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SARAH MICHELLE CRASH COURSE FINAL EXAM STUDY GUIDE 2025/2026 | COMPLETE QUESTIONS | VERIFIED ANSWERS | GRADED A + | PASS GUARANTEED | RECENT UPDATE

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SARAH MICHELLE CRASH COURSE FINAL EXAM STUDY GUIDE 2025/2026 | COMPLETE QUESTIONS | VERIFIED ANSWERS | GRADED A + | PASS GUARANTEED | RECENT UPDATE When can children return to school after chickenpox - ANSWER️When all the lesions are crushed over Molluscum contagiosum presentation - ANSWER️Flesh-colored papules w/ central umbilication. Contagious Encopresis - ANSWER️a childhood disorder characterized by repeated defecating in inappropriate places, such as one's clothing after already being toilet trained. Child resists having bowel movements, causing impacted stool to collect in the colon and rectum, which can lead to leakage. Encopresis Treatment - ANSWER️Daily laxatives until BM is soft and regular Behavior management: toilet refusal behavior, scheduled toileting time, and incentives. Prevention of constipation Counseling Reduce family tension What indicates hepatitis B immune - ANSWER️Hepatitis surface antibody What indicates Hepatitis B is active - ANSWER️Hepatitis B surface antigen (lasts 1-10 weeks after infection ) IgM Liver enzyme that is grossly elevated in hepatitis - ANSWER️ALT compared to AST Liver enzymes that are elevated when the liver is damaged due to alcohol or medications like APAP - ANSWER️AST compared to ALT Viral infections like hepatitis would predominantly have _______, as compared to bacterial infection predominantly would have _____ on labs - ANSWER️Lymphocytes (viral infections) Leukocytes ( bacterial infections) Which medication produces rapid relief for stomach acid? - ANSWER️Calcium carbonate (Tums- Antacids); however, it does not relieve symptoms as long H2 blockers- end in dine (rantadine, famotidine). Provides relief in 1-2 hours for 6-12 hours. As compared to PPIs, they are not as fast, but are stronger (omeprazole, pantoprazole). They provide relief after several hours and relieve up to days Which lab is elevated in pancreatitis - ANSWER️Serum amylase Hirschsprung's disease presentation - ANSWER️Failure to pass meconium in the first 48 hours of life cachexia - ANSWER️a condition of physical wasting away due to the loss of weight and muscle mass that occurs in patients with diseases such as older adults, advanced cancer or AIDS hepatitis panel with the following results: - HBsAg, + IgG Anti-HBc, - IgM Anti-HBc, +HBsAb. Which of the following is the correct interpretation of these findings? - ANSWER️Immune due to previous infection HBsAg is the surface antigen used to determine if a hepatitis B infection is present.The Anti-HBc is the core antibody. The core antibody will always remain positive after an infection has occurred and can be further broken down into the IgG and IgM to determine if the infection is current or resolved. HBsAb (sometimes called the Anti-HBs) is used to detect the surface antibody which indicates the patient has immunity from Hepatitis B. Immunity from Hepatitis B occurs either from past infection or from the immunization. This patient has a positive IgG, meaning they had an infection that is now gone. Since their HBsAb is positive, they are now immune to hepatitis B due to the previously resolved infection. A 60-year-old female presents with dull, aching back pain in her lower back and occasional weakness in her left foot. She states that the pain is relieved when she sits down and rests. What does the nurse practitioner suspect? - ANSWER️Spinal stenosis Low back pain that is relieved by sitting is a sign of spinal stenosis. Weakness or "foot drop," burning in the buttocks and thigh, and abnormal reflexes can all be signs of spinal stenosis as well. Spinal stenosis is most common in patients older than 50 years old and is many times due to osteoarthritis. The pain is often described as dull or aching. A 37-year-old female patient presents with unusual complaints of continued fatigue, increasing bone pain, and nausea. She has had several visits in the last several months but no resolution of symptoms. Which of the following is the most likely differential for this patient given her presenting symptoms and history? - ANSWER️Some of the classic symptoms of hyperparathyroidism include abdominal pain, nausea, vomiting, fatigue, confusion, muscle weakness, and bone pain. A patient with depression may have the symptom of fatigue, but would not necessarily present with the other symptoms. Patients with iron deficiency anemia do not present with nausea or bone pain but instead present with pallor, palpitations, pica, nail pitting, etc. Patients with undiagnosed diabetes normally present with the classic symptoms of polydipsia, polyuria, and polyphagia. history of lupus has a positive direct Coombs test. This finding is commonly associated with which of the following? - ANSWER️A patient diagnosed with systemic lupus erythematosus (SLE) is at an increased risk for an autoimmune hemolytic anemia. A direct Coombs test can indicate a hemolytic anemia in which the red blood cells are being destroyed prematurely. It is also common to see secondary Sjogren's syndrome in patie

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SARAH MICHELLE CRASH COURSE FINAL
EXAM STUDY GUIDE 2025/2026 |
COMPLETE QUESTIONS | VERIFIED
ANSWERS | GRADED A + | PASS
GUARANTEED | RECENT UPDATE




When can children return to school after chickenpox - ANSWER When all the
lesions are crushed over


Molluscum contagiosum presentation - ANSWER Flesh-colored papules w/
central umbilication. Contagious


Encopresis - ANSWER a childhood disorder characterized by repeated
defecating in inappropriate places, such as one's clothing after already being toilet
trained.
Child resists having bowel movements, causing impacted stool to collect in the
colon and rectum, which can lead to leakage.


Encopresis Treatment - ANSWER Daily laxatives until BM is soft and regular
Behavior management: toilet refusal behavior, scheduled toileting time, and
incentives.
Prevention of constipation
Counseling

,Reduce family tension


What indicates hepatitis B immune - ANSWER Hepatitis surface antibody



What indicates Hepatitis B is active - ANSWER Hepatitis B surface antigen
(lasts 1-10 weeks after infection )
IgM


Liver enzyme that is grossly elevated in hepatitis - ANSWER ALT compared to
AST


Liver enzymes that are elevated when the liver is damaged due to alcohol or
medications like APAP - ANSWER AST compared to ALT


Viral infections like hepatitis would predominantly have _______, as compared to
bacterial infection predominantly would have _____ on labs -
ANSWER Lymphocytes (viral infections)
Leukocytes ( bacterial infections)


Which medication produces rapid relief for stomach acid? - ANSWER Calcium
carbonate (Tums- Antacids); however, it does not relieve symptoms as long


H2 blockers- end in dine (rantadine, famotidine). Provides relief in 1-2 hours for 6-
12 hours.

,As compared to PPIs, they are not as fast, but are stronger (omeprazole,
pantoprazole). They provide relief after several hours and relieve up to days


Which lab is elevated in pancreatitis - ANSWER Serum amylase


Hirschsprung's disease presentation - ANSWER Failure to pass meconium in
the first 48 hours of life


cachexia - ANSWER a condition of physical wasting away due to the loss of
weight and muscle mass that occurs in patients with diseases such as older adults,
advanced cancer or AIDS


hepatitis panel with the following results: - HBsAg, + IgG Anti-HBc, - IgM Anti-
HBc, +HBsAb. Which of the following is the correct interpretation of these
findings? - ANSWER Immune due to previous infection


HBsAg is the surface antigen used to determine if a hepatitis B infection is
present.The Anti-HBc is the core antibody. The core antibody will always remain
positive after an infection has occurred and can be further broken down into the
IgG and IgM to determine if the infection is current or resolved. HBsAb
(sometimes called the Anti-HBs) is used to detect the surface antibody which
indicates the patient has immunity from Hepatitis B. Immunity from Hepatitis B
occurs either from past infection or from the immunization. This patient has a
positive IgG, meaning they had an infection that is now gone. Since their HBsAb is
positive, they are now immune to hepatitis B due to the previously resolved
infection.


A 60-year-old female presents with dull, aching back pain in her lower back and
occasional weakness in her left foot. She states that the pain is relieved when she

, sits down and rests. What does the nurse practitioner suspect? -
ANSWER Spinal stenosis


Low back pain that is relieved by sitting is a sign of spinal stenosis. Weakness or
"foot drop," burning in the buttocks and thigh, and abnormal reflexes can all be
signs of spinal stenosis as well. Spinal stenosis is most common in patients older
than 50 years old and is many times due to osteoarthritis. The pain is often
described as dull or aching.


A 37-year-old female patient presents with unusual complaints of continued
fatigue, increasing bone pain, and nausea. She has had several visits in the last
several months but no resolution of symptoms. Which of the following is the most
likely differential for this patient given her presenting symptoms and history? -
ANSWER Some of the classic symptoms of hyperparathyroidism include
abdominal pain, nausea, vomiting, fatigue, confusion, muscle weakness, and bone
pain. A patient with depression may have the symptom of fatigue, but would not
necessarily present with the other symptoms. Patients with iron deficiency anemia
do not present with nausea or bone pain but instead present with pallor,
palpitations, pica, nail pitting, etc. Patients with undiagnosed diabetes normally
present with the classic symptoms of polydipsia, polyuria, and polyphagia.


history of lupus has a positive direct Coombs test. This finding is commonly
associated with which of the following? - ANSWER A patient diagnosed with
systemic lupus erythematosus (SLE) is at an increased risk for an autoimmune
hemolytic anemia.


A direct Coombs test can indicate a hemolytic anemia in which the red blood cells
are being destroyed prematurely.

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