NUR 652 - Final Exam||Testbank With
Questions And Well Verified Correct
Answers||Graded A+||
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
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
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
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
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
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
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
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
,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
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
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
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
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
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
Causes of cough, not related to pulmonary issues -CORRECT ANSWER Allergies,
GERD, medications (lisinopril)
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
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
, 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
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
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
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? -CORRECT 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? -CORRECT ANSWER Refer the infant to the ED for fluids, dextrose,
and steroids
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? -CORRECT 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? -CORRECT 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? -CORRECT
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? -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 -CORRECT ANSWER Consulting a metabolic specialist
Questions And Well Verified Correct
Answers||Graded A+||
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
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
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
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
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
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
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
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
,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
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
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
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
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
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
Causes of cough, not related to pulmonary issues -CORRECT ANSWER Allergies,
GERD, medications (lisinopril)
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
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
, 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
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
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
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? -CORRECT 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? -CORRECT ANSWER Refer the infant to the ED for fluids, dextrose,
and steroids
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? -CORRECT 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? -CORRECT 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? -CORRECT
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? -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 -CORRECT ANSWER Consulting a metabolic specialist
