NUR 652 FINAL EXAM LATEST UPDATETHIS YEAR ALL 300 QUESTIONS AND CORRECT DETAILED SOLUTIONS

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NUR 652 FINAL EXAM LATEST UPDATETHIS
YEAR ALL 300 QUESTIONS AND CORRECT
DETAILED SOLUTIONS

Question: During a well child assessment of an African American infant, the primary care nurse
practitioner notes a dark red-brown light reflex in the left eye and a slightly brighter, red-orange light
reflex in the right eye. The nurse practitioner will... - CORRECT ANSWER✔✔Refer the infant to an
opthalmologist




Question: A preschool age child who attend daycare has a 2 day history of matted eyelids in the morning
and burning and itching of the eyes. The primary care NP notes yellow-green purulent discharge from
both eyes, conjunctival erythema and mild URI symptoms. Which action is correct? - CORRECT
ANSWER✔✔Prescribe topical antibiotic drops




Question: An 18-month-old child with no previous history of otitis media awoke during the night with
right ear pain. The primary care NP notes an axillary temperature of 100.5 and an erythematous, bulging
TM. A tympanogram reveals a peak of +15-mm H2O. What is the recommended treatment for this child?
- CORRECT ANSWER✔✔An analgesic medication and watchful waiting




Question: During a well-child exam on a 4-year-old child, the primary care NP notes that the clinic nurse
recorded 20/50 for the child's vision and noted that the child has difficulty cooperating with the exam.
What will the NP recommend? - CORRECT ANSWER✔✔Test the child's vision in 1 month

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Question: Causes of cough, not related to pulmonary issues - CORRECT ANSWER✔✔Allergies, GERD,
medications (lisinopril)




Question: The primary care NP is providing nutritional counseling for a 9-year-old female whose weight
is at the 95th percentile for her age. What is the goal for this patient? - CORRECT
ANSWER✔✔Maintenance of her current weight




Question: The primary care NP is performing a well child examination on a 12-year-old child who was
diagnosed with type 1 DM at age 9. The child had a lipid screen at age 10 with an LDL cholesterol
<100mg/dL. What will the NP recommend as part of ongoing management for this child? - CORRECT
ANSWER✔✔Comprehensive ophthalmologic exams




Question: A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by a parent.
An exam reveals three avulsed front teeth. Radiologic studies are negative for facial fractures. What is
the recommended treatment? - CORRECT ANSWER✔✔Refer the child to the dentist immediately for
further evaluation




Question: A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What will the
primary care nurse practitioner recommend to promote dental health in this child? - CORRECT
ANSWER✔✔Daily chlorhexidine gluconate




Question: A teen who has otitis externa has severe swelling of the external auditory canal that persists
after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is the next step in treatment
for this child? - CORRECT ANSWER✔✔Insert a wick into the external auditory canal

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Question: An elderly patient has a permanent loss of the sense of smell and diminished taste. What will
be included in teaching this patient about managing these symptoms? - CORRECT ANSWER✔✔1. The
importance of installing smoke detectors

2. Putting dates on food in the fridge

3. Eating regular meals at scheduled times




Question: A toddler exhibits exotropia of the right eye during a cover-uncover screen. The primary nurse
practitioner will refer to a pediatric ophthalmologist to initiate which treatment? - CORRECT
ANSWER✔✔Patching of the unaffected eye for 2 hours each day




Question: An adolescent has localized bleeding of the gums when brushing the teeth. An exam of the
mouth reveals the presence of plaque and calculus on the teeth which are not loose. What will the
primary care nurse practitioner recommend? - CORRECT ANSWER✔✔Consistently brushing and flossing
the teeth twice daily




Question: A provider is recommending a cerumenolytic for a patient who has chronic cerumen buildup.
The provider notes that the patient has dry skin in the ear canal. Which preparation is FDA approved for
this use? - CORRECT ANSWER✔✔Carbamide peroxide




Question: A parent asks about ways to promote dental health in school-aged children while on family
vacation that are convenient while camping and picnicking. What will the primary care nurse practitioner
recommend? - CORRECT ANSWER✔✔Offering gum containing xylitol after meals

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Question: A 7-month-old infant has had two prior acute ear infections and is currently on the 10th day
of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The primary care nurse
practitioner notes marker middle ear effusion and erythema of the TM. The child is irritable and has a
temperature of 99.8. What is the next step in management of this child's infection? - CORRECT
ANSWER✔✔Refer the child to an otolayngologist




Question: A patient reports painful swelling in the mouth with increased pain at mealtimes. The
provider notes a mass in the salivary gland region. What is the likely cause of these symptoms? -
CORRECT ANSWER✔✔Sialolithiasis




Question: 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? - CORRECT ANSWER✔✔Continuous
glucose monitoring




Question: The primary care NP notes a musty odor when examining a newborn at a 2-week checkup.
What will the NP suspect? - CORRECT ANSWER✔✔Phenylketonuria




Question: 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? - CORRECT
ANSWER✔✔Consulting with a nephrologist