofcFamilycPhysicians
c.cAmericancAcademycofcpediatrics
d.cHealthycPeoplec2010candc2020c-cANSWERcc
Ac15cyocfemaleccomesctoctheccliniccforcachealthcmaintenancecvisit.cThecpatientcreportscn
occomplaints.cShecdoescwellcincschool,chascmanycfriends,candcgetscalongcwellcwithchercp
arentscandctwocsiblings.cShechascrecentlycbecomecsexuallycactivecwithchercboyfriendcofc
6mo.cThecphysicalcexamciscnormalcforchercage.cWhatcscreening,clabctests,cand/orcimmu
nizationscshouldcthecPNPcorder?
a.cVision,chearing,curinalysis,cSTDcscreen,cpelviccexam,candcimmunizationscascneeded
b.cSTDcscreen,cpneumococcalcvaccine,cpelviccexam,candccholesterolcscreeningcascindi
cated
c.cvision,chearing,cSTDcscreen,cpelviccexam,candchemoglobincifcindicated.
d.cMeaslescvaccine,cvision,chearing,cSTDcscreen,cpelviccexamcexam,candccholesterolcs
creencifcindicated.c-cANSWERca
Whichcofcthecfollowingciscthecbestcwrittencchiefccomplaint?
a.c5yocasiancfemalecwithcitchycredcrash
b.c1cmocwithcdifficultycfeeding
c.c15yocafricancamericancfemaleccomplainingcofclowercabdominalcpaincforc3cdays
d.c12yoccaucasiancwithcitchyceyecforc1cweekc-cANSWERcc
Thecpastchistorycshouldcinclude
a.cfamilychistory
b.csocialchx
c.csymptomcanalysis
d.chospitalizationc-cANSWERcd
Thecfamilychistorycshouldcinclude:
a.cthechealthcstatuscofcthecpaternalcgrandparents
b.ctheclivingcconditionscofcthecfamily
c.cthecworkcstatuscofcthecparents
d.cschoolcinformationc-cANSWERca
,Whichcofcthecfollowingcstatementscwouldcbecconsideredcsubjectivecdatacobtainedcfromct
hecclientcduringcthecreviewcofcsystemscforcthecskin?
a.cthecskincappearscdryc&cexcoriated
b.caclesionciscnotedconctheclateralcaspectcofcthecrightcleg
c.cthereciscmoderatecacneconcthecforeheadcandcback
d.cthecpatientcdeniescchangescincskinctexturec-cANSWERcd
ThecPNPcisccompletingcthecROSconcac4mo.cWhatcresponsecfromcthecmothercmightcindic
atecaccardiaccproblemcincthecinfantc&crequirecacmorecthoroughchistory?c
a.cthecbabycgetscthechiccupscoften.
b.citctakescthecbabycoverc30minctoccompletecacbottle
c.cthecbaby'scheartcseemsctocbeatcrapidlycsometimes
d.csometimescthecbabycsoundsccongestedc-cANSWERcb
ThecPNPciscobtainingcacreviewcofcsystemsconcachealthyc8yocgirl.cItcwouldcbecimportantcto
cinclude:
a.cthecdatecofclastcbreastcself-exam.
b.canyclimitationscrelatedctocsportscparticipation.
c.ctheclastchematocritcandchemoglobin
d.ctheclastcleadcscreenc-cANSWERcb
Thecmothercofcac3yocstatescthatchercsoncwasccompletelyctoiletctrainedcatc18mo.cThecPN
Pcexplorescfurther,casking:
a.chowcthecmothercdidcthectoiletctraining
b.cifcthecchildciscdrycatcnightcandcfullyctrainedcforcurinecandcstoolcdaycandcnight
c.catcwhatcagecdidcthecmothercbeginctoiletctrainingcthecothercchild.
d.cifcthecchildcgetscupcatcnightctocusecthecbathroomc-cANSWERcb
Jasmine,cac5-month-
oldcinfantciscinctheccliniccforcacwellcchildcvisitcandciscsleepingcinchercmother'scarms.cWhatcs
houldcthecPNPcdocfirst?c
a.cExaminecthecears,csincecthisciscuncomfortablecforcthecinfant.
b.cQuicklycgivecanycneededcimmunizations.
c.cBegincwithcassessmentcofcthecheadcandcproceedcfromcheadctoctoe.
d.causcultatecthecheartc&clungscwhilecthecinfantciscsleeping.c-cANSWERcd
Thecmothercofcacnewborncbringscthecbabyctoctheccliniccbecausecsheciscafraidcsomethingci
scwrongcwithchercbabyc("hischeadciscsocbig").cThecPNPcrespondscthat:
a.c"thisciscnormal.cThecheadcofcacnewbornciscproportionatelyclargectocthecrestcofcthecbody
"
b.c"Yes,cthiscdoescappearcabnormal.cIcwillcmakecancappointmentcforcthecbabyctocbecseenc
bycacneurologist."
d.c"yourcheadcappearsclargecsocitciscprobablycgenetic."c-cANSWERca
Achealthyc12yocfemaleciscatctheccliniccforcacwellccheckup.cOncphysicalcexamination,cacma
rkedcelevationcofcthecrightcscapulacandcrightcthoracicchumpcandcspinalccurvecabnormally
carecnoted.cSpinalcfilmscindicatec20cdegreeccurve.cThecPNPcshould:
a.crefercthecpatientctocancorthopedist
b.cmonitorcthecpatientceveryc3cmocuntilcmenarche
,c.crefercthecpatientcforcphysicalctherapy
d.crecommendcbedrestcandcbackcbracec-cANSWERca
Whatciscthec%cofcriskcancautosomalcdominantcgeneciscbeingcpassedconctoceachcoffspring
?c
a.c25
b.c50
c.c100
d.cnonec-cANSWERcb
Ac13yocfemaleciscatctheccliniccforcacroutineccheckcup.cWhatcpresentingcsymptomscmightc
alertcthecPNPctocthecpresencecofcacpossiblecgeneticcdisorder?
a.c<10%concgrowthcchart,cTannercI,candclearningcdifficulties
b.cPrecociouscpuberty,cdevelopmentalcdelays,cgiftedcpianocplayer
c.cLactosecintolerance,cfrequentcearcinfections,cspeechcdelays
d.cPeanutcallergy,cright-sidedcweakness,candcexhibitscbullyingcbehaviorc-cANSWERca
Thecparentscofcacchildcwithccysticcfibrosiscarecconsideringcanothercpregnancy.cTheycwa
ntctocknowcwhatctheircchancescarecofchavingcanothercchildcwithccysticcfibrosis.cThecPNPc
explainscthatccysticcfibrosisciscancautosomalcrecessivecdisordercandcthatceachcconceptio
ncofccarriercparentschasca:
a.c25%cchancecofcbeingcaffected
b.c50%cchancecofcbeingcaffected
c.c75%cchancecofcbeingcaffected
d.c100%cchancecofcbeingcaffectedc-cANSWERca
Thecparentscofcacsoncwithchemophiliacarecconsideringcanothercpregnancy.cThecmotherc
hascbeencidentifiedcascaccarriercofcthechemophiliacgene.cWhatcchancecdoesceachcfemal
ecoffspringchavecofchavingchemophilia.c
a.c100%
b.c50%
c.c25%
d.cnonec-cANSWERcd
AcmalecwithcVitamincD-
resistantcricketscaskscwhatchiscchancescarecofcpassingchiscdiseasectochiscparents.cThecP
NPcanswers:
a.callcsonscwillcbecaffectedcbyconlyc25%cdaughters
b.callcdaughterscarecaffectedcbyconlyc25%csons
c.c50%cofcallcoffspringcwillchavecthecdisease
d.callcdaughterscwillcbecaffectedcbutcnocsons.c-cANSWERcd
ThecPNPciscfollowingcac15-year-
oldcmalecadolescentcwithcconsistentcbloodcpressurecreadingscofc132ctoc138/84ctoc86cm
mcHg,cwhichciscclassifiedcascsignificantchypertension.cAftercperformingcacworkup,cthecP
NPcdeterminescthatcthecadolescentchascprimarychypertension.cThecmostcjudiciouscreco
mmendationcforctherapycis:
A)cDietcandcexerciseccounselingcandcreferralctocacspecialist
B)cAcdiuretic,clow-saltcdiet,cexercise,candccounselingcbycacdietician
C)cPerformcancextensivecfamilychistoryctocdeterminecothercriskcfactors
, D)cAcvasodilator,crestrictedcactivity,candcaclow-fatcdietc-cANSWERca
ThecPNPciscexaminingcacneonatecwithcacheartcmurmur.cThecS2csoundciscloudestcatctheca
pex.cThecrespiratorycratecisc65cbreathscpercminute,candcthecheartcratecisc180cbeatscperc
minute.cWhichcofcthecfollowingcwouldcbecancappropriatecactioncbycthecPNP?
A)cReevaluatecthecneonatecinc24chours
B)cIncreasecthecnumbercofcoralcfeedings
C)cOrderccardiacccatheterization
D)cRefercthecneonatectocaccardiologistc-cANSWERcd
Ac2-week-
oldcneonateciscbroughtctoctheccliniccwithcexcessiveclacrimationcofcbothceyes.cTheceyescar
ecclear,cwithcnocareascofcredness,cbutctheccorneascappearchazy.cThecPNPcexplainsctocth
ecparentscthecpossiblecdiagnosiscandctreatmentcascfollows:
A)cCongenitalcglaucomacrequiringcancophthalmologycreferral
B)cCornealcforeigncbodycrequiringcfluoresceincstainingcandcremoval
C)cChalazioncrequiringctreatmentcwithcantibioticceyedrops
D)cAllergiccconjunctivitiscrequiringctreatmentcwithcBenadrylceyedropsc-cANSWERca
Oncexaminationcofcac3-month-
oldcinfantcthecPNPciscunablectocelicitcacredcreflexcincthecrightceye.cPreviouscexaminationsc
failedctocnotecthecpresencecorcabsencecofcacredcreflex.cThecPNP'scresponseciscto:
A)cReassurecthecparentscthatcthisciscnotcacproblemcbecausecthecinfantchascdarkceyes
B)cNotecthiscfindingcincthecinfant'scchartcandccheckcagaincincacfewcmonths
C)cRefercthecinfantctocancophthalmologistctocrulecoutcretinalctrauma
D)cImmediatelycrefercthecinfantctocacpediatriccophthalmologistctocrulecoutcaccongenitalcca
taractcorcretinoblastomac-cANSWERcd
Ac4-year-
oldcchildcwithcchickenpoxchascvesiclesconcthecskincofcthecrightceyelid.cThecchildccomplain
scofceyecpaincandcblurredcvision.cThecPNPcshouldctreatcthecconditioncby:
A)cApplyingccoolccompressesctoctheceyecandclesions
B)cPrescribingceyedropsccontainingcsteroidsctocdecreasecinflammationcandcpain
C)cPrescribingcpolyspoiumcophthalmiccointmentcforcthecsecondarycbacterialcinfection
D)cImmediatelycreferringcthecchildctocancophthalmologistc-cANSWERcd
Ancadolescentciscbeingcseencatcaccommunitychealthccentercbecausecofcrecurrentcrespira
toryctractcinfections.cTheccompletecbloodccellccountc(CBC)cwithcdifferentialcshowscacwhit
ecbloodccellccountcofc20,500cwithc35%cblastccells.cThecnextcstepcincmanagingcthecadoles
cent'sccareciscto:
A)cRepeatcthecCBCcwithcdifferentialcinc1cweek
B)cReferctocacspecialistcincpediatricchematology
C)cPerformcbonecmarrowcaspiration
D)cHospitalizecthecadolescentcimmediatelyc-cANSWERcb
Ac9-month-
oldcinfantcwascdiagnosedcwithcsickleccellcdiseasecshortlycaftercbirth.cThecmotherctelepho
nescthecPNPctocreportcthatcthecinfantchascacfevercofc103.2°F.cThecbestcresponsectocthecm
othercis:
A)c"Takecthecinfantctocthecemergencycroomcimmediately."