FNP 652 Final Exam Test Questions And Answers
Verified 100% Correct Springsummer Term
The primary care NP is reviewing lab work and diabetes management with a school-aged child
whose HbA1C is 7.6% who reports usual blood sugars before meals as being 80-90mg/dL. The
NP will consult with the child's endocrinologist to consider which therapy? - answer Continuous
glucose monitoring
The primary care NP notes a musty odor when examining a newborn at a 2-week checkup. What
will the NP suspect? - answer Phenylketonuria
A patient who is obese has recurrent UTIs and reports feeling tired most of the time. What initial
diagnostic test will the provider order in the clinic at this visit? - answer HbA1C
A patient who has diabetes has a blood pressure of 140/90 and albuminuria. Which initial action
by the primary care NP is indicated for management of this patient? - answer Consulting with a
nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child with a history
of intrauterine growth retardation whose height remains less than the 3rd percentile on a WHO
growth chart. What will the NP do? - answer Refer the child to a pediatric endocrinologist
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the primary care
NP notes vomiting, poor feeding, lethargy, and mild dehydration. Which action is correct? -
answer Refer the infant to the ED for fluids, dextrose, and steroids
A patient with T2DM becomes insulin dependent after a year of therapy with oral diabetes
medication. When explaining this change in therapy, the provider will tell the patient: - answer
This is because of the natural progression of the disease
A 16-year-old female whose BMI is at the 90th percentile reports irregular periods. The primary
care NP notes widespread acne on her face and back and an abnormal distribution of facial hair.
The NP will evaluate her further based on a suspicion of which diagnosis? - answer PCOS
A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The provider
notes that the patient appears confused and irritable and is sweating and shaking. What
intervention will the provider expect to perform once the POC blood glucose is known? - answer
Giving a rapid acting carbohydrate
,A 15-year-old child has a recent history of increased thirst and frequent urination. The child's
weight has been in the 95th percentile for several years. A dipstick UA is positive for glucose,
and random plasma glucose is 350mg/dL. Which test will the primary care NP order to
determine the type of diabetes in this child? - answer Pancreatic antibodies
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - answer Thyroid ultrasound
The primary care NP diagnoses a 14-year-old child with T1DM after a routine urine screen is
positive for glucose and negative for ketones and plasma glucose is 350mg/dL. The child's
weight is normal and the parents report a mild increase in thirst and urine output in the past few
days. Which course of action is correct? - answer Begin insulin and refer the child to a children's
diabetes center
An initial key part of management of a child suspected of having an inborn error of metabolism
is - answer Consulting a metabolic specialist
The primary care NP is performing a well-child examination on a 5-year-old girl. The parents
ask if the child's adult height can be predicted. The NP learns that the mother is 5'8" tall and the
father is 5'11" tall. The NP will estimate which expected adult height for this child? - answer 5'7"
A diabetic patient who is taking a statin drug to treat dyslipidemia has begun a diet and exercise
program. The patient reports new onset of muscle pain several weeks after beginning therapy.
What is the initial action of the provider? - answer obtain a creatinine kinase level
The mother of a female infant is concerned that her daughter is developing breasts. The primary
care NP notes mild breast development but no pubic or axillary hair. What is the likely
diagnosis? - answer Premature thelarche which will resolve over time
Which thyroid stimulating hormone (TSH) level indicates hyperthyroidism - answer 0.2uIU/L
A patient with T2DM has a low-density lipoprotein (LDL) level of 110mg/dL. What is
recommended to manage this patient? - answer Prescription of a moderate or high intensity statin
The primary care NP performs a physical examination on a 9-month-old infant with congenital
hypothyroidism who takes daily levothyroxine sodium and notes a recent slowing of the infant's
growth rate. What will the NP order? - answer Free serum T4 and TSH levels
A 6-year-old female has had a recent growth spurt and an exam reveals breast and pubic hair
development. Her bone age is determined to be 8 years. What will the NP do next? - answer
Refer the child to a pediatric endocrinologist for management
, The primary care NP is performing a well child examination on a 13-year-old child who was
diagnosed with T1DM at age 9. The child had a lipid screen at age 10 with an LDL of
<100mg/dL. What will the NP recommend as part of ongoing management for this child? -
answer Comprehensive ophthalmologic exam
The primary care NP evaluates children's growth to screen for endocrine and metabolic
disorders. Which is a critical component of this screening? - answer obtaining serial
measurements to assess patterns over time
A 13-year-old Native American female has a BMI at the 90th percentile for age. The primary
care NP notes the presence of a hyperpigmented velvet-like rash in skin folds. The child denies
polydipsia, polyphagia, and polyuria. The NP will - answer order a fasting blood sample for a
metabolic screen for T2DM
Dietary changes should be recommended to parents at what age if obesity/overweight - answer
12 mos
Which recommendation is incorrect for six mos & older - answer Juice is consumed with
breakfast
What should you advise parents of toddler with acute gastroenteritis - answer Give sips of oral
rehydration solution
Signs of severe dehydration includes all but which of the following - answer elevated BP
Most common viral cause of gastroenteritis - answer Norovirus
Therapy for hemorrhoids does not include - answer low fat diet
What has the highest fiber content - answer 1 cup of cooked oatmeal
Risk factors for development of hemorrhoids - answer 1. excessive ETOH use
2. prolonged sitting
3. chronic diarrheai
Which of the following is not a sign of acute appendicitis in young adults - answer marked
febrile response
Which best represents peak ages for acute appendicitis - answer 10-30 years
Verified 100% Correct Springsummer Term
The primary care NP is reviewing lab work and diabetes management with a school-aged child
whose HbA1C is 7.6% who reports usual blood sugars before meals as being 80-90mg/dL. The
NP will consult with the child's endocrinologist to consider which therapy? - answer Continuous
glucose monitoring
The primary care NP notes a musty odor when examining a newborn at a 2-week checkup. What
will the NP suspect? - answer Phenylketonuria
A patient who is obese has recurrent UTIs and reports feeling tired most of the time. What initial
diagnostic test will the provider order in the clinic at this visit? - answer HbA1C
A patient who has diabetes has a blood pressure of 140/90 and albuminuria. Which initial action
by the primary care NP is indicated for management of this patient? - answer Consulting with a
nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child with a history
of intrauterine growth retardation whose height remains less than the 3rd percentile on a WHO
growth chart. What will the NP do? - answer Refer the child to a pediatric endocrinologist
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the primary care
NP notes vomiting, poor feeding, lethargy, and mild dehydration. Which action is correct? -
answer Refer the infant to the ED for fluids, dextrose, and steroids
A patient with T2DM becomes insulin dependent after a year of therapy with oral diabetes
medication. When explaining this change in therapy, the provider will tell the patient: - answer
This is because of the natural progression of the disease
A 16-year-old female whose BMI is at the 90th percentile reports irregular periods. The primary
care NP notes widespread acne on her face and back and an abnormal distribution of facial hair.
The NP will evaluate her further based on a suspicion of which diagnosis? - answer PCOS
A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The provider
notes that the patient appears confused and irritable and is sweating and shaking. What
intervention will the provider expect to perform once the POC blood glucose is known? - answer
Giving a rapid acting carbohydrate
,A 15-year-old child has a recent history of increased thirst and frequent urination. The child's
weight has been in the 95th percentile for several years. A dipstick UA is positive for glucose,
and random plasma glucose is 350mg/dL. Which test will the primary care NP order to
determine the type of diabetes in this child? - answer Pancreatic antibodies
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - answer Thyroid ultrasound
The primary care NP diagnoses a 14-year-old child with T1DM after a routine urine screen is
positive for glucose and negative for ketones and plasma glucose is 350mg/dL. The child's
weight is normal and the parents report a mild increase in thirst and urine output in the past few
days. Which course of action is correct? - answer Begin insulin and refer the child to a children's
diabetes center
An initial key part of management of a child suspected of having an inborn error of metabolism
is - answer Consulting a metabolic specialist
The primary care NP is performing a well-child examination on a 5-year-old girl. The parents
ask if the child's adult height can be predicted. The NP learns that the mother is 5'8" tall and the
father is 5'11" tall. The NP will estimate which expected adult height for this child? - answer 5'7"
A diabetic patient who is taking a statin drug to treat dyslipidemia has begun a diet and exercise
program. The patient reports new onset of muscle pain several weeks after beginning therapy.
What is the initial action of the provider? - answer obtain a creatinine kinase level
The mother of a female infant is concerned that her daughter is developing breasts. The primary
care NP notes mild breast development but no pubic or axillary hair. What is the likely
diagnosis? - answer Premature thelarche which will resolve over time
Which thyroid stimulating hormone (TSH) level indicates hyperthyroidism - answer 0.2uIU/L
A patient with T2DM has a low-density lipoprotein (LDL) level of 110mg/dL. What is
recommended to manage this patient? - answer Prescription of a moderate or high intensity statin
The primary care NP performs a physical examination on a 9-month-old infant with congenital
hypothyroidism who takes daily levothyroxine sodium and notes a recent slowing of the infant's
growth rate. What will the NP order? - answer Free serum T4 and TSH levels
A 6-year-old female has had a recent growth spurt and an exam reveals breast and pubic hair
development. Her bone age is determined to be 8 years. What will the NP do next? - answer
Refer the child to a pediatric endocrinologist for management
, The primary care NP is performing a well child examination on a 13-year-old child who was
diagnosed with T1DM at age 9. The child had a lipid screen at age 10 with an LDL of
<100mg/dL. What will the NP recommend as part of ongoing management for this child? -
answer Comprehensive ophthalmologic exam
The primary care NP evaluates children's growth to screen for endocrine and metabolic
disorders. Which is a critical component of this screening? - answer obtaining serial
measurements to assess patterns over time
A 13-year-old Native American female has a BMI at the 90th percentile for age. The primary
care NP notes the presence of a hyperpigmented velvet-like rash in skin folds. The child denies
polydipsia, polyphagia, and polyuria. The NP will - answer order a fasting blood sample for a
metabolic screen for T2DM
Dietary changes should be recommended to parents at what age if obesity/overweight - answer
12 mos
Which recommendation is incorrect for six mos & older - answer Juice is consumed with
breakfast
What should you advise parents of toddler with acute gastroenteritis - answer Give sips of oral
rehydration solution
Signs of severe dehydration includes all but which of the following - answer elevated BP
Most common viral cause of gastroenteritis - answer Norovirus
Therapy for hemorrhoids does not include - answer low fat diet
What has the highest fiber content - answer 1 cup of cooked oatmeal
Risk factors for development of hemorrhoids - answer 1. excessive ETOH use
2. prolonged sitting
3. chronic diarrheai
Which of the following is not a sign of acute appendicitis in young adults - answer marked
febrile response
Which best represents peak ages for acute appendicitis - answer 10-30 years
